• Articles

    Common Questions About Barrett Esophagus

    THOMAS G. ZIMMERMAN

    Although Barrett esophagus is a risk factor for esophageal adenocarcinoma, its management and the need for screening or surveillance endoscopy remain controversial. Screening endoscopy should be considered for patients with multiple risk factors, and those who have high-grade...

    Celiac Disease: Diagnosis and Management

    TIMOTHY D. PELKOWSKI, ANTHONY J. VIERA

    Celiac disease is an autoimmune disorder involving chronic inflammation of the small intestinal mucosa after exposure to dietary gluten. The diagnosis requires confirmation with serologic testing and, in most cases, small bowel biopsy. Treatment consists of a lifelong gluten...

    Diagnostic Approach to Patients with Tinnitus

    KENNETH S. YEW

    Tinnitus is commonly associated with hearing loss, although other possible etiologies include cerumen impaction, middle ear effusion, otosclerosis, and use of certain medications. Diagnosis is based on the patient history, as well as physical examination of the eyes, ears,...

    Putting Prevention Into Practice

    Screening for Coronary Heart Disease with Electrocardiography

    TINA FAN, DARLENE P. SMALLMAN

    A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein...

    Editorials

    Non-Celiac Gluten Sensitivity: Important Diagnosis or Dietary Fad?

    DANIEL F. McCARTER

    The popularity and increased availability of gluten-free foods allow patients with celiac disease to lead a more normal lifestyle. It is important to understand that in the absence of gluten-related symptoms, a gluten-free diet is not synonymous with healthy and may only add...

    Photo Quiz

    Anemia and Mucocutaneous Telangiectasias

    E. GRILLO, A. MIGUEL-MORRONDO, P. JAÉN-OLASOLO

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

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    CMS' New Meaningful Use Timeline Leaves Stage 2 Requirements Unchanged | Physician Groups Protest VA's Attempt to Expand APRNs' Scope of Practice | AHRQ Publishes Guide to Help Practices Implement Health Assessment Programs | <i>M<sc>ed</sc>W<sc>atch</sc></i>: FDA Lifts...

    Clinical Evidence Handbook

    Dementia

    ROB BUTLER, RAGHAVAKURUP RADHAKRISHNAN

    What are the effects of treatments on cognitive, behavioral, and psychological symptoms of dementia (Alzheimer disease, Lewy body dementia, or vascular dementia)?

    AFP Journal Club

    Is Intensive Blood Pressure Control Beneficial in Patients with Acute Intracerebral Hemorrhage?

    MARK A. GRABER, ROBERT DACHS, JILL ENDRES

    It seems to be safe to lower systolic blood pressure to a target of 140 mm Hg in those with an acute hemorrhagic stroke. However, there seems to be no clinical benefit to this approach when the data are adjusted for baseline NIH Stroke Scale scores.

    FPIN's Clinical Inquiries

    Methylphenidate for Management of Fatigue in the Palliative Care Setting

    ERIKO ONISHI, FRANCES BIAGIOLI, SARAH SAFRANEK

    No recent evidence demonstrates that methylphenidate improves fatigue in patients receiving palliative care. Methylphenidate can be used to minimally improve fatigue symptom scores in patients with cancer-related fatigue.

    POEMs

    Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide

    ALLEN F. SHAUGHNESSY

    Over five years, treatment with metformin for three years, with other hypoglycemics as needed, reduced the likelihood of death, nonfatal stroke, or the need for vascularization compared with treatment beginning with glipizide (Glucotrol). Cardiovascular events were not...

    No Effect of Vitamin D on Depressive Symptoms

    ALLEN F. SHAUGHNESSY

    Taken in aggregate, symptoms of depression do not improve in patients with low vitamin D levels when given vitamin D supplementation any more than when given placebo. There may be a benefit in patients with low vitamin D levels and mild to moderate depression.

    Pioglitazone Exposure Increases Bladder Cancer Risk

    DAVID SLAWSON

    This review of all available data found a significantly increased risk of bladder cancer among adults with type 2 diabetes treated with pioglitazone. Pioglitazone also significantly increases the risk of heart failure, and there is minimal, if any, patient-oriented evidence...

    Practice Guidelines

    AUA Releases Guideline on Early Detection of Prostate Cancer

    LISA HAUK

    In April 2013, the American Urological Association (AUA) released a guideline on early detection of prostate cancer, namely to reduce prostate cancer mortality.

    U.S. Preventive Services Task Force

    Screening for Coronary Heart Disease with Electrocardiography: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk of CHD events.

    Letters to the Editor

    NPs, Shorter Training Needed to Fix Workforce Shortage in Primary Care

    Information from Your Family Doctor

    Tinnitus

    Tinnitus (TIN-ih-tus) is a sound you may hear when there is not sound coming from a source outside your body. It is not usually a serious condition, but it can be annoying. It may sound like a ringing, buzzing, or clicking inside your head. When it is very quiet, tinnitus can...

    Celiac Disease

    Celiac (SEE-lee-ack) disease is swelling in the gut that is caused by eating gluten. Gluten is a protein in foods made with wheat, rye, or barley. The swelling stops your body from getting the nutrients it needs. This disease can occur at any age. About one in 100 people has it.

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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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