Urinalysis: Case Presentations for the Primary Care Physician

VICTORIA J. SHARP, DANIEL K. LEE, ERIC J. ASKELAND

In the absence of obvious causes, the evaluation of microscopic hematuria should include renal function testing, urinary tract imaging, and cystoscopy. In a patient with a ureteral stent, urinalysis alone cannot establish the diagnosis of urinary tract infection. Treatment of...

Over-the-Counter Medications in Pregnancy

JESSICA SERVEY, JENNIFER CHANG

Many women take over-the-counter medications, usually for respiratory, gastrointestinal, or skin conditions. Although data about over-the-counter medication use are limited, acetaminophen, cold medications, histamine H2 blockers, and proton pump inhibitors appear to be safe...

Enuresis in Children: A Case-Based Approach

DREW C. BAIRD, DEAN A. SEEHUSEN, DAVID V. BODE

Initial evaluation of enuresis in children should include a history, physical examination, and urinalysis. Possible associated conditions, such as constipation, obstructive sleep apnea, diabetes mellitus or insipidus, and psychiatric disorders, should be identified and...

AAFP News: AFP Edition

VA Launches Campaign to Recruit Physicians | CMS Sets Dates for ICD-10 Testing | Study: One in 15 Family Physicians Devotes Majority of Time to Emergency Care | Rule Seeks to Simplify EHR Certification

Management of Influenza in the 2014–2015 Season: Recommendations and Limitations

RONALD H. GOLDSCHMIDT

The start of influenza season marks a familiar call to action for primary care physicians. The viral strains for the 2014–2015 season are expected to be nearly identical to last year's strains, principally influenza A (H1N1) and influenza B, with some influenza A (H3N2). The...

Screening for Glaucoma

TINA FAN, TAI DO

A 55-year-old black woman presents to your office for a routine well-woman examination. Her medical history is significant for hypertension, which is well controlled with medication. She mentions that her mother was diagnosed with glaucoma a few years ago and is currently...

Chronic Ulceration on the Lower Extremity

BRANDON Q. JONES, SCOTT R. DALTON

A patient presented with a large ulcer on his left lower extremity with surrounding erythema that was growing despite topical steroid treatment. More recently, a similar smaller ulceration appeared on his right lower extremity.

Screening for Autism Spectrum Disorders

MAUREEN GRISSOM, MATTHEW TIFFANY, LAURIE DAVIDSON

There are no studies directly comparing the various screening tools. The Modified Checklist for Autism in Toddlers (M-CHAT) is the tool most commonly used by physicians, followed by the Checklist for Autism in Toddlers (CHAT). All other tools account for about 3% of usage.

Phentermine/Topiramate (Qsymia) for Chronic Weight Management

JOHN D. GAZEWOOD, KATHLEEN BARRY

Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use...

Bariatric Surgery Plus Intensive Medical Therapy Is Better Than Medical Therapy Alone for Diabetes

LAUREN S. HUGHES

Bariatric surgery in conjunction with intensive medical therapy results in significantly enhanced glycemic control at three years compared with medical therapy alone, as well as better weight control, less use of glucose-lowering medications, and improved quality of life.

ACIP Releases Updated Recommendations on Influenza Vaccination to Include the 2014–2015 Season

LISA HAUK

• Children six months to eight years of age will require two vaccine doses this season, unless they had at least one dose during the 2013–2014 season or two doses in a single season since July 2010, or have received two doses in a season with at least one H1N1-containing vaccine.

Screening for Glaucoma: Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for primary open-angle glaucoma (POAG) in adults.

Increase in Reported Malaria Cases Prompts Clarification Regarding Diagnosis and Treatment

Glycemic Control Is an Important Consideration in Diabetes Care

Bed-wetting: Tips to Help Your Child

Enuresis (EN-yur-EE-sis) is the medical term for bed-wetting during sleep. Bed-wetting is fairly common among children, and is often just a stage in their development. It is more common in boys than girls. Many children grow out of it without treatment. You may want to...