Severe Asymptomatic Hypertension: Evaluation and Treatment

ROBERT GAUER

Severely elevated blood pressure without symptoms of target organ injury can often be managed in the outpatient setting. Antihypertensives should be initiated, or adjusted if the patient is already being treated. Blood pressure should be gradually lowered over several days to...

Peritonsillar Abscess

NICHOLAS J. GALIOTO

Peritonsillar abscess is a common infection that presents with fever, malaise, dysphagia, and progressively worsening sore throat. The diagnosis is clinical, and management is focused on drainage, antibiotic therapy, pain control, and hydration. Primary methods for treating...

Zika Virus: Common Questions and Answers

IROGUE I. IGBINOSA, INGRID B. RABE, TITILOPE ODUYEBO, SONJA A. RASMUSSEN

Most persons with Zika virus infection are asymptomatic or have only mild symptoms. When symptoms are present, maculopapular rash, fever, arthralgia, and conjunctivitis are most common. Zika virus infection during pregnancy is a cause of microcephaly and other severe brain...

AAFP News: AFP Edition

New Family Medicine Record in 2017 Match | ACGME Revises Residency Program Standards | AAFP Weighs In on Medicare Proposals | Family Physicians Fill Gap in Palliative Care

Preventing Sports Injury and Illness: Key Resources for Family Physicians

JASON M. MATUSZAK

Given the limited attention paid to the role and importance of physical activity in medical schools and the limited exposure to sports medicine and musculoskeletal problems during residency, many physicians would likely benefit from additional knowledge to improve their...

Iron Deficiency in Heart Failure

COREY LYON, LISA ASAMOTO, SHANNON LANGNER, KRISTEN DESANTO

Treatment of iron deficiency in patients with heart failure using intravenous iron improves function, fatigue, and quality of life, and decreases risk of hospitalizations compared with placebo.

Primary Interventions to Support Breastfeeding

ELISABETH KATO, SRITHA RAJUPET

A.R., a 26-year-old woman, presents for a routine prenatal visit at 28 weeks' gestation. Her medical history is significant for poorly controlled asthma, and her family history is significant for breast cancer diagnosed in her mother. Her physical examination is unremarkable.

Acquired Nail Disorder in an Older Person

JINAL GANGAR, NANDHINI VEERARAGHVAN

An older man with poor personal hygiene presents with deformed toenails and foot pain.

Albiglutide (Tanzeum) for Diabetes Mellitus

GREGORY TRIETLEY, SUZAN SKEF

Reductions in A1C are less with albiglutide than with the first-line therapy metformin, and albiglutide costs significantly more than metformin and sulfonylureas. Albiglutide's ability to reduce diabetes-related morbidity and major cardiovascular events is unknown.

Fever in Well-Appearing Children Younger Than Two Years: A Clinical Policy from the ACEP

LISA HAUK

The American College of Emergency Physicians (ACEP) has released a clinical policy addressing issues in children younger than two years who visit the emergency department with fever, but who appear well.

Primary Care Interventions to Support Breastfeeding: Recommendation Statement

The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.

Peritonsillar Abscess: What You Should Know

A peritonsillar abscess (per-ih-TON-sih-lar AB-sess) is an infection that forms near one of the tonsils in the soft, spongy part of the roof of your mouth. An abscess means that pus has formed around the infection. Most abscesses are caused by complications of a tonsil...