AFP's Top 20 Articles of 2017

Did you miss any AFP articles published last year? Read the ones that were most popular with AFP readers, according to page views on the website, in 2017.  The following 20 articles are in order of most views.

Dizziness: Approach to Evaluation and Management

Herbert L. Muncie, Susan M. Sirmans, and Ernest James
Find out how to distinguish central from peripheral causes, and which patients need urgent evaluation and treatment.
February 1, 2017

Deep Venous Thrombosis and Pulmonary Embolism: Current Therapy

Jason Wilbur and Brian Shain
Anticoagulation is the mainstay of therapy for venous thromboembolism. Most patients can be treated in the outpatient setting with low-molecular-weight heparin and a vitamin K antagonist (warfarin) or direct-acting oral anticoagulants.
March 1, 2017

Chronic Obstructive Pulmonary Disease: Diagnosis and Management

Shari Gentry and Barry Gentry
Learn about the latest recommendations from the Global Initiative for Chronic Obstructive Lung Disease, the American College of Physicians, and the National Institute for Health and Care Excellence.
April 1, 2017

Severe Asymptomatic Hypertension: Evaluation and Treatment

Robert Gauer
Severely elevated blood pressure without symptoms of target organ injury can often be managed in the outpatient setting. A gradual lowering of blood pressure over several days to weeks is recommended over aggressive reduction.
April 15, 2017

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults

Allen R. Last, Jonathan D. Ference, and Elizabeth Rollmann Menzel
Review recommendations from two major guidelines on lipid-lowering drugs for the primary and secondary prevention of atherosclerotic cardiovascular disease events. Statins are preferred, although nonstatins may be appropriate in specific cases.
January 15, 2017

Syncope: Evaluation and Differential Diagnosis

Lloyd A. Runser, Robert Gauer, and Alex Houser
Learn how to categorize patients as low- or high-risk, and how risk stratification affects management.
March 1, 2017

Laceration Repair: A Practical Approach

Randall T. Forsch, Sahoko H. Little, and Christa Williams
The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Learn the best techniques for wound preparation and repair, including suture and other closure options.
May 15, 2017

Insomnia: Pharmacologic Therapy

Eric Matheson and Barry L. Hainer
Get the latest evidence to help choose between benzodiazepines, z-drugs, melatonin agonists, tricyclic antidepressants, antihistamines, atypical antipsychotics, suvorexant, and antiepileptics.
July 1, 2017

Acute Coronary Syndrome: Current Treatment

Timothy L. Switaj, Scott R. Christensen, and Dean M. Brewer
Management of acute myocardial infarction begins with antiplatelet therapy and anticoagulation therapy, among other medications as appropriate. Learn which reperfusion strategies are recommended for patients with ST elevation myocardial infarction and non–ST elevation acute coronary syndrome.
February 15, 2017

Acute Coronary Syndrome: Diagnostic Evaluation

Craig H. Barstow, Matthew S. Rice, and Jonathan D. McDivitt
Although chest pain is common with myocardial infarction, there are many noncardiac causes of chest pain. A diagnosis may not be possible based on initial presentation alone. The initial assessment includes evaluation of risk factors and presenting signs and symptoms, rapid electrocardiography, and serum cardiac troponin measurements.
February 1, 2017

Mildly Elevated Liver Transaminase Levels: Causes and Evaluation

Robert C. Oh, Thomas R. Hustead, Syed M. Ali, and Matthew W. Pantsari
Mild, asymptomatic elevations in transaminase levels are common in primary care. Nonalcoholic fatty liver disease is the most common cause and is often benign and treated with lifestyle modification. Learn about this and other less common causes of transaminase elevations.
December 1, 2017

Probiotics for Gastrointestinal Conditions: A Summary of the Evidence

Thad Wilkins and Jacqueline Sequoia
Probiotics are useful for treating a variety of gastrointestinal conditions. Review the conditions with the best supporting evidence for probiotic use, as well which probiotic species are most appropriate.
August 1, 2017

Subclinical Hyperthyroidism: When to Consider Treatment

Ines Donangelo and Se Young Suh
Learn about new research on the association between subclinical hyperthyroidism and the risk of cardiovascular disease and bone fractures.
June 1, 2017

Heart Failure Due to Reduced Ejection Fraction: Medical Management

William E. Chavey, Robert V. Hogikyan, R. Van Harrison, John M. Nicklas
Multiple medication classes have demonstrated mortality benefit in heart failure. Recent data have shown benefit in two new classes—angiotensin blocker/neprilysin inhibitors and sinus node modulator.
January 1, 2017

Vitamin B12 Deficiency: Recognition and Management

Robert C. Langan, Andrew J. Goodbred
Find out which patients should be screened, and get the latest evidence on the optimal method of replacement in patients with vitamin B12 deficiency.
September 15, 2017

Pleuritic Chest Pain: Sorting Through the Differential Diagnosis

Brian V. Reamy, Pamela M. Williams, and Michael Ryan Odom
Once diagnoses requiring emergent attention are excluded, a virus is a likely causative agent to consider. Some patients must be reexamined with radiography after they receive treatment to ensure complete resolution of illness.
September 1, 2017

Evaluation of Jaundice in Adults

Matthew V. Fargo, Scott P. Grogan, and Aaron Saguil
Jaundice can indicate significant underlying disease. Review key components of the history, physical examination, laboratory evaluation, and imaging tests to determine the cause.
February 1, 2017

Secondary Hypertension: Discovering the Underlying Cause

Lesley Charles, Jean Triscott, and Bonnie Dobbs
Review common causes of secondary hypertension, including renovascular hypertension, renal disease, primary hyperaldosteronism, and obstructive sleep apnea.
October 1, 2017

End-of-Life Care: Managing Common Symptoms

Ross H. Albert
Review the most effective strategies for managing pain, dyspnea, delirium and agitation, nausea and vomiting, constipation, and oropharyngeal secretions in patients approaching the end of life.
March 15, 2017

Chronic Cough: Evaluation and Management

Charlie Michaudet and John Malaty
Learn which four conditions are the most likely cause, which imaging tests to order, and when to refer patients with refractory cough to a subspecialist.
November 1, 2017