• Articles

    Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part I. Definition, Disease Stages, Evaluation, Treatment, and Risk Factors

    CYNDA ANN JOHNSON, ANDREW S. LEVEY, JOSEF CORESH, ADEERA LEVIN, JOSEPH LAU, GARABED EKNOYAN

    Early identification and treatment of chronic disease can prevent or delay some adverse outcomes. It is important to identify patients who are at risk for developing chronic kidney disease.

    Diagnosis and Management of Scaphoid Fractures

    T. GRANT PHILLIPS, ANDREW M. REIBACH, W. PAUL SLOMIANY

    A high index of suspicion of scaphoid fracture and a thorough history and physical examination are necessary because the fracture may not be visible on early imaging. Snuffbox tenderness is highly sensitive for fracture; scaphoid compression pain and tenderness of the...

    Asthma Update: Part I. Diagnosis, Monitoring, and Prevention of Disease Progression

    MATTHEW MINTZ

    Despite updated evidence-based guidelines from the National Asthma Education and Prevention Program, diagnosing and classifying patients with asthma remain challenging. Written action plans for patients are recommended, and monitoring of peak expiratory flow may offer further...

    Community-Acquired Pneumonia in Infants and Children

    MICHAEL OSTAPCHUK, DONNA M. ROBERTS, RICHARD HADDY

    The cause of community-acquired pneumonia in infants and children is often difficult to determine. Laboratory tests are seldom helpful, especially in outpatients. The age of the child and the findings of the history and physical examination are the best information for...

    Inside AFP

    AFP’s Editors Look Forward to Seeing You at Assembly

    JANIS WRIGHT

    AFP’s editors will be standing by to meet with you at the upcoming Annual Scientific Assembly of the American Academy of Family Physicians (AAFP). This year’s assembly, which will be held in conjunction with the 17th World Conference of Family Doctors, is scheduled for...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    HHS Announces New Policy on Medicare Coverage for Obesity | NCHC Issues Report About Health Coverage for All Americans | HHS Releases Report at Summit on Health Information Technology | NIH Issues New Blood Pressure Guide for Children and Adolescents | CDC Reports That...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS

    There are two new Web sites from the U.S. Food and Drug Administration (FDA). As reported in FDA Consumer, FDA Heart Health Online (www.fda.gov/hearthealth) lists information on products for the prevention, diagnosis, and treatment of heart disease. Drugs@FDA (www.accessdata...

    Editorials

    Creating Practice Guidelines for Chronic Kidney Disease: An Insider’s View

    CYNDA ANN JOHNSON

    Evidenced-based guidelines are still subjective. That statement summarizes the rather frightening conclusion I made after my first involvement in a large-scale effort to engage in literature review, synthesis, and preparation of evidenced-based guidelines as part of the...

    Management of Patients with Newly Diagnosed Epilepsy: A Systematic Literature Review

    SUSAN ROSS, RHONDA P. ESTOK, SAMEER S. CHOPRA, JACQUELINE FRENCH

    As part of a multiphase project under contract with the Agency for Healthcare Research and Quality (AHRQ) and a topic nomination by the Centers for Disease Control and Prevention, we conducted a systematic review of the literature on interventions in patients with newly...

    Diary

    Diary

    TONY MIKSANEK

    “My elbow is giving me fits,” Wes proclaimed. “It’s gotten so bad in the last couple of weeks that it hurts just to lift a half gallon of milk out of the fridge.” The middle-aged man was a meat cutter who loved to golf. Wes’s right lateral epicondyle was very tender, and...

    Cochrane for Clinicians

    Home Oxygen Therapy for Treatment of Patients with Chronic Obstructive Pulmonary Disease

    R. EUGENE BAILEY

    There is good evidence that the addition of home long-term continuous oxygen therapy for COPD increases survival rates in patients with severe hypoxemia (i.e., O2 saturation of less than 90 percent or partial pressure of arterial oxygen [PaO2] of less than 8 kPa per 60 mm Hg)...

    Cochrane Briefs

    Cochrane Briefs

    MARK H. EBELL

    Effect of Exercise Intensity on Osteoarthritis

    Cochrane Briefs

    CLARISSA KRIPKE

    Intensive Management of Gestational Diabetes

    Clinical Evidence Concise

    Genital Herpes

    EVA M. JUNGMANN

    What are the effects of interventions to prevent transmission and which reduce the impact of recurrence? What are the effects of treatments in people with a first episode of genital herpes? What are the effects of treatments in people with genital herpes and HIV infection?

    FPIN’s Clinical Inquiries

    Which Patients with Atrial Fibrillation Do Not Need Anticoagulation Therapy with Warfarin?

