• Articles

    Management of Blood Glucose with Noninsulin Therapies in Type 2 Diabetes

    CHRISTA M. GEORGE, LUCY L. BRUIJN, KAYLEY WILL, AMANDA HOWARD-THOMPSON

    Managing blood glucose levels in patients with type 2 diabetes mellitus begins with nutrition counseling, exercise, and pharmacologic therapies. Metformin is the first-line choice of hypoglycemic agents because it is the only medication shown to reduce mortality and diabetes...

    Differential Diagnosis of Polyarticular Arthritis

    GEORGE G.A. PUJALTE, SHIRLEY A. ALBANO-ALUQUIN

    When pain in a joint or joints is confirmed, it should be classified as inflammatory or noninflammatory in origin. This can be determined through history and physical examination findings. The differential diagnosis of inflammatory arthritis can be narrowed based on pattern...

    Evaluation of Short and Tall Stature in Children

    CRAIG BARSTOW, CAITLYN RERUCHA

    Most children with short or tall stature, defined as height two standard deviations from the mean, have a normal variant in growth. However, height three standard deviations from the mean increases the chance of the child having a pathologic condition. The initial evaluation...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Groups Prod HHS to Recognize Advance Care Planning CPT Codes | FDA Denies Request to Weaken Smokeless Tobacco Warning | GAO Levels Sharp Criticism Against Physician Fee Committee | AAFP Warns FTC About Consequences of Insurance Mergers

    Editorials

    Type 2 Diabetes: Updated Evidence Requires Updated Decision Making

    ALLEN F. SHAUGHNESSY, DEBORAH R. ERLICH, DAVID C. SLAWSON

    Clinicians need to consider the best available research findings, their own experience, and their patients' needs and values.

    Cochrane for Clinicians

    The Role of Levetiracetam in Treating Chronic Neuropathic Pain Symptoms

    AMY CRAWFORD-FAUCHER, R. MICHAEL HUIJON

    Based on low-quality evidence, levetiracetam was found to be ineffective for the treatment of chronic neuropathic pain symptoms. Moreover, patients who were taking levetiracetam experienced adverse effects at a significantly higher rate than those who were taking placebo.

    POEMs

    CEA vs. Stenting: Mixed Results, Mostly Bad

    HENRY C. BARRY

    These two randomized trials, one with short-term outcomes and the other with five-year outcomes, demonstrate that carotid artery stenting results in more frequent strokes (clinical and radiographically detected) than carotid endarterectomy (CEA). However, the rate of fatal...

    Are Some Antidepressants Safer Than Others Regarding Suicide Risk?

    ALLEN F. SHAUGHNESSY

    9-Valent HPV Vaccine Offers Only Small Advantage Over Quadrivalent Vaccine

    MARK H. EBELL

    A new 9-valent HPV vaccine is generally similar in effectiveness to the older quadrivalent vaccine. There is a small benefit of the new vaccine compared with the older vaccine for women who are initially uninfected (2.4 vs. 4.2 cases per 1,000 person-years), but you would...

    NSAID Use Associated with Increased Risk of Serious Bleeding and CV Events After MI

    DAVID SLAWSON

    The use of concomitant NSAIDs in adults who receive antithrombotic therapy after MI increases the risk of serious bleeding complications and recurrent adverse CV events. This study found the highest risk among users of celecoxib (Celebrex) and diclofenac, and the lowest risk...

    Photo Quiz

    Pruritic Plaques After Arthroscopic Surgery

    JEFFREY J. BIDINGER, ROSS A. VANDERHOOF

    A woman presented with a mildly pruritic eruption that began one week after arthroscopic rotator cuff repair and gradually worsened.

    FPIN's Help Desk Answers

    Growth Hormone for Treatment of Idiopathic Short Stature in Children

    SUFIAN ZAYED, DIANE J. MADLON-KAY

    Is recombinant growth hormone (rGH) effective in the treatment of idiopathic short stature in children?

    Practice Guidelines

    AAO–HNSF Releases Guideline on Managing Tinnitus

    LISA HAUK

    • Head and neck imaging should not be performed to specifically assess tinnitus in the absence of localization to one ear, pulsatile tinnitus, focal neurologic findings, or asymmetric hearing loss.

    Medicine by the Numbers

    Nicotine Replacement Therapy for Smoking Cessation

    GARY GREEN

    Studies show that 1 in 15 patients successfully quit smoking and 1 in 94 patients experienced chest pain or palpitations. Want to know more?

    Letters to the Editor

    Emphasizing Oral Health Care in Children with Down Syndrome

    HUGH SILK

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    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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