• Articles

    Perioperative Cardiac Risk Reduction

    NATALIE F. HOLT

    There are no specific indications for preoperative coronary revascularization. Patients with stable coronary artery disease and multiple cardiac risk factors may benefit from perioperative beta blockade. Beta blockers should be initiated weeks before surgery and titrated to...

    Evaluating Acutely Injured Patients for Internal Derangement of the Knee

    MICHAEL GROVER

    A thorough physical examination can often rule out fracture and ligamentous and meniscal injuries in patients with acute knee pain. The Ottawa Knee Rule can help physicians determine which patients require radiography. Magnetic resonance imaging should be reserved for ruling...

    Diagnosis and Management of Genital Ulcers

    MICHELLE A. ROETT, MEJEBI T. MAYOR, KELECHI A. UDUHIRI

    Genital ulcers are usually caused by sexually transmitted infections, most commonly herpes simplex virus infection and syphilis. Noninfectious causes are rare but include psoriasis, sexual trauma, Behçet syndrome, and fixed drug eruptions. Diagnosis is based on clinical...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    CMS Sets New Deadline for Implementation of Sunshine Act | HHS Adopts First of Electronic Health Care Transaction Standards | FDA Approves Single Risk Evaluation and Mitigation Strategy for Fentanyl Drugs | Center for the History of Family Medicine Seeks Fellowship Applicants...

    Editorials

    Reassessing the Role of MRI in the Evaluation of Knee Pain

    DONALD C. POMPAN

    When used for the appropriate indications, MRI is a valuable tool in the evaluation and management of knee pain. However, it may provide clinically irrelevant information by identifying pathology that is not related to a patient's symptoms, which may ultimately lead to...

    Close-ups

    A Pilot Grounded: Living with Chronic Back Pain

    PHILIP M. FLATAU

    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.

    Cochrane for Clinicians

    Steroids for the Treatment of Otitis Media with Effusion in Children

    DEAN A. SEEHUSEN, JASON MacDONNELL

    Oral steroid use, alone or in combination with antibiotics, speeds the resolution of otitis media with effusion. However, there is no evidence that oral steroids improve symptoms or affect long-term outcomes, such as hearing loss. Topical nasal steroids have no effect on...

    Cochrane Briefs

    Exercise for Treatment of the Vasomotor Symptoms of Menopause

    COREY D. FOGLEMAN

    Although menopausal women who exercise are less likely to report vasomotor symptoms than those who do not, there is insufficient evidence that counseling women to exercise is more effective than no treatment or hormone therapy for vasomotor symptoms of menopause.

    Photo Quiz

    Generalized Red Rash

    CHINEDU IVONYE, PAMELA BARNES, BALSAM EL-HAMMALI, CHIBUZOR NNAJI

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

    Curbside Consultation

    Primary and Subspecialty Care: Building a Collaborative Relationship

    DEVDUTTA SANGVAI, MICHAEL SPIRITOS

    For the referring physician, proper etiquette includes identifying the clinical reason for the referral, confirming the appropriateness with respect to the subspecialty, providing the subspecialist with accurate and timely information, and maintaining an open and effective...

    Practice Guidelines

    ACIP Releases 2012 Immunization Schedules

    JAMIE LOEHR

    The Advisory Committee on Immunization Practices (ACIP) of the of the Centers for Disease Control and Prevention (CDC) introduces the 2012 immunization schedules for young children (birth through six years of age), older children and adolescents (seven through 18 years of age...

    Respiratory Indications for Polysomnography in Children

    AMBER RANDEL

    Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children....

    FPIN's Clinical Inquiries

    Human Parathyroid Hormone for Treating Osteoporosis

    HENRY K. LAU, ANNE MOUNSEY, LESLIE MACKLER

    Human parathyroid hormone should be used in patients with severe osteoporosis to decrease the rate of vertebral and nonvertebral fractures.

    Letters to the Editor

    Study Confirms Protective Value of Influenza Vaccination

    CAROL J. BURNS, PAUL J. BURNS, MICHAEL CARSON

    Information from Your Family Doctor

    Genital Ulcers: What Causes Them?

    They are sores usually found on the vagina or penis. They can also be found in the anus or on the skin around it. They sometimes hurt or leak fluid.



    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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