• Articles

    Prostate Cancer Screening

    ELIE MULHEM, NIKOLAUS FULBRIGHT, NORAH DUNCAN

    Although prostate-specific antigen testing has traditionally been used to screen for prostate cancer, the test has low sensitivity and specificity, and there is no clear threshold to guide decisions regarding prostate biopsy. Despite variations across guidelines, no...

    Corticosteroid Injections for Common Musculoskeletal Conditions

    ZOË J. FOSTER, TYLER T. VOSS, JACQUELYNN HATCH, ADAM FRIMODIG

    Most family physicians use corticosteroid injections as part of a treatment plan for many common musculoskeletal conditions. They improve pain and range of motion in patients with adhesive capsulitis, and provide short-term pain relief and improvement in function for patients...

    Diagnosis and Treatment of Gastroesophageal Reflux in Infants and Children

    DREW C. BAIRD, DAUSEN J. HARKER, AARON S. KARMES

    Gastroesophageal reflux is a normal physiologic process that occurs throughout the day in infants, and less often in children and adolescents. Gastroesophageal reflux disease (GERD) is reflux that causes troublesome symptoms and may lead to complications. Diagnostic testing...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Researchers: “Community Vital Signs” Can Be Part of Electronic Health Record | Aging Population Could Trigger Higher Medicare Spending | AAFP Pushes Federal Agencies, Private Payers to Make Insulin Pens Affordable | Groups Express Concerns on Meaningful Use

    Editorials

    Prostate Cancer Screening: The Pendulum Has Swung, and the Burden of Proof Is with Proponents

    VINAY PRASAD

    Before primary care physicians consider reintroducing the PSA test, they must have proof that it improves outcomes. The task will be to show in a future randomized study whether any PSA screening algorithm can improve survival or quality of life compared with what is now the...

    FPIN's Help Desk Answers

    Reducing Amputation Rates After Severe Frostbite

    JENNIFER TAVES, THOMAS SATRE

    In patients with severe frostbite, tPA plus a prostacyclin may be used to decrease the risk of digital amputation. tPA can be used alone and is associated with lower amputation rates compared with local wound care.

    Putting Prevention Into Practice

    Screening for Thyroid Dysfunction

    JENNIFER CROSWELL, TIMOTHY BALLARD

    A 40-year-old woman presents for a routine well-woman examination. She is not pregnant, is in good health, reports no symptoms, and her physical examination is unremarkable. After seeing a health news segment on television, she asks if she should have her thyroid function...

    Photo Quiz

    Unilateral Shoulder Weakness and Visual Deformity in a Young Military Recruit

    ADAM B. HOWES

    A man who had recently started an intensive exercise regimen had weakness in his arm and dull, achy shoulder pain. Examination revealed an obvious deformity.

    STEPS

    Levomilnacipran (Fetzima) for Major Depressive Disorder

    SAMIRA ZAMAN, MAURA R. MCLAUGHLIN

    Levomilnacipran should not be used in patients with mild to moderate depression until studies have proven its effectiveness. It is somewhat effective in patients with moderate to severe depression. The short-term adverse effect profile of levomilnacipran is similar to that of...

    Practice Guidelines

    ACIP Releases Recommendations for Influenza Vaccination, 2015–2016

    CARRIE ARMSTRONG

    • Children six months to eight years of age who have received at least two doses of trivalent or quadrivalent influenza vaccine since the 2010–2011 influenza season need only one dose this season.

    Letters to the Editor

    Natural Procreative Technology for Treating Infertility

    PETER DANIS

    Information from Your Family Doctor

    Gastroesophageal Reflux in Infants and Children

    Reflux (also called gastroesophageal reflux) happens when swallowed food or liquid in the stomach passes back up into the throat and mouth through a tube called the esophagus (eh-SOF-ah-gus). “Spitting up” (also called regurgitation) is a form of reflux that happens in...



    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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