Podcasts about American Family Physician

Send us a message with this link, we would love to hear from you. Standard message rates may apply. We unpack myths, the new stepwise approach, and why return to school should come before return to play.• what a concussion is• common and delayed symptoms including mood and sleep changes• immediate sideline steps• why “cocooning” is outdated and how light activity helps• individualized recovery timelines and risk of returning too soon• return-to-learn before return-to-play with simple accommodations• a staircase model for activity and symptom thresholds• helmets vs brain movement and the role of honest reporting• practical tips for coaches, parents, and student athletesCheck out our website, send us an email, share this with a friend or young student athlete who is playing some sports and might get a concussionReferencesBroglio SP, Register-Mihalik JK, Guskiewicz KM, et al. National Athletic Trainers' Association Bridge Statement: Management of Sport-Related Concussion. Journal of Athletic Training. 2024;59(3):225-242. doi:10.4085/1062-6050-0046.22.Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. Lumba-Brown A, Yeates KO, Sarmiento K, et al. JAMA Pediatrics. 2018;172(11):e182853. doi:10.1001/jamapediatrics.2018.2853.Feiss R, Lutz M, Reiche E, Moody J, Pangelinan M. A Systematic Review of the Effectiveness of Concussion Education Programs for Coaches and Parents of Youth Athletes. International Journal of Environmental Research and Public Health. 2020;17(8):E2665. doi:10.3390/ijerph17082665.Gereige RS, Gross T, Jastaniah E. Individual Medical Emergencies Occurring at School. Pediatrics. 2022;150(1):e2022057987. doi:10.1542/peds.2022-057987.Giza CC, Kutcher JS, Ashwal S, et al. Summary of Evidence-Based Guideline Update: Evaluation and Management of Concussion in Sports: Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2013;80(24):2250-2257. doi:10.1212/WNL.0b013e31828d57dd.Halstead ME. What's New With Pediatric Sport Concussions? Pediatrics. 2024;153(1):e2023063881. doi:10.1542/peds.2023-063881.Halstead ME, Walter KD, Moffatt K. Sport-Related Concussion in Children and Adolescents. Pediatrics. 2018;142(6):e20183074. doi:10.1542/peds.2018-3074.Leddy JJ. Sport-Related Concussion. The New England Journal of Medicine. 2025;392(5):483-493. doi:10.1056/NEJMcp2400691.McCrea M, Broglio S, McAllister T, et al. Return to Play and Risk of Repeat Concussion in Collegiate Football Players: Comparative Analysis From the NCAA Concussion Study (1999–2001) and CARE Consortium (2014–2017). British Journal of Sports Medicine. 2020;54(2):102-109. doi:10.1136/bjsports-2019-100579.Scorza KA, Cole W. Current Concepts in Concussion: Initial Evaluation and Management. American Family Physician. 2019;99(7):426-434.Shirley E, Hudspeth LJ, Maynard JR. Managing Sports-Related Concussions From Time of Injury Through Return to Play. The Journal of the American Academy of Orthopaedic Surgeons. 2018;26(13):e279-e286. doi:10.5435/JAAOS-D-16-00684.Zhou H, Ledsky R, Sarmiento K, et al. Parent-Child Communication About ConcussSupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Lymphadenopathy (1:30), galantamine for dementia (5:30), parenteral agents for migraines (7:30), EpiSwitch prostate cancer screening test (10:40), vitamin B12 deficiency (14:00), and fezolinetant for menopause (17:40).

An approach to anaemia, including MCV classification of the different causes of anaemia in a structured easy to remember layout. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps: 0:00 What is Anaemia?1:55 Microcytic Anaemia - Iron Deficiency Anaemia3:48 Microcytic Anaemia - Thalassemia 4:57 Microcytic Anaemia - Anaemia of Chronic Disease 6:02 Microcytic Anaemia - Sideroblastic Anaemia 7:09 Normocytic Anaemia - Hypoproliferative 8:49 Normocytic Anaemia - Hyperproliferative 10:04 Normocytic Anaemia - Mixed10:33 Macrocytic Anaemia - Megaloblastic (Vitamin B12 / Folate Deficiency) 11:48 Macrocytic Anaemia - Non Megaloblastic 12:20 Anaemia Symptoms13:39 Anaemia TreatmentReferencesBMJ Best Practice. Assessment of anaemia – Diagnosis Approach. Updated 24 September 2024. Available at: https://bestpractice.bmj.com/topics/en-gb/93/diagnosis-approachMDCalc. Mentzer Index. Published 2017. Available at: https://www.mdcalc.com/calc/10534/mentzer-index#evidenceGeeky Medics. Anaemia Overview. Published 3 April 2021. Available at: https://geekymedics.com/anaemia-overview/StatPearls. Anemia. StatPearls Publishing; last updated 8 August 2023. Available at: https://www.ncbi.nlm.nih.gov/books/NBK499994/American Academy of Family Physicians (AAFP). Evaluation of Anemia in Children. American Family Physician, 2009;79(3):203-208. Available at: https://www.aafp.org/pubs/afp/issues/2009/0201/p203/jcr:content/root/aafp-article-primary-content-container/aafp_article_main_par/aafp_figure1.enlarge.htmlPlease remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. #medicalmnemonic #medicalmnemonics #rhesusmedicine #studymedicine #studygram #medstudent #medicalschool

