• Articles

    Evaluation and Treatment of Constipation in Children and Adolescents

    SAMUEL NURKO, LORI A. ZIMMERMAN

    Childhood constipation is almost always functional, and the cause can usually be diagnosed with a medical history and physical examination. Further evaluation may be needed in a child with red flags. The treatment of functional constipation focuses on parental education,...

    Prolonged Febrile Illness and Fever of Unknown Origin in Adults

    ELIZABETH C. HERSCH, C. ROBERT

    Fever of unknown origin can be assumed in a febrile patient when no diagnosis is reached after a reasonable inpatient or outpatient investigation. Common causes typically include infections, malignancies, or noninfectious inflammatory diseases. The initial evaluation should...

    Diagnostic Approach to Pleural Effusion

    AARON SAGUIL, KRISTEN WYRICK, JOHN HALLGREN

    Processes that cause a distortion in body f luid mechanics tend to cause transudative effusions, whereas localized inf lammatory or malignant processes are often associated with exudative effusions. Chest radiography can confirm the diagnosis. Thoracentesis, preferably with...

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    ONC Lays Out 10-Year Plan for Nation's Health Information Technology Future | AHRQ Reports Show Quality of U.S. Health Care Is Fair But Slowly Improving | Report Describes Ongoing Gaps in Women's Health Care as Rollout of ACA Continues | Webcast Offers Free ICD-10 Training

    Graham Center Policy One-Pagers

    Family Medicine Residents: Increasingly Diverse, but Lagging Behind Underrepresented Minority Population Trends

    IMAM M. XIERALI, LAUREN S. HUGHES, MARC A. NIVET, ANDREW W. BAZEMORE

    Increasing racial and ethnic diversity in the U.S. population has not been fully realized in the physician workforce. Family physicians, the most widely distributed of the physician specialties, are on the front line of a physician trend toward greater racial and ethnic...

    Clinical Evidence Handbook

    Recurrent Epistaxis in Children

    GERALD W. McGARRY

    What are the effects of treatments for recurrent idiopathic epistaxis in children?

    POEMs

    Delayed Prescription Strategies Decrease Antibiotic Use

    ALLEN F. SHAUGHNESSY

    A delayed prescription approach in children and adults with acute respiratory tract infections, combined with explicit instructions for symptom control, is effective in decreasing antibiotic use, while not adversely affecting patient satisfaction or symptom duration or severity.

    New Anticoagulants vs. Warfarin in Atrial Fibrillation: No Clear Winner

    HENRY C. BARRY

    One in Five Patients Overdiagnosed with Lung Cancer Screening

    ALLEN F. SHAUGHNESSY

    In patients screened for lung cancer using low-dose computed tomography (LDCT), more than 18% of all lung cancers found are slow-growing and will not cause symptoms or harm during an average 6.4 years of follow-up. This risk of overdiagnosis should be part of the discussion...

    Stable TSH Can Be Rechecked in Two Years

    ALLEN F. SHAUGHNESSY

    Most patients receiving thyroid replacement therapy with less than 125 mcg of levothyroxine per day can wait two years before monitoring thyroid-stimulating hormone (TSH) levels if their results are normal. Fewer than one in 10 patients who take less than 125 mcg of...

    FPIN's Clinical Inquiries

    Intra-articular Corticosteroid Injections for Osteoarthritis of the Knee

    TY JONES, GARY KELSBERG, SARAH SAFRANEK

    Intra-articular corticosteroid injections can be used to reduce pain by about 20% in the short term (one to three weeks) in patients with osteoarthritis of the knee.

    U.S. Preventive Services Task Force

    Screening for Lung Cancer: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends annual screening for lung cancer with low-dose computed tomography (CT) in adults 55 to 80 years of age who have a 30 pack-year smoking history and currently smoke or quit within the past 15 years.

    Putting Prevention Into Practice

    Screening for Lung Cancer

    QUYEN NGO-METZGER, TINA FAN

    M.B., a woman with diabetes mellitus, presents to your office for an annual well visit. M.B. reports having smoked one and a half packs of cigarettes daily for 20 years. Her neighbor was recently diagnosed with lung cancer, and M.B. requests to be tested for lung cancer, too.

    Photo Quiz

    A Helmet to the Flank

    T. KEEFE DAVIS, GARMINA AGRAWAL, MATTHEW TIEFENBRUNN

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

    Practice Guidelines

    ACP Releases Guideline on Screening, Monitoring, and Treatment of Stage 1 to 3 Chronic Kidney Disease

    MARA LAMBERT

    Based on a systematic evidence review, this guideline from the American College of Physicians (ACP) presents recommendations on screening, monitoring, and treatment of stage 1 to 3 chronic kidney disease in adults.

    Editorials: Controversies in Family Medicine

    Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations?Yes : CT-Based Screening Is Complex but Worthwhile

    DAVID E. GERBER

    In December 2013, the U.S. Preventive Services Task Force (USPSTF) issued a level B recommendation in support of annual computed tomography (CT)–based lung cancer screening in specific high-risk populations, defined as persons 55 to 80 years of age who have a smoking history...

    Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations?No : The USPSTF's Recommendation for Lung Cancer Screening Is Overreaching

    DEAN A. SEEHUSEN

    The U.S. Preventive Services Task Force (USPSTF) was premature in issuing a level B recommendation for annual computed tomography (CT)–based lung cancer screening.1 This relatively aggressive stance is surprising because the USPSTF typically issues very measured...

    Information from Your Family Doctor

    Pleural Effusion

    Pleural effusion (PLUR-al ef-YOO-shun) is when fluid collects in the tissue between your lungs and the wall of your chest.

    Fever of Unknown Origin in Adults

    This is a fever of 101°F (or 38.3°C) or higher that lasts for more than three weeks without a clear reason.



    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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