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    Foreign Bodies in the Ear, Nose, and Throat

    J. Lane Wilson

    Foreign bodies in the ear, nose, and throat are common in young children. For ear and nasal foreign bodies, in-office removal should be considered if objects are directly visible and graspable, and if the patient can cooperate or be adequately immobilized. All airway foreign...

    Top 20 Research Studies of 2024 for Primary Care Physicians

    Roland Grad, Mark H. Ebell

    This article is the 14th installment of the annual series and summarizes the 20 most clinically relevant POEMs (patient-oriented evidence that matters) of 2024 for primary care physicians.

    Fingertip Injuries

    Jordan Hilgefort, Jonathan Becker, Justin Chu

    Family physicians can provide timely care for common fingertip injuries, including subungual hematoma, nail bed laceration, distal interphalangeal joint dislocation, distal phalanx fracture, mallet finger, and jersey finger, to minimize long-term disability and restore...

    Approach to Developmental Screening and Surveillance in Young Children

    John J. Koopman, David C. Fiore, Karen Thiele

    Early childhood development focuses on physical well-being, motor skills development, social interaction patterns, and attainment of specific cognitive and communication skills. Family physicians should use their best judgment when deciding whether to implement universal...

    Intimate Partner Violence

    Elizabeth C. Halloran, Tiffany Fay Ho

    Women of reproductive age should be screened for intimate partner violence. For all patients, universal education should be practiced to provide information about healthy relationships and resources.

    Inside AFP

    Students and Residents: The Future of American Family Physician

    Sumi M. Sexton

    This special edition of Inside AFP is dedicated to family medicine residents and students: the future of our specialty.

    Editorials

    Safe and Effective Pain Management in Children: A New AAP Guideline

    Scott E. Hadland, Rita Agarwal

    Finding the correct balance in safe and effective opioid prescription is essential.

    Menopausal Hormone Therapy: Limited Benefits, Significant Harms

    Adriane Fugh-Berman, Barbara Mintzes

    Some symptoms attributed to menopause, including aches and pains, tiredness, incontinence, and mood disorders, are equally common among older men and more fairly attributed to aging.

    Medicine by the Numbers

    Surgical vs Nonsurgical Treatments for Carpal Tunnel Syndrome

    Thomas M. Neubauer, Jason B. Alisangco

    A color recommendation of yellow (unclear benefits) was assigned for this intervention because of the lack of conclusive data regarding many of the comparisons and heterogeneity of disease severity and defined outcomes among the studies.

    STEPS

    Benzgalantamine (Zunveyl) for the Treatment of Mild to Moderate Alzheimer Disease

    Esther M. Johnston, Jody L. Lounsbery

    Benzgalantamine should improve cognitive and behavioral symptoms in patients with mild to moderate Alzheimer disease over the short-term, similarly to galantamine. Given the frequent intolerance of galantamine, benzgalantamine can be considered if intolerance occurs.

    Cochrane for Clinicians

    Vaccines for Measles, Mumps, Rubella, and Varicella in Children and Adolescents

    William E. Cayley, Jr

    Vaccination reduces the number of cases of MMR and varicella among children and adolescents. Common adverse effects include rash and seizures, with no evidence of any increased risk of autism spectrum disorder or inflammatory bowel disease.

    Effectiveness of Topical Anti-Inflammatory Drugs for Eczema

    Joseph R. Yancey, Samantha Green

    Low- to moderate-confidence evidence shows that select topical anti-inflammatory drugs are the most effective treatment for eczema. These potent and very potent drugs include corticosteroids (eg, clobetasol), calcineurin inhibitors (eg, tacrolimus 0.1%), and Janus kinase...

    FPIN's Help Desk Answers

    Metformin to Decrease Mortality in Patients With Prediabetes

    Charla Allen, Kayden Barber, Brian Mallory, Annalee Toti

    A large, multicenter, randomized controlled trial (RCT) with extended follow-up showed that metformin does not decrease the mortality rate in patients with prediabetes. In patients with prediabetes, metformin reduces progression to diabetes. Metformin does not reduce the rate...

    FPIN's Clinical Inquiries

    Use of Intravenous Antihypertensives in Adults Hospitalized for Noncardiac Causes

    Elin Kondrad, Allyson Westling, Megan Harper, Stephanie Weldon

    Multiple retrospective cohort studies have shown that use of IV antihypertensives in adults with hypertensive blood pressure (BP) measurements who have been hospitalized for noncardiac causes is associated with significant harm. Use of IV antihypertensives in these patients...

    Photo Quiz

    Rapidly Progressing Facial Rash

    Jideofor K. Ndulue, Chiagoziem J. Ndulue

    A 21-year-old woman presented with a fever and worsening facial rash.

    Bullous Rash on the Legs

    David M. Quillen, Scott H. Lang, Sara A. Lohbauer

    A 22-year-old man presented with blisters on his lower legs.

    Curbside Consultation

    Dialectical Behavior Therapy: A Brief Counseling Skill for Clinical Practice

    Josh Bylotas, Mary-Katharine Cherubini, Mark A. Dixon

    Identifying strategies to deliver pragmatic behavioral health support in the primary care setting can offset some of the many barriers to mental health care. One skill set that physicians can implement in primary care is dialectical behavior therapy.

    POEMs

    Updated Guidelines From the Society of Critical Care Medicine Strongly Recommend Steroids for Hospitalized Adults With Severe CAP

    Nita Shrikant Kulkarni

    Topical Vaginal Estrogen Is Not Associated With Increased Risk in Breast Cancer Survivors

    Linda Speer

    Bright Light Therapy Is Effective for Nonseasonal Depressive Disorders

    David C. Slawson

    Universal Respiratory Syncytial Virus Prophylaxis Decreases Health Care Use by Infants

    Allen F. Shaughnessy

    Practice Guidelines

    Assessment and Management of Patients at Risk for Suicide: Guidelines From the VA/DoD

    Michael J. Arnold

    The US Department of Veterans Affairs and US Department of Defense (VA/DoD) published updated guidelines on evaluation and management of patients at risk for suicide.

    Letters to the Editor

    VA/DoD Guidelines: Oral Health in Prenatal Care

    Shenam Ticku, Hugh Silk



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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