• Articles

    Otitis Media: Diagnosis and Treatment

    KATHRYN M. HARMES, R. ALEXANDER BLACKWOOD, HEATHER L. BURROWS, JAMES M. COOKE, R. VAN HARRISON, PETER P. PASSAMANI

    Acute otitis media causes acute ear pain with middle ear effusion and inflammation. Otoscopic findings must be present for diagnosis. Pain should be addressed in all patients. High-dose amoxicillin is the preferred antibiotic for initial treatment, although antibiotic therapy...

    Dermoscopy for the Family Physician

    ASHFAQ A. MARGHOOB, RICHARD P. USATINE, NATALIA JAIMES

    Dermoscopy has been shown to increase the clinician's diagnostic accuracy when evaluating cutaneous neoplasms. Two types of dermatoscopes are currently used: nonpolarized, which requires direct skin contact, and polarized, which does not require direct skin contact. A two...

    Recognition and Evaluation of Nontraumatic Subarachnoid Hemorrhage and Ruptured Cerebral Aneurysm

    AARON A. COHEN-GADOL, BRADLEY N. BOHNSTEDT

    Nontraumatic subarachnoid hemorrhage often results in death or disability, making timely diagnosis and treatment critical in achieving good patient outcomes. Patients who present with severe symptoms are easier to diagnose, but patients who present in good condition have the...

    Appendix

    Information from references A1 through A6.

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Study: Resident Duty Hour Reforms Had No Negative Effect on Patient Mortality | AAFP, USPSTF: Evidence Shows Counseling Teens Against Using Tobacco Is Effective | CDC Launches Free App for GBS Treatment | FAQs Offered on Transitional Care CPT Codes | <i>MedWatch</i>: Proposed...

    Cochrane for Clinicians

    General Health Checks for Reducing Morbidity and Mortality

    KRISHNAN NARASIMHAN

    Although general health checks increase the number of new diagnoses, they do not decrease total, cardiovascular-related, or cancer-related morbidity or mortality. The studies in this Cochrane review have limited applicability to the current recommended practice of providing...

    Ultrasound-Guided Steroid Injections for Shoulder Pain

    NATHAN HITZEMAN, JANICE KIM

    Ultrasound-guided glucocorticoid injection for shoulder pain provides no advantage over landmark-guided or intramuscular injection in terms of pain, function, range of motion, or safety when measured within a six-week follow-up period. However, the small sample size of this...

    Photo Quiz

    Photosensitive Erythematous Skin Rash

    SUDIP K. GHOSH, SHARMILA SARKAR

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

    Clinical Evidence Handbook

    Tubal Ectopic Pregnancy

    RAJESH VARMA, JANESH GUPTA

    What treatments improve outcomes in women with unruptured tubal ectopic pregnancy?

    AFP Journal Club

    Do Abstracts of Articles in Major Journals Contain the Same Information as the Body of the Paper?

    MARK A. GRABER, ROBERT DACHS, JILL ENDRES

    Physicians should not rely on article abstracts when deciding whether a therapy is good. Abstracts often have misleading information and conclusions. It's important to read the body of the article.

    POEMs

    Early Adenotonsillectomy and Watchful Waiting Are Both Options for Children with Sleep Apnea

    MARK H. EBELL

    Early surgery provides some symptomatic benefit and greater normalization of polysomnographic findings (a disease-oriented outcome) than watchful waiting for children with obstructive sleep apnea. However, many of the children in the watchful waiting group improved during the...

    Practice Guidelines

    Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP

    MICHAEL DEVITT

    The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed...

    Editorials: Controversies in Family Medicine

    Should Children with Acute Otitis Media Routinely Be Treated with Antibiotics?Yes: Routine Treatment Makes Sense for Symptomatic, Emotional, and Economic Reasons

    COLIN P. KOPES-KERR

    In the literature, the role of antibiotics in the treatment of acute otitis media (AOM) is clear but disappointing. There is a significant, but only modest, benefit of antibiotics for AOM. Because of these disappointing results, many experts and clinicians have decided that,...

    Should Children with Acute Otitis Media Routinely Be Treated with Antibiotics?No: Most Children Older Than Two Years Do Not Require Antibiotics

    STEVEN MILLIGAN, STEPHANIE McCRERY

    There is substantial debate regarding antibiotic use for the treatment of acute otitis media (AOM) in children. The reason for this is simple: there is evidence both for and against antibiotic use in children with this common illness. The evidence supports the use of...

    Graham Center Policy One-Pagers

    Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines

    LAURA A. MAKAROFF, LARRY A. GREEN, STEPHEN M. PETTERSON, JAMES C. PUFFER, ROBERT L. PHILLIPS, ANDREW W. BAZEMORE

    Nested within a 40-year trend of specialty-to-population growth outpacing that of primary care is variability in the rate of expansion within the different primary care disciplines. With continued population aging trends, low annual birth rate, and expected health insurance...

    Letters to the Editor

    Physicians Should Consider Indications Before Ordering Preoperative Cardiac Testing

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    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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