Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and Functional Symptoms

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...

Slipped Capital Femoral Epiphysis: Diagnosis and Management

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,...

Vaccine Adverse Events: Separating Myth from Reality

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...

Erythematous Papules on Dorsum of Both Hands

HEI SUNG KIM, SO MIN KIM, JEONG DEUK LEE

A 24-year-old woman presented with multiple asymptomatic erythematous, flat-topped papules on the extensor surfaces of both hands.

AAFP News: AFP Edition

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...

Family Physicians Practicing High-Volume Obstetric Care Have Recently Dropped by One-Half

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...

Dementia Care: More Than Just Prescription Drugs

BARRY D. WEISS, MINDY J. FAIN

Rather than focusing on medications to achieve a small temporary difference in cognition, patients and families might be better served if we focused more on nonpharmacologic treatments, and on more important issues, such as advance directives, driving, living arrangements,...

Paradoxical Insomnia: Misperception of Sleep Can Be a Tormenting Experience

CHUNHUA LAI, HONGZHONG QIU

Patients with this relatively uncommon form of insomnia have a marked propensity to underestimate sleep duration and overestimate wakefulness relative to polysomnographic measures.

Nonalcoholic Fatty Liver Disease: Identifying Patients at Risk of Inflammation or Fibrosis

AMIMI S. OSAYANDE, NEELIMA KALE

NAFLD is defined as hepatic steatosis on imaging or histology in the absence of other etiologies for secondary fat accumulation. It is usually identified during the evaluation of elevated transaminase levels in a patient without heavy alcohol intake, or found incidentally on...

Idarucizumab (Praxbind) for Dabigatran (Pradaxa) Anticoagulant Reversal

JENNIE B. JARRETT, RENEE PETZEL GIMBAR

Idarucizumab is the only anticoagulant reversal agent for dabigatran. Because of its high cost and limited data regarding clinical benefit, therapy should be reserved for patients taking dabigatran who have life-threatening bleeding or are in need of emergency surgery.

Serologic Screening for Genital Herpes Infection

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....

Bariatric Surgery Improves Quality of Life and Results in More Weight Loss Than Intensive Medical Therapy

MARK H. EBELL

Bariatric surgery using Roux-en-Y gastric bypass or sleeve gastrectomy was more effective than intensive medical therapy at improving quality of life and helping patients lose weight and reduce the need for medications. Anemia was more common with sleeve gastrectomy, and...

SIDS and Safe Sleeping Environments for Infants: AAP Updates Recommendations

LISA HAUK

The American Academy of Pediatrics (AAP) updated its recommendations to reduce the risk of SIDS and suffocation, asphyxia, and entrapment associated with sleep, focusing on SUIDs that transpire during sleep in infants one year or younger.

Serologic Screening for Genital Herpes Infection: Recommendation Statement

The USPSTF recommends against routine serologic screening for genital herpes simplex virus (HSV) infection in asymptomatic adolescents and adults, including those who are pregnant.

New Terminology from the National Pressure Ulcer Advisory Panel

AMY J. DiPLACIDO, LORA COX-VANCE

Fluoroquinolones for Sinusitis Should Be Used As a Last Resort

Clarification on Zika Vectors in the United States

MARK K. HUNTINGTON, JAY ALLISON, DILIP NAIR

Vaccinations

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.

Corrections

Corrections