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Articles

Gallstone Disease: Common Questions and Answers

Hiten Patel, Jacqueline Jepsen

Gallstones affect an estimated 10% to 15% of U.S. adults. Nearly 80% of gallstones are found incidentally and remain asymptomatic. Risk factors vary; they include chronic disease, lifestyle choices, medications, and demographics.

Management of Spontaneous Vaginal Delivery

Kathryn A. McKenna, Laura Leaman

Spontaneous vaginal delivery is inherently associated with risks to the mother and fetus that can lead to morbidity. Knowledge of these risks and management of each stage of labor can help minimize potential harms.

Rosacea: Common Questions and Answers

Winfred Frazier, Raquel K. Zemtsov, Yufei Ge

The diagnosis of rosacea is made based on the updated 2017 National Rosacea Society Expert Committee guidelines, including fixed erythema, phymatous changes of skin thickening due to sebaceous gland hyperplasia and fibrosis, papules, pustules, telangiectasia, and flushing....

Testosterone Replacement Therapy for Male Hypogonadism

Joel J. Heidelbaugh, Aleksandr Belakovskiy

After discussing the potential benefits and risks of testosterone replacement therapy through shared decision-making, it should be considered for men with testosterone deficiency to correct selected symptoms and induce and maintain secondary sex characteristics.

Salivary Gland Disorders: Rapid Evidence Review

Michael J. Kim, Anna Milliren, Dennis J. Gerold, Jr.

Inflammation of the salivary glands is caused by bacterial, viral, and obstructive etiologies. Most disorders are managed with conservative measures by treating the underlying cause, optimizing predisposing factors, controlling pain, and increasing salivary flow.

Lifelong Care of Patients After Gender-Affirming Surgery

Quinn Jackson, Nicole T. Yedlinsky, Meredith Gray

This article provides an overview of gender-affirming surgery with a focus on anatomic changes, how to perform routine physical examinations, and how gender-affirming surgery may alter a patient's care throughout their life.

Editorials AFP Clinical Answers Medicine by the Numbers

Combined Oral Contraceptive Pills for Primary Dysmenorrhea

Stephanie Algenio-Anciro, Christina Valerio

Given the reported potential benefits, relatively low rate of adverse events, and the noted limitations along with the potential for bias in the findings, we have assigned a color recommendation of yellow (unclear benefits/ more data needed) to the use of combined OCPs for...

Cochrane for Clinicians

Combined Oral Contraceptives for Primary Dysmenorrhea

Dustin K. Smith, Bristal Thompson, Samantha Keefer, Helen Haskell

In early postmenopausal women, systemic estrogen slightly improves sexual function (i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain). However, it is not clear whether other types of hormone therapy improve sexual function in postmenopausal women.

U.S. Preventive Services Task Force Diary of a Family Physician

Diary of a Family Physician

Annette Chavez

First-person accounts from the front lines of family medicine.

Photo Quiz

A Growing Goiter

Courtney Humphrey, Riley C. McHugh

A 27-year-old woman presented with a mass on the front of her neck.

White Worms

Jesse Schönau

A 9-year-old girl presented with acute painful irritation in her genital and anal area.

Point-of-Care Guides

Carpal Tunnel Syndrome

Christopher A. Alvarez, Steven R. Brown

How is carpal tunnel syndrome diagnosed clinically, and how can the history and physical examination inform evidence-based management?

FPIN's Clinical Inquiries

Bempedoic Acid for the Prevention of Cardiovascular Disease

Anne Mounsey, Maniraj Jeyaraju

Bempedoic acid can be used to effectively treat hyperlipidemia. Bempedoic acid decreases the incidence of major adverse cardiovascular events, with insignificant increases in liver enzyme and creatine kinase levels, gout, myalgia, and cholelithiasis.

Lown Right Care STEPS POEMs Practice Guidelines Letters to the Editor Corrections

Correction

Incorrect Quiz Answers. In the April 2024 issue, the “Answers to This Issue's CME Quiz” answer box listed incorrect answers for questions 12 and 14. The correct answer choice for both should have been B. The online version of the CME Quiz for this issue was not affected.



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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