RICHARD COLGAN, MOZELLA WILLIAMS, JAMES R. JOHNSON
History and physical examination are the most useful tools for diagnosing acute pyelonephritis. Escherichia coli is the responsible pathogen in most cases. Oral fluoroquinolones are the preferred antibiotic class for outpatient treatment if resistance among relevant organisms...
JEFFREY B. LANIER, MATTHEW B. MOTE, EMILY C. CLAY
Causes of orthostatic hypotension include dehydration, blood loss, certain classes of medications, and disorders of the neurologic, cardiovascular, or endocrine systems. Head-up tilt-table testing may be indicated to confirm the diagnosis, and initial treatment should be...
PAULA S. MACKRIDES, SUSAN J. RYHERD, EdM
Clinical recommendations on screening for developmental delay in primary care are inconsistent and often insufficient to direct the family physician. Recent studies support the routine use of a validated developmental screening tool at regular, repeated intervals, in addition...
ALLEN R. LAST, JONATHAN D. FERENCE, JULIANNE FALLERONI
Statins are recommended for primary prevention of cardiovascular disease in high-risk patients, and for secondary prevention in all patients with a history of coronary heart disease. Other lipid-lowering medications have unclear effects on patient-oriented outcomes, but may...
SEAN N. MARTIN, HOWARD J. McGOWAN, RITA F. SMITH
What role does exercise play in the treatment of knee osteoarthritis?
New CDC Guide Focuses on Infection Control in Ambulatory Settings | New Payment Models, Financial Risk Top List of Work Challenges for Physicians | User Satisfaction Survey Garners Opinions from Family Physicians About EHRs | AHRQ Provides Free Guides on Treatment Options for...
ADRIANE FUGH-BERMAN, JAY SIWEK
In a letter to the editor in this issue of American Family Physician (AFP), Dr. Hyatt and colleagues note that documents revealed in litigation show that manufacturer-funded studies were selectively published and manipulated to exaggerate claims that gabapentin (Neurontin)...
COREY D. FOGLEMAN
A 24-year-old man presents with a cough of six months' duration. He has a history of gastroesophageal reflux disease (GERD) but denies recent symptoms. A physical examination, pulmonary function tests, and chest radiography reveal no cause for his chronic cough.
Are acellular vaccines as safe and effective as whole-cell vaccines for preventing pertussis (whooping cough) in children?
ENGLISH GONZALEZ, LAYLA SMITH
A six-year-old girl presented with a rash on her right arm that her mother first noticed one month earlier. The rash began on her shoulder and grew distally down her arm in a linear pattern (Figure 1). It measured 1 cm × 35 cm and was hypopigmented and papular (Figure 2). The...
Guideline source: American Academy of Otolaryngology–Head and Neck Surgery
Orthostatic hypotension (ORTH-oh-sta-tik HI-po-TEN-shun) happens when sitting up or standing causes your blood pressure to drop. This may cause symptoms such as blurred vision, dizziness, or feeling like you are about to pass out. You also may feel weak or sick to your...
Cholesterol is a substance that your liver makes. It is also found in some foods, such as eggs, meats, and dairy. Your body needs cholesterol to make cells and certain hormones. But too much cholesterol can cause problems with your heart and blood vessels.
All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.