American family physician最新文献_第9页

Correction. 修正。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

引用次数: 0

When a Patient Declines Interpreter Services. 当病人拒绝翻译服务时。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Maniraj Jeyaraju, Jaime Russell, Rana Alkhaldi

引用次数: 0

Knee Pain in Adults and Adolescents: The Initial Evaluation. 成人和青少年膝关节疼痛：初步评估。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Bernadette Pendergraph, John Cheng, Stephanie Diana Garcia

{"title":"Knee Pain in Adults and Adolescents: The Initial Evaluation.","authors":"Bernadette Pendergraph, John Cheng, Stephanie Diana Garcia","doi":"","DOIUrl":"","url":null,"abstract":"Knee pain is common, with more than 30% to 45% of middle-aged and older adults having symptomatic osteoarthritis, and 25% to 40% of younger adults having patellofemoral pain syndrome. Components of a detailed history include time of onset; pain duration, quality, and localization; trauma/mechanism of injury; swelling; popping/clicking; aggravating and alleviating factors; sports activities; and limitations to current activity. The physical examination for evaluating knee pain involves five overall components: inspecting the joint for obvious abnormalities, palpating the joint to identify effusion or points of tenderness that may be the source of the pain; testing active and passive range of motion; testing strength; and performing specialized maneuvers that evaluate specific knee joint structures. These maneuvers are most accurate when performed in combination, rather than relying on one specific maneuver to make the diagnosis. In addition to these five examination components, imaging should be obtained if appropriate, with plain radiography typically being the first step. With traumatic injuries, clinical decision rules such as the Ottawa Knee Rule can determine if radiography is needed to detect fractures or other injuries that may require referral. Additional evaluations can include arthrocentesis when joint effusion is present, optimally guided by point-of-care ultrasonography when available, and laboratory testing if infection or inflammatory disorders are suspected.","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"114 1","pages":"49-62"},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787176","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

Painless Neck Mass in an Adolescent Girl. 少女无痛性颈部肿块。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Jones Fonseca, Adelaide Catarina Barbosa, Ema Santos Faria

引用次数: 0

Atypical Moles. 非典型痣。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Liza Straub, Matthew Zeitler, Brian Rayala

引用次数: 0

Wrist Acupuncture to Prevent Postoperative Nausea and Vomiting. 腕针预防术后恶心呕吐。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Juan Qiu, Dongsheng Jiang

引用次数: 0

Amenorrhea: A Practical Approach to Diagnosis and Management. 闭经：一种实用的诊断和治疗方法。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

David A Klein, Jillian E Sylvester, Scott L Paradise

{"title":"Amenorrhea: A Practical Approach to Diagnosis and Management.","authors":"David A Klein, Jillian E Sylvester, Scott L Paradise","doi":"","DOIUrl":"","url":null,"abstract":"Menstrual patterns can indicate overall health and reflect changes in endocrine, metabolic, or other systemic functions. Primary amenorrhea, defined as the lifelong absence of menses, warrants evaluation by age 15 years or 3 years postthelarche. Secondary amenorrhea is defined as the cessation of previously regular menses for 3 months or irregular menses for 6 months. Evaluation begins with a focused medical history, including prior menstrual patterns; eating and exercise habits; psychosocial stressors; medication use; chronic illness; and neurologic, vasomotor, or hyperandrogenic symptoms. Physical examination should assess anthropometric trends and pubertal development. Routine laboratory testing includes pregnancy testing and serum estradiol, follicle-stimulating hormone, luteinizing hormone, prolactin, and thyroid-stimulating hormone (thyrotropin) levels. Additional testing, including karyotyping, serum androgen evaluation, and pelvic or brain imaging, is individualized. Functional hypothalamic amenorrhea may indicate treatment for underlying disordered eating or low bone density. Patients with premature ovarian insufficiency benefit from hormone therapy until the average age of natural menopause. Addressing lifetime metabolic disease and endometrial cancer risk is necessary for patients with polyendocrine metabolic ovarian syndrome (formerly polycystic ovary syndrome).","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"114 1","pages":"72-85"},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787208","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

Surgery Provides No Additional Benefit for Shoulder Impingement Syndrome. 手术对肩撞击综合征没有额外的益处。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Allen F Shaughnessy

引用次数: 0

Is Questionnaire-Based Screening for Depression Worthwhile in Primary Care? No: Current Evidence Does Not Demonstrate Improved Patient Outcomes. 以问卷为基础的抑郁症筛查在初级保健中是否值得？否：目前的证据没有显示患者预后得到改善。

IF 3.5 3区医学

American family physician Pub Date : 2026-07-01

Arnav Agarwal, Eddy Lang

引用次数: 0

Corticosteroids for Treating Sepsis in Children and Adults. 皮质类固醇治疗儿童和成人败血症。