• Articles

    Pharmacologic Therapy for Acute Pain

    RICHARD D. BLONDELL, MOHAMMADREZA AZADFARD, ANGELA M. WISNIEWSKI

    Acetaminophen or a nonsteroidal anti-inflammatory drug is recommended for the initial treatment of mild to moderate acute pain. If pain is not controlled, an opioid may be added. Full opioid agonists or dual-action medications may be needed for moderate to severe pain....

    Evaluation of Primary Immunodeficiency Disease in Children

    CARIN E. REUST

    Primary immunodeficiency diseases affect an estimated one in 2,000 children younger than 18 years. Antibody, T-cell, phagocytic, and complement disorders are the most common types of primary immunodeficiency disease. Family history is a strong predictor of immunodeficiency,...

    Amenorrhea: An Approach to Diagnosis and Management

    DAVID A. KLEIN, MERRILY A. POTH

    Primary amenorrhea is characterized by the failure to reach menarche, whereas the cessation of regular menses can signify secondary amenorrhea. Underlying causes of amenorrhea can usually be identified via a detailed history, examination, and laboratory analysis.

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Practice Supports Ease Transition to PCMH Model | Proposed Bill Targets Health Care Advertising | Peer Coaching Improves Diabetes Outcomes | Congress Urged to Invest More in Primary Care | AAFP, USPSTF Differ on Age for HIV Screening

    Editorials

    Health Literacy and Prescribing: It Is Time to Change Old Habits

    PAUL D. SMITH, SAMANTHA SHARP

    In the United States, 80 million adults have substantial difficulties with reading. Approximately 1.5 million adverse drug events occur each year. Clear and concise prescription writing and labeling, and confirming a patient's understanding of the instructions can help...

    Close-ups

    Diabetes: Taking Control of My Health

    COLLEEN T. FOGARTY

    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

    Oxytocin Augmentation During Labor with Epidural Analgesia

    JOSHUA STEINBERG

    Oxytocin augmentation does not reduce the frequency of cesarean delivery, instrumental vaginal delivery, or the combined outcome of both. Oxytocin also has no effect on low five-minute Apgar scores, postpartum hemorrhage, uterine hyperstimulation, or neonatal intensive care...

    Contraceptive Education for Women After Childbirth

    DEAN A. SEEHUSEN, MONICA SCHMIDT

    Postpartum education may increase contraceptive use and reduce unplanned repeat pregnancies, although the evidence is mixed. The optimal timing and content of educational programs are not known.

    Photo Quiz

    Toddler with a Worsening Rash

    ROXANN POWERS, OMID DJALALI, ZACHARY ZINN

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

    Curbside Consultation

    Caring for Colleagues, VIPs, Friends, and Family Members

    TIMOTHY W. FARRELL, JULIA A. OZBOLT, JOANNE SILVIA, PAUL GEORGE

    There may be no higher professional honor than being asked to care for a colleague, a “very important person” (VIP), a friend, or a family member. However, these requests can be problematic if they are not addressed properly. The following strategies can help physicians avoid...

    POEMs

    Aspirin Following Anticoagulation Therapy Prevents Recurrent VTE

    NITA SHRIKANT KULKARNI

    Although this ASPIRE study was underpowered to detect a difference in the primary outcome, when the results were combined with those of the WARFASA trial, the data show that daily low-dose aspirin prevents recurrent VTE as well as major vascular events without increasing...

    Daily Multivitamins Do Not Reduce Major Cardiovascular Events in Men and Do Not Affect Mortality

    DAVID SLAWSON

    Daily multivitamin supplementation does not reduce the risk of major cardiovascular events in men. The risks of cardiovascular-related mortality and all-cause mortality were also not reduced by multivitamin supplementation.

    Vitamin D + Calcium = Placebo for Cognitive Decline

    HENRY C. BARRY

    Calcium plus vitamin D is no better than placebo in preventing cognitive decline in women older than 65 years.

    Practice Guidelines

    AUA Releases Guideline on Diagnosis and Treatment of Overactive Bladder

    CARRIE ARMSTRONG

    Overactive bladder is characterized by urinary symptoms including urgency, frequency, and nocturia, with or without urge incontinence. The American Urological Association (AUA) recently published recommendations to provide a clinical framework for the diagnosis and treatment...

    Graham Center Policy One-Pagers

    Unequal Distribution of the U.S. Primary Care Workforce

    STEPHEN M. PETTERSON, ROBERT L. PHILLIPS, JR., ANDREW W. BAZEMORE, GERALD T. KOINIS

    The United States is facing a primary care physician shortage, but the most pressing problem is uneven distribution, particularly in poor and rural communities. Providing adequate access to care for the nearly 30 million uninsured people living in these communities will...

    Information from Your Family Doctor

    Amenorrhea

    Amenorrhea (say: “ay-MEN-or-REE-uh”) is a condition in which your menstrual periods don't start during puberty, or they stop before you reach menopause.



    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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