• Articles

    Assessment of Asymptomatic Microscopic Hematuria in Adults

    VICTORIA J. SHARP, KERRI T. BARNES, BRADLEY A. ERICKSON

    Asymptomatic microscopic hematuria is often discovered incidentally in the primary care setting. Because malignancies are found in up to 5% of cases, microscopic examination of the urine is necessary. The diagnosis of microscopic hematuria requires identification of three or...

    Common Questions About Vasectomy

    BRIAN Z. RAYALA, ANTHONY J. VIERA

    Vasectomy is a safe and reliable method of male contraception. Alternatives to the traditional incisional technique include no-scalpel and no-needle vasectomy. Short-term complications include infection and bleeding; long-term complications include sperm granuloma and post...

    Onychomycosis: Current Trends in Diagnosis and Treatment

    DYANNE P. WESTERBERG, MICHAEL J. VOYACK

    Diagnosis involves physical and microscopic examination and culture. Treatment is aimed at eradication of the causative organism and return to a normal appearance of the nail. Systemic antifungals are more effective than topical therapies. Several nonprescription treatments...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Electronic Health Records Contributing to Job Dissatisfaction Among Physicians | Data Analysis Shows Not Enough Physicians Are Entering Primary Care | Study: Access to Primary Care Physician Reduces Likelihood of Colorectal Cancer | Hydrocodone Combination Products May Be...

    Editorials

    When Medicine Reverses Itself: Avoiding Practice Pitfalls

    CAROLINE WELLBERY, REBECCA McATEER

    Educating our patients, applying evidence judiciously, and avoiding undue influences will help us avoid the pitfalls of the ever-changing practice of medicine.

    POEMs

    Aspirin Is as Safe and Effective as LMWH for Extended Thromboprophylaxis After Total Hip Arthroplasty

    NITA SHRIKANT KULKARNI

    Aspirin is as effective as dalteparin for extended thromboprophylaxis in patients who had total hip arthroplasty and had initially received 10 days of dalteparin prophylaxis postoperatively. Because of its relative safety, low cost, and easy administration, aspirin is an...

    Vitamin D Does Not Affect Isolated Systolic Hypertension

    ALLEN F. SHAUGHNESSY

    Vitamin D supplementation in patients with isolated systolic hypertension and low levels of vitamin D does not decrease systolic blood pressure after one year of treatment.

    Finasteride Prevents Low-Grade Prostate Cancers, but Does Not Reduce Mortality

    MARK H. EBELL, LAUREN S. HUGHES

    Although finasteride prevents low-grade prostate tumors, it does not affect overall survival or survival after prostate cancer diagnosis. Although high-grade cancers were more common among men taking finasteride, up to 18 years of follow-up failed to show increased mortality...

    Five-Day Steroid Treatment Effective for Acute COPD Exacerbation

    DAVID SLAWSON

    A five-day course of systemic glucocorticoids is at least as effective as a 14-day course in the treatment of adults with acute exacerbations of COPD.

    Skip the Strict Salt and Fluid Restriction for Hospitalized Patients with Heart Failure

    NITA SHRIKANT KULKARNI

    This study suggests that a low-sodium and fluid-restricted diet, compared with a non-restricted diet, for patients hospitalized with acute decompensated heart failure does not expedite weight loss or decrease congestion. Patients placed on such diets are, as expected,...

    Cochrane for Clinicians

    Are Cranberry Products Effective for the Prevention of Urinary Tract Infections?

    WILLIAM E. CAYLEY, JR.

    Cranberry products are not effective and should not be recommended for the prevention of UTIs.

    Impact of Industry Sponsorship on Research Outcomes

    DEAN A. SEEHUSEN, KELLY G. KOREN

    Are research studies sponsored by industry more likely to have favorable results and conclusions than studies without industry sponsorship?

    Photo Quiz

    Facial Palsy in a 38-Year-Old Man

    YU-TING LIN, PO-YU SHIH

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

    Close-ups

    Caring Better for Patients Who Are Blind or Visually Impaired

    null K.S.

    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.

    Practice Guidelines

    ACOG Releases Guideline on Cervical Cancer Screening

    AMBER RANDEL

    Guideline source: American College of Obstetricians and Gynecologists

    Letters to the Editor

    Benzodiazepine Use and Hip Fractures in Older Adults

    Information from Your Family Doctor

    Onychomycosis (Nail Fungus)

    Onychomycosis (ON-i-ko-my-KO-sis) is an infection in your toenails or fingernails that is caused by a fungus.

    Corrections

    Corrections

    Corrections



    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