• Articles

    Chronic Rhinosinusitis

    AHMAD R. SEDAGHAT

    Chronic rhinosinusitis is an inflammatory disease of the paranasal sinuses that can significantly decrease quality of life. It is diagnosed based on the presence of characteristic symptoms and objective evidence on physical examination (anterior rhinoscopy or endoscopy) or...

    Bladder Cancer: Diagnosis and Treatment

    KATHARINE C. DeGEORGE, HARRY R. HOLT, STEPHANIE C. HODGES

    Asymptomatic hematuria is the most common clinical presentation of bladder cancer. Prompt evaluation with cystoscopy, renal function testing, and upper urinary tract imaging should be performed in adults with asymptomatic hematuria who are 35 years and older, and in those...

    Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders

    LEEANNE DENNY, SARAH COLES, ROBIN BLITZ

    The percentage of women who drink or binge drink during pregnancy has increased since 2012. Fetal alcohol syndrome and fetal alcohol spectrum disorders result from intrauterine exposure to alcohol and are the most common nonheritable causes of intellectual disability. They...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    AAFP Delegates Address Violence in Health Care, Homelessness | MedPAC Debates Expansion of Payments for Telehealth Services | HHS Asked to Act on Information Blocking

    Editorials

    Preconception Care Is Primary Care: A Call to Action

    DANIEL J. FRAYNE

    Alarmingly, the United States is the only developed country with a rising maternal mortality rate; women are more likely to die in or around childbirth now than 20 years ago. Regardless of community, profession, or political affiliation, this should create a sense of urgency...

    Putting Prevention Into Practice

    Screening for Lipid Disorders in Children and Adolescents

    IRIS MABRY-HERNANDEZ, RYAN GOTTFREDSON

    A healthy 12-year-old boy presents for a school physical and well visit. His family history reveals that his maternal grandfather had a heart attack at 75 years of age and that his 52-year-old father has started taking a medication for elevated cholesterol levels.

    FPIN's Clinical Inquiries

    Rivaroxaban vs. Warfarin for Treatment of DVT and PE

    COREY LYON, SETH MATHERN, JESSICA DEVITT, KRISTEN DeSANTO

    Rivaroxaban, along with the other factor Xa inhibitors, is as effective as or better in the short term (three months) than warfarin (Coumadin) for preventing recurrent DVT, nonfatal PE, and fatal PE, with no differences in mortality or bleeding events.

    Curbside Consultation

    Social Media Use and Mood Disorders: When Is It Time to Unplug?

    KAITLYN WATSON, DAVID C. SLAWSON

    Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an “invaluable resource for fulfilling the basic human need for social connection.” However, rather than enhancing well...

    STEPS

    Dulaglutide (Trulicity) for Type 2 Diabetes Mellitus

    EMMA PACE, JEFFREY TINGEN

    Dulaglutide is an easy-to-use, once-weekly injectable therapy for the treatment of type 2 diabetes in adults. It produces a modest decrease in A1C levels with only a small risk of severe hypoglycemia. The small average weight loss it induces may be an advantage for some...

    Photo Quiz

    A Burning Red Rash

    SUET YIN CHOW

    A man presented with a painful rash that began on his left chest and spread to his left back. There are no lesions anywhere else on his body.

    Practice Guidelines

    Influenza Vaccination Recommendations for 2017–2018: Updates from ACIP

    MARA LAMBERT

    Key Points for Practice

    POEMs

    Tranexamic Acid Decreased Death from Bleeding but Not All-Cause Mortality in