Peripheral Nerve Entrapment and Injury in the Upper Extremity

Sabrina Silver, Christopher C. Ledford, Kendall J. Vogel, James J. Arnold

Peripheral nerves in the upper extremities are at risk of injury and entrapment because of their superficial nature and length. Injury can result from trauma, anatomic abnormalities, systemic disease, and entrapment. Most peripheral nerve injuries seen by family physicians...

Difficult-to-Treat and Severe Asthma: Management Strategies

Krishnan Narasimhan

In difficult-to-treat asthma, the disease is uncontrolled despite adherence to inhaled corticosteroid therapy in combination with a second controller, an oral corticosteroid is needed to achieve control, or it is uncontrolled despite oral corticosteroid therapy. Severe asthma...

Initiating Hormonal Contraception

Ruth Lesnewski

Most patients can safely begin using hormonal contraception at any point during their menstrual cycle. A flexible, patient-centered approach to initiating contraception promotes health and enhances patients' reproductive autonomy. A recent Papanicolaou test is not necessary...

Enhancing Diabetes Self-Management Education and Support in Clinical Practice

Beulette Y. Hooks

Health systems and family physicians should mobilize to ensure that all people with type 2 diabetes have access to diabetes self-management education and support, including nutritional, physical, and emotional support.

Antidepressants for Older People, Point-of-Care Ultrasonography, BRCA Testing, Probiotics

What are the adverse events of antidepressants in adults 65 years and older with major depressive disorder? | What urgent medical conditions can be diagnosed by point-of-care ultrasonography? | Which women are recommended for breast cancer susceptibility 1 and 2 (<i>BRCA 1/2<...

Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder

Elizabeth Salisbury-Afshar, Glenn Kauppila

Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

Structural MRI for the Early Diagnosis of Alzheimer Disease in Patients with MCI

Erik Butler, Anne Mounsey

There is insufficient evidence to recommend structural brain magnetic resonance imaging to diagnose Alzheimer disease in patients with mild cognitive impairment.

Caring for the Physician Affected by Substance Use Disorder

Ruchi M. Fitzgerald

A 34-year-old physician, H.M., is an established patient in my practice. H.M. presents for a follow-up visit after finishing inpatient treatment for opioid use disorder.

Erosions and Vesicles in a Febrile Infant

Michael Kim, Andrew Gaillardetz

A five-month-old child with a history of dry skin presented with a spreading rash and fever.

Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis

Brian Atkinson, Katherine Holland Walker, Sue Stigleman, Aaron Vaughan, Stephen Hulkower

Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.

Serum Lactate Testing to Predict Mortality in Patients with Sepsis

Kiana Espinosa, Steven R. Brown

Management of patients with sepsis is challenging and mortality is high. Early diagnosis and prompt initiation of therapy are essential. Higher lactate levels correlate with increased risk of mortality, particularly with lactate levels greater than 4.0 mmol per L and in the...

Bone Mineral Density Testing: One and Done

Allen F. Shaughnessy

Better Primary Care Continuity Is Associated with Lower Mortality Risk

Henry C. Barry

HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive Cervical Cancer

Mark H. Ebell

Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial Fibrillation

Nita Shrikant Kulkarni

Colonoscopy Follow-up: U.S. Multi-Society Task Force on Colorectal Cancer Updates Recommendations

Brian Ford

Screening colonoscopy findings define the future risk of colorectal cancer and the need for repeat screening. The U.S. Multi-Society Task Force on Colorectal Cancer updated recommended follow-up intervals after screening colonoscopy in average-risk individuals.

Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA

Brit Long, Michael Gottlieb

After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

Thoracic Outlet Syndrome Is Typically Not an Urgent Condition

Douglas W. Martin

Reply: Marc Childress

Long-term Benefits of Manipulation for Neck Pain

Brandon Isaacs

Reply: Marc Childress

An Osteopathic Approach to Neck Pain

J. Christian Zona, Megan Cranor

Corrections

Incorrect statistics. In the article, “Breast Cancer Screening: Common Questions and Answers,” (January 1, 2021, p. 33), the figure listed for breast cancer deaths per number of women screened with mammography should have been per 10,000 women rather than per 100,000 women in...

Corrections

Incorrect Figure Legends. In the article, “Hip Pain in Adults: Evaluation and Differential Diagnosis,” (January 15, 2021, p. 81), the legend for Figure 3B incorrectly listed abducts instead of adducts. It should have read: “Flexion adduction internal rotation test. The...

Corrections

Incorrect Unit of Measure. In the article, “Eating Disorders in Primary Care: Diagnosis and Management,” (January 1, 2021, p. 22), the second sentence of the Nutrition section (page 25) incorrectly added “per kg” to the number of daily required kcal for adolescent females and...