Hip Pain in Adults: Evaluation and Differential Diagnosis

Rachel Chamberlain

Hip pain usually localizes anteriorly, laterally, or posteriorly. A focused history and physical examination can help differentiate the causes of hip pain, which is important for prescribing effective therapy. The history should include personal history of hip problems,...

Labor Dystocia in Nulliparous Patients

Nicholas M. LeFevre, Ellisa Krumm, William Jacob Cobb

Dystocia accounts for 25% to 55% of primary cesarean deliveries. Avoiding admission to labor and delivery in the latent phase is recommended, assuming maternal/fetal status is reassuring. An arrested active phase is more than four hours without cervical change despite...

Dysphagia: Evaluation and Collaborative Management

John M. Wilkinson, Don Chamil Codipilly, Robert P. Wilfahrt

Dysphagia is common but may be underreported. Oropharyngeal dysphagia manifests as coughing, choking, aspiration, or difficulty initiating swallowing, and is most often caused by chronic neurologic conditions. Patients with esophageal dysphagia may report a sensation of food...

Evidence Lacking to Support Universal Unhealthy Drug Use Screening

Sarah Coles, Alexis Vosooney

To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and...

COVID-19, Scoliosis, Muscle Weakness, Preterm Birth, Fecal Incontinence

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

Screening for Unhealthy Drug Use: Recommendation Statement

The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

Fever and Rash After Travel to the Philippines

Micah Pippin, Lois Buller

A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.

Antepartum Perineal Massage for Intrapartum Lacerations

Susie Wenstrup, Divesh Goel, Beenish Viqar

Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of Heart Attack and Stroke

Leena Myran, Thanh-Nga Nguyen

Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology and Arthritis Foundation

Andrew Buelt, Dusty Marie Narducci

The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

Twenty-Year Follow-Up of the Women's Health Initiative Trials: Lower Breast Cancer Mortality with Estrogen Alone, No Difference with Estrogen Plus Progesterone

David C. Slawson

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No Effect on Severe Exacerbations

Mark H. Ebell

Short-Term Low Back Pain Relief with Placebo

Allen F. Shaughnessy

Buffering Lidocaine 1%/Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as Effective and Less Painful than a 9:1 Ratio

David C. Slawson, Christina M. Garcia

Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents

William Hay

Reply: Suraj Achar, Jarrod Yamanaka

Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding

Alan M. Ehrlich, Terence K. Trow

Reply: Thad Wilkins, Brittany Wheeler, Mary Carpenter

Newborn Circumcision Techniques and Medical Ethics

Brian D. Earp, Ranit Mishori, Alexandre T. Rotta

Reply: Rolashade Omole, Walkitria Smith, Kitty Carter-Wicker

Hip Pain in Adults

Hip pain is common and can happen at any age.

Corrections

Updated recommendation. The article “Upper Gastrointestinal Bleeding in Adults: Evaluation and Management,” (March 1, 2020, p. 294) referenced a recommendation from 2010 regarding blood transfusions for patients with upper gastrointestinal (GI) bleeding when hemoglobin is...

Corrections

Inaccurate disease description. In the Practice Guidelines “Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA” (July 15, 2020, p. 121), in the title of Table 2 (page 122) and the first sentence in the second paragraph of the Antibiotic Therapy...