Asher George, Stephen Rayborn, Peyton Herrington, Svenja Albrecht, Adrian Billings
{"title":"24-year-old woman • large joint arthralgias • history of type 1 diabetes, seizures, migraines • Dx?","authors":"Asher George, Stephen Rayborn, Peyton Herrington, Svenja Albrecht, Adrian Billings","doi":"10.12788/jfp.0651","DOIUrl":"https://doi.org/10.12788/jfp.0651","url":null,"abstract":"<p><p>► large joint arthralgias ► history of type 1 diabetes, seizures, migraines.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"E30-E32"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167132","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}
{"title":"Tools-and rules-to support behavior change.","authors":"Anthony J Viera","doi":"10.12788/jfp.0660","DOIUrl":"10.12788/jfp.0660","url":null,"abstract":"","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"285-286"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160298","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}
{"title":"Should you treat prediabetes? It's complicated.","authors":"Daniel Holligan, Roxanne Radi, Corey Lyon","doi":"10.12788/jfp.0652","DOIUrl":"https://doi.org/10.12788/jfp.0652","url":null,"abstract":"<p><p>While treatment with metformin or lifestyle modification reduces risk for T2D in patients with prediabetes, neither intervention ultimately offers a mortality benefit.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"E23-E25"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10515438/pdf/0720e23.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174003","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}
Christian Saleh, Muhannad Seyam, Kristine A Blackham, Anna Walter, Philippe Lyrer
{"title":"49-year-old woman • headache and neck pain radiating to ears and eyes • severe hypertension • Dx?","authors":"Christian Saleh, Muhannad Seyam, Kristine A Blackham, Anna Walter, Philippe Lyrer","doi":"10.12788/jfp.0659","DOIUrl":"https://doi.org/10.12788/jfp.0659","url":null,"abstract":"<p><p>► headache and neck pain radiating to ears and eyes ► severe hypertension.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"E26-E29"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41179418","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}
{"title":"Migraine headache: When to consider these newer agents.","authors":"Emily Peterson, Allison Bernard, Robert A Beck","doi":"10.12788/jfp.0657","DOIUrl":"https://doi.org/10.12788/jfp.0657","url":null,"abstract":"<p><p>These agents are as effective as traditional acute and preventive treatments, cause fewer adverse effects, and can simplify regimens.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"292-303"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180513","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}
{"title":"Persistent 'postherpetic neuralgia' and well-demarcated plaque.","authors":"Alli J Blumstein, Rachel Fayne, Milad Eshaq","doi":"10.12788/jfp.0648","DOIUrl":"https://doi.org/10.12788/jfp.0648","url":null,"abstract":"<p><p>Extended treatment for a previous condition provided a key to the diagnosis.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"317-319"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142204","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}
Kimberly R Dong, Sarah Eustis, Kerri Hawkins, Wayne Altman
{"title":"Is the Altman Rule a proxy for glycemic load?","authors":"Kimberly R Dong, Sarah Eustis, Kerri Hawkins, Wayne Altman","doi":"10.12788/jfp.0656","DOIUrl":"10.12788/jfp.0656","url":null,"abstract":"<p><p>The evidence supports patient use of this simple equation to evaluate the nutrition labels of packaged carbohydrate foods in the grocery aisle in order to make healthier decisions.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"286-291"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172534","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}
Shayan Owji, Chibuzo Aguwa, Joseph Han, Daniel Yassky, Yen Luu, Margaret Glausser, Nicholas Gulati, Benjamin Ungar, Daniel Napolitano, Jonathan Ungar
{"title":"A worthwhile tool in evaluating worrisome lesions.","authors":"Shayan Owji, Chibuzo Aguwa, Joseph Han, Daniel Yassky, Yen Luu, Margaret Glausser, Nicholas Gulati, Benjamin Ungar, Daniel Napolitano, Jonathan Ungar","doi":"10.12788/jfp.0655","DOIUrl":"10.12788/jfp.0655","url":null,"abstract":"<p><p>This study demonstrated the value of using electrical impedance spectroscopy in primary care to manage and diagnose pigmented skin lesions.</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 7","pages":"E1-E22"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152758","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}
Frances K Wen, Simone Bigelow, Kimberly Crosby, Raye Reeder, Toni Hoberecht, Emrys Moreau
{"title":"Does use of continuous or flash glucose monitors decrease hypoglycemia episodes in T2D?","authors":"Frances K Wen, Simone Bigelow, Kimberly Crosby, Raye Reeder, Toni Hoberecht, Emrys Moreau","doi":"10.12788/jfp.0643","DOIUrl":"https://doi.org/10.12788/jfp.0643","url":null,"abstract":"<p><p>NO. In adults with insulin-treated type 2 diabetes (T2D), continuous glucose monitoring (CGM) and flash glucose monitoring (FGM) do not decrease symptomatic hypoglycemia episodes (strength of recommendation [SOR], B) but do lower time in hypoglycemia (SOR, C; disease-oriented evidence).CGM, in which glucose levels are sent automatically in numeric and graphic format to a patient's smart device for their potential action, did not change the hypoglycemic event rate (SOR, B; 2 prospective studies). CGM significantly reduced hypoglycemia duration in an 8-month randomized controlled trial (RCT; SOR, C) but not in a 1-year prospective study (SOR, C).FGM, in which glucose levels are sent on demand to a device, did not significantly reduce hypoglycemic episodes (SOR, B; 1 small RCT and 1 prospective study). Hypoglycemia duration was reduced significantly with FGM in a 6-month RCT (SOR, B) but not in a 1-year prospective study (SOR, B).</p>","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 6","pages":"271-275"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9950509","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}
{"title":"Squamous cell carcinoma.","authors":"Candrice R Heath, Richard P Usatine","doi":"10.12788/jfp.0644","DOIUrl":"https://doi.org/10.12788/jfp.0644","url":null,"abstract":"Simultaneously published in Cutis and The Journal of Family Practice. Cutaneous squamous cell carcinoma (SCC) develops from a malignant tumor of the keratinocytes, eccrine glands, or pilosebaceous units that invades the dermis. Risk factors include lighter skin tone, higher cumulative sun exposure, human papillomavirus (HPV) infection, hidradenitis suppurativa (HS), lichen sclerosus, family history of skin cancer, and immunosuppression. It typically affects sun-exposed areas of the body such as the face, scalp, neck, and extensor surfaces of the arms (FIGURE A). However, in those with darker skin tones, the most common anatomic sites are those that are not exposed to the sun (FIGURE B). SCC is diagnosed via skin biopsy. Treatment options include surgical excision, destructive methods such as electrodesiccation and curettage, and Mohs micrographic surgery. Cutaneous SCC has a cure rate of more than 95% and a mortality rate of 1.5% to 2% in the United States.","PeriodicalId":54836,"journal":{"name":"Journal of Family Practice","volume":"72 6","pages":"E13-E15"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9950501","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}