Articles related to Family Medicine/General Practice

The study followed nearly 143,000 women who underwent hysterectomy for a benign condition over a 20-year-period and compared outcomes between those who had bilateral salpingo-oophorectomy (BSO) and those who didn’t. Younger (under age 45) women who had BSO had a higher 10-year cumulative risk of hospitalization for CVD. Women aged 45 to 54 with BSO had a higher 10-year risk for developing cancer. Based on the findings, the authors suggest a cautious approach to ovarian removal in postmenopausal women and recommend preserving ovaries in premenopausal women without a high risk for ovarian cancer.

Not all plastic surgeries can be reversed, and even when possible, reversals aren’t guaranteed. The Brazilian Butt Lift is an example of one surgery that appears to be going out to style. Similarly, the acceleration of surgeries for body dysmorphic disorder opens other reversal questions.

Given at a higher dose than for DM2, a weekly semaglutide injection sustainably reduced weight by an average of 15% together with diet. What are the precautions? And what else is on the horizon in the class?

Headaches have increased in frequency from about once weekly to more than four-times-a-week in this patient with a 25-year headache history. He is on amitriptyline and has increased his sumatriptan dose to five times weekly. PE and contrast MRI are normal. What’s next?

With suicide being the fourth-highest cause of death among young people globally, and the third-highest cause in the US, improved identification, prevention, and treatment strategies are critically needed. This review focuses on the epidemiology and prevention of suicide among young people, focusing on strategies for clinical settings and schools.

A young woman with progressive autosomal dominant PKD is seen for follow up. She had a recent infected kidney cyst. Except for a palpable right kidney, the exam is unremarkable. Labs show a decrease in eGFR from a year prior. She is on lisinopril. What is your approach to treatment now?