• Articles

    Edema: Diagnosis and Management

    KATHRYN P. TRAYES, JAMES S. STUDDIFORD, SARAH PICKLE, AMBER S. TULLY

    Edema is the result of an abnormal expansion in interstitial fluid volume that may produce pitting, tenderness, and skin changes. Patient history, physical examination, and imaging can provide diagnostic clues to the cause of edema, which may include chronic venous...

    A Primary Care Approach to Substance Misuse

    BRAD SHAPIRO, DIANA COFFA, ELINORE F. McCANCE-KATZ

    Many physicians report feeling inadequately prepared to identify and treat patients with substance use disorders. Brief validated screening tools are available that allow for rapid identification of problematic drug use. Brief counseling may be helpful for some patients with...

    Cluster Headache

    JACQUELINE WEAVER-AGOSTONI

    Treatment focuses on avoiding triggers and includes abortive therapies, prophylaxis during the cluster period, and long-term treatment in patients with chronic cluster headache. Evidence supports the use of supplemental oxygen, sumatriptan, and zolmitriptan for acute...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    AAFP Provides Guidance to Congress on Sustainable Growth Rate Formula Overhaul | AMA Study Finds Patients Responsible for Nearly One-Fourth of Their Medical Bills | AAFP to CMS: Transparency Program Should Allow Physicians to Review Payment Reports | Policy Brief Examines...

    Editorials

    Bullying Among Adolescents: A Challenge in Primary Care

    DAVID A. KLEIN, KATHRYN K. MYHRE, DALE M. AHRENDT

    Patients of primary care physicians should undergo psychosocial screening as part of routine wellness visits and when seeking care for mental health or somatic problems, or behavioral concerns. Physicians should be alert to any indications of bullying and identify relevant...

    AFP Journal Club

    Pulmonary Embolism Rule-Out Criteria: A Clinical Decision Rule That Works

    ROBERT DACHS, JILL ENDRES, MARK A. GRABER

    A number of clinical decision rules have been released recently. The PERC rule is an example of one that works well because it was derived from a large number of patients, and it was internally and externally validated.

    Clinical Evidence Handbook

    Acute Asthma and Other Recurrent Wheezing Disorders in Children

    AUGUSTA OKPAPI, AMANDA JANE FRIEND, STEPHEN WILLIAM TURNER

    What are the effects of treatments for acute asthma in children?

    Photo Quiz

    Pigmented Lesion on the Sole in a Child

    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

    Epidural Steroids for Sciatica Minimally Effective in the Short Term

    ALLEN F. SHAUGHNESSY

    Epidural corticosteroid treatment produces a small and not clinically relevant decrease in leg pain and disability in the short term in patients with sciatica; any difference is gone after one year.

    Most Antibiotics Similar in Efficacy for Lower UTI

    MARK H. EBELL

    This network meta-analysis found that the antibiotics commonly used to treat lower UTI are similar in efficacy, with one exception: amoxicillin/clavulanate (Augmentin) is significantly less effective than the others.

    Curbside Consultation

    Treating Patients with Borderline Personality Disorder in the Medical Office

    LESLIE DEAN, SHERRY A. FALSETTI

    The prevalence of borderline personality disorder in the general population is thought to be between 1% and 2%. As family physicians, we often treat these patients for chronic medical conditions. There are multiple obstacles to caring for these patients because of their...

    Practice Guidelines

    Endocrine Society Releases Guidelines on Diagnosis and Management of Hypertriglyceridemia

    CARRIE ARMSTRONG

    The Endocrine Society recently published evidence-based recommendations on the diagnosis and management of hypertriglyceridemia in adults. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes...

    FPIN's Clinical Inquiries

    Corticosteroids for Presumed Pneumocystis Pneumonia in Patients with HIV Infection

    KAREN ISAACS, ALBERT MEYER, DONNA FLAKE

    Adjunctive corticosteroids decrease mortality in patients with HIV infection who have moderate to severe hypoxemia and suspected or confirmed pneumocystis pneumonia. Corticosteroids lead to a higher incidence of herpetic lesions, but not other opportunistic conditions.

    Information from Your Family Doctor

    Cluster Headache

    A cluster headache is a rare type of headache in which there is very bad pain on one side of the head, often around the eye. The pain lasts from 15 minutes to two hours, but comes back at about the same time each day. The pain may happen up to eight times in a single day.



    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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