Articles
Epilepsy: Treatment Options
Patient risk factors are key in determining when to initiate therapy with antiepileptics after a first seizure. These agents have important adverse effects that must be weighed against any benefit that may be conferred. Additionally, many persons do not experience seizure…
Common Herbal Dietary Supplement–Drug Interactions
Physicians should maintain an open dialogue with patients about dietary supplement use and potential interactions with over-the-counter or prescription medications. Many resources are available to provide current data on supplement safety and product quality information. This…
Primary Care for Refugees: Challenges and Opportunities
Before resettlement in the United States, all refugees must undergo an overseas medical screening to detect conditions that pose a potential health threat. On arrival, they should undergo an examination to detect diseases prevalent in their country of origin or departure, and…
AFP News Now - AFP Edition
AAFP News: AFP Edition
Poll Shows Physician Frustration with Prior Authorizations at New High | Family Physicians Offer Perspectives on Incarceration and Health | Researchers Examine Exemplary Approaches to Team-Based Care | CBO Projects Rising Demand for Primary Care Physicians
Editorials
Refugee Mental Health: A Primary Care Approach
A review of the refugee resettlement process and the clinical aspects of caring for patients who have experienced war, conflict, violence, and threats.
Photo Quiz
Hypoxemia and Nonproductive Cough
A 47-year-old man presented with general fatigue, chills, dyspnea, dry cough, and occasional subjective fever. Chest radiography demonstrated diffuse hazy opacities.
Putting Prevention Into Practice
Screening for Obstructive Sleep Apnea in Adults
R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive…
FPIN's Clinical Inquiries
Treatment for Calcaneal Apophysitis
Several treatments for calcaneal apophysitis may produce modest short-term improvements in pain scores. Heel inserts and prefabricated orthotics may initially improve pain scores and dysfunction, but patients have equal improvement by three months with or without therapy.
POEMs
Greater Benefit with Rivaroxaban Than Aspirin for Extended Treatment of VTE
Compared with aspirin, the use of rivaroxaban (Xarelto) to extend anticoagulation beyond the initial six to 12 months to treat provoked or unprovoked VTE reduces the risk of recurrent symptomatic VTE without increasing the risk of bleeding. You would need to treat approximately…
High False-Positive Rate with Lung Cancer Screening
Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or Low HDL
We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients…
Practice Guidelines
Peanut Allergy Prevention: Guidelines from the NIAID
The NIAID has provided addendum guidelines, which include recommendations based on new evidence for peanut allergy prevention.
U.S. Preventive Services Task Force
Screening for Obstructive Sleep Apnea in Adults: Recommendation Statement
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for obstructive sleep apnea (OSA) in asymptomatic adults.
Information from Your Family Doctor
What Should I Know About Seizures and Epilepsy?
Seizure (SEE-zhure) is a word for body movements you can't control. Seizures are caused by nerves in the brain not working right.
