• Articles

    Diagnosis and Initial Management of Dysmenorrhea

    AMIMI S. OSAYANDE, SUARNA MEHULIC

    Findings from the history and physical examination typically reveal the cause of dysmenorrhea. Abnormal uterine bleeding, dyspareunia, noncyclic pain, changes in intensity and duration of pain, or abnormal pelvic examination findings suggest secondary dysmenorrhea and require...

    Evaluation and Management of Neck Masses in Children

    JEREMY D. MEIER, JOHANNES FREDRIK GRIMMER

    Neck masses in children usually fall into one of three categories: developmental, inflammatory/reactive, or neoplastic. Workup for a neck mass may include a complete blood count; purified protein derivative test for tuberculosis; and measurement of titers for Epstein-Barr...

    A Stepwise Approach to the Interpretation of Pulmonary Function Tests

    JEREMY D. JOHNSON, WESLEY M. THEURER

    A stepwise approach can be used to interpret test results, as well as to help guide further testing and formulate a differential diagnosis. Initial testing can be performed in the office or a pulmonary function laboratory. If the patient's initial test results indicate a...

    Common Sleep Disorders in Children

    KEVIN A. CARTER, NATHANAEL E. HATHAWAY, CHRISTINE F. LETTIERI

    Up to 50% of children experience sleep problems, and differentiating normal changes in sleep patterns from sleep disorders is important to avoid negative impacts, such as irritability and academic and behavioral problems. Common sleep disorders in children include obstructive...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    CMS Modifies Policy on Disclosing Individual Physician Payment Data | PCMH Evaluations Report Positive Results for Metrics Related to Triple Aim | AAFP Urges Review of Misvalued CPT Codes | Graham Center Panel: Telemedicine Can Build Bridge to Expanded Health Care

    Editorials

    More Ways to Improve Health and Reduce Harm: Choosing Wisely Phase 3

    JAY SIWEK, KENNETH W. LIN

    This campaign has resulted in more than 200 key clinical recommendations to help promote best practices and avoid unnecessary and potentially harmful medical interventions.

    Podcasts of the POEMs Featured in AFP Are Now Available

    JAY SIWEK

    Each month, we feature four POEMs in American Family Physician (AFP)—some in print and some online. And now, insightful discussions about these same POEMs are available as a free podcast via iTunes.

    Cochrane for Clinicians

    Antenatal Perineal Massage to Prevent Birth Trauma

    DEAN A. SEEHUSEN, MEGHAN RALEIGH

    Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer...

    Early Developmental Intervention for Preterm Infants

    QUYNH BUI

    Do early developmental intervention programs improve neurodevelopmental outcomes in preterm infants?

    Photo Quiz

    Joint Pain and Swelling

    NANCY F. CRUM-CIANFLONE

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

    POEMs

    Nut Consumption Associated with Reduced Mortality

    MARK H. EBELL

    In a study of health professionals, nut consumption was associated with reduced all-cause mortality. This was primarily because of a reduction in heart disease associated with any nut consumption and a reduction in cancer associated with tree nut consumption.

    Long-Term Results of Drug Treatment for Obesity

    DAVID SLAWSON

    This review of commonly used weight-loss medications, including orlistat (Xenical), lorcaserin (Belviq), phentermine/topiramate (Qsymia), bupropion (Wellbutrin), metformin (Glucophage), and zonisamide (Zonegran), reported an average weight loss for participants of 2.5 to 8.0...

    Pelvic Floor Muscle Training Does Not Reduce Postpartum Urinary Incontinence

    LINDA FRENCH

    This intervention, which included primiparous women with and without urinary incontinence at six weeks post-partum, demonstrated that intensive supervised pelvic floor muscle training did not reduce the prevalence of urinary incontinence at six months. These results are...

    Curbside Consultation

    Complex Care: Treating an Older Patient with Multiple Comorbidities

    RAVISHANKAR RAMASWAMY

    Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.

    Practice Guidelines

    AAP Releases Guideline for the Management of Gastroesophageal Reflux in Children

    AMBER RANDEL

    The American Academy of Pediatrics (AAP) has published a guideline on the management of gastroesophageal reflux (GER) in children based on recommendations from the North American and European Societies for Pediatric Gastroenterology, Hepatology, and Nutrition. It is important...

    Letters to the Editor

    Screening for Gestational Diabetes Should Be a Shared Decision

    MIGNON BENJAMIN, PAUL FROOM

    Corrections

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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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