• Articles

    Prevention of Recurrent Ischemic Stroke

    LORI M. DICKERSON, PETER J. CAREK, ROBERT GLEN QUATTLEBAUM

    Stroke survivors have an average of 10 outpatient visits per year. At each visit, physicians should evaluate vascular risk factors (e.g., hypertension, diabetes, hypercholesterolemia) and lifestyle risk factors (e.g., obesity, smoking, alcohol use). Preventive therapy...

    The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse Effects

    TOM LYNCH, AMY PRICE

    Cytochrome P450 enzymes can be inhibited or induced by drugs, resulting in clinically significant drug-drug interactions that may cause unanticipated adverse effects or therapeutic failures. Knowledge of the drugs metabolized, as well as the most common inhibiting and...

    Recommendations for Preconception Care

    MICHAEL C. LU

    Every woman of reproductive age who is capable of becoming pregnant is a candidate for preconception care, even if she is not planning to conceive. Most components of preconception care can be performed in the primary care setting.

    Turner Syndrome: Diagnosis and Management

    THOMAS MORGAN

    The clinical manifestations of Turner syndrome vary; however, the syndrome should be considered in girls with short stature or primary amenorrhea. Complications and risk factors associated with Turner syndrome should be managed throughout the patient's life.

    Inside AFP

    Open Access: The Future of Medical Publishing?

    LIZ SMITH, LISA GRAHAM

    This year, the Council of Science Editors (CSE) celebrated its 50th anniversary by looking to the future. In May, at the CSE annual meeting in Austin, Texas, speakers addressed issues such as the future of print journals and the potential impact of new delivery methods. One...

    Newsletter

    Newsletter

    CMS Proposes Medicare Rule That Includes 9.9 Percent Payment Cut | Level Funding Likely in 2008 for Primary Care Training Programs | Family Medicine Alliance Protests CMS Proposal Regarding Education Costs | Family Medicine Organizations Oppose Graduate Education Funding...

    Quantum Sufficit

    Quantum Sufficit

    SHERRI DAMLO

    Is it love that's in the air? No, it's cocaine, marijuana, caffeine, and nicotine. Researchers sampled the air in areas of Rome and Taranto, Italy, and Algiers, Algeria, and found particles of caffeine and nicotine suspended in the air of each city, as well as cocaine and...

    Editorials

    Is Genetic Testing for Cytochrome P450 Polymorphisms Ready for Implementation?

    DAVID B. MATCHAR, MUGDHA THAKUR

    Individual variation in response to drugs is a problem that physicians routinely face in clinical practice. Such variation can result in lack of anticipated response, serious adverse drug reactions, or unexpected drug interactions in patients receiving multiple medications....

    Are Some Screening Tests Doing More Harm Than Good?

    KENNETH W. LIN, MARGUERITE R. DUANE

    As family physicians, we often face difficult decisions about ordering tests for the early diagnosis or prevention of disease in healthy-appearing persons. It is hard to convince many patients to think about prevention, and those who come in for health maintenance visits...

    Cochrane for Clinicians

    Interventions to Improve Blood Pressure Control in Patients with Hypertension

    KATHRYN K. HOLDER

    A 53-year-old man with idiopathic hypertension has not achieved blood pressure control after three years of treatment.

    Cochrane Briefs

    Cochrane Briefs

    JESSICA T. SERVEY

    Alpha-glucosidase Inhibitors May Reduce the Risk of Type 2 Diabetes

    Cochrane Briefs

    CLARISSA KRIPKE

    Antiretroviral Prophylaxis for Occupational Exposure to HIV

    Clinical Evidence Handbook

    Acute Renal failure

    JOHN KELLUM, MARTINE LEBLANC, RAMESH VENKATARAMAN

    One systematic review found that low osmolality contrast media reduced nephrotoxicity in persons with underlying renal failure needing contrast investigation compared with high osmolality contrast media. This benefit was greatest in persons with underlying renal impairment.

    FPIN's Clinical Inquiries

    Angiotensin Blockade in Patients with Diabetic Nephropathy

    JULIO JIMENEZ, SARAH SAFRANEK, ANTHONY J. VIERA

    What type of angiotensin blockade is preferred in patients with diabetic nephropathy?

    Photo Quiz

    Pruritic Rash After an Ocean Swim

    JAMES S. STUDDIFORD, JANIS BONAT

    A 29-year-old woman presented to the office with a pruritic rash. She had just returned from a three-day Caribbean vacation. On day 3 of her vacation, she took a swim in the ocean, returned to her room for a shower and, within minutes, became aware of an itching sensation on...

    Tips from Other Journals

    Does Consuming Red Meat Increase Risk of Breast Cancer?

    KARL E. MILLER

    Comparing the Safety of COX-2 Inhibitors and NSAIDs

    ANNE D. WALLING

    Dextromethorphan Abuse in Adolescents

    KARL E. MILLER

    Proton Pump Inhibitor Association with Hip Fractures

    CAROLINE WELLBERY

    Influenza Vaccination Improves Survival of Patients with CAP

    KARL E. MILLER

    Curbside Consultation

    Should Physicians Accept Gifts from Patients?

    ELIZABETH GAUFBERG

    I have been taking care of a wealthy patient for many years. She has always given me small gifts, mostly food gift baskets that I give to my staff. However, the gifts have escalated since she was hospitalized several years ago. Soon after her hospitalization she said, “If it...

    Practice Guidelines

    Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism

    LIZ SMITH

    Guideline source: American Academy of Pediatrics

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE ARMSTRONG

    Cesarean Delivery Rate Hits All-time High

    Practice Guideline Briefs

    SHERRI DAMLO

    AGA Releases Position Statement on CT Colonography

    Letters to the Editor

    Importance of Influenza Vaccination for Children

    Information from Your Family Doctor

    Preventing Another Stroke: What You Should Know

    A stroke happens when an area of the brain is damaged, this usually happens when blood does not reach certain parts of the brain. You can lose function in the parts of your body that are controlled by that part of the brain. For example, you may not be able to move an arm or...



    Disclosure

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


    Tag Legend

    Legend

    CME CME
    POC POC
    FREE Free
    Alg Alg
    DDx DDx
    PtEd PtEd