• Articles

    Diagnosis and Management of Hepatitis C

    THAD WILKINS, MARIAM AKHTAR, EUNICE GITITU, CHRISTINE JALLURI, JASON RAMIREZ

    Hepatitis C is a major cause of liver disease and cirrhosis and is mainly transmitted via blood or body fluids. Periodic screening is recommended for at-risk adults, and one-time screening is recommended for adults born between 1945 and 1965. Treatment may be delayed for six...

    Preventive Health Care for Men Who Have Sex with Men

    DANIEL A. KNIGHT, DIANE JARRETT

    Men who have sex with men (MSM) may face barriers to medical care, including a lack of a welcoming environment, lack of health insurance, and sexual minority stress. Physicians should focus on establishing trust, conducting a culturally competent history, providing routine...

    Recognition and Differential Diagnosis of Psychosis in Primary Care

    KIM S. GRISWOLD, PAULA A. DEL REGNO, ROSEANNE C. BERGER

    Patients with primary psychiatric disorders are likely to have auditory hallucinations, prominent cognitive disorders, and complicated delusions. If psychosis is caused by a medical condition, the patient may exhibit cognitive changes and abnormal vital signs, and may have...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    CMS Encourages Physicians to Access User Accounts Prior to Computer System Update | HHS Says Basic Standards of Transparency Would Simplify Process for Sharing Patient Data | Move to Protect Hospital-Employed Family Physicians Seen as Patient Advocacy | Students Trained at...

    Editorials

    Role of the Family Physician in the Management of Cystic Fibrosis

    DOUGLAS LEWIS

    Individuals with cystic fibrosis (CF) are living healthier, longer lives, and as a result, family physicians are more likely to encounter adult patients with CF in their practices. In the 1970 Cystic Fibrosis Foundation annual registry, 700 adult patients were documented as...

    STEPS

    Dapagliflozin (Farxiga) for Type 2 Diabetes Mellitus

    CLINTON K. PONG, GEORGE E. MAXTED

    Dapagliflozin will lower A1C levels by an average of 0.7 percentage points when used alone or by an average of 0.5 percentage points when added to metformin therapy. Its effect on diabetes-associated morbidity and mortality has not been studied, and although it is well...

    Putting Prevention Into Practice

    Primary Care Behavioral Interventions to Reduce Illicit Drug and Nonmedical Pharmaceutical Use in Children

    TINA FAN, CARLO ROSSI

    J.P. is a 16-year-old white female nonsmoker who presents for a sports clearance physical. She is in good overall health, excels academically, and plays water polo at school. During the patient history, she mentions that she and three friends were suspended from school for...

    Photo Quiz

    Skin-Colored, Dome-Shaped Papule on the Upper Lip

    JEAVE L. RESERVA, MISTY GAMBLE, SURAJ S. VENNA

    A man with a history of basal cell carcinoma presented with a solitary, 3.5-mm, skin-colored, dome-shaped, nontender, firm papule on his upper lip.

    POEMs

    Patients with Initial Unprovoked DVT or PE Benefit from Long-Term Low-Dose Aspirin

    MARK H. EBELL

    Aspirin improves long-term cardiovascular and thrombotic outcomes in patients who have had an initial unprovoked episode of VTE. The risk of bleeding was no higher in the aspirin group, perhaps because those at risk of bleeding were “uncovered” during the initial period of...

    Sterile Gloves Not Necessary for Minor Skin Surgery

    DAVID SLAWSON

    Amoxiclav Causes Diarrhea in 1 of 8 Persons Who Take It

    MARK H. EBELL

    The risk of diarrhea is significantly higher with amoxicillin/clavulanate (amoxiclav; Augmentin) than placebo, with a number needed to treat to harm (NNTH) of 8, which is not dissimilar from the number needed to treat for conditions such as otitis media. Contrary to popular...

    Practice Guidelines

    Diagnosis and Nonsurgical Treatment of DDH in Infants Up to Six Months of Age: Recommendations from the AAOS

    LISA HAUK

    The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance, based on limited and moderate evidence, on diagnosing and nonsurgical treatments for developmental dysplasia of the hip in infants up to six months of age.

    Information from Your Family Doctor

    Hepatitis C

    Hepatitis C, or hep C for short, is a virus that causes problems with your liver. Hepatitis C can spread from person to person, usually through blood. In the United States, most people get hepatitis C by sharing needles or other equipment used to inject drugs.

    Men Who Have Sex with Men

    Ask your friends to recommend a supportive doctor or hospital. Check online sources such as social media and websites. Look for symbols such as a rainbow flag, photos of same-sex couples in clinic brochures, or the Human Rights Campaign logo (a yellow “equals” symbol on a...



    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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