• Articles

    Delirium in Older Persons: Evaluation and Management

    VIRGINIA B. KALISH, JOSEPH E. GILLHAM, BRIAN K. UNWIN

    Preventive interventions (e.g., frequent reorientation, early and recurrent mobilization, maintenance of normal sleep-wake cycle) have been shown to reduce the incidence of delirium, regardless of the care environment. Treatment should focus on identification and management...

    Common Questions About Late-Term and Postterm Pregnancy

    MARY WANG, PATRICIA FONTAINE

    Induction at 41 weeks' gestation is associated with small decreases in some fetal and maternal risks without an increased risk of cesarean delivery. However, because the risks of expectant management are low until 42 weeks' gestation, induction can be deferred with antenatal...

    Botulinum Toxin Injection for Facial Wrinkles

    REBECCA SMALL

    Botulinum toxin injection is the most commonly performed cosmetic procedure in the United States. Treatment of frown lines, which is the cosmetic indication approved by the U.S. Food and Drug Administration, as well as horizontal forehead lines and crow's feet, offers...

    Editorials

    Cosmetic Procedures in Family Medicine

    REBECCA SMALL

    Office-based cosmetic procedures are in high demand in the United States. Cosmetic procedures are one of the possible ancillary service options for family physicians who enjoy performing procedures and choose to provide aesthetic care for their patients.

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Medical Schools Challenged by Increasing Shortage of Clinical Training Sites | Report Urges Collaboration Between Physicians, Patients | MedPAC Proposes New Medicare Payment for Primary Care Physicians | Medical Groups Move to Preempt Exemption for Cigars in Proposed FDA Rule

    Cochrane for Clinicians

    Effectiveness of Calcium Channel Blockers for Raynaud Phenomenon

    DEAN A. SEEHUSEN, JOSEPH HUANG

    CCBs are modestly effective at reducing the frequency of attacks of primary Raynaud phenomenon. There is no evidence that attack severity or physiologic measurements are reduced by CCBs. Treatment is associated with adverse effects such as headache, flushing, and edema.

    Photo Quiz

    Purpura and Cough

    RICHARD TEMPLE, NATE HEMERLY

    A 21-year-old man presented with fever, cough, arthralgias, and bilateral lower extremity rash and swelling that began 24 hours earlier.

    Close-ups

    Another Test in Life

    SANAZ MAJD

    Testicular cancer has a high survival rate when caught early. A patient diagnosed with the disease reflects on his recovery, and his initial fears.

    Practice Guidelines

    ACCF and AHA Release Guidelines on the Management of Heart Failure

    CARRIE ARMSTRONG

    The American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) recently developed guidelines on the diagnosis and treatment of heart failure. The guidelines are based on four progressive stages of heart failure; progression from one stage to the...

    Information from Your Family Doctor

    Delirium

    Delirium is a sudden episode of confusion. It lowers your ability to think clearly, focus, or stay alert. Delirium is usually caused by another illness.

    Cosmetic Botulinum Toxin Injection

    It is a product used to reduce or get rid of wrinkles. Small amounts of it are injected into specific muscles in the face. This relaxes the muscles, which smoothes wrinkles. Botox, Dysport, and Xeomin are some common forms of botulinum toxin.



    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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