American family physician最新文献_第3页

Cold Water Immersion, Bronchiolitis in Infants, Trigeminal Neuralgia, HIV Screening, Buprenorphine and OUD, Beta₂ Agonists for Acute Bronchitis, Nasal Foreign Body. 冷水浸泡，婴儿毛细支气管炎，三叉神经痛，HIV筛查，丁丙诺啡和OUD，急性支气管炎的β 2激动剂，鼻异物。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

引用次数: 0

Management of Chronic Constipation: Guidelines From the American Society of Colon and Rectal Surgeons. 慢性便秘的管理：美国结肠直肠外科学会指南。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Michael J Arnold

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Resuscitation After Drowning in Children: Updated Guidelines From the AHA and AAP. 儿童溺水后的复苏：来自美国心脏协会和美国儿科学会的最新指南。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Michael J Arnold

引用次数: 0

Foreign Body Ingestion in Children. 儿童异物摄入。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Christina Valerio, Ryan Williamson

{"title":"Foreign Body Ingestion in Children.","authors":"Christina Valerio, Ryan Williamson","doi":"","DOIUrl":"","url":null,"abstract":"Foreign body ingestions are a common reason for visits to the emergency department in the United States. The most commonly ingested objects include coins and toys, whereas button batteries and magnets are most likely to cause serious complications. Most ingestions are unwitnessed and do not cause symptoms, but choking and vomiting may occur. Diagnosis should begin with plain radiography because it is most sensitive for metallic objects. Management can include watchful waiting, esophagogastroduodenoscopy (EGD), and general or cardiothoracic surgery, depending on the type of object ingested, its location, and symptoms. Coins often pass spontaneously, but large or proximally lodged coins in young children may require EGD. Button battery ingestion is a medical emergency due to rapid tissue damage and risk of fatal vascular injury; honey or sucralfate can be used as interim treatment before emergent EGD. Magnet ingestion, especially when it involves multiple high-powered magnets, poses a severe risk of gastrointestinal injury and often necessitates emergent EGD or surgical intervention. Sharp objects may cause perforation and require close monitoring for removal with emergent or urgent EGD. Food impactions and absorptive objects also require emergent EGD because of their propensity to obstruct the esophagus. Prompt evaluation, imaging, and object-specific management are critical to prevent complications.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"113 4","pages":"326-331"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832745","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

Vaccine Conversations: Meeting Patients Where They Are. 疫苗对话：与病人见面

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Aisha Townes, Allen F Shaughnessy

引用次数: 0

Benefits vs Harms of More Intensive Systolic BP Targets. 强化收缩压目标的利与弊

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Brian McDaniel, Julia Jenkins

引用次数: 0

Cervical Mass. 颈质量。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Mark Luff, Sidra Siddiqui, Mary Peter

引用次数: 0

Bladder Pain Syndrome: Rapid Evidence Review. 膀胱疼痛综合征：快速证据回顾。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Fay Roepcke, Ashley E Jones, Kerac N Falk

引用次数: 0

What Do Guidelines Say About First-Line Treatment of Acute Low Back Pain? 关于急性腰痛的一线治疗指南是怎么说的？

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Scott L Paradise, Jase A Schossow

引用次数: 0

Thrombocytosis: Rapid Evidence Review. 血小板增多症：快速证据回顾。

IF 3.5 3区医学

American family physician Pub Date : 2026-04-01

Pamela M Williams, Alan L Williams

{"title":"Thrombocytosis: Rapid Evidence Review.","authors":"Pamela M Williams, Alan L Williams","doi":"","DOIUrl":"","url":null,"abstract":"Thrombocytosis is defined by guidelines as a platelet count of 450 × 103/μL or greater. It most often results from secondary causes and should resolve with treatment of the underlying condition. Primary thrombocytosis in adults is most commonly due to myeloproliferative neoplasms, including essential thrombocythemia. Thrombocytosis may be identified incidentally in asymptomatic patients or when performing blood tests to investigate symptoms or signs that could indicate microvascular conditions (eg, headaches, paresthesia, erythromelalgia), splenomegaly, thrombosis, and hemorrhage, which are presenting features of essential thrombocythemia. A repeat complete blood cell count with differential and peripheral blood smear should be performed to confirm persistent thrombocytosis and assess other blood cell lines for findings suggestive of myeloproliferative neoplasms. Additional testing, including C-reactive protein levels and iron studies with ferritin levels, should be performed based on history and examination findings. If essential thrombocythemia is suspected in patients with persistent thrombocytosis without an identified cause, testing for Janus kinase 2 gene sequence variations should be performed and, if negative, testing for calreticulin and myeloproliferative leukemia gene sequence variations; a bone marrow biopsy should also be performed. The revised International Prognostic Score of Thrombosis for Essential Thrombocythemia should be calculated to stratify thrombosis risk and guide management, including when to use low-dose aspirin and cytoreductive therapy. Cardiovascular risk factors should also be addressed. Hydroxyurea is the first-line agent in cytoreductive therapy. No treatments have been shown to increase survival or prevent progression to myelofibrosis or leukemia in patients with essential thrombocythemia.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"113 4","pages":"332-338"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832664","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