• Articles

    Recurrent Ischemic Stroke: Strategies for Prevention

    RUPAL OZA, KRISTEN RUNDELL, MIRIAM GARCELLANO

    Nearly 25% of strokes each year are a recurrent event. After an initial stroke, risk factors such as hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity should be addressed. Antiplatelet therapy, such as aspirin, clopidogrel, and aspirin/dipyridamole, is...

    Testosterone Therapy: Review of Clinical Applications

    RYAN C. PETERING, NATHAN A. BROOKS

    Testosterone therapy is becoming increasingly popular, with many prescriptions written by primary care physicians. Potential benefits include improved sexual function, mood, and well-being, and increased muscle mass and bone density; however, the evidence is mixed. There are...

    Secondary Hypertension: Discovering the Underlying Cause

    LESLEY CHARLES, JEAN TRISCOTT, BONNIE DOBBS

    Secondary hypertension, which involves an underlying and potentially reversible cause, makes up 5% to 10% of hypertensive cases. Suggestive signs and symptoms include severe or resistant hypertension, age of onset younger than 30 years (especially if before puberty),...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    New CME Type Offers More Opportunities to Earn Credit in Different Formats | Licensure Compact Seeks Simpler Path for Residents to Train Across State Lines | PCPCC Lays Out Vision for Primary Care | CMS Website Compares Hospice Facilities

    Editorials

    Treating Aging with Testosterone

    ADRIANE FUGH-BERMAN

    Most patients on testosterone are being treated for normal symptoms of aging. Given that the diagnostics are questionable and the benefits are unconvincing, the risks of testosterone, some of which may be life-threatening, are not worth taking.

    Cochrane for Clinicians

    Laxatives for the Management of Childhood Constipation

    REBECCA LAUTERS, AARON SAGUIL

    Polyethylene glycol (PEG) is superior to placebo (mean difference [MD] = 2.61 more stools per week; 95% confidence interval [CI], 1.15 to 4.08), lactulose (MD = 0.70; 95% CI, 0.10 to 1.31), and milk of magnesia (MD = 0.69; 95% CI, 0.48 to 0.89) at increasing the number of...

    Yoga for Cancer-Related Symptoms in Women with Breast Cancer

    PAUL SEALES, SAJEEWANE SEALES, AARON SAGUIL

    Yoga improves health-related quality of life, reduces sleep disturbances, and decreases fatigue in the short term (up to 12 weeks) among women diagnosed with breast cancer who have completed cancer-related treatment or are receiving cancer treatment compared with no intervention.

    Close-ups

    Pet Therapy: Helping Patients Cope

    ALIDA GERTZ, PETER M. RABINOWITZ

    Animal-assisted therapy and the medical use of the human-animal bond can be thought of as a form of alternative/complementary therapy.

    Point-of-Care Guides

    Assessing Bleeding Risk in Patients Taking Anticoagulants

    JUAN QIU, KRISTEN GRINE

    Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been...

    Photo Quiz

    Dome-Shaped Lesion on the Finger

    SHANNON LANGNER, MORTEZA KHODAEE

    A man presented with a lesion on his right index finger that had been growing gradually for a couple of years.

    POEMs

    In Very-High-Risk Patients with Vascular Disease, Evolocumab Slightly Reduces Nonfatal MI but Not Mortality

    MARK H. EBELL

    Practice Guidelines

    Type 2 Diabetes Mellitus: ACP Releases Updated Recommendations for Oral Pharmacologic Treatment

    LISA HAUK

    The American College of Physicians (ACP) previously released guidelines in 2012 regarding the effectiveness and safety of oral pharmacologic treatment for type 2 diabetes; however, new evidence has emerged and new drugs have been approved by the U.S. Food and Drug...

    Medicine by the Numbers

    Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events

    MATTHEW K. HAWKS, MARK A. DIXON

    In patients who are stable one year post-MI, prolonged use of dual antiplatelet therapy may be an effective treatment to decrease major cardiac events and cardiovascular mortality.

    FPIN's Help Desk Answers

    Food Consumption by Children and Adults

    KIMBERLY L. COLLINS, GREG SANDERS

    Do children and adults eat more when offered larger quantities of food?

    Treatments for Nocturnal Leg Cramps

    JACKIE HERZBERG, JAMES STEVERMER

    Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.

    Information from Your Family Doctor

    Clues That Your High Blood Pressure Is Due to an Underlying and Treatable Condition

    Most of the time when people have high blood pressure, the cause is unknown. This is called primary hypertension. However, a few people may have something called secondary hypertension. This means that there is an underlying and possibly reversible cause of the high blood...



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME CME
    POC Point-of-Care
    FREE Free
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education