• Articles

    Exercise Stress Testing: Indications and Common Questions

    KATHRYN K. GARNER, WILLIAM POMEROY, JAMES J. ARNOLD

    Exercise stress testing is a validated diagnostic test for coronary artery disease in symptomatic patients, and is used in the evaluation of patients with known cardiac disease. Testing of asymptomatic patients is generally not indicated. Preoperative exercise stress testing...

    Pleuritic Chest Pain: Sorting Through the Differential Diagnosis

    BRIAN V. REAMY, PAMELA M. WILLIAMS, MICHAEL RYAN ODOM

    Pleuritic chest pain is caused by inflammation of the parietal pleura and can be triggered by a variety of causes. Initially, six life-threatening etiologies must be ruled out, including myocardial infarction, and the most common serious illness that causes pleuritic chest...

    Aseptic and Bacterial Meningitis: Evaluation, Treatment, and Prevention

    HILLARY R. MOUNT, SEAN D. BOYLE

    Meningitis can range from benign to life-threatening, depending on the etiology. Lumbar puncture and cerebrospinal fluid analysis are required to differentiate aseptic from bacterial sources. Empiric antibiotics should be administered promptly and not delayed if there is lag...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Regulation, Competition Needed to Lower Drug Prices, Says Panel | AAFP Releases Executive Summary of Proposed 2018 Medicare Fee Schedule | Report Takes Broader Look to Show How PCMH Model Touches Practices, Patients

    Editorials

    Differences Between the AAFP Atrial Fibrillation Guideline and the AHA/ACC/HRS Guideline

    MARGOT L. SAVOY

    The AAFP updated its guideline on pharmacologic management of newly detected atrial fibrillation, which differs in part from the AHA/ACC/HRS guideline. It specifically highlights two questions commonly faced by family physicians, and is based on updated data from the Agency...

    Cochrane for Clinicians

    Vitamin D for the Management of Asthma

    JUAN QIU

    Despite the authors' caution that further data are needed to clarify the role of vitamin D in care, this Cochrane review found that its use reduces the average number of asthma exacerbations requiring corticosteroid treatment from 0.44 to 0.28 per person per year.

    Pregabalin for Fibromyalgia Pain in Adults

    MICHAEL J. ARNOLD

    There is high-quality evidence that pregabalin in daily dosages of 300 mg, 450 mg, and 600 mg reduces pain associated with fibromyalgia. The most effective dosage seems to be 450 mg daily; this dosage is more effective than placebo at reducing pain by at least 50% (number...

    Implementing AHRQ Effective Health Care Reviews

    Noninvasive Treatments for Low Back Pain

    TYLER W. BARRETO, KENNETH W. LIN

    What are the benefits and harms of noninvasive treatments for acute, subacute, and chronic low back pain?

    FPIN's Help Desk Answers

    Predictors of Acute Myocardial Infarction

    JARED WEST, SARAH DALY

    The most useful element for ruling in acute MI is chest pain with radiation to both arms, followed by radiation to the right arm. The most useful elements for ruling out acute MI are pleuritic chest pain, sharp pain, and pain reproduced by palpation.

    Photo Quiz

    White Spot on the Wrist

    ALI ALIKHAN, EVGENIYA TETERINA MOHAMMED, LEAH LALOR

    A woman presented with an asymptomatic white patch on the right wrist that appeared two months earlier.

    POEMs

    Combination of Resistance and Aerobic Exercise Best for Older Persons with Obesity

    MARK H. EBELL

    In older patients with obesity embarking on a program to improve their health, weight loss accompanied by resistance training and aerobic training resulted in the biggest gains in functional status and physical performance.

    Practice Guidelines

    Newly Detected Atrial Fibrillation: AAFP Updates Guideline on Pharmacologic Management

    LISA HAUK

    The American Academy of Family Physicians, with the American College of Physicians, has updated its 2003 guideline to provide guidance on atrial fibrillation treatment via medication in the primary care setting. The guideline focuses on adults with nonvalvular atrial...

    Medicine by the Numbers

    Varenicline for Smoking Cessation

    PAUL CRAWFORD, DANIEL CIESLAK

    Do the benefits outweigh the harms of using varenicline (Chantix) for smoking cessation? Read more to find out.

    Information from Your Family Doctor

    Meningitis

    Meningitis (men-in-JI-tiss) is an infection or irritation of the lining around the brain and spinal cord. It can be caused by an infection, a medicine, or a cancer.



    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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