• Articles

    Treatment of Adult Obesity with Bariatric Surgery

    ROBIN SCHROEDER, DANIEL T. HARRISON, SHANIQUA L. McGRAW

    Patients with obesity who meet selection criteria for bariatric surgery commonly undergo one of three procedures. Laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, and laparoscopic adjustable gastric banding each result in greater weight loss for patients than...

    Common Questions About the Evaluation of Acute Pelvic Pain

    AMIT K. BHAVSAR, ELIZABETH J. GELNER, TONI SHORMA

    Acute pelvic pain has a broad differential diagnosis that can be narrowed using the patient's age and pregnancy status. In nonpregnant women, common causes include idiopathic pain, pelvic inflammatory disease, and acute appendicitis, among others. In pregnant women, it is...

    Somatic Symptom Disorder

    STUART L. KURLANSIK, MARIO S. MAFFEI

    Primary care physicians often treat patients who manifest symptoms for which there is no biologic cause. Patients with somatic symptom disorder may be subjected to unnecessary testing and procedures, so appropriate diagnosis is essential. Management strategies include...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Survey: One in Three Family Physicians Is Pursuing Value-Based Payment | AMA Aims to Combat Antibiotic Resistance | Heads Up: CMS Contractor May Call in 2016 | AAFP Urges Streamlining of MU Program

    Editorials: Controversies in Family Medicine

    Yes: Screening Makes Sense for High-Risk Adults

    MARC G. GHANY

    Chronic hepatitis C virus (HCV) infection is an important public health issue. It is estimated that 1% of the noninstitutionalized U.S. population has chronic HCV infection, corresponding to 2.7 million persons.1 This figure is likely low because of undersampling of...

    No: One-time Screening Still Has Too Many Unanswered Questions

    KENNETH W. LIN

    Of the estimated 2.7 million persons in the United States with chronic hepatitis C virus (HCV) infection in 2010,1 fewer than 200,000 were successfully diagnosed and treated, with success defined as a sustained viral response (SVR) or clearance of HCV at least three months...

    Cochrane for Clinicians

    Therapist-Supported Online Cognitive Behavior Therapy for Adult Anxiety

    COREY D. FOGLEMAN

    Therapist-supported online CBT is more effective than no treatment and as effective as face-to-face CBT for reducing overall anxiety as well as symptoms, and improving quality of life in adults with anxiety disorders.

    FPIN's Help Desk Answers

    Home Visits for Pregnant Adolescents

    VINCE WINKLERPRINS, EMILIE WEIGEL

    Nurse home visits for pregnant adolescents seem to improve resource utilization and prenatal clinic visit show rates.

    Close-ups

    Making Lifestyle Changes After Gastric Bypass

    JO MARIE REILLY, ANTHONY ZAMUDIO, ABI VARTANIAN

    Family physicians are well positioned to counsel and support patients making lifestyle changes before and after bariatric surgery.

    Photo Quiz

    Skin Ulcers of Unknown Etiology

    SOMMER ALDULAIMI, SARA LACARIA

    A woman with a long history of cocaine use presented to the emergency department with leg ulcers and ecchymoses on her ears.

    POEMs

    More Nuanced Guidelines for Lipid Lowering to Prevent CVD

    ALLEN F. SHAUGHNESSY

    The authors of this guideline give a more nuanced and less aggressive approach to lipid lowering than other groups. For the primary prevention of CVD, check blood pressure and lipids (nonfasting is fine) to calculate the 10-year CVD risk. If greater than 12%, treat; if 12% or...

    Routine CT Scans for Occult Malignancy Not Useful in Patients with Unprovoked VTE

    MARK H. EBELL

    CBT Effective for Chronic Insomnia

    ALLEN F. SHAUGHNESSY

    A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.

    Practice Guidelines

    Early Peanut Introduction and Prevention of Peanut Allergy in High-Risk Infants: Consensus Communication

    LISA HAUK

    This consensus communication focuses on new data that support introducing peanuts early in infants, and it aims to assist with decisions about introduction; it can be used for guidance while formal guidelines are being developed.

    Information from Your Family Doctor

    Weight Loss Surgery

    Weight loss surgery (also called bariatric or metabolic surgery) makes the stomach smaller and changes the hormones that signal hunger. The three most common surgeries are gastric banding, sleeve gastrectomy, and Roux-en-Y (ROO-en-Y) gastric bypass. The goal of these...



    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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