Episode 241 -- November 2025 -- Part 1 AFP: American Family Physician

Cancer screening in older adults (1:30), an app for obstructive sleep apnea (5:10), nonsteroidal anti-inflammatory–induced ulcers and dyspepsia (7:20), hemorrhoids (10:00), late pregnancy bleeding (11:30), intensive glucose control in older patients (16:00), and all new holiday ICD-10 codes (19:30).

Vaginitis (1:20), gaming disorders (5:00), injections or radiofrequency for chronic back pain (8:50), developmental dysplasia of the hip (11:30), resistance training for cancer-related fatigue (15:00), and peripheral artery disease (17:10).

Disorders of puberty (1:30), caregiver-targeted interventions for childhood caries (5:40), perfluorohexyloctane ophthalmic solution (8:00), iron deficiency anemia (12:50), amiloride vs spironolactone (18:00), and trauma-informed care (20:00).

Overuse of colorectal cancer screening (1:30), depression practice guideline (3:20), anticoagulation in hospitalized patients with COVID-19 (6:10), slipped capital femoral epiphysis (7:50), left atrial appendage closure in atrial fibrillation after ablation (11:30), and venous thromboembolism (14:00).

Uterine fibroids (1:30), community-based residency training (6:40), glucagon-like peptide-1 medications (9:00), heart failure with preserved ejection fraction (12:30), intravenous vs oral iron (15:40), nicotine e-cigarettes for smoking cessation (18:10), and spooky health trends—are they real or fake? (20:10; music: Tocatta and Fugue in D Minor, Kevin MacLeod, CC-BY-3.0).

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).

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).