• Articles

    Evaluation of Fever in Infants and Young Children

    JENNIFER L. HAMILTON, SONY P. JOHN

    A thorough diagnostic evaluation, including history, physical examination, and laboratory testing, is recommended in children younger than 36 months with unexplained fever. Further testing with lumbar puncture and chest radiography may be indicated in neonates and in older...

    Parkinson Disease: An Update

    JOHN D. GAZEWOOD, D. ROXANNE RICHARDS, KARL CLEBAK

    Parkinson disease affects approximately 1 percent of Americans older than 60 years. Because the symptoms mimic other neurologic conditions, initial diagnosis may be difficult. Pharmacologic and nonpharmacologic therapies are effective in reducing motor impairment and...

    Breast Cancer Screening Update

    MARIA TRIA TIRONA

    Although there is general agreement that screening mammography should be offered routinely to women 50 to 74 years of age, there are conflicting guidelines for its use in women 40 to 49 years of age. A reasonable approach to screening mammography is based on expected benefits...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Report Finds Primary Care, PCMH Model Key to Improving Health Care Quality | AAFP to President Obama: Family Medicine Can Play a Role in Curbing Gun Violence | Study: Breast Cancer Screening in Older Women Expensive, Possibly Ineffective | Report: Growth in Health Care...

    Editorials

    Screening Mammography: The Goal Is Changing

    RUSSELL HARRIS, LINDA KINSINGER

    Screening mammography is one of an increasing number of clinical issues that will require rethinking the clinical mission and restructuring clinical practice to help patients make informed choices.

    Clinical Evidence Handbook

    Primary Insomnia in Older Persons

    CATHY ALESSI, MICHAEL V. VITIELLO

    What are the effects of nondrug and drug treatments for primary insomnia in older persons (those 60 years and older)?

    Putting Prevention Into Practice

    Screening for Prostate Cancer

    JENNIFER CROSWELL, YOUNG-ROK SHIN

    Case Study: A 61-year-old black man presents for a routine checkup. He has hypertension and diabetes mellitus that are well controlled with medication. During the visit, he tells you that a friend advised him to get a prostate-specific antigen (PSA) test to screen for...

    Photo Quiz

    Nodule Arising in a Surgical Scar

    DAMIANO TAMBASCO, MARCO D'ETTORRE, STEFANO GENTILESCHI, ROBERTO BRACAGLIA

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

    POEMs

    Vitamin D Does Not Reduce the Incidence or Severity of URIs in Healthy Adults

    DAVID SLAWSON

    Vitamin D supplementation, at a dosage of 100,000 IU per month for 18 months, did not reduce the incidence or severity of URIs in healthy adults. This is the third randomized controlled trial that showed no relationship between vitamin D levels and acute URIs.

    Practice Guidelines

    AASM Updates Treatment Guidelines for Restless Legs Syndrome and Periodic Limb Movement Disorder

    CARRIE ARMSTRONG

    The American Academy of Sleep Medicine (AASM) last published recommendations on the treatment of restless legs syndrome (RLS) and periodic limb movement disorder in 2004. It recently updated these recommendations based on a literature review and meta-analysis.

    U.S. Preventive Services Task Force

    Screening for Prostate Cancer: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer.

    FPIN's Clinical Inquiries

    Pharmacologic Therapy for Vitamin D Deficiency

    DANA NEUTZE, ANNE MOUNSEY, LAURIE DAVIDSON

    Cholecalciferol (vitamin D3) supplementation should be used for vitamin D repletion because it may be more effective in preventing nonvertebral fractures.

    Letters to the Editor

    Update on Pharmacologic Treatment for Rhinosinusitis

    Information from Your Family Doctor

    Parkinson Disease: What You Should Know

    Parkinson disease is a brain disease that usually affects older people. It happens when the parts of the brain that control your muscles are damaged. It can cause shaking and stiffness, and make you move more slowly.

    Corrections

    Correction

    Error in the features of leptospirosis. The article “Hepatitis A” (December 1, 2012, p. 1027) contained an error in Table 2 (p. 1029) regarding the distinguishing features of leptospirosis. The distinguishing features section for leptospirosis should have read: “History of...



    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 CME
    POC Point-of-Care
    FREE Free
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education