September 1, 2014

Articles

A Comprehensive Newborn Examination: Part I. General, Head and Neck, Cardiopulmonary

MARY L. LEWIS

The newborn examination should be systematic and begin with a general assessment for normal and dysmorphic features. The head is inspected for skull and scalp deformities. Eye and ear abnormalities may signify a genetic syndrome. A cardiopulmonary assessment includes…

A Comprehensive Newborn Examination: Part II. Skin, Trunk, Extremities, Neurologic

MARY L. LEWIS

Although skin findings in newborns are common and often benign, the entire skin surface should be examined to differentiate these findings. The chest should be assessed for symmetric movement and for abnormalities, and the abdomen for bowel sounds and masses. Ref lexes and tone…

Autosomal Dominant Polycystic Kidney Disease

AJAY SRIVASTAVA, NEEL PATEL

Enlarging cysts in the kidneys are the hallmark of the disease, although other renal manifestations include kidney injury, urinary tract infections, kidney stones, and hematuria. Extrarenal manifestations, such as cardiovascular problems, pain, intracranial aneurysms…

Management of External Genital Warts

JONATHAN B. KARNES, RICHARD P. USATINE

The diagnosis of anogenital warts is usually made clinically, but atypical lesions should be confirmed by histology. Treatments may be applied by patients, or by a clinician in the office. Surgical treatments are also available. The quadrivalent human papillomavirus vaccine is…

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AAFP News: AFP Edition

IOM Calls for Restructuring of GME System | Study: ACOs Flourishing in 2014 | FDA Warns Against Use of Powdered Caffeine Products | AAFP Supports Campaign for Dental Health

Editorials

Electronic Cigarettes: Cautions and Concerns

AMY M. DREW, GOLDIE L. PETERS, PETER G. DANIS

E-cigarettes are gaining popularity as a novel approach to smoking cessation, but data regarding safety and effectiveness are lacking. Until there is further research into the benefits and risks of e-cigarettes, physicians should recommend more familiar alternatives to help…

Cochrane for Clinicians

Intranasal Corticosteroids for Acute Bacterial Rhinosinusitis

NATHAN HITZEMAN, JENNIFER SHOEMAKER

Do intranasal corticosteroids, with or without antibiotics, hasten the resolution of symptoms of acute bacterial rhinosinusitis?

Exercise Programs for Older Patients with Dementia

MEGHAN F. RALEIGH, DAVID SHAHA

There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.

Photo Quiz

Pruritic Erythematous Plaques

KAMRAN ZAKARIA

A woman presented with erythematous, pruritic skin patches on her trunk and extremities that were slowly increasing in size and number.

POEMs

ACE Inhibitors Decrease Cardiovascular Events in Patients with Diabetes, ARBs Do Not

ALLEN F. SHAUGHNESSY

In patients with diabetes, ACE inhibitors decrease cardiovascular events and all-cause mortality. ARBs do not. Both drug classes decrease heart failure incidence. Although both drug classes have been available for almost 15 years, there is only one study of 250 patients that…

Aspirin in Low Doses Decreases Preeclampsia Risk

ALLEN F. SHAUGHNESSY

Low-dose aspirin—ranging from 60 to 100 mg per day—beginning as early as the second trimester decreases the risk of preeclampsia, preterm birth, and intrauterine growth retardation in women who are at high risk of preeclampsia. No harms to the mother or newborn were identified…

Cold Symptoms Unaffected by Regular Analgesic Dosing or Use of Steam

ALLEN F. SHAUGHNESSY

Advice regarding the use of steam inhalation, ibuprofen alone or with acetaminophen, acetaminophen alone, and regular vs. as-needed use of analgesics did not show any improved effectiveness in treating symptoms of acute respiratory tract infections. Ibuprofen may be beneficial…

Practice Guidelines

ACOG Releases Clinical Guidelines on Management of Menopausal Symptoms

LISA HAUK

The American College of Obstetricians and Gynecologists (ACOG) has provided recommendations for the treatment of vasomotor and vaginal symptoms related to menopause.

Information from Your Family Doctor

Genital Warts

A genital wart is a small growth on the skin on or around the genitals or anus. They are caused by a virus called human papillomavirus (HPV). There are many types of HPV. Some cause warts on the skin or genitals, but are not harmful. Others can cause infections that may lead to…

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

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