Articles
Diagnosis and Management of Foodborne Illness
The most common causes of foodborne illness in the United States are viruses, such as norovirus; bacteria, such as Salmonella, Escherichia coli, Campylobacter, and Listeria; and parasites, such as Toxoplasma gondii and Giardia. Diagnosis and management of a foodborne illness…
The Preparticipation Sports Evaluation
Although studies have not found that the preparticipation physical evaluation prevents morbidity and mortality associated with sports, it may detect conditions that predispose the athlete to injury or illness and can provide strategies to prevent injuries. The physical…
Top 20 Research Studies of 2014 for Primary Care Physicians
Primary care clinicians have selected the top 20 research studies from 2014 based on relevancy, validity, and likelihood to change practice. The studies, known as POEMs (patient-oriented evidence that matters), cover topics ranging from respiratory, musculoskeletal, and…
AFP News Now - AFP Edition
AAFP News: AFP Edition
Study Shows Primary Care Relationship Reduces ED Visits and Hospitalizations | Task Force Targets Opioid Abuse | Insurance Mergers May Reduce Choice, Raise Costs, AAFP Warns Regulators | Groups Call for Results from All Clinical Trials
Editorials
Yes: Screening ECG Is Cost-Effective
Deaths among several high-profile athletes have caused increased public awareness and anxiety about the risk of sudden cardiac death (SCD) in sports.1 The prevalence of a potentially fatal cardiac abnormality in a young person is as high as one in 300.2 The American Heart…
No: There Is Not Enough Evidence to Support Including ECG in the Preparticipation Sports Evaluation
Screening athletes for cardiovascular disease and restricting athletic competition in those deemed at risk of sudden cardiac death (SCD) remain controversial. Several countries, including Italy and Israel, require cardiac screening with electrocardiography (ECG) in athletes.1,2…
Cochrane for Clinicians
Pharmacologic Therapy for Gastroesophageal Reflux Disease in Children
Among infants younger than 12 months diagnosed with GERD, weak evidence supports the use of proton pump inhibitors (PPIs) and histamine H2 antagonists. Among children 12 months and older, studies have shown moderate benefit from PPIs and weak benefit from H2 antagonists for…
Tricyclic Antidepressants for the Treatment of ADHD in Children and Adolescents
TCAs, specifically desipramine and nortriptyline (Pamelor), are superior to placebo at reducing ADHD symptoms in the short term (two to six weeks); however, the quality of evidence is low. Increased heart rate and diastolic blood pressure may be noted with treatment.
Photo Quiz
Development of a Rash After Hot Tub Use
A man presented with a rash and fever a few days after using a hot tub.
FPIN's Help Desk Answers
Insulin Sensitizers for Treatment of Menstrual Irregularities Associated with PCOS
Metformin, pioglitazone (Actos), and rosiglitazone (Avandia) can be used to improve menstrual cycling in women with PCOS.
Curbside Consultation
Late Presentation to Prenatal Care
Pregnancy carries concrete and immediate risks that need to be addressed and managed in a timely fashion. Patients who initiate prenatal care late in pregnancy tend to present with a challenging variety of concerns, encompassing the full range of their medical, psychosocial…
POEMs
Bridging Anticoagulation in Patients with Atrial Fibrillation Associated with More Cardiovascular Events and Bleeding
This study provides more evidence that bridging in patients with nonvalvular atrial fibrillation does not improve outcomes, and is actually associated with a higher risk of bleeding complications and cardiovascular events.
Practice Guidelines
ACCP/CTS Provide Guidance on Preventing Acute COPD Exacerbations
The American College of Chest Physicians (ACCP) and Canadian Thoracic Society (CTS) have released a guideline with suggestions and recommendations for preventing COPD exacerbations based on available evidence.
Medicine by the Numbers
Bronchodilators for Bronchiolitis
Studies show that none were helped and the impact of harms such as decreased oxygen saturation and tachycardia was uncertain.
Letters to the Editor
Physicians Should Counsel Adolescents on Harms of Sexting
Information from Your Family Doctor
Corrections
Correction
Correction
