• Articles

    Common Questions About the Initial Management of Hypertension

    ROBERT LANGAN, KRISTEN JONES

    Treatment of hypertension reduces the risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Several lifestyle modifications are associated with improvements in blood pressure, including the Dietary Approaches to Stop Hypertension diet, sodium...

    Cesarean Delivery: Counseling Issues and Complication Management

    JEFFREY D. QUINLAN, NEIL J. MURPHY

    Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Post–cesarean delivery complications include pain, endomyometritis, wound separation/infection, urinary tract infection, gastrointestinal...

    Diagnosis and Treatment of Seborrheic Dermatitis

    GARY W. CLARK, SARA M. POPE, KHALID A. JABOORI

    Seborrheic dermatitis is a clinical diagnosis based on the location and appearance of lesions. Treatment with antifungal agents such as topical ketoconazole is the mainstay of therapy for seborrheic dermatitis of the face and body. Because of possible adverse effects, anti...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    CMS Considers Changes to Federal Health Insurance Exchanges | Survey: Many Physicians Are Leery of Using Opioids for Noncancer Pain | Groups Urge Restrictions on E-Cigarettes | AAMC Offers Three Free Publications on Medical School Admissions

    Editorials

    Improving Quality by Doing Less: Overdiagnosis

    MARK EBELL, JESSICA HERZSTEIN

    The second in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overdiagnosis occurs when a disease is diagnosed and treated, even though that disease never would have harmed the patient if left untreated.

    Cochrane for Clinicians

    Alpha Blockers to Speed Ureteral Stone Passage

    NATHAN HITZEMAN, SARAH WILLIAMS

    Compared with patients receiving standard therapy (e.g., fluids, analgesics), placebo, or calcium channel blockers, patients receiving alpha blockers had about three fewer days to ureteral stone expulsion and were less likely to be hospitalized. Adverse effects of alpha...

    Buprenorphine Maintenance vs. Methadone Maintenance or Placebo for Opioid Use Disorder

    ELIZABETH SALISBURY-AFSHAR

    At dosages greater than 2 mg per day, buprenorphine maintains treatment retention better than placebo. When flexible dosing (doses adjusted based on patient symptoms) is used, the effectiveness of buprenorphine is comparable to that of methadone in suppressing opioid use.

    Graham Center Policy One-Pagers

    Teaching Health Center GME Funding Instability Threatens Program Viability

    ELIZABETH BROWN, KATHLEEN KLINK

    The Teaching Health Center Graduate Medical Education (THCGME) program, funded since 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care for under-served populations nationwide. Without continued federal funding,...

    U.S. Preventive Services Task Force

    Screening for Suicide Risk in Adolescents, Adults, and Older Adults in Primary Care: 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 suicide risk in adolescents, adults, and older adults in primary care.

    Prevention of Dental Caries in Children from Birth Through Five Years of Age: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians prescribe oral fluoride supplementation starting at six months of age for children whose water supply is deficient in fluoride.

    AFP Journal Club

    Benzodiazepines and Alzheimer Disease

    JILL ENDRES, MARK A. GRABER, ROBERT DACHS

    Benzodiazepine exposure over the preceding five years seems to be associated with an increased likelihood of an Alzheimer disease diagnosis. A dose-response gradient also seems to exist.

    FPIN's Clinical Inquiries

    Angiotensin-Converting Enzyme Inhibitors vs. Angiotensin Receptor Blockers

    BACHIR TAZKARJI, AMBIKA GANESHAMOORTHY, BETH AUTEN

    ACE inhibitors should be used in patients with hypertension because they reduce all-cause mortality, whereas ARBs do not.

    Photo Quiz

    Vesicular Rash in a College Student

    ASHLEY S. MARTIN, DIANA BOLOTIN, MARA BEVERIDGE

    A 19-year-old college student presented with erythematous papules and vesicles on an erythematous base that were scattered over his face, scalp, trunk, and upper extremities. The lesions appeared in multiple stages, some with crusting and excoriation.

    Practice Guidelines

    Planning for Labor and Vaginal Birth After Cesarean Delivery: Guidelines from the AAFP

    LISA HAUK

    This guideline from the American Academy of Family Physicians (AAFP), which provides information on health outcomes associated with labor after cesarean delivery/vaginal birth after cesarean delivery (LAC/VBAC), replaces the 2005 guideline on trial of labor after cesarean...

    Information from Your Family Doctor

    Treating Newly Diagnosed High Blood Pressure

    Treatment is important because having high blood pressure increases your risk of heart attack, stroke, and heart failure.



    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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