• Articles

    Laceration Repair: A Practical Approach

    RANDALL T. FORSCH, SAHOKO H. LITTLE, CHRISTA WILLIAMS

    The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Timing of the repair, wound irrigation techniques, providing a clean field for repair to minimize contamination, and appropriate use of anesthesia...

    Refractive Eye Surgery: Helping Patients Make Informed Decisions About LASIK

    JOHN M. WILKINSON, ELIZABETH W. COZINE, AMIR R. KHAN

    Over the past two decades, a variety of refractive surgery procedures have been developed and marketed as alternatives to glasses or contact lenses. Laser-assisted in-situ keratomileusis is the most common. Although there are few high-quality prospective studies, general...

    Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common Questions

    MICHAEL A. MIKHAIL, ARYA B. MOHABBAT, AMIT K. GHOSH

    The prevention of perioperative cardiovascular complications is an imoprtant consideration before noncardaic surgery. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery. Antiplatelet therapy...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    VA Offers Funding for Residency Expansion | Direct Primary Care Model Gains Traction | Study Finds Even Split Between ‘Desktop Medicine,’ Office Visits | Registration Deadline Looming for Practices Participating in MIPS

    Editorials: Controversies in Family Medicine

    Yes: All Conventional Screening Techniques Should Have an ‘A’ Recommendation

    MARK H. EBELL

    Recently, the U.S. Preventive Services Task Force (USPSTF) updated its recommendation on screening for colorectal cancer. The final recommendation has been released, and it again makes an A recommendation for colorectal cancer screening in persons 50 to 75 years of age.1 An A...

    No: When It Comes to Colorectal Cancer Screening, Test Choice Matters

    KENNETH W. LIN, JENNIFER L. FROST

    The use of colorectal cancer screening tests in the United States has increased significantly since 2000. However, in 2015, less than two-thirds of non-Hispanic white adults 50 to 75 years of age were up-to-date on U.S. Preventive Services Task Force (USPSTF)–recommended...

    Putting Prevention Into Practice

    Screening for Colorectal Cancer

    QUYEN NGO-METZGER, SRITHA RAJUPET

    A 50-year-old woman presents for a routine visit. She is healthy with no significant medical history, takes no medications, and has no personal or family history of cancer.

    Curbside Consultation

    Providing Trauma-Informed Care

    ANITA RAVI, VIRNA LITTLE

    Family physicians commonly care for survivors of trauma, but they may not always realize it. Trauma, which can affect any patient regardless of age or sex, is broadly defined as the experience of violence or victimization, including sexual abuse, physical abuse, psychological...

    Clinical Evidence Handbook

    Venous Leg Ulcers

    E. ANDREA NELSON, UNA ADDERLEY

    What are the effects of treatments for venous leg ulcers? What are the effects of various interventions for venous leg ulcers?

    STEPS

    Sofosbuvir/Velpatasvir (Epclusa) for Hepatitis C

    RANDI SOKOL

    Sofosbuvir/velpatasvir is an effective treatment for patients with HCV and has minimal adverse effects. It is the preferred treatment for patients with genotype 2 or 3. As with other curative treatments, it is very expensive.

    Photo Quiz

    Exophytic Digital Lesion

    ELIZABETH V. SEIVERLING, MATTHEW J. FRANKLIN, JEFFREY J. MILLER, CATHERINE G. CHUNG

    A man presented with a papule on the dorsum of the left third finger with slight scaling

    Practice Guidelines

    Treatment of Chronic Insomnia in Adults: ACP Guideline

    LISA HAUK

    The American College of Physicians (ACP) has provided recommendations for treatment of chronic insomnia in adults. Treatment, which can include psychological or pharmacologic therapy, alone or combined, as well as complementary and alternative methods, is aimed at improving...

    POEMs

    More Accurate Prediction of the Pretest Probability of Cardiovascular Disease with European Risk Score

    MARK H. EBELL

    The European approach to determining the pretest likelihood of coronary artery disease (CAD) in patients with chest pain is superior to that of the Diamond-Forrester approach recommended by U.S. guidelines, and will result in less need for immediate invasive treatment.

    Topiramate and Amitriptyline Not Effective for Migraine in Children

    MARK H. EBELL

    Topiramate, amitriptyline, and placebo all led to a similar, substantial improvement in migraine frequency and disability. How to harness this strong placebo effect for our patients is an important, but unanswered, question.

    Pelvic Floor Exercises Modestly Improve Pelvic Floor Prolapse Symptoms

    HENRY C. BARRY

    In women with mild to moderate pelvic floor prolapse, a formal program including physiotherapist-guided pelvic floor exercises only modestly improved symptoms.

    U.S. Preventive Services Task Force

    Folic Acid Supplementation for the Prevention of Neural Tube Defects: Recommendation Statement

    The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid.

    Information from Your Family Doctor

    LASIK: What You Should Know

    LASIK is a type of surgery in which a laser is used to reshape the surface of the eye. This helps some people with vision problems see better. LASIK stands for laser-assisted in-situ keratomileusis (KER-uh-toe-mi-LOO-sus).



    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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