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Colon cancer screening saves lives by catching cancer early and even preventing it, yet only 69% of eligible adults are up to date with their screenings. We explore who needs screening, what tests are available, and how to choose the right one for you.• Most adults should start colon cancer screening at age 45, even if healthy• Family history may mean you need to start screening earlier• Stool-based tests like FIT and Cologuard are convenient home options• Colonoscopy remains the gold standard, allowing doctors to remove polyps• One in 23 men and one in 25 women will develop colorectal cancer• The best screening test is the one you'll actually completePlease get screened! Check with your doctor about which test is right for you based on your risk factors and preferences.References1. Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians (Version 2). Qaseem A, Harrod CS, Crandall CJ, et al. Annals of Internal Medicine. 2023;176(8):1092-1100. doi:10.7326/M23-0779.2. AGA Clinical Practice Update on Risk Stratification for Colorectal Cancer Screening and Post-Polypectomy Surveillance: Expert Review. Issaka RB, Chan AT, Gupta S. Gastroenterology. 2023;165(5):1280-1291. doi:10.1053/j.gastro.2023.06.033.3. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. Davidson KW, Barry MJ, Mangione CM, et al. JAMA. 2021;325(19):1965-1977. doi:10.1001/jama.2021.6238.4. Colorectal Cancer Screening and Prevention. Sur DKC, Brown PC. American Family Physician. 2025;112(3):278-283.5. Increasing Incidence of Early-Onset Colorectal Cancer. Sinicrope FA. The New England Journal of Medicine. 2022;386(16):1547-1558. doi:10.1056/NEJMra2200869.6. From Guideline to Practice: New Shared Decision-Making Tools for Colorectal Cancer Screening From the American Cancer Society. Volk RJ, Leal VB, Jacobs LE, et al. CA: A Cancer Journal for Clinicians. 2018;68(4):246-249. doi:10.3322/caac.21459.7. Screening for Colorectal Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force. Lin JS, Perdue LA, Henrikson NB, Bean SI, Blasi PR. JAMA. 2021;325(19):1978-1998. doi:10.1001/jama.2021.4417.8. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. Bibbins-Domingo K, Grossman DC, Curry SJ, et al. JAMA. 2016;315(23):2564-2575. doi:10.1001/jama.2016.5989.9. How Would You Screen This Patient for Colorectal Cancer? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center. Burns RB, Mangione CM, Weinberg DS, Kanjee Z. Annals of Internal Medicine. 2022;175(10):1452-1461. doi:10.7326/M22-1961.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

Respiratory syncytial virus vaccination in pregnancy (1:30), vasectomy (3:40), donanemab in Alzheimer disease (7:20), multicancer early detection (12:20), autism spectrum disorder (13:50), and acute pancreatitis (17:10).

Contraception (1:30), delayed pushing in labor (6:10), bacterial vaginosis (8:50), outpatient care of the premature infant (11:10), nocturnal leg cramps (17:30), and AFP Clinical Answers (19:20).

Heart failure with reduced ejection fraction (1:30), lower gastrointestinal bleeding (5:10), venous leg ulcers (7:10), nonopioid pharmacologic management of chronic pain (10:30), resuscitation in burns (15:20), and breast ductal carcinoma in situ (17:10).

Intimate partner violence (1:40), top 20 research studies of 2024 for primary care physicians (5:20), treatments for carpal tunnel syndrome (11:20), benzgalantamine for Alzheimer disease (13:50), bright light therapy (17:50), assessment and management of patients at risk for suicide (20:10).

Foreign bodies in the ear, nose, and throat (1:30); topical anti-inflammatory drugs for eczema (7:20); intravenous antihypertensives (10:10); developmental screening (14:00); dialectical behavior therapy (17:10); and universal respiratory syncytial virus prophylaxis (20:10).

