• Articles

    Chronic Nonmalignant Pain in Primary Care

    ROBERT P. JACKMAN, JANEY M. PURVIS, BARBARA S. MALLETT

    Treatment objectives for chronic nonmalignant pain focus on improving social, occupational, psychological, interpersonal, and physical disabilities that adversely affect the patient's quality of life. Patient education and setting realistic goals are keys to successful...

    Evaluation of Scrotal Masses

    JEFFREY D. TIEMSTRA, SHAILENDRA KAPOOR

    Having a clear understanding of scrotal anatomy is important for physicians to accurately identify the cause of a scrotal mass. Because scrotal swelling can represent a variety ofmedical conditions ranging frombenign to life threatening, immediate evaluation is crucial.

    Fatigue: An Overview

    THOMAS C. ROSENTHAL, BARBARA A. MAJERONI, RICHARD PRETORIUS, KHALID MALIK

    Patients commonly present to their family physician with fatigue, which may be secondary, physiologic, or chronic. Common causes include medications, surgery recovery, inadequate sleep, and depression. Laboratory evaluation should be considered, but rarely changes treatment...

    Pressure Ulcers: Prevention, Evaluation, and Management

    DANIEL BLUESTEIN, ASHKAN JAVAHERI

    Documentation of each wound and appropriate staging are essential to the assessment of pressure ulcers. Treatment involves pressure relief, management of infection, removal of necrotic tissue, and maintenance of a moist environment for wound healing.

    Editorials

    Treating Opioid Dependency and Coexistent Chronic Nonmalignant Pain

    RICHARD D. BLONDELL, LISHAM ASHRAFIOUN

    As pointed out by Jackman and colleagues in this issue of American Family Physician, opioids are commonly used for the treatment of chronic nonmalignant pain (i.e., pain unrelated to cancer that persists beyond the usual course of disease or injury).1 Although most patients...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Faltering Health Care System Requires Urgent Attention from the Next Congress | AAFP, AMA Request Exemption from FTC Identity Theft Prevention Program | Reports Reveal Various Levels of Progress in Incentive Initiatives for EHR Systems | Law Provides Parity for Mental Health...

    Close-ups

    Something That Amazes You

    E. ROSS SCHWARZ

    The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

    Clinical Evidence Handbook

    Febrile Seizures

    LEENA D. MEWASINGH

    What are the effects of treatments given during episodes of fever in children with one or more previous simple febrile seizures? What are the effects of long-term (daily, longer than one month) anticonvulsant treatment in children with a history of simple febrile seizures?...

    Putting Prevention Into Practice

    Screening for Elevated Blood Lead Levels in Children and Pregnant Women

    IRIS R. MABRY

    Case study: B.C., a 28-year-old white orthodontist at 32 weeks' gestation, comes to your office for a routine prenatal visit. She brings her two-year-old son, C.C., who is due for his well-child visit. B.C.'s previous pregnancy was uncomplicated, and she has been healthy...

    Point-of-Care Guides

    Clinical Diagnosis of Melanoma

    MARK EBELL

    The incidence of melanoma is increasing in the United States. Although there is insufficient evidence to recommend routine screening for skin cancer, physicians and patients are encouraged to be vigilant for suspicious skin lesions. The classic mnemonic for the clinical...

    Photo Quiz

    Necrotic Wound on the Hand

    STEVEN N. GLAVAS

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

    Practice Guidelines

    AHRQ Reviews Management of Gestational Diabetes

    CARRIE ARMSTRONG

    The Agency for Healthcare Research and Quality (AHRQ) systematically reviewed the literature on the management of gestational diabetes. Gestational diabetes is one of the most common complications of pregnancy, affecting about 7 percent of pregnancies each year in the United...

    Letters to the Editor

    Family Physicians Should Provide Care for Hospitalized Patients

    OMAR A. KHAN

    Tips from Other Journals

    Statins Effective for Dyslipidemiain Persons with Diabetes

    Anne D. Walling

    Cardiac Catheterization in Patientswith Acute Coronary Syndrome

    Kenneth T. Moon

    Omeprazole Reduces Effectivenessof Clopidogrel on Platelet Function

    Anne D. Walling

    Physical Activity During Pregnancy and the Risk of Preterm Delivery

    AMY CRAWFORD-FAUCHER

    Controlling Weight Gain from Use of Antipsychotic Medications

    CAROLINE WELLBERY

    Shorter-Course Nitrofurantoin Effective for Acute Uncomplicated Cystitis

    KENNETH T. MOON

    Information from Your Family Doctor

    Chronic Pain

    It is pain that doesn't go away after six months. It can keep you from doing your normal activities.

    Preventing Bedsores

    A bedsore is a wound that happens when your skin rubs against an object (for example, bedsheets or a wheelchair) or when you don't move for several hours. Bedsores are also called pressure ulcers. They usually happen on areas where a bone sticks out under the skin, like the...

    Corrections

    Correction



    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 Continuing Medical Education Credit
    POC Point-of-Care Resource
    FREE Free Access
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education