• Articles

    The Pretravel Consultation

    CHRISTOPHER SANFORD, ADAM McCONNELL, JUSTIN OSBORN

    The pretravel consultation is beneficial any time before international travel, but ideally occurs at least six weeks before the patient's trip. The visit includes a medical history; questions about the itinerary; and a discussion of immunizations, malaria prophylaxis, and...

    The Mental Status Examination

    DAVID R. NORRIS, MOLLY S. CLARK, SONYA SHIPLEY

    The mental status examination includes general observations made during the clinical encounter, as well as specific testing of cognitive functions, including attention, executive functioning, gnosia, language, memory, orientation, praxis, prosody, thought content, thought...

    Intimate Partner Violence

    DANIEL DICOLA, ELIZABETH SPAAR

    Although intimate partner violence is a prevalent problem, it is underrecognized. All female patients of childbearing age should be screened using one of several office-based screening tools that have been proven effective. If a patient is experiencing intimate partner...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    AAFP Presses Congress to Protect Primary Care Program Funding | AAFP Delegates Address Discrimination, Diversity, and Gun Violence | New Scale Gauges Clinicians' Ability to Facilitate Patient Activation | Number of Small Practices Continues to Drop

    Editorials

    Beyond Identification of Patients Experiencing Intimate Partner Violence

    GENE FEDER

    Physician offices may be one of the few safe spaces for patients to disclose their abuse. We know that survivors want us to ask about IPV and to respond appropriately and safely. Training and system support will allow us to do that.

    STEPS

    Sacubitril/Valsartan (Entresto) for Heart Failure

    JUDY CHENG

    Sacubitril/valsartan provides a small mortality benefit and decreases heart failure–related hospitalizations over and above an ACE inhibitor. It may be used in place of an ACE inhibitor in patients receiving optimal doses of guideline-directed medical therapy that includes...

    FPIN's Clinical Inquiries

    ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria

    JASON M. CORBO, TERESA M. DELELLIS, LUCAS G. HILL, SARAH L. RINDFUSS, JOAN NASHELSKY

    ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.

    Photo Quiz

    Fever and Rash in a Patient with HIV Infection

    ARI KONHEIM, PAULA J. WATTS, JOSELIN D. TACASTACAS

    A man with HIV presented with fever and widespread, severely painful, pruritic vesicles and pustules.

    Putting Prevention Into Practice

    Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer

    ROBERT J. McNELLIS, VINCENT BESWICK-ESCANLAR

    S.L. is a 55-year-old man who presents to your office for a routine refill of his antihypertension medication. He also takes a statin and an antidepressant. Although he smokes, his blood pressure and cholesterol are well controlled. His history and physical examination are...

    POEMs

    Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI

    ALLEN F. SHAUGHNESSY

    Although there is risk with any current oral contraceptive combination, those that contain lower doses of estrogen, and levonorgestrel instead of desogestrel or gestodene, are associated with the least risk of ischemic stroke, myocardial infarction (MI), or pulmonary embolism...

    Procalcitonin Guidance Safely Decreases Antibiotic Use in Critically Ill Patients

    NITA SHRIKANT KULKARNI

    All Analgesics Are Better Than Placebo in Patients with Knee or Hip DJD

    HENRY C. BARRY

    In patients with hip or knee DJD, all analgesics are more effective than placebo in relieving pain and improving function. Although paracetamol (acetaminophen) is the least effective of all the drugs studied, it still may be the first treatment for these patients because of...

    Low-Dose Morphine Less Effective Than Diclofenac or Acetaminophen for Renal Colic

    HENRY C. BARRY

    This is a good example of how a well-done study can lead to erroneous conclusions. The comparator most likely to be effective here—titrated morphine—was used at a low dose and found to be less effective than intramuscular diclofenac or intravenous paracetamol (acetaminophen).

    Practice Guidelines

    ACIP Updates Influenza Vaccination Recommendations for 2016–2017

    CARRIE ARMSTRONG

    Key Points for Practice

    U.S. Preventive Services Task Force

    Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Recommendation Statement

    The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life...

    Information from Your Family Doctor

    Tips for International Travel

    Accidental injuries, including motor vehicle crashes and drowning, are the most common causes of travel-associated deaths in people traveling outside of the United States.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME CME
    POC Point-of-Care
    FREE Free
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education