• Articles

    Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults

    ALLEN R. LAST, JONATHAN D. FERENCE, ELIZABETH ROLLMANN MENZEL

    Guidelines from several major organizations recommend lipid-lowering therapy for primary and secondary prevention of atherosclerotic cardiovascular disease events in at-risk patients. Multiple risk calculators are available to determine a patient's 10-year risk of an event....

    Respiratory Syncytial Virus Bronchiolitis in Children

    DUSTIN K. SMITH, SAJEEWANE SEALES, CAROL BUDZIK

    Patients with bronchiolitis usually present with two to four days of upper respiratory tract symptoms followed by lower respiratory tract symptoms. Bronchiolitis is a clinical diagnosis, and diagnostic testing is not routinely recommended. Treatment is mainly supportive, and...

    Uterine Fibroids: Diagnosis and Treatment

    MARIA SYL D. DE LA CRUZ, EDWARD M. BUCHANAN

    Uterine fibroids can cause significant symptoms, including abnormal bleeding, pelvic pressure, bowel and bladder dysfunction, low back pain, and dyspareunia. Ultrasonography is the preferred initial imaging modality. Expectant management is recommended for asymptomatic...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Discussing Risks of Opioids May Reduce Likelihood of Misuse | Retail Clinics Fall Short in Relieving Crowded Emergency Departments | AAFP Urges Federal Support for Payment Reform Initiatives | AAFP Joins Conversation Project to Prepare Patients for End-of-Life Care

    Editorials

    The Cholesterol Dilemma: Treating the Risk or Treating to LDL-C Goal?

    CEZARY WÓJCIK

    Statins will long remain the cornerstone of treatment because of their proven benefits and cost-effectiveness, especially in the four statin benefit groups. However, emerging RCT evidence shows that the degree of LDL-C lowering may be more important than the drug used to...

    Clinical Evidence Handbook

    Acute Otitis Media in Children

    RODERICK P. VENEKAMP, ROGER A.M.J. DAMOISEAUX, ANNE G.M. SCHILDER

    What are the effects of treatments (analgesics, antibiotics, and myringotomy) in children with acute otitis media?

    Photo Quiz

    Neck Crepitus in a Runner

    BERNADETTE KIRALY

    A man presented with right-sided neck, throat, and ear pain after a five-mile run.

    FPIN's Clinical Inquiries

    Giant Cell Arteritis: Biopsy After Corticosteroid Initiation

    BRIAN DAILY, PAUL DASSOW, JAMES HAYNES, JOAN NASHELSKY

    Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting...

    Curbside Consultation

    Taking Care of Disadvantaged Patients

    PATRICIA CZAPP

    No single person can be responsible for the health of a population. However, there are a number of strategies for taking care of members of disadvantaged populations. These range from targeted compassion and interventions for the individual patient to broad advocacy for...

    STEPS

    Umeclidinium (Incruse Ellipta) for COPD

    R. CHRISTOPHER DURIGAN, VALERIE NIEDERMIER

    Umeclidinium is an easy-to-use, once-daily, well-tolerated, and relatively low-cost anti-cholinergic agent for maintenance therapy in patients with moderate to severe COPD.

    POEMs

    CA 125 Relatively Specific for Diagnosing Endometriosis

    LINDA SPEER

    For women with symptoms suggestive of endometriosis, serum CA 125 is a relatively specific (93%) and noninvasive test. It can be used to make a presumptive diagnosis in cases for which a medical management approach is being considered without having to perform a (diagnostic...

    Chocolate Consumption May Make Acne Vulgaris Worse

    DAVID SLAWSON

    In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk of Cardiovascular Events

    MARK H. EBELL

    Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

    Tamsulosin Beneficial for Passage of 5- to 10-mm Distal Ureteral Stones

    NITA SHRIKANT KULKARNI

    Practice Guidelines

    CDC Updates Recommendations for Contraceptive Use

    LISA HAUK

    The Centers for Disease Control and Prevention (CDC) first published the U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) in 2013 to provide direction for safe and effective use of contraceptive methods. These guidelines update the 2013 report.

    U.S. Preventive Services Task Force

    Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Recommendation Statement

    The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1)...

    Information from Your Family Doctor

    Respiratory Syncytial Virus Infection

    Respiratory syncytial virus (RESS-per-uh-TOR-ee sin-SISH-uhl VIE-russ), or RSV, causes fever, stuffy or runny nose, sore throat, and cough. Your child is more likely to get RSV between November and April. Most children have had at least one RSV infection by two years of age....



    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