Articles

453 Chronic Shoulder Pain: Part I. Evaluation and Diagnosis

KELTON M. BURBANK, MD; J. HERBERT STEVENSON, MD; GREGORY R. CZARNECKI, DO; and JUSTIN DORFMAN, DO

Common causes of chronic shoulder pain are adhesive capsulitis, glenohumeral instability, osteoarthritis, and rotator cuff pathology. Diagnosis involves consider-ation of medical history, physical examination, and imaging.

469 Diagnosis and Treatment of Testicular Cancer

JOEL SHAW, MD

Although routine screening and self-examination for testicular cancer is not rec-ommended in asymptomatic men, patients with suggestive signs and symptoms require thorough examination. Primary treatment is orchiectomy, and additional treatment is determined by microscopic diagnosis and staging.

Patient information: “Testicular Cancer: What You Should Know,” p. 475

483 Reducing Tobacco Use in Adolescents

IRENE M. ROSEN, LTC, MC, USA, and DOUGLAS M. MAURER, MAJ, MC, USA

Screening for tobacco use is recommended at every patient visit, and smokers should be offered smoking cessation assistance including counseling, nicotine replacement therapy, bupropion therapy, or combination therapy.

Patient information: “Tobacco Use: What Teenagers Should Know,” p. 491

493 Chronic Shoulder Pain: Part II. Treatment

KELTON M. BURBANK, MD; J. HERBERT STEVENSON, MD; GREGORY R. CZARNECKI, DO; and JUSTIN DORFMAN, DO

Treatment of chronic shoulder pain disorders typically involves activity modifica-tion, physical therapy, and pain medication. Additional treatment options may include corticosteroid injections and surgical referral.

Departments

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Keeping Up to Date

505 STEPS

• Selegiline Transdermal Patch (Emsam) for Major Depressive Disorder

508 Tips from Other Journals

538 Practice Guidelines

• AHA Releases Updated Guidelines on the Prevention of Infective Endocarditis

Editorial: “Endocarditis Prophylaxis: An Evolution of Change,” p. 421

• ACOG Guidelines on Endometrial Ablation

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Answering Clinical Questions

413 CME Quiz

447 Cochrane for Clinicians

• Are Long-acting Insulin Analogues Better Than Isophane Insulin?

• Cancer Genetic Risk Assessment for Indi-viduals at Risk of Familial Breast Cancer

501 Photo Quiz

532 Curbside Consultation

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Commentary

408 Inside AFP

416 Letters to the Editor

• First-Line Therapies for Lowering Triglyceride Levels

• Managing Hypertriglyceridemia with Diet Modifications

421 Editorials

• Endocarditis Prophylaxis: An Evolution of Change

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Medicine and Society

423 Newsletter

444 Close-ups

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Patient Information

475 Testicular Cancer

491 Tobacco Use

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Reader Services

410 Strength-of-Recommendation Taxonomy in AFP

CME Center

• Search Available CME Courses

498 Evidence-Based Medicine Glossary

547 Change-of-Address Form

548 Classified Information

This article is included as part of this issue’s continuing med-ical education (CME) activity. See CME Quiz, p. 413..

This logo designates clinical content that conforms to AAFP criteria for evidence-based continuing medical education (EB CME). EB CME is clinical content presented with practice recommendations supported by evidence that has been reviewed systematically by an AAFP-approved source.

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