• Articles

    Chronic Shoulder Pain: Part I. Evaluation and Diagnosis

    KELTON M. BURBANK, J. HERBERT STEVENSON, GREGORY R. CZARNECKI, JUSTIN DORFMAN

    Common causes of chronic shoulder pain are adhesive capsulitis, glenohumeral instability, osteoarthritis, and rotator cuff pathology. Diagnosis involves consideration of medical history, physical examination, and imaging.

    Diagnosis and Treatment of Testicular Cancer

    JOEL SHAW

    Although routine screening and self-examination for testicular cancer is not ecommended in asymptomatic men, patients with suggestive signs and symptoms require thorough examination. Primary treatment is orchiectomy, and additional treatment is determined by microscopic...

    Reducing Tobacco Use in Adolescents

    IRENE M. ROSEN, DOUGLAS M. MAURER

    Screening for tobacco use is recommended at every patient visit, and smokers should be offered smoking cessation assistance including counseling, nicotine replacement therapy, bupropion therapy, or combination therapy.

    Chronic Shoulder Pain: Part II. Treatment

    KELTON M. BURBANK, J. HERBERT STEVENSON, GREGORY R. CZARNECKI, JUSTIN DORFMAN

    Treatment of chronic shoulder pain disorders typically involves activity modification, physical therapy, and pain medication. Additional treatment options may include corticosteroid injections and surgical referral.

    Inside AFP

    Recognizing the “Behind the Scenes” Specialists of AFP

    JOYCE A. MERRIMAN

    Publishing a clinical review journal 24 times a year requires significant contributions from a variety of people, many of whom get very little, if any, public recognition for their efforts. Yet, it is because of their suggestions and contributions that AFP remains the best...

    Editorials

    Endocarditis Prophylaxis: An Evolution of Change

    KATHRYN A. TAUBERT

    In 1955, the American Heart Association (AHA) started making recommendations for the prevention of infective endocarditis.1 Since then, patients considered at increased risk of infective endocarditis who were undergoing certain dental procedures or upper respiratory,...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Analysts Predict No Major Nationwide Health Care Reform in the Near Future | Congressional Advisory Body to Submit Medicare-Related Recommendations | CDC, AAFP, and AAP Update Immunization Schedules for Children and Adolescents | Despite Increase, Funding for Antitobacco...

    Close-ups

    A Long Recovery

    KENNETH T. MOON

    As a high school and college basketball player I suffered my fair share of bumps and bruises. My left ankle received the most serious mistreatment, including a bad break and multiple severe sprains; I imagine it was pleased when I graduated and my playing days were over....

    Cochrane for Clinicians

    Are Long-acting Insulin Analogues Better Than Isophane Insulin?

    MICHAEL D. SCHOOFF, LALITA GUPTA

    A 55-year-old woman with suboptimally controlled type 2 diabetes, on three oral medications, presents to discuss her insulin options.

    Cochrane Briefs

    Cancer Genetic Risk Assessment for Individuals at Risk of Familial Breast Cancer

    JANELLE GUIRGUIS-BLAKE

    Does breast cancer genetic risk assessment in those at risk of familial breast cancer lead to improvements in psychological well-being?

    Information from Your Family

    Tobacco Use: What Teenagers Should Know

    Smoking can cause many diseases, including lung cancer, mouth cancers, and heart disease. It can also cause cough that won't go away, and it may make it hard for you to breathe. Smoking can shorten your life by as much as 14 years.

    Photo Quiz

    A Purpuric Rash and Mononeuritis Multiplex

    DAVID E. WINCHESTER, KRISTIN GUILLIAMS

    A 55-year-old man presented to the emergency department with paresthesia, dysesthesia, and weakness that had persisted for one week. The symptoms were asymmetric and indicated dysfunction of multiple peripheral nerves. The patient reported a history of asthma that had...

    STEPS

    Selegiline Transdermal Patch (Emsam) for Major Depressive Disorder

    SARAH MELTON, CHARLOTTE ANN TOWNSEND

    Selegiline (Eldepryl) is an irreversible monoamine oxidase (MAO)-B inhibitor used at low doses for the adjunctive treatment of Parkinson's disease. The selegiline transdermal patch (Emsam) delivers higher, more sustained blood levels to the brain and is labeled for the...

    Tips from Other Journals

    Sertraline Ineffective for Menopausal Hot Flashes

    ANNE D. WALLING

    Physical Activity Recommendations for Healthy Adults

    AMY CRAWFORD-FAUCHER

    Is MRI Useful for High-Risk Breast Cancer Screening?

    KENNETH T. MOON

    Otitis Media Guidelines Do Not Reflect Clinical Practice

    CAROLINE WELLBERY

    Does Chondroitin Reduce Osteoarthritis Pain?

    AMY CRAWFORD-FAUCHER

    Communication Test Scores Predict Future Patient Complaints

    CAROLINE WELLBERY

    Curbside Consultation

    Initial Counseling of Children with Eating Disorders and Their Families

    ERIN FOSTER

    A 14-year-old patient arrived for her appointment accompanied by her mother. She indicated that it was fine for her mother to stay in the room during the visit. However, when I questioned the patient, her mother interrupted with her own opinions. The mother told me that her...

    Practice Guidelines

    AHA Releases Updated Guidelines on the Prevention of Infective Endocarditis

    LISA GRAHAM

    Guideline source: American Heart Association

    ACOG Guidelines on Endometrial Ablation

    SHERRI DAMLO

    Guideline source: American College of Obstetricians and Gynecologists

    Letters to the Editor

    First-Line Therapies for Lowering Triglyceride Levels

    VASUDEVAN A. RAGHAVAN

    Managing Hypertriglyceridemia with Diet Modifications

    Information from Your Family Doctor

    Testicular Cancer: What You Should Know

    Testicular cancer is cancer that starts in one or both testicles. These are held inside a skin sack called the scrotum (see drawing 1).



    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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