January 15, 2010

Articles

Diagnosis and Management of Red Eye in Primary Care

HOLLY CRONAU, RAMANA REDDY KANKANALA, THOMAS MAUGER

Most causes of red eye are benign, and the condition is often managed effectively in the primary care setting. A patient history and eye examination can pinpoint the cause of red eye, which is the focus of treatment. Ophthalmology referral is necessary in severe or complicated…

Peripheral Nerve Entrapment and Injury in the Upper Extremity

SARA L. NEAL, KARL B. FIELDS

Evaluation of upper extremity nerve injuries should follow the pattern of inspection, palpation, joint range of motion, muscle strength testing, and sensory and neurologic examination. The most common nerve entrapment injury is carpal tunnel syndrome, which involves the median…

Vocal Cord Dysfunction

JAMES DECKERT, LINDA DECKERT

Airway obstruction from vocal cord dysfunction may be precipitated by exercise, airborne irritants, rhinosinusitis, or psychological conditions. Patients may experience inspiratory stridor, cough, or choking sensations. Pulmonary function testing or flexible laryngoscopy can…

Noninfectious Penile Lesions

JOEL M. H. TEICHMAN, JASON SEA, IAN M. THOMPSON, DIRK M. ELSTON

Noninfectious penile lesions may be categorized as inflammatory and papulosquamous, or neoplastic. Diagnosis is usuallymade based on clinical presentation during the physical examination, although biopsy may be necessary to rule out neoplasms. Treatment of benign lesions…

Outdoor Air Pollutants and Patient Health

ROBERT J. LAUMBACH

Ozone and particulate matter are the air pollutants that most commonly exceed national health standards. Health risk is greatest to vulnerable populations, such as children, older adults, and persons with pulmonary or cardiovascular disorders.

U.S. Preventive Services Task Force

Screening for Syphilis Infection in Pregnancy: Reaffirmation Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends that physicians screen all pregnant women for syphilis infection (Table A). A Recommendation.

Universal Screening for Hearing Loss in Newborns: Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends screening for hearing loss in all newborn infants.

AFP News Now - AFP Edition

AAFP News Now: AFP Edition

Accountable Care Organizations Still Evolving, AAFP Adopts Recommendations | Manufacturer Recalls Pediatric H1N1 Vaccine Lots Because of Decreased Potency | ACC and AHA Update Guidelines for Perioperative Beta Blockers | President Obama Announces Funds for CHCs and PCMH Pilot…

AFP Journal Club

Cancer Risks Associated with CT Scanning

ROBERT DACHS, MARK A. GRABER, ANDREA DARBY-STEWART

Purpose

Editorials

Universal Newborn Hearing Screening and Beyond

KRISTA R. BIERNATH, DANIEL P. MONTERO, ALBERT MEHL, KATHLEEN E. TOOMEY

In the United States, approximately 12,000 infants per year (or one to three per 1,000 newborns) are born deaf or hard of hearing, making hearing loss one of the most common potentially disabling conditions present at birth.1 Exposure to visual or spoken language is vital…

Drug Pricing in AFP—How Much Does a Drug Cost?

JAY SIWEK

It seems like a simple question—how much does a drug cost? The answer turns out to be far from simple. As you may have noticed, we routinely include the approximate cost of drug therapy in tables on treatment. The difficulty starts in deciding which source to use for drug…

Graham Center Policy One-Pager

Title VII Is Critical to the Community Health Center and National Health Service Corps Workforce

BRIDGET HARRISON, DIANE R. RITTENHOUSE, ROBERT L. PHILLIPS, JR., KEVIN GRUMBACH, ANDREW W. BAZEMORE, MARTEY S. DODOO

Community health centers (CHCs) and the National Health Service Corps (NHSC) are essential to a functioning health care safety net, but they struggle to recruit physicians. Compared with physicians trained in residency programs without Title VII funding, those trained in Title…

Putting Prevention Into Practice

Universal Screening for Hearing Loss in Newborns

KENNETH W. LIN, MELISSA CAMP

Case study: A 29-year-old patient gave birth to a healthy infant two days ago. You visit her and her newborn in the hospital where the first-time mother tells you that her baby is scheduled to have a hearing test in the newborn nursery.

Clinical Evidence Handbook

Sleep Apnea

MICHAEL HENSLEY, CHERYL RAY

What are the effects of treatment for severe and nonsevere OSAHS?

Photo Quiz

Acute Pruritic Rash on the Foot

MARISOL REAVIS, SARAH JORGENSEN

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Curbside Consultation

Recognizing Mental Illness in Culture-bound Syndromes

GREGORY JUCKETT, LISA RUDOLPH-WATSON

Somatic symptoms often replace emotional complaints in foreign-born students from cultures where mental illness is stigmatized.

Tips from Other Journals

Practice Guidelines

ACIP Releases 2010 Immunization Schedules

JONATHAN L. TEMTE

The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention has added the bivalent vaccine to the child and adolescent immunization schedules, providing recommendations for harmonization between the schedules for both vaccines.

Letters to the Editor

Information from Your Family Doctor

PtEd

Pink Eye: What You Should Know

Pink eye is an inflammation of the tissue that covers the eyeball and the inside of your eyelid. Pink eye is also called conjunctivitis (con-junk-tiv-EYE-tis). It is usually caused by a mild infection that isn't serious. Most pink eye is caused by a virus, but it can also be…

PtEd

Vocal Cord Dysfunction

It is when your vocal cords partially close while you are breathing. This may cause shortness of breath, tightness in your throat, or a choking feeling. Vocal cord dysfunction can sometimes be mistaken for asthma.

PtEd

Outdoor Air Pollution and Your Health

Air pollution makes the air you breathe dirty. It can be caused by gases, drops of liquid, or dust particles. Air pollution can put your health at risk. Pollution is usually man-made, but it also can come from natural sources. In the city, air pollution often comes from motor…

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