Articles
Evaluation of First Nonfebrile Seizures
A nonfebrile seizure may indicate underlying disease or epilepsy. The patient history may distinguish epileptic seizures from nonepileptic disorders. Laboratory testing, lumbar puncture, and neuroimaging may be indicated. Antiepileptic treatment does not prevent epilepsy in the…
Common Breast Problems
Although most breast masses are benign, they require immediate evaluation because they are the most common presenting symptom in patients diagnosed with breast cancer. Risk assessment may affect diagnostic or treatment plans. Mastalgia is not a risk factor for breast cancer…
Nocturnal Leg Cramps
The etiology of nocturnal leg cramps is unclear, although muscle fatigue and nerve dysfunction are likely causes. Medical conditions and medication use also have been implicated. No treatment has been proven safe and effective, but stretching and deep tissue massage may be…
AFP News Now - AFP Edition
AAFP News Now: AFP Edition
Opioid Manufacturers to Provide Funding for FDA-Specified Education Programs | Study Shows New Weight Loss Approach May Be Effective and Economical | Virtual Clinics Expanding Veterans' Access to Specialty Care in Rural Areas | Survey Shows an Increase in Salaries and Demand…
Editorials
Breast Masses in Adolescents: Clinical Pearls in the Diagnostic Evaluation
The diagnostic evaluation of an adolescent presenting with a breast mass differs substantially from that of an adult because of marked differences in breast cancer risk and breast architecture. In the adolescent, early clinical assessment and close follow-up are most important…
Clinical Evidence Handbook
Benign Prostatic Hyperplasia and Male Lower Urinary Tract Symptoms
What are the effects of medical, herbal, and surgical treatments in men with BPH?
Photo Quiz
Rapid-Onset Skin Rash
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
STEPS
Ulipristal (Ella) for Emergency Contraception
Ulipristal is a prescription-only emergency contraceptive. It is at least as effective as levonorgestrel when administered within 72 hours of unprotected sexual intercourse, and is more effective than levonorgestrel in the 72- to 120-hour window.
Practice Guidelines
CDC Recommends New Treatment Regimen for Latent Mycobacterium Tuberculosis Infection
Guideline source: Centers for Disease Control and PreventionEvidence rating system used? YesLiterature search described? YesGuideline developed by participants without relevant financial ties to industry? Not reportedPublished source:Morbidity and Mortality Weekly Report…
FPIN's Clinical Inquiries
Evaluation of Hip Pain in Older Adults
The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies.
Graham Center Policy One-Pager
Improving America's Health Requires Community-Level Solutions: Folsom Revisited
Amidst sweeping changes to health care in the 1960s, the broadly influential Folsom Commission report, “Health is a Community Affair,” never fully achieved its vision of galvanizing the creation of Communities of Solution, which were empowered to improve health at the local…
Letters to the Editor
Information from Your Family Doctor
Nocturnal Leg Cramps
Leg cramps are sometimes called charley horses or muscle spasms. They happen when your leg muscles tighten and it is hard to relax them.
Corrections
Correction
In the editorial “School-Based Management of Food Allergies in Children” (July 1, 2012, page 16), the second to last sentence in the first paragraph (page 16) contained an error regarding the incidence of fatal food allergy anaphylaxis in children. The sentence should have read…
Correction
In the article “Prevention of Perinatal Group B Streptococcal Disease: Updated CDC Guideline” (July 1, 2012, page 59), the third to last sentence of the abstract (page 59) incorrectly stated that clindamycin is recommended in persons at serious risk of anaphylaxis if…