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Painless nodules on legs. 腿部无痛结节。
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/jfp.0687
En Qi Toh, Lester Juay, Shang-Ian Tee, Ziying Vanessa Lim
{"title":"Painless nodules on legs.","authors":"En Qi Toh, Lester Juay, Shang-Ian Tee, Ziying Vanessa Lim","doi":"10.12788/jfp.0687","DOIUrl":"10.12788/jfp.0687","url":null,"abstract":"<p><p>The location of the nodules and the patient's history were important diagnostic clues. The punch biopsy confirmed our suspicions.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9","pages":"391-393"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is low-molecular-weight heparin superior to aspirin for VTE prophylaxis? 低分子肝素在静脉血栓栓塞预防方面优于阿司匹林吗?
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/jfp.0698
Matthew Rose, Nilmini Pang, Sara Conway
{"title":"Is low-molecular-weight heparin superior to aspirin for VTE prophylaxis?","authors":"Matthew Rose, Nilmini Pang, Sara Conway","doi":"10.12788/jfp.0698","DOIUrl":"10.12788/jfp.0698","url":null,"abstract":"<p><p>Aspirin demonstrated a significantly higher rate of postoperative venous thromboembolic events compared with enoxaparin in this noninferiority study.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9","pages":"E14-E16"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Consult in NASH: Are Your Patients at Risk? Based on a Medscape Education Online Activity. NASH的临床会诊:你的病人有风险吗?基于Medscape教育在线活动。
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/JFP.0677
Steven L Flamm
{"title":"Clinical Consult in NASH: Are Your Patients at Risk? Based on a Medscape Education Online Activity.","authors":"Steven L Flamm","doi":"10.12788/JFP.0677","DOIUrl":"10.12788/JFP.0677","url":null,"abstract":"<p><p>Nonalcoholic steatohepatitis, or NASH, is the most severe form of nonalcoholic fatty liver disease (NAFLD). If left untreated, NASH can develop into advanced liver disease, such as cirrhosis. Moreover, patients with NASH and cirrhosis are also at increased risk of developing hepatocellular carcinoma. Therefore, early detection and intervention are key components to prevent disease progression, particularly in the primary care setting where many patients with NASH are typically encountered.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9 Suppl","pages":"S3-S8"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Getting PrEP to the patients who need it. 给需要的病人提供预防PrEP。
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/jfp.0686
Andrew V A Foley, Daniel F Farrell, Patricia Carr Reese
{"title":"Getting PrEP to the patients who need it.","authors":"Andrew V A Foley, Daniel F Farrell, Patricia Carr Reese","doi":"10.12788/jfp.0686","DOIUrl":"10.12788/jfp.0686","url":null,"abstract":"<p><p>A fraction of those eligible for PrEP to prevent HIV infection receive a prescription. Newer drug regimens and updated recommendations can help you reduce that gap.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9","pages":"E1-E7"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does taking BP medicine at night (vs morning) result in fewer cardiovascular events? 晚上服用降压药(与早晨相比)会减少心血管事件吗?
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/jfp.0697
Robert Martin, Rick Guthmann
{"title":"Does taking BP medicine at night (vs morning) result in fewer cardiovascular events?","authors":"Robert Martin, Rick Guthmann","doi":"10.12788/jfp.0697","DOIUrl":"10.12788/jfp.0697","url":null,"abstract":"<p><p>PROBABLY NOT. In patients who have hypertension, the timing of administration of antihypertensive medications does not appear to impact cardiovascular outcomes (strength of recommendation: B; contradictory randomized controlled trials).</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9","pages":"E11-E13"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing RSV in children and adults: A vaccine update. 预防儿童和成人呼吸道合胞病毒:疫苗更新。
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/jfp.0699
Doug Campos-Outcalt
{"title":"Preventing RSV in children and adults: A vaccine update.","authors":"Doug Campos-Outcalt","doi":"10.12788/jfp.0699","DOIUrl":"10.12788/jfp.0699","url":null,"abstract":"<p><p>In addition to 3 vaccines, there's also a new monoclonal antibody for prevention of respiratory syncytial virus. Learn how each can be used in infants and children, adults, and pregnant people.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9","pages":"E17-E20"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
51-year-old woman • History of Graves disease • General fatigue, palpitations, and hand tremors • Dx? 51岁女性•格雷夫斯病病史•全身乏力、心悸、手颤•Dx?