Nocturia (1:30), assessing the risk of atrial fibrillation (5:00), zoledronate reduces fracture risk (7:20), endometrial cancer (10:10), diabetes-related foot infections (13:50), and at-home gonorrhea and chlamydia testing (15:50).

Acute monoarthritis (1:30), improving adverse drug reaction reporting (6:30), inappropriate use of oral antiplatelet drugs (9:50), long-term opioid therapy (12:40), treating Clostridioides difficile infection (17:10), and lecanemab for Alzheimer disease (19:00).

Migraine headache prophylaxis (1:30), atrial fibrillation with stable coronary artery disease (6:10), health maintenance in postmenopausal women (8:50), topical testosterone (13:50), pain control in primary dysmenorrhea (17:50), and obstructive sleep apnea in children (20:00).

Trigeminal neuralgia (1:30), early medication abortion (4:30), sodium-glucose cotransporter-2 inhibitors (6:00), female sexual dysfunction (8:40), per- and polyfluoroalkyl substances (12:30), and methotrexate for juvenile idiopathic arthritis (17:20).

Buprenorphine for opioid use disorder (1:30), triptans for acute migraine (5:30), premenstrual syndrome (6:50), pain management for IUD insertion (11:00), liver fibrosis stage in chronic hepatitis C infection (12:30), and cold water immersion for muscle soreness (14:30).

Labor management (1:30), acute migraine headache (4:00), tirzepatide for sleep apnea (8:20), options for unintended pregnancy (11:20), artificial intelligence scribes (15:00), and testosterone replacement in men with sexual dysfunction (16:50).

Down syndrome (1:30), zuranolone for postpartum depression (7:50), muscle relaxants for chronic pain (10:20), temporal artery ultrasound (12:00), pretravel consultation (15:40), and high-flow nasal cannula for bronchiolitis (19:20).

Nicotine electronic cigarettes (1:30), acute bronchitis (4:10), berdazimer (6:40), cardiac rehabilitation (11:40), chronic pelvic pain (13:50), and mineralocorticoid receptor antagonists in heart failure (22:10).

Fatigue in kidney failure (1:30), gastric cancer (3:50), carpal tunnel injections (6:50), sudden infant death syndrome (9:30), plantar fasciitis (13:20), and measuring ceramide to predict cardiovascular events (15:10).

Cardiovascular risk prediction (1:30), topical steroids for phimosis (3:20), genital warts (7:10), psilocybin for depression (12:00), lower extremity abnormalities in children (13:30), and atrial fibrillation (22:10).

Early childhood concerns (1:30), probiotics to prevent urinary tract infections (7:00), triple therapy for chronic obstructive pulmonary disease (8:50), sudden vision loss (11:20), macular degeneration (15:30), and an AFP Clinical Answers lightening round (19:00).

Jaundice in adults (1:30), gepirone for depression (8:20), steroid injections for degenerative joint disease of the hip (12:20), dysuria (14:50), hip osteoarthritis (19:00), and diabetic kidney disease (21:00).

Mildly elevated liver transaminase levels (1:30), overdiagnosis of myocardial infarction (6:00), predicting bleeding risk in atrial fibrillation (8:30), management of keloids and hypertrophic scars (12:10), weight loss and knee osteoarthritis (15:30), and vitamin D (18:20).

Noninvasive cardiac testing (1:30), SGLT-2 inhibitors (5:30), opioid prescribing (8:10), children with hypertension (10:20), anemia in infants and children (12:00), premenstrual disorders (15:20), and holiday ICD-10 codes (18:00).

Common tongue conditions (1:30), esketamine to reduce postpartum depression (5:50), testosterone replacement (7:40), artificial intelligence in mammography (10:50), rheumatoid arthritis (14:50), and brexpiprazole for agitation in Alzheimer disease (23:00).

Vitamin B12 in pregnancy (1:30), genital herpes (4:40), dequalinium in bacterial vaginosis (8:40), prostate cancer (11:50), fruit and vegetable intake and depression (17:10), and AFP Clinical Answers lightning round (19:30).

Management of late- and postterm pregnancy (1:30), pet therapy for anxiety (5:20), high-sensitivity troponin (7:10), injections of the hand and wrist (10:00), atopic dermatitis (15:10), pediatric umbilical hernias (17:40), and rapid-fire AFP Clinical Answers (19:40).

Melanoma (1:30), doxcycline for sexually transmitted infection postexposure prophylaxis (5:00), uncontrolled asthma (6:30), injections of the hand and wrist (part 1) (9:00), older patients with depression (12:40), meniscal tears (14:20), and spooky season ICD-10 codes (17:40).

Palpitations (1:40), carpal tunnel syndrome (7:10), coronary computed tomography angiography (10:40), Alzheimer disease (14:50), acute diverticulitis (21:00), and decision aids (22:10)

AFP Podcast co-creator and editor Steven R. Brown, MD, speaks with Ali Block, MD, family physician, abortion provider, and host of the Nocturnists: Post-Roe America podcast series. Steve and Ali talk about abortion care in family medicine and changes since the 2022 Supreme Court Dobbs v Jackson Women's Health Organization decision. Dr. Block shares ways in which reproductive health care has changed in different areas of the United States since the Dobbs decision, how her team created the Nocturnists: Post-Roe America podcast, her journey to communicate her own story, the culture of silence around abortion care, advocacy for abortion care, and ways in which the Dobbs decision affects medical education. The Nocturnists: Post-Roe America seven-part podcast series is available on the Nocturnists website or wherever you get your podcasts.

The PREVENT calculator (1:30), hair loss (5:20), resmetirom (9:50), continuous vs. intermittent glucose monitoring (15:10), Cushing's syndrome (17:10), and screening for lipid disorders in children and adolescents (23:10).

A client has hereditary hemochromatosis, which has affected their hip and toes. It is bad enough that they are considering joint replacement. In the meantime, they would like to receive massage for hip pain. Oh, and there's this tiny little issue about having recent strokes. What is going on? How can iron overload cause joint damage, and is it involved in strokes too? Is bodywork even possible in this situation?   Resources:   IHACW Episode 317, available here   Agarwal, A.R. et al. (2022) ‘Postoperative Complications in Patients With Hereditary Hemochromatosis Undergoing Total Joint Arthroplasty: A Matched Cohort Analysis', The Journal of the American Academy of Orthopaedic Surgeons, 30(1), pp. e99–e107. Available at: https://doi.org/10.5435/JAAOS-D-21-00105.   Arteriovenous Malformations (AVMs) | National Institute of Neurological Disorders and Stroke (no date). Available at: https://www.ninds.nih.gov/health-information/disorders/arteriovenous-malformations-avms (Accessed: 28 August 2024).   Arthropathy and joint pain (2020) Haemochromatosis UK. Available at: https://www.haemochromatosis.org.uk/arthropathy (Accessed: 29 August 2024).   Brain AVM (arteriovenous malformation) - Symptoms and causes (no date) Mayo Clinic. Available at: https://www.mayoclinic.org/diseases-conditions/brain-avm/symptoms-causes/syc-20350260 (Accessed: 30 August 2024).   Carroll, G.J., Breidahl, W.H. and Olynyk, J.K. (2012) ‘Characteristics of the arthropathy described in hereditary hemochromatosis', Arthritis Care & Research, 64(1), pp. 9–14. Available at: https://doi.org/10.1002/acr.20501.   Hemochromatosis | Arthritis Foundation (no date). Available at: https://www.arthritis.org/diseases/hemochromatosis (Accessed: 28 August 2024).   Hemochromatosis (Iron Overload): Causes, Symptoms, Treatment, Diet & More (no date). Available at: https://my.clevelandclinic.org/health/diseases/14971-hemochromatosis-iron-overload (Accessed: 28 August 2024). McCurdie, I. and Perry, J.D. (1999) ‘Haemochromatosis and exercise related joint pains', BMJ : British Medical Journal, 318(7181), pp. 449–451.   Porter, J.L. and Rawla, P. (2024) ‘Hemochromatosis', in StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: http://www.ncbi.nlm.nih.gov/books/NBK430862/ (Accessed: 30 August 2024).   Sahinbegovic, E. et al. (2010) ‘Hereditary hemochromatosis as a risk factor for joint replacement surgery', The American Journal of Medicine, 123(7), pp. 659–662. Available at: https://doi.org/10.1016/j.amjmed.2010.01.024.   Walling, A.D. (1999) ‘The Differential Diagnosis of Joint Pain: Hemochromatosis', American Family Physician, 59(9), pp. 2587–2588.   Host:            Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.      This podcast sponsored by:     Books of Discovery: www.booksofdiscovery.com   Anatomy Trains: www.anatomytrains.com    Elements Massage: www.elementsmassage.com/abmp   MassageBook: www.massagebook.com

Management of obesity (1:45), diagnosing dementia (6:10), mastitis (9:10), the G2211 code (13:30), alcohol use in adolescents (16:10), and imaging guidelines for mild traumatic brain injury (18:20).

Conjunctivitis (1:40), measles (6:10), perioperative glycemic control (8:20), chronic cough (11:20), HPV vaccine preventing cervical cancer (15:10), and tirzepatide for treatment of obesity (18:10).

Cognitive enhancers and Mini-Mental State Examination (1:40), primary care of adult cancer survivors (4:00), bupropion for depression in adolescents (8:50), acute and chronic prostatitis (10:50), antibiotics in uncomplicated but febrile urinary tract infections (14:10), and top 20 research studies of 2023 (15:30).

Obstructive sleep apnea in adults (1:40), e-cigarettes (5:30), breastfeeding support for healthy mothers and infants (7:40), hematologic emergencies (10:20), midodrine for recurrent vasovagal syncope (15:30), and cranberry products for preventing urinary tract infections (17:20).

Testosterone therapy for male hypogonadism (1:40), avoiding judgmental clinical documentation (5:50), bipolar disorder (8:10), gallstone disease (11:40), bempedoic acid (15:50), and stable chronic obstructive pulmonary disease (18:40).

Lifelong care for patients after gender-affirming surgery (1:30), lipid management (6:10), carpal tunnel syndrome (11:10), spontaneous vaginal delivery (14:00), oseltamivir (17:20), and new medicines for RSV prevention (19:40).

Atrial fibrillation (1:30), sFlt-1/PlGF ratio in preeclampsia (4:50), hyaluronic acid for wounds (6:40), substance misuse (9:00), nirsevimab (12:50), and AFP Clinical Answers (14:10).

Acute pericarditis (1:30), saw palmetto for benign prostatic hyperplasia (5:30), baclofen for alcohol use disorder (8:00), nausea and vomiting (10:30), fecal microbiota spores for Clostridioides difficile (15:20), and monoclonal antibody therapy for Alzheimer disease (18:20).

Noninsulin therapy for type 2 diabetes mellitus (1:50), high-dose flu vaccine (4:40), remote psychotherapy for chronic pain (6:20), lumbar spinal stenosis (8:30), primary care access in areas with aging populations (12:40), and herbal medicines for functional dyspepsia (14:10).

Preventive care for men who have sex with men (1:30), inactivated polio vaccine (5:30), Beers criteria (7:20), streptococcal pharyngitis (12:20), peanut ball in labor (17:00), and watching and waiting for symptomatic gallstones (18:30).

Ten concepts of information mastery that every family physician should know.

Diabetic peripheral neuropathy (1:30), melatonin for delirium (5:00), fezolinetant (6:30), remote psychological therapies for chronic pain (9:30), hypertensive disorders in pregnancy (12:30), and cognitive behavior therapy for long COVID (18:50).

Thiazide diuretics (2:20), pancreatic cancer (4:40), DermTech pigmented lesion assay (8:30), chronic low back pain (17:00), hearing aids (23:40), and blood pressure cuff size (27:50).

Urinary tract infections in adults (2:00), brexpiprazole as adjunctive therapy for depression (5:30), chronic conditions in hospitalized patients (8:30), postpartum hypertension (13:40), inequities in kidney transplant (15:50), and exercise for depression in older adults (17:40).

Abnormal uterine bleeding (2:00), eating disorders (7:00), osteopathic schools and family medicine residencies (9:10), chronic insomnia (11:10), an insomnia editorial (15:10), and plaque psoriasis (16:40).

Injections of the hip and knee (1:30), carpal tunnel syndrome (6:20), Opill for contraception (8:10), acute coronary syndrome (12:20), oral isotretinoin (16:50), and screening for syphilis (19:20).

Sarcoidosis (1:30), compression therapy in venous ulcers (4:30), FilmArray GI panel (6:30), medications for alcohol use disorder (10:00), removing erroneous penicillin allergy labels (14:50), and tadalafil for benign prostatic hyperplasia (16:50).

Preventing cardiovascular disease in women (1:40), initial evaluation of dementia (4:50), adjunctive corticosteroids for community-acquired pneumonia (8:10), magnesium for leg cramps (10:40), childhood sports-related overuse injuries (12:00), and terbinafine for onychomycosis (16:50).

Preconception counseling (1:30), research in family medicine (5:30), pre-exposure prophylaxis to prevent acquisition of HIV (6:40), psoriasis (9:50), transgender care (12:20), and overuse of antireflux medicines in infants (17:20).