    RICHARD A. GUTHMANN

    Anticoagulation therapy with warfarin is not indicated for use in patients with non-valvular atrial fibrillation who are at low risk for embolic cerebral vascular events. The classification of “low risk for embolic stroke” is defined as a 1 percent annual risk for stroke or...

    Photo Quiz

    Swollen, Discolored Toes

    BRIAN K. CROWNOVER, HEATHER M. JONES

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    POEMs

    Topiramate Prevents Migraines Better than Placebo

    HENRY BARRY

    Imiquimod Cream Is Effective for Basal Cell Carcinoma

    DAVID SLAWSON

    Cardiac Resynchronization for Advanced Heart Failure

    MARK EBELL

    Quality of Life in Patients with Multiple Sclerosis

    HENRY BARRY

    Efficacy of Various Interventions for Treatment of Infant Colic

    ALLEN F. SHAUGNESSY

    Patients Prefer Traditionally Dressed Physicians

    ALLEN F. SHAUGHNESSY

    Ginkgo Biloba Not Effective for Tinnitus

    MARK EBELL

    Tegaserod Effective for IBS Without Diarrhea

    MARK EBELL

    Tips from Other Journals

    Low-Fat, High-Carbohydrate Diet in Older Patients

    KARL E. MILLER

    Prednisolone in Children with Respiratory Disease

    RICHARD SADOVSKY

    Effect of Juices on Nutritional Absorption of Iron in Children

    KARL E. MILLER

    Comparing Statin Effects on Lipoprotein Characteristics

    RICHARD SADOVSKY

    Predicting Healing in Diabetic Neuropathic Foot Ulcers

    KARL E. MILLER

    Sildenafil Is Safe and Effective in Men with Stable CAD

    RICHARD SADOVSKY

    Over-the-Counter Niacin Preparations for Dyslipidemia

    RICHARD SADOVSKY

    Memantine for Treatment of Alzheimer’s Disease

    CAROLINE WELLBERY

    No Cancer Mortality Benefit from Low-Tar Cigarettes

    ANNE D. WALLING

    Brain Natriuretic Peptide Marks Cardiac Causes of Syncope

    RICHARD SADOVSKY

    Impact of Seat-Belt Use on Other Car Occupants

    CAROLINE WELLBERY

    Exercise in Patients with Gestational Diabetes

    KARL E. MILLER

    Counseling About Smoking Cessation with Young Patients

    KARL E. MILLER

    Diagnosis of Cytomegalovirus in the Immunocompetent

    BILL ZEPF

    Ranolazine in Patients Taking Antianginal Medications

    CAROLINE WELLBERY

    Adjuvant Chemotherapy with Cisplatin for Lung Cancer

    BILL ZEPF

    Graded Exercise for Low Back Pain Reduces Work Absence

    RICHARD SADOVSKY

    How Does Maternal Asthma Affect Pregnancy Outcomes?

    ANNE D. WALLING

    Practice Guidelines

    CDC Issues Recommendations for Diagnosing, Managing, and Reporting Foodborne Illnesses

    GENEVIEVE W. RESSEL

    The Centers for Disease Control and Prevention (CDC) has issued new recommendations for diagnosing, managing, and reporting foodborne illnesses, in collaboration with the American Medical Association (AMA), American Nurses Association-American Nurse Foundation (ANA-ANF), the...

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Update on Pneumococcal Conjugate Vaccine Shortage

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Neuroimaging Tests for Cerebral Palsy

    Letters to the Editor

    Clarification of Prostate Cancer Screening Recommendations

    DAN MERENSTEIN

    Milk-Like Serum Suggests Markedly Elevated Triglycerides

    TERESA M. ALLEN, ANTHONY J. VIERA

    Appearance of Pityriasis Rosea in Patients with Dark Skin

    SHARON A. BRANGMAN

    Information from Your Family Doctor

    Foot Care for People with Diabetes

    Diabetes causes the amount of sugar in your blood to be higher than normal. Over time, this can damage the nerves, arteries, and veins in your body. Nerve damage may cause burning pain or numbness in some part of your body. Damage to the arteries and veins means that your...

    Ingrown Toenails

    When a toenail is ingrown, the sides or corners of the nail curl under and dig into the skin at the side of the toe. This causes swelling, pain, and redness.

    Fungal Infections of the Nails

    A fingernail or toenail infection that is caused by a fungus is called onychomycosis (say: “on-ee-ko-my-ko-sis”). Toenails are more likely than fingernails to become infected. This infection can make your nails thick and discolored.



    Disclosure

    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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