Articles
Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues
Routine prenatal interventions are controversial, but fetal heart auscultation,urinalysis, and assessment of maternal weight, blood pressure, and fundal height generally are recommended. Women should be offered screening for anemia and ABO and Rh blood typing during the first…
Evaluation of the Patient with Muscle Weakness
A comprehensive evaluation of patients with muscle weakness includes a thorough examination and coordinated laboratory, radiologic, electrodiagnostic, and pathologicstudies.
Diagnosis of Gastrointestinal Bleeding in Adults
The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleed. Several diagnostic tools are available depending on these variables.
Methadone Treatment for Pain States
Methadone may be used to treat cancer and neuropathic pain states. It may bean appropriate replacement for other opioids when side effects have limitedfurther use.
Inside AFP
Looking Toward the Future with AFP
After nearly 15 years of publishing clinical information in various forms for a nursing organization, I knew the move to the AAFP and this journal would be a big step, but it's one I took with enthusiasm and confidence. Not only are the Academy and AFP well known to family…
Newsletter
Newsletter
AAMC Calls for 15 Percent Increase in Medical School Enrollment | Graham Center Report Emphasizes Quality Not Quantity | Family Medicine Residency Matches Continue to Increase | CHiT Survey Concludes EHRs Approaching Affordability | AAFP Consolidates News Publications and…
Quantum Sufficit
Quantum Sufficit
Is a visit to the dentist’s office an important part of prenatal care? Research has shown that pregnant women with gum disease are more likely to give birth prematurely, according to a report in the University of Minnesota publication Pictures of Health. Now researchers from…
Editorials
Prenatal Care: Examining the Evidence for an Evolving Paradigm
The chief objective of prenatal care is to ensure good pregnancy outcomes. The concept evolved significantly in the 20th century, when advances in medical knowledge and practice contributed to a dramatic reduction in maternal and perinatal mortality and morbidity rates…
Diary from a Week in Practice
Diary
This week, I returned to Palenque in the state of Chiapas, Mexico, for a mission with the Franciscan Sisters of Stella Niagra. The team consisted of two family physicians, one internal medicine/pediatric resident, a pediatric nurse practitioner, an interpreter/physical…
Cochrane for Clinicians
Antibiotics for Recurrent Urinary Tract Infections
Prophylactic antibiotics can reduce the number of recurrent UTIs in nonpregnant women while they are taking the medication (relative risk [RR], 0.21; number needed to treat [NNT], 2). No antibiotic was significantly better than others at decreasing the number of UTIs, and all…
Clinical Evidence Handbook
Venous Leg Ulcers
What are the effects of treatments and interventions to prevent recurrence?
Putting Prevention Into Practice
Screening for Thyroid Disease
Case study: LF, a 50-year-old woman, requests a “thyroid blood test.” You review the symptoms of hypothyroidism and hyperthyroidism with her and find that she has none of them.
FPIN's Clinical Inquiries
Photo Quiz
Pruritic Rash During Pregnancy
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
POEMs
Acupuncture Effective for Osteoarthritis of the Knee
Raloxifene Reduces the Risk of Breast Cancer
Decision Rule for Spinal Manipulation for Low Back Pain
Is Meloxicam as Safe as Other NSAIDs?
Tips from Other Journals
Impact of Community-Based Yoga on Quality of Life
Behavioral Patterns Associated with Toilet Training Difficulties
Update on Hepatitis A Infection in Children
Can Statins Benefit Patients with Rheumatoid Arthritis?
Psychotherapy Effective for Depressed Adolescents
Effectiveness of Influenza Vaccine in Patients with COPD
Asthma: Intramuscular vs. Oral Methylprednisolone
Vaginal Tape vs. Surgery for Stress Incontinence
Statins Modulate Outcomes in Acute Coronary Syndromes
Modifiable Lifestyle Factors That May Affect Hot Flashes
Adding Aspirin to Clopidogrel Therapy: Benefit vs. Risk
Early Epidural Analgesia and Labor Progression
Association of Multivitamins with Asthma and Allergies
Depression: Psychologic and Pharmacologic Therapy
Practice Guidelines
IDSA Releases Guidelines on the Diagnosis and Treatment of Diabetic Foot Infections
Guidelines for the diagnosis and treatment of diabetic foot infections have been developed by the Infectious Diseases Society of America (IDSA). In persons with diabetes, foot infections can cause substantial morbidity and are the most common nontraumatic cause of amputations.
Practice Guideline Briefs
Practice Guideline Briefs
Antioxidant Vitamin Supplements and Cardiovascular Disease Risk Reduction
Letters to the Editor
Defending the Use of EBM and Shared Decision Making
Case Report: Insect Bite Reveals Botfly Myiasis in an Older Woman
Hemolytic Anemia Manifesting As Improved A1C Values
Information from Your Family Doctor
Pregnancy: Keeping Yourself and Your Baby Healthy
You can help make sure that you and your baby will be as healthy as possible by making some lifestyle changes while you are pregnant. It is important to check in with your doctor regularly. Tell him or her about any prescription, over-the-counter, and herbal medicines that you…
