December 15, 2019

Articles

Amblyopia: Detection and Treatment

John R. McConaghy, Rachael McGuirk

Early recognition and treatment of amblyopia in children are important to prevent vision loss. All children three to five years of age should be screened at least once to detect amblyopia or its risk factors. Routine, age-appropriate red reflex testing, examination for signs of…

Influenza: Diagnosis and Treatment

David Y. Gaitonde, Faith C. Moore, Mackenzie K. Morgan

The hallmark of influenza infection is abrupt onset of fever, cough, chills or sweats, myalgias, and malaise. For most patients in the outpatient setting, the diagnosis is made clinically, and laboratory confirmation is not necessary. Laboratory testing may be useful in…

Cirrhosis: Diagnosis and Management

Andrew Smith, Katrina Baumgartner, Christopher Bositis

Cirrhosis is the 12th leading cause of death in the United States, but only one in three people know they have it. New research shows that early cirrhosis may be reversible. Most patients remain asymptomatic until the onset of decompensation; evaluation should begin immediately…

Editorials

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk Assessment

John Mandrola, Andrew Foy

Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

AFP Clinical Answers

Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial Biopsy

Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

Lown Right Care

Overuse of Statins in Older Adults

Andy Lazris, Alan R. Roth

A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

Putting Prevention Into Practice

Screening for Pancreatic Cancer

Howard Tracer, Aliye Sanou

This PPIP quiz is based on the recommendations of the USPSTF.

Photo Quiz

Rash on the Ankle

John E. Snellings, Kyle J. Adams

A man presented with a vesicular rash on his ankle in a serpentine-like pattern.

STEPS

Baloxavir Marboxil (Xofluza) for Influenza

Deborah R. Erlich

Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a…

Point-of-Care Guides

Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting

Natasha Pyzocha

What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?

Practice Guidelines

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice Bulletin

Lisa Croke

The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

POEMs

Augmentation of Antidepressant Treatment Offers Little Benefit

Allen F. Shaughnessy

The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is…

Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of Symptom Onset

Mark H. Ebell

Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.

One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone Is Superior to 12 Months of Dual Antiplatelet Therapy After Percutaneous Coronary Intervention

David C. Slawson

This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five…

Platelet-Rich Plasma Is Equal to Saline for Patients with Patellar Tendinopathy

Henry C. Barry

In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.

U.S. Preventive Services Task Force

Screening for Pancreatic Cancer: Recommendation Statement

The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

Disclosures

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.

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