American family physician最新文献_第10页

Ultrasonography and CRP (Rule Out Only) Are the Most Useful Tools for Diagnosing Acute Diverticulitis That Are Feasible in Primary Care. 超声波检查和 CRP（仅排除）是诊断急性憩室炎最有用的工具，在初级保健中也是可行的。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Mark H Ebell

引用次数: 0

Low Incidence of Pregnancy With Same-Day-Start Contraception. 同日开始避孕的怀孕发生率低。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Linda Speer

引用次数: 0

Surgical vs. Nonsurgical Treatment for Carpal Tunnel Syndrome. 腕管综合症的手术治疗与非手术治疗。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Bless Jung, Jeffrey Leggit, John James

引用次数: 0

Testing Infants and Children With Perinatal Exposure to Hepatitis C Virus. 检测围产期暴露于丙型肝炎病毒的婴儿和儿童。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Amy L Sandul, Carolyn Wester, Lakshmi Panagiotakopoulos

引用次数: 0

Urinary Catheter Management. 导尿管管理。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Kyle J Fletke, Dae Hyoun Jeong, Alexander V Herrera

{"title":"Urinary Catheter Management.","authors":"Kyle J Fletke, Dae Hyoun Jeong, Alexander V Herrera","doi":"","DOIUrl":"","url":null,"abstract":"Family physicians often treat patients who require urinary management with the use of external urinary devices, clean intermittent catheterization, or indwelling urinary catheterization. External urinary devices are indicated for urinary incontinence (postvoid residual less than 300 mL), urine volume measurement for hospitalized patients, nonsterile urine diagnostic testing, improved comfort for patients in hospice or palliative care, and fall prevention for high-risk patients. Indwelling urinary catheterization is indicated for severe urinary retention or bladder outlet obstruction; wound healing in the sacrum, buttocks, or perineal area; prolonged immobilization; and as a palliative measure for patients who are terminally ill. Clean intermittent catheterization is an alternative to indwelling urinary catheterization for acute or chronic urinary retention (postvoid residual greater than 300 mL) without bladder outlet obstruction, sterile urine testing, postvoid residual volume assessment, and wound healing. Suprapubic catheter placement is considered when long-term catheterization is needed or urethral catheterization is not feasible. Urinary catheters should not be used solely for staff or caregiver convenience, incontinence-related dermatitis, urine culture procurement from a voiding patient, or initial incontinence management. Common complications of urinary catheter use include obstruction, bladder spasm, urine leakage, and skin breakdown of the sacrum, buttocks, or perineum. The risk of catheter-associated urinary tract infections increases with the duration of catheter use. Urologist referral is indicated for patients requiring urinary management who have recurrent urinary tract infections, acute infectious urinary retention, suspected urethral injury, or substantial urethral discomfort or if long-term catheterization is being considered.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"110 3","pages":"251-258"},"PeriodicalIF":3.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279169","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

Hair Loss: Diagnosis and Treatment. 脱发：诊断与治疗。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

MaryAnn Dakkak, Klive M Forde, Howard Lanney

{"title":"Hair Loss: Diagnosis and Treatment.","authors":"MaryAnn Dakkak, Klive M Forde, Howard Lanney","doi":"","DOIUrl":"","url":null,"abstract":"More than 80 million people in the United States are affected by hair loss, also known as alopecia. Nonscarring alopecias are categorized as diffuse, patterned, or focal. Diffuse alopecias include telogen and anagen effluvium, are usually self-limited, and depend on stopping the underlying cause (e.g., stress). Patterned hair loss, specifically androgenetic alopecia, is the most common form of alopecia; it is typically genetic, and first-line treatment is minoxidil. Oral finasteride is another treatment available for male patients. Focal hair loss includes alopecia areata, which is typically self-limited and treated with intralesional corticosteroid or oral immunosuppressant therapy; tinea capitis, which is treated with oral antifungals; and traction alopecia, which is treated by decreasing tension on the hair. Hair loss can be caused by several systemic diseases. A comprehensive history and physical examination, with targeted laboratory testing, may elucidate malnutrition, autoimmune diseases, and endocrine disease. Patients with moderate to severe hair loss are more likely to have accompanying anxiety, depression, and lower work productivity and quality-of-life scores. Educating patients about expected hair changes, treatment options, and realistic outcomes can help patients feel that they are being listened to and that their hair loss is being taken seriously.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"110 3","pages":"243-250"},"PeriodicalIF":3.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279153","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

Breast Cancer, Nausea and Vomiting With Migraine, PCI for Stable Angina, Rosacea, Giving Bad News, Gallstone Disease. 乳腺癌、偏头痛引起的恶心呕吐、PCI 治疗稳定型心绞痛、红斑痤疮、发布坏消息、胆石症。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

引用次数: 0

Opioid Prescriptions After Cesarean Delivery Can Be Reduced While Maintaining Satisfactory Pain Control. 剖腹产后可减少阿片类药物处方，同时保持满意的疼痛控制效果。

IF 3.8 3区医学

American family physician Pub Date : 2024-09-01

Linda Speer

引用次数: 0

PREVENT Equations for Assessing Cardiovascular Risk. 评估心血管风险的 PREVENT 公式。

IF 3.8 3区医学