Nerve Blocks: Part I. Upper Extremity

Jacqueline L. Yurgil, Chad D. Hulsopple, Jeffrey C. Leggit

Procedural anesthesia may be administered by family physicians when managing a variety of conditions, such as neuropathies, fracture reduction, foreign body removals, and complex wounds. Nerve blocks can be guided by bony landmarks, peripheral nerve stimulation, or...

Nerve Blocks: Part II. Lower Extremity

Jacqueline L. Yurgil, Chad D. Hulsopple, Jeffrey C. Leggit

Nerve blocks are used for a variety of procedures involving the lower extremity. Depending on the required area of anesthesia for the procedure, various points throughout the lower extremity can be used to block the lateral femoral cutaneous, common peroneal, saphenous,...

Newborn Circumcision Techniques

Folashade Omole, Walkitria Smith, Kitty Carter-Wicker

Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. Performing male circumcision during the neonatal period has several advantages, including a lower risk of complications, faster healing, and lower cost. The...

Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption

Sandy L. Robertson, Allen F. Shaughnessy, David C. Slawson

Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.

Decompression Surgery, Fabric Masks, Heat Stroke, e-Cigarette Use

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

Emergency Contraception: Safety and Effectiveness

Sajeewane Seales, Paul Seales

Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.

Potential of Fetal Fibronectin Testing to Prevent Preterm Birth

Tyler Barreto

Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome

Lawrence M. Gibbs, Kim Pham, Sarah Langston, Sue Stigleman

No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).

Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis

Mónica García-Arpa, Violeta Herrera-Montoro, Elisa Gómez-Torrijos

A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.

Preparticipation Physical Evaluation: AAFP and Others Update Recommendations

Sean Wise, Jeffrey Leggit

The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low Back Pain

Allen F. Shaughnessy

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer Rate but May Cause Overdiagnosis

Mark H. Ebell

Useful Signs and Symptoms for Diagnosing Hip Osteoarthritis

David C. Slawson

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred over PCI

Mark H. Ebell

Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive Pulmonary Disease

Bryan Zorko, Michael Ritchie

Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of...

Sexual Health Communication Strategies for Breast Cancer Survivors

David S. Garcia, Mollie S. Canzona, Christy J.W. Ledford