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    Cryptorchidism refers to an undescended testicle, the most common genitourinary malformation in male children. It is diagnosed with history and physical examination findings, and primary care physicians play a key role in the early identification of the condition. Early surgical intervention reduces the risk of testicular cancer and preserves fertility. Patients should be referred for surgical intervention at six months of age or at the time of diagnosis if the child is older. After surgery, patients require lifelong surveillance and counseling regarding fertility implications and increased risk of testicular conditions. Patients with bilateral undescended testicles that are nonpalpable should undergo endocrinologic evaluation for sexual development disorders. Retractile testicles are a variant of cryptorchidism and should be monitored annually until puberty, when acquired ascent becomes unlikely due to greater testicular volume. Based on expert opinion, all patients with a history of

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    Many family physicians are familiar with the U.S. Preventive Services Task Force (USPSTF) evidence-based recommendations for clinical preventive services. However, they may not be aware of the Community Preventive Services Task Force (CPSTF), which differs from USPSTF in its focus on population health. Family physicians know that health is improved by interventions outside the examination room that impact social, behavioral, environmental, and community factors. CPSTF evaluates evidence and recommends effective interventions to improve health in the community, home, school, work, and health care settings. Systematic evidence reviews form the basis for these recommendations, which target upstream structural, economic, and social factors that affect health outcomes.

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    Chronic Rhinosinusitis - 5 month(s) ago

    Chronic rhinosinusitis (CRS) is an inflammatory disease of the nose and paranasal sinuses, with a prevalence of approximately 1% to 7%. It is defined by the presence of at least two cardinal symptoms (nasal blockage, obstruction, or congestion; anterior or posterior nasal drainage; facial pain or pressure; and hyposmia) for at least three consecutive months, with objective findings on imaging or nasal endoscopy. CRS can result in significant patient costs and lower quality of life due to severe fatigue, depression, and sometimes reduced cognitive function. The condition is categorized as primary or secondary and with or without nasal polyps. Treatment is directed at reducing symptoms, improving mucus clearance, reducing inflammation, enhancing ciliary function, and removing bacteria and biofilms from the nasal mucosa. First-line treatment comprises nasal saline irrigation and intranasal corticosteroids. Acute exacerbation of CRS is common and is defined as a transient worsening of symp

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    This is the first year we are presenting the American Family Physician (AFP) Article of the Year Award, which is selected based on the most online views and highest ratings from the AFP editors. Previously, AFP annually presented the Walter Kemp Award from 1986 to 2001, and we are pleased to reintroduce the practice of honoring authors for their excellent scholarly contributions to family medicine.

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    • AFP is pleased to honor authors for their excellent scholarly contributions to family medicine by presenting the AFP Article of the Year Award. Read more about the 2022 award winner here: https://t.co/eatocJoFBX #familymedicine #afpjournal https://t.co/5nnMvluxu2