American family physician最新文献

Methotrexate for Juvenile Idiopathic Arthritis. 甲氨蝶呤治疗青少年特发性关节炎。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Kento Sonoda, Kelly Dougherty

引用次数: 0

Trigeminal Neuralgia: Rapid Evidence Review. 三叉神经痛：快速证据回顾。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Octavia Amaechi

{"title":"Trigeminal Neuralgia: Rapid Evidence Review.","authors":"Octavia Amaechi","doi":"","DOIUrl":"","url":null,"abstract":"Trigeminal neuralgia (TN) is a chronic neuropathic pain condition that causes sudden, brief episodes of electric shock-like, lancinating pain in one or more trigeminal nerve distributions. Facial spasms may occur during intense flare-ups. Trigger zones are small areas where minimal stimulation may precipitate a painful flare-up. Painful episodes of TN are often precipitated by seemingly benign stimuli, such as talking, chewing, light touch, or even a breeze across a trigger zone. Nerve root contact, compression, and subsequent demyelination are implicated as the central underlying pathophysiology. The average age of onset is 50 to 60 years, and incidence increases with age. Diagnosis is based on International Headache Society clinical criteria distinguishing classic, secondary, and idiopathic TN. Classic TN is caused by direct neurovascular compromise due to anatomic compression. Secondary TN is caused by another condition such as multiple sclerosis or a tumor. Idiopathic TN has no identifiable etiology. Examination findings typically are normal between painful episodes. Brain magnetic resonance imaging with and without contrast media is recommended for all patients with suspected TN to rule out key differential diagnoses, such as a tumor, and to determine surgical candidacy. The International Headache Society guidelines encourage tailored treatment based on TN type and etiology. Carbamazepine is the initial drug of choice, and 75% of patients with TN achieve initial symptom control with pharmacotherapy. Refractory TN or intolerable adverse drug effects should prompt a trial of adjunctive drugs and referral for surgical evaluation. Microvascular decompression is more effective in improving or alleviating symptoms of TN than other surgical options.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 5","pages":"427-432"},"PeriodicalIF":3.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Zuranolone (Zurzuvae) for the Treatment of Postpartum Depression. 唑诺酮（Zurzuvae）治疗产后抑郁症。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

James Montgomery, Alexander Hoffman

引用次数: 0

Common Occupational Upper Extremity Musculoskeletal Disorders. 常见的职业上肢肌肉骨骼疾病。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Scott Hall, Matthew R Compton

{"title":"Common Occupational Upper Extremity Musculoskeletal Disorders.","authors":"Scott Hall, Matthew R Compton","doi":"","DOIUrl":"","url":null,"abstract":"Family physicians play a valuable role in the diagnosis, management, and treatment of musculoskeletal disorders that result from occupational exposures, including overexertion, repetitive motion, and vibration. Carpal tunnel syndrome is a common peripheral nerve entrapment syndrome often identified in workers whose jobs require repetitive hand motion. Treatment of carpal tunnel syndrome includes splinting, rehabilitation exercises, and oral or injected corticosteroids; surgical release is considered in patients for whom conservative treatment has failed or who have severe symptoms. Lateral epicondylitis is an elbow disorder resulting from overuse; it is diagnosed clinically and managed with bracing, nonsteroidal anti-inflammatory drugs, corticosteroid injections, and physical therapy. Rotator cuff tendinopathy is a degenerative disorder of the rotator cuff musculature and tendons and is often identified in people who perform repetitive work overhead. Rotator cuff tendinopathy is diagnosed clinically and generally managed nonoperatively with nonsteroidal anti-inflammatory drugs, physical therapy, and corticosteroid injections; imaging may be considered to confirm the diagnosis after initial conservative treatment. Trigger finger is a stenosing tenosynovitis of the flexor ten-dons of the hand and occurs among people whose jobs require repetitive gripping. Corticosteroid injection is a first-line treatment for trigger finger. A careful history can assist the clinician in determining whether an injury is work related. Providing appropriate work restrictions for injured workers to allow a safe return to work may expedite recovery.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 5","pages":"451-458"},"PeriodicalIF":3.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Water Exposure at 6 Hours After Cutaneous Surgery Does Not Increase the Risk of Complications. 皮肤手术后6小时接触水不会增加并发症的风险。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

David C Slawson

引用次数: 0

Screening Patients With Rosacea for Small Intestinal Bacterial Overgrowth. 筛查酒渣鼻患者小肠细菌过度生长。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Lance A Duvall

引用次数: 0

Combination of Acetaminophen and Ibuprofen Reduces Fevers in Children Better Than Either Alone. 对乙酰氨基酚和布洛芬联合使用比单独使用更能降低儿童发烧。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Allen F Shaughnessy

引用次数: 0

Female Sexual Dysfunction: Common Questions and Answers. 女性性功能障碍：常见问题与答案。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Sarah N Dalrymple, Laura Hoeg, Hannah Thacker

{"title":"Female Sexual Dysfunction: Common Questions and Answers.","authors":"Sarah N Dalrymple, Laura Hoeg, Hannah Thacker","doi":"","DOIUrl":"","url":null,"abstract":"Symptoms of female sexual dysfunction are common, affecting 40% to 50% of women. Most patients would like their physician to actively inquire about sexual dysfunction. When symptoms of female sexual dysfunction are chronic and cause the patient distress, they can be diagnosed as female sexual disorders. This clinical diagnosis is based on a thorough history and physical examination; understanding the patient's symptoms and associated distress is essential. The condition is further categorized into disorders of sexual desire and arousal, orgasmic disorders, and genito-pelvic pain disorders. The Female Sexual Function Index and the Female Sexual Distress Scale-Revised are validated tools that can aid in diagnosis. Treatment should be directed to each patient's symptoms and depends on the presence of comorbid medical or mental health conditions and any concerns discovered during the interview or physical examination. Evidence supports the use of vaginal lubricants and topical estrogen for genito-pelvic pain related to menopause, and pelvic floor physical therapy remains the first-line treatment for other genito-pelvic pain disorders. Cognitive behavior therapy is first-line treatment for disorders of sexual desire and arousal. Orgasmic disorders are treated with cognitive behavior therapy and sex therapy.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 5","pages":"433-442"},"PeriodicalIF":3.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Supporting All Patients With Unintended Pregnancies: Implications for Health Equity. 支持所有意外怀孕患者：对卫生公平的影响。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Andrea Westby, Ebiere Okah, Katy Backes Kozhimmanil

引用次数: 0

Early Medication Abortion Prior to Pregnancy Confirmation Is Safe and Effective. 确认怀孕前的早期药物流产是安全有效的。

IF 3.8 3区医学

American family physician Pub Date : 2025-05-01

Mark H Ebell

引用次数: 0