TED EPPERLY, MEGAN A. DUNAY, JACK L. BOICE
Cholinesterase inhibitors, memantine, and a combination of a cholinesterase inhibitor and memantine have produced small, statistically significant but clinically small delays in cognitive and functional decline in select patients with Alzheimer disease. Vitamin E may delay...
DAVID M. PECK, LISA M. VOSS, TYLER T. VOSS
Slipped capital femoral epiphysis usually occurs in children eight to 15 years of age and is one of the most commonly missed diagnoses in this population. It is classified as stable or unstable based on the ability to bear weight. The condition is associated with obesity,...
JEANNE P. SPENCER, RUTH H. TRONDSEN PAWLOWSKI, STEPHANIE THOMAS
Because most vaccine-preventable illnesses are now uncommon in the United States, parents are increasingly questioning the necessity of immunizing their children. Family physicians should be aware of the risks and benefits of recommended immunizations. Thimerosal is currently...
HEI SUNG KIM, SO MIN KIM, JEONG DEUK LEE
An otherwise healthy 24-year-old student presented with a three-month history of multiple asymptomatic papules on the extensor surfaces of both hands. She had no history of trauma, allergen exposure, or repetitive friction to her hands. She had no history of a similar rash.
Physician Groups Warn Congress on AHCA | Despite Interest, Family Physicians Cite Barriers to Use of Telehealth | Drop in Teaching Health Center Funding Affected Family Medicine Residencies | <i>M<sc>ed</sc> W<sc>atch</sc></i>: Newer Diabetes Drug Linked to Increased...
TYLER BARRETO, LARS E. PETERSON, STEPHEN PETTERSON, ANDREW W. BAZEMORE
Previous research has shown a decline in the percentage of family physicians practicing low- or medium-volume obstetrics. Using 13 years of data through 2016, we found continued declines in low- and medium-volume obstetrics, in addition to a new 50% decrease in family...
BARRY D. WEISS, MINDY J. FAIN
In this issue of American Family Physician, Dr. Epperly and colleagues review therapies for managing the cognitive and functional symptoms of Alzheimer disease.1 Although the review discusses nonpharmacologic therapies, it focuses primarily on medications that are widely used...
CHUNHUA LAI, HONGZHONG QIU
For the past two years, I have suffered from serious insomnia. Whenever I would speak up about my frustration over having been awake all night, however, my husband always told me I had slept soundly the whole time. The comments my friends and colleagues made also hinted at...
AMIMI S. OSAYANDE, NEELIMA KALE
Which patients with nonalcoholic fatty liver disease (NAFLD) have a low likelihood of fibrosis or cirrhosis?
JENNIE B. JARRETT, RENEE PETZEL GIMBAR
Idarucizumab (Praxbind) is an intravenous humanized monoclonal antibody fragment that binds to dabigatran (Pradaxa) and its active acyl-glucuronide metabolites to neutralize the direct thrombin inhibitor anticoagulant effects.1,2 Idarucizumab is labeled for immediate reversal...
DAVID MEYERS, JOSHUA DUNCAN
C.D. is a 23-year-old woman who presents to your office for her first prenatal visit. She is in the eighth week of her first pregnancy. She tested negative for sexually transmitted infections (STIs) two years ago, and she has not had a new sex partner since that time....
MARK H. EBELL
Key Points for Practice
The USPSTF recommends against routine serologic screening for genital herpes simplex virus (HSV) infection in asymptomatic adolescents and adults, including those who are pregnant (Table 1). D recommendation.
AMY J. DiPLACIDO, LORA COX-VANCE
MARK K. HUNTINGTON, JAY ALLISON, DILIP NAIR
Before vaccines were available, many children died from the 15 diseases we can now prevent. Chickenpox, whooping cough, the flu, measles, and meningitis are very dangerous and can still infect unvaccinated children.
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