• Articles

    Diagnosis of Acute Stroke

    KENNETH S. YEW, ERIC M. CHENG

    Accurate examination of persons with stroke symptoms can reduce disability and prevent recurrence. The most common physical findings of ischemic stroke are speech disturbance and unilateral weakness. The patient history and diagnostic studies will usually exclude stroke...

    Abdominal Aortic Aneurysm

    BRIAN KEISLER, CHUCK CARTER

    Abdominal aortic aneurysm refers to an abdominal aortic dilation of 3.0 cm or greater. Primary risk factors include age older than 65 years, male sex, and a history of smoking. Ruptured abdominal aortic aneurysm is a medial emergency with a mortality rate of up to 90%;...

    Options for Women with Unintended Pregnancy

    DAVID A. MOSS, MATTHEW J. SNYDER, LIN LU

    Family physicians are often asked to provide counseling, support, and resources for women with unwanted, unplanned, or mistimed pregnancies. Options include carrying the infant to term and raising the child, carrying the infant to term and choosing adoption, or having an...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Proposed Rules Released on Meaningful Use, 2015 Edition Certification Criteria | Change Doubles Number of Veterans Eligible to Receive Care Outside VA | MedPAC Urges Congress to Increase Payments to Primary Care Physicians | AAMC Road Map Seeks to Update, Strengthen U.S. GME...

    Editorials

    Pitfalls of Direct-to-Consumer Vascular Screening Tests

    JOHN HENNING SCHUMANN, ERIK A. WALLACE

    As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and...

    Cochrane for Clinicians

    ACE Inhibitors vs. ARBs for Primary Hypertension

    IRBERT L. VEGA

    ACE inhibitors and ARBs have similar effects on cardiovascular outcomes and total mortality in head-to-head trials. However, slightly more adverse effects were noted in patients assigned to ACE inhibitor therapy.

    Cultural Competence Education for Health Care Professionals

    MELANIE RAFFOUL, KENNETH W. LIN

    Low-quality evidence suggests that training health care professionals in patient-centered communication improves the engagement of patients from culturally and linguistically diverse backgrounds in their health care. Interventions that were primarily educational appeared to...

    STEPS

    Naltrexone/Bupropion (Contrave) for Weight Loss

    JESSICA EARLY, JEAN SUZIN WHITTEN

    Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse...

    Photo Quiz

    Red Rash on the Back

    ROBERT P. LENNON, ALEXANDER R. KIM

    A man presented with a on his back after a coronary stent procedure. The erythematous lesion was well demarcated with visible capillary break and petechiae inside the borders. There was a central fine scale.

    Putting Prevention Into Practice

    Screening for Abdominal Aortic Aneurysm

    JENNIFER CROSWELL, KASI CHU

    C.S. is an older patient who presents to your office for an annual well visit. C.S. was advised by a relative, who is a physician, to be screened for an abdominal aortic aneurysm (AAA).

    POEMs

    No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes

    DAVID SLAWSON

    Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

    Curbside Consultation

    Counseling Patients with Unintended Pregnancy

    DAVID A. MOSS

    Nearly one-half of all pregnancies in the United States are unintended. Risk factors for unintended pregnancy include limited access to contraception, less than a college education, poor social support, age between 20 and 24 years, and black race. Family physicians are often...

    Practice Guidelines

    AAP Releases Practice Guideline on Diagnosis, Management, and Prevention of Bronchiolitis

    LISA HAUK

    This guideline on the diagnosis, management, and prevention of bronchiolitis in children one to 23 months of age from the American Academy of Pediatrics (AAP) updates a previous guideline published in 2006.

    U.S. Preventive Services Task Force

    Screening for Abdominal Aortic Aneurysm: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked.

    Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults: Recommendation Statement

    The USPSTF recommends screening for hepatitis B virus (HBV) infection in persons at high risk for infection.

    Information from Your Family Doctor

    Stroke: How to Recognize It and What to Do About It

    Stroke: How to Recognize It and What to Do About It

    Options for Unintended Pregnancy

    Options for Unintended Pregnancy



    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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