American family physician最新文献_第6页

Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Common Questions and Answers. 经前综合症和经前烦躁不安：常见问题和答案。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Wendy S Biggs, Jennifer M Romeu, Taylor Gaudard

{"title":"Premenstrual Syndrome and Premenstrual Dysphoric Disorder: Common Questions and Answers.","authors":"Wendy S Biggs, Jennifer M Romeu, Taylor Gaudard","doi":"","DOIUrl":"","url":null,"abstract":"Premenstrual syndrome is primarily diagnosed clinically, with consistent characteristic symptoms occurring in the luteal phase of the menstrual cycle and resolving during menstruation or within the week following it. For a premenstrual dysphoric disorder diagnosis, a patient's symptoms must substantially interfere with work, school, social activities, or relationships or cause significant distress. Patients should record symptoms for at least two cycles because symptoms can vary from cycle to cycle. A symptom-tracking diary or diagnostic instrument, such as the Daily Record of Severity of Problems (a validated prospective survey tool), can be used to identify the cyclic pattern of symptoms. Selective serotonin reuptake inhibitors are first-line treatment for premenstrual syndrome and premenstrual dysphoric disorder, with rapid onset of improvement; however, adverse effects can limit their use. Cognitive behavior therapy, exercise, acupuncture or acupressure, and the herb Vitex agnus castus may be used to ameliorate premenstrual syndrome and premenstrual dysphoric disorder symptoms. Reassessment for another underlying cause of premenstrual dysphoric disorder symptoms should occur if symptoms are not controlled with medications or other interventions or persist throughout the month.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 4","pages":"345-350"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959512","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

Triptans Outperform Older and Newer Treatments for Acute Migraine. 曲坦类药物治疗急性偏头痛的效果优于新旧疗法。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Allen F Shaughnessy

引用次数: 0

Groin Pain and Injuries: Evaluation and Management. 腹股沟疼痛和损伤：评估和管理。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Wyatt Maloy, Brian Merrigan, Chad D Hulsopple

{"title":"Groin Pain and Injuries: Evaluation and Management.","authors":"Wyatt Maloy, Brian Merrigan, Chad D Hulsopple","doi":"","DOIUrl":"","url":null,"abstract":"Groin pain is a common symptom in athletes and the general population. Etiologies include musculoskeletal conditions involving the pubic rami, hip joints, pelvic floor, and abdominal wall, as well as hernias and genitourinary conditions. Differentiating musculoskeletal from nonmusculoskeletal symptoms and identifying a specific cause can be a diagnostic challenge. A systematic approach to physical examination can focus the differential diagnosis and guide additional evaluation and specific management. Physical examination should include direct palpation and testing for the major musculoskeletal causes of groin pain: adductor, pubic, inguinal, and iliopsoas. In patients with adductor-related groin pain, magnetic resonance imaging of the pelvis should be performed if the diagnosis is unclear or if symptoms have not improved after initial conservative management. Active, supervised physical therapy is the initial treatment recommended for adductor- and pubic-related groin pain. In patients with inguinal-related groin pain, dynamic ultra-sonography should be performed to rule out a true hernia and evaluate for posterior abdominal wall weakness. Initial management for patients with inguinal-related groin pain without evidence of a hernia is physical therapy focusing on core strengthening and neuromuscular rehabilitation. Hip radiography and magnetic resonance imaging are preferred in patients with suspected iliopsoas-related groin pain because there is often concomitant hip pathology. Am Fam Physician. 2025; 111(4): 337-343.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 4","pages":"337-343"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963916","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

Diary of a Family Physician. 《一个家庭医生的日记》

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Jennie Zheng, Stephen Finney

引用次数: 0

After 1 Year, Ultrasound-Guided Corticosteroid Injections Are Superior to Hyaluronic Acid Injections to Relieve Pain of Morton Neuroma. 超声引导下皮质类固醇注射在缓解莫顿神经瘤疼痛方面优于透明质酸注射。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Henry C Barry

引用次数: 0

Testosterone Replacement in Men With Sexual Dysfunction in the Absence of Hypogonadism. 没有性腺功能减退的男性性功能障碍患者的睾酮替代治疗。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Bradley J Touchet, Verneeta L Williams

引用次数: 0

Acute Migraine Headache: Treatment Strategies. 急性偏头痛：治疗策略。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Anna T Wiley, James C Watson, Delaney N Lehmann

{"title":"Acute Migraine Headache: Treatment Strategies.","authors":"Anna T Wiley, James C Watson, Delaney N Lehmann","doi":"","DOIUrl":"","url":null,"abstract":"Migraine is a primary headache disorder characterized by recurrent disabling attacks. Pharmacologic treatment of acute migraine episodes should be individualized based on route of administration, cost, contraindications, and adverse effects. Stratifying treatment based on migraine severity may result in more rapid resolution of symptoms and return of function. Simple analgesics, such as acetaminophen and nonsteroidal anti-inflammatory drugs, are first-line treatments for mild to moderate migraine episodes, and triptans are first-line therapy for moderate to severe attacks. Antiemetics and ergot alkaloids are recommended as second-line agents and in cases of refractory migraine. Gepants and ditans are promising newer agents that are supported by quality evidence for second-line use. Unlike triptans and ergot alkaloids, gepants and ditans do not have vascular contraindications. The use of these medications is largely limited by cost, although the adverse effects of ditans also may limit their use. Opioids and butalbital-containing medications are not recommended for the treatment of migraine unless other options have been ineffective. There is insufficient evidence to recommend nonpharmacologic therapies, such as neuromodulatory devices, acupuncture, and greater occipital nerve blocks, but these therapies may be appropriate for select patients.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"111 4","pages":"317-327"},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961801","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

Nodule on the Chin. 下巴上的结节。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Jesse Bracamonte, Michael Underhill, Molly Kresin, Murk Rani

引用次数: 0

Prioritizing Patients With the Greatest Care Needs: Time for Family Physicians to Lead. 优先考虑患者最大的护理需求：时间为家庭医生的领导。

IF 3.8 3区医学

American family physician Pub Date : 2025-04-01

Amanda Niklasson, Victor M Montori, Minna Johansson

引用次数: 0

Chest Pain, Multivitamin Supplements, Knee Osteoarthritis, Alzheimer Dementia, Asthma. 胸痛，多种维生素补充剂，膝关节骨关节炎，老年痴呆症，哮喘。