4区 医学
Journal of Family Practice Pub Date : 2023-11-01 DOI: 10.12788/jfp.0690
Takuya Maejima, Junki Mizumoto, Yoshiko Ito, Tomoko Suga
{"title":"51-year-old woman • History of Graves disease • General fatigue, palpitations, and hand tremors • Dx?","authors":"Takuya Maejima, Junki Mizumoto, Yoshiko Ito, Tomoko Suga","doi":"10.12788/jfp.0690","DOIUrl":"10.12788/jfp.0690","url":null,"abstract":"<p><p>► history of Graves disease ► general fatigue, palpitations, and hand tremors.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 9","pages":"E8-E10"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not acne, but what? 不是粉刺，但什么？
4区 医学
Journal of Family Practice Pub Date : 2023-10-01 DOI: 10.12788/jfp.0658
Emory E Wills, Laura Beth Edwards, Robert T Brodell, Amy E Flischel
{"title":"Not acne, but what?","authors":"Emory E Wills, Laura Beth Edwards, Robert T Brodell, Amy E Flischel","doi":"10.12788/jfp.0658","DOIUrl":"10.12788/jfp.0658","url":null,"abstract":"<p><p>The diagnosis of this patient's inflammatory condition required us to dig deeper.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 8","pages":"353-355"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Allergic contact dermatitis. 过敏性接触性皮炎。
4区 医学
Journal of Family Practice Pub Date : 2023-10-01 DOI: 10.12788/jfp.0678
Tristi M Edwards, Richard P Usatine, Candrice R Heath
{"title":"Allergic contact dermatitis.","authors":"Tristi M Edwards, Richard P Usatine, Candrice R Heath","doi":"10.12788/jfp.0678","DOIUrl":"10.12788/jfp.0678","url":null,"abstract":"THE JOURNAL OF FAMILY PRACTICE | OCTOBER 2023 | VOL 72, NO 8 Allergic contact dermatitis (ACD) is an inflammatory condition of the skin caused by an immunologic response to 1 or more identifiable allergens. A delayed-type immune response (type IV hypersensitivity reaction) occurs after the skin is re-exposed to an offending allergen. Severe pruritus is the main symptom of ACD in the early stages, accompanied by erythema, vesicles, and scaling in a distinct pattern corresponding to the allergen’s contact with the skin. Delayed widespread dermatitis after exposure to an allergen—a phenomenon known as autoeczematization (id reaction)—also may occur. The gold-standard diagnostic tool for ACD is patch testing, in which the patient is re-exposed to the suspected contact allergen(s) and observed for the development of dermatitis. However, ACD can be diagnosed with a detailed patient history including occupation, hobbies, personal care practices, and possible triggers with subsequent rashes. Thorough clinical examination of the skin is paramount. Indicators of possible ACD include dermatitis that persists despite use of appropriate treatment, an unexplained flare of previously quiescent dermatitis, and a diagnosis of dermatitis without a clear cause. Hairdressers, health care workers, and metal workers are at higher risk for ACD. Occupational ACD has notable socioeconomic implications, as it can result in frequent sick days, inability to perform tasks at work, and in some cases job loss. Patients with atopic dermatitis have impaired barrier function of the skin, permitting the entrance of allergens and subsequent sensitization. ACD is a challenge to manage, as complete avoidance of the allergen may not be possible. The underrepresentation of patients with skin of color (SOC) in educational materials as well as socioeconomic health disparities may contribute to the lower rates of diagnosis, patch testing, and treatment of ACD in this patient population.","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 8","pages":"350-355"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can these salt substitutes prevent complications of hypertension? 这些盐替代品能预防高血压并发症吗？
4区 医学
Journal of Family Practice Pub Date : 2023-10-01 DOI: 10.12788/jfp.0667
Edward T Chang, Robert Powell, Tyler Reese
{"title":"Can these salt substitutes prevent complications of hypertension?","authors":"Edward T Chang, Robert Powell, Tyler Reese","doi":"10.12788/jfp.0667","DOIUrl":"10.12788/jfp.0667","url":null,"abstract":"<p><p>This study suggests the blood pressure-lowering effects of potassium-enriched salt substitutes may reduce cardiovascular morbidity and mortality.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 8","pages":"342-344"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595026/pdf/0720342.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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