• Articles

    Recommendations for Preconception Counseling and Care

    NARGES FARAHI, ADAM ZOLOTOR

    The aim of preconception care is to ensure the optimal health of women before pregnancy. Preconception care should be considered with every medical decision and treatment recommendation for women in their reproductive years, and includes providing family planning counseling,...

    Pertussis: A Reemerging Infection

    JONATHAN M. KLINE, WILLIAM D. LEWIS, ELEANOR A. SMITH, LLOYD R. TRACY, SARAH K. MOERSCHEL

    Pertussis, or whooping cough, is an acute respiratory tract infection characterized by severe outbreaks of coughing that can produce significant complications. Both culture and polymerase chain reaction testing are used to confirm the diagnosis. First-line treatments include...

    Common Eye Emergencies

    CHRISTOPHER D. GELSTON

    Ocular emergencies include retinal detachment, mechanical globe injury, and chemical burns. Family physicians should be familiar with the signs and symptoms associated with each condition and be able to perform a basic eye examination to assess the situation. The assessment...

    Fever in Returning Travelers: A Case-Based Approach

    HENRY M. FEDER, JR., KENIA MANSILLA-RIVERA

    When evaluating the returning traveler with fever, it is important to know which pretravel immunizations the patient received; which medications he or she took during travel; the likely pathogen exposures during travel; and the incubation interval between travel and onset of...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Recruitment Survey: Family Physicians Remain Top Choice Among Specialists | AAFP, Other Physician Groups Question Safeguards on Medicare Claims Data | More Medical Students Opt for Family Medicine | CDC Report Details Threat and Scope of Antibiotic-Resistant Microbes

    Photo Quiz

    Painless Red Eye

    DONNA I. MELTZER

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

    STEPS

    Emtricitabine/Tenofovir (Truvada) for HIV Prophylaxis

    BARRY COUTINHO, RAMAKRISHNA PRASAD

    When used with a comprehensive HIV prevention strategy, emtricitabine/tenofovir effectively prevents HIV-1 infection in high-risk patients. Adherence to daily dosing is important to maintain protection. The cost of therapy may limit access, and not all insurance companies...

    POEMs

    Surgery Plus PT Similar to PT Alone for Adults with Meniscal Tear and Osteoarthritis

    MARK H. EBELL

    For middle-aged or older adults with osteoarthritis and a meniscal tear, there seem to be no significant differences between arthroscopic surgery plus PT and PT alone. A subset of patients who do not respond well to PT alone will eventually have surgery, but if they cross...

    Colorectal Neoplasia Yield Similar for FIT Every One, Two, or Three Years

    MARK H. EBELL

    There appears to be no advantage to obtaining FIT more often than every three years.

    Same Benefit with Equivalent Doses of Chlorthalidone and HCTZ

    ALLEN F. SHAUGHNESSY, null MMedEd

    In this retrospective analysis, chlorthalidone and HCTZ produced the same clinical outcomes in older adults. In general, chlorthalidone was more likely to be associated with hospitalization for hypokalemia and hyponatremia. When comparing equivalent doses, though, the rates...

    Practice Guidelines

    ACIP Releases Influenza Vaccination Updates for 2013–2014

    MARA LAMBERT

    Guideline source: Advisory Committee on Immunization Practices

    Editorials: Controversies in Family Medicine

    Two Views on the New DSM-5The Need for Caution in Diagnosing and Treating Mental Disorders

    ALLEN FRANCES, MELISSA RAVEN

    Most mental health treatment is provided in primary care, not by psychiatrists or in dedicated mental health services.1 Not surprisingly, most psychotropic drugs (87% of anxiolytics, 79% of antidepressants, 66% of stimulants, and 51% of antipsychotics) are prescribed by...

    Two Views on the New DSM-5DSM-5: A Diagnostic Guide Relevant to Both Primary Care and Psychiatric Practice

    DAVID J. KUPFER, EMILY A. KUHL, DARREL A. REGIER

    Despite endorsement of the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5) by the director of the National Institute of Mental Health and the president of the American Psychiatric Association,1 the largest psychiatric association in the world, the...

    FPIN's Clinical Inquiries

    Testosterone Therapy and Risk of Recurrence After Treatment for Prostate Cancer

    JAMES MEZA, KAREN WEAVER, SANDRA MARTIN

    In patients who are presumed cured of organ-confined prostate cancer, what are the benefits of testosterone replacement therapy, and what is the risk of cancer recurrence?



    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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