• Articles

    Evaluation of Acute Pelvic Pain in Women

    PAUL S. KRUSZKA, STEPHEN J. KRUSZKA

    Diagnosis of acute pelvic pain in women can be challenging because history and physical examination findings are often nonspecific, and clinical presentation can vary widely. Transvaginal ultrasonography is the imaging modality of choice in the initial evaluation. A high...

    Treating Diabetic Peripheral Neuropathic Pain

    TAMMY J. LINDSAY, BLAKE C. RODGERS, VINCENT SAVATH, KEVIN HETTINGER

    The main agents used to treat diabetic peripheral neuropathic pain include tricyclic antidepressants, anticonvulsants, serotonin-norepinephrine reuptake inhibitors, opiates, and topical medications. Patients should expect only 30 to 50 percent reduction in pain with maximal...

    Postexposure Prophylaxis Against Human Immunodeficiency Virus

    MICHAEL A. TOLLE, HEIDI L. SCHWARZWALD

    Timing and duration of postexposure prophylaxis against human immunodeficiency virus are important. Although two-drug regimens for some lower-risk occupational exposures exist, three-drug regimens are recommended for nonoccupational exposures. Expert consultation is advised...

    Recognizing Occupational Illnesses and Injuries

    OYEBODE A. TAIWO, BEN HUR P. MOBO, JR., LINDA CANTLEY

    Occupational illnesses and injuries may be caused by physical, chemical, or biologic exposures, as well as psychological stressors in the workplace. Basic screening questions about patients' employment can help identify possible work-related causes of symptoms. Follow-up with...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Congress Passes Medicare Payment Patch, AAFP Urges SGR Payment Replacement | One Third of Family Physicians Failed to Follow Interim Vaccine Recommendations | CDC Survey Shows One in Five Teens Has Abused Prescription Medications | Federal Government to Invest in Training of...

    Editorials

    Guide to Mammography Reports: BI-RADS Terminology

    REBECCA B. BITTNER

    Mammography reports use specific terminology from the Breast Imaging Reporting and Data System (BI-RADS) to describe findings and to assign a final assessment category. This editorial addresses questions that commonly arise when primary care physicians interpret mammography...

    Graham Center Policy One-Pagers

    Loss of Primary Care Residency Positions Amidst Growth in Other Specialties

    NICHOLAS A. WEIDA, ROBERT L. PHILLIPS, Jr., ANDREW W. BAZEMORE, MARTEY S. DODOO, STEPHEN M. PETTERSON, IMAM XIERALI, BRIDGET TEEVAN

    Since the 1997 Balanced Budget Act capped funding for graduate medical education (GME) programs, overall growth in GME has continued (+7.8 percent), but primary care specialties have experienced a substantial decline in their number of programs and residency positions. This...

    Clinical Evidence Handbook

    Primary Prevention of CVD: Physical Activity

    DAVID STENSEL

    Does counseling to increase physical activity lead to increased physical activity in healthy persons without existing CVD? What are the health benefits of increasing physical activity in relation to cardiovascular outcomes in healthy persons without existing CVD?

    U.S. Preventive Services Task Force

    Screening and Treatment for Major Depressive Disorder in Children and Adolescents: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends screening adolescents (12 to 18 years of age) for major depressive disorder (MDD) when systems are in place to ensure accurate diagnosis, psychotherapy (i.e., cognitive behavioral or interpersonal), and follow-up.

    Putting Prevention Into Practice

    Screening and Treatment for Major Depressive Disorder in Children and Adolescents

    IRIS R. MABRY-HERNANDEZ, HELEN C. KOENIG

    Case study: A woman brings her two children, a 14-year-old boy and a nine-year-old girl, to your office for a routine checkup. She tells you that her husband has major depression, and she wants to know whether her children should be checked for early signs of depression.

    Photo Quiz

    Diplopia and Ptosis

    KRISTINE J. PFEIFFER, STEVEN K.F. ROPERS, MATTHEW W. SHORT

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

    Point-of-Care Guides

    Clinical Diagnosis of Pneumonia in Children

    MARK H. EBELL

    Pneumonia remains a common source of morbidity and mortality in children. A key question in the diagnostic evaluation of children with acute respiratory illness is whether chest radiography should be performed to rule in or rule out the diagnosis of pneumonia. Radiologically,...

    Tips from Other Journals

    Comparing Biologics for Rheumatoid Arthritis Treatment

    KENNETH T. MOON

    Whole-Leg Compression Ultrasonography for Suspected DVT

    CARLYLE HAMSHER, III, SUMI SEXTON

    Practice Guidelines

    ADA Releases Updated Recommendations on Standards of Medical Care in Diabetes

    LISA GRAHAM

    The 2010 American Diabetes Association's (ADA) “Standards of Medical Care in Diabetes” includes revisions based on new evidence. Several sections have undergone major changes.

    Letters to the Editor

    How Important Is Reaching Blood Glucose Level Goals?

    Risks Related to the Use of Finasteride (Propecia) in Pregnant Women

    Information from Your Family Doctor

    Acute Pelvic Pain in Women

    Pelvic pain is discomfort in the lower part of your abdomen or pelvis. It is acute if you have had it for less than three months. It is chronic if you have had it for three months or longer.

    Diabetic Peripheral Neuropathic Pain

    Diabetic peripheral neuropathy is a common nerve problem in people with diabetes. It usually affects the feet and legs. It may cause a loss of feeling or pain.



    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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