• Articles

    Endometrial Cancer

    EDWARD M. BUCHANAN, LARA CARSON WEINSTEIN, CHRISTINA HILLSON

    There are currently no screening recommendations for endometrial cancer. Diagnostic modalities include endometrial biopsy, ultrasonography, saline infusion sonography, and hysteroscopy. Surgical-based staging guides treatment.

    Catheter Ablation of Supraventricular Arrhythmias and Atrial Fibrillation

    ADAM R. SHAPIRA

    Supraventricular arrhythmias and atrial fibrillation are common and persistent cardiac rhythm disturbances. Catheter-based ablation is an effective therapy that has durable therapeutic end points and a low complication rate.

    Common Forearm Fractures in Adults

    W. SCOTT BLACK, JONATHAN A. BECKER

    Many forearm fractures are managed in the primary care setting. Definitive treatment ranges from functional bracing to surgical fixation. Indications for referral include open fractures, joint dislocation or instability, and neurovascular injury.

    Tendinopathies of the Foot and Ankle

    MICHAEL R. SIMPSON, THOMAS M. HOWARD

    This article provides an overview of the various types of tendinopathies affecting the foot and ankle, and outlines diagnosis and treatment of specific injuries.

    Saline Nasal Irrigation for Upper Respiratory Conditions

    DAVID RABAGO, ALEKSANDRA ZGIERSKA

    Saline nasal irrigation is a safe and effective adjunctive therapy for symptoms of sinonasal conditions, such as chronic rhinosinusitis, viral upper respiratory tract infection, and allergic rhinitis.

    Nephrotic Syndrome in Adults: Diagnosis and Management

    CHARLES KODNER

    There are no established guidelines on the diagnostic workup or management of nephrotic syndrome. Treatment includes fluid and sodium restriction, oral or intravenous diuretics, and angiotensin-converting enzyme inhibitors.

    U.S. Preventive Services Task Force

    Screening for Congenital Hypothyroidism: Reaffirmation Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends screening for congenital hypothyroidism in newborns (Table 1). A recommendation.

    Screening for Type 2 Diabetes Mellitus in Adults: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends screening for type 2 diabetes mellitus in asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg.

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Legislation Providing Permanent SGR Formula Fix Fails to Reach Senate Floor | Harvard Study Suggests Cost for Universal Coverage May Be Less Than Expected | CDC Survey Shows Gains in Overall Adolescent Vaccination Rates | AAFP Backs Bill to Increase Ranks of Rural Physicians...

    AFP Journal Club

    Is Telmisartan Effective for Stroke Prevention?

    MARK A. GRABER, ROBERT DACHS, ANDREA DARBY-STEWART

    Does telmisartan therapy after stroke prevent recurrence and adverse cardiovascular events? Despite lowering blood pressure, telmisartan did not provide preventative benefit. This study reflects problems with publication bias and that surrogate markers, such as blood pressure...

    Graham Center Policy One-Pagers

    Family Physicians' Present and Future Role in Caring for Older Patients

    LARS E. PETERSON, ANDREW W. BAZEMORE, ROBERT L. PHILLIPS, JR, BRIDGET TEEVAN, MARTEY S. DODOO, IMAM XIERALI, STEPHEN M. PETTERSON

    The population of patients older than 65 years is projected to increase substantially in the coming years, particularly in rural areas. Family physicians are essential providers of geriatric care, especially in rural areas, but need payment reform to improve their capacity to...

    Putting Prevention Into Practice

    Screening for Type 2 Diabetes Mellitus in Adults

    KENNETH W. LIN, CHRISTINE CHANG

    Case study: A 50-year-old woman with a history of hyperlipidemia visits your office for a physical examination. Her blood pressure is 140/82 mm Hg, and her body mass index is 30 kg per m2.

    Photo Quiz

    Headache in a Well-Appearing Young Woman

    JAMES C. HIGGINS, MICHAEL J. ARNOLD

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

    Point-of-Care Guides

    Diagnosing Lumbar Spinal Stenosis

    MARK H. EBELL

    Lumbar spinal stenosis is an important cause of pain and disability, and surgery is beneficial for appropriately selected patients. Therefore, it is important for primary care physicians to distinguish patients with spinal stenosis from those with musculoskeletal low back...

    Clinical Evidence Handbook

    Epilepsy

    ANTHONY MARSON, MELISSA MAGUIRE, SRIDHARAN RAMARATNAM

    What are the benefits and risks of starting antiepileptic drug treatment after a single seizure? What are the effects of monotherapy in newly diagnosed partial epilepsy? What are the effects of monotherapy in newly diagnosed generalized epilepsy (tonic-clonic type)?

    Tips from Other Journals

    Preventing Fractures with High-Dose Vitamin D

    KENNETH T. MOON

    How Much Caffeine Is Harmful in Pregnancy?

    AMY CRAWFORD-FAUCHER

    Rosiglitazone vs. Pioglitazone: Which Is Safer?

    KENNETH T. MOON

    NSAID Use Linked to Increased Cardiovascular Risk

    KENNETH T. MOON

    Practice Guidelines

    Joint Guideline on Intensive Glycemic Control and the Prevention of Cardiovascular Events

    LIZ HORSLEY

    Recommendations from the American Diabetes Association (ADA), American College of Cardiology Foundation (ACC), and American Heart Association (AHA) for glycemic control and prevention of cardiovascular events in patients with diabetes.

    Letters to the Editor

    Effect of Marital Status on Cancer Incidence and Survival Rates

    JUSTIN BAILEY

    Information from Your Family Doctor

    Endometrial Cancer

    It is cancer of the lining of the uterus (womb), and is the fourth most common cancer in women.

    Supraventricular Tachycardia

    The term “supraventricular tachycardia” (SOO-prah-ven-TRIK-u-lar tak-eh-KAR-de-ah), or SVT, describes several types of fast heart rates that usually aren't dangerous, but can cause troubling symptoms.

    Saline Nasal Irrigation for Sinus Problems

    This therapy rinses your nasal cavity, the area behind your nose, with salt water (saline). You can do it at home to help with your sinus problems, such as a stuffy or runny nose.

    Nephrotic Syndrome

    Nephrotic (nef-RAH-tik) syndrome (NS) is when your kidneys don't filter out toxic substances and waste from your blood.

    Corrections

    Correction

    The Point-of-Care Guide, “Estimating the Risk of Ovarian Cancer,” (September 15, 2009, page 632) incorrectly listed an abnormal cancer antigen (CA) 125 level as less than 30 units per mL (30 arb units per L) in a footnote in Table 2 on page 633. The footnote should have read,...



    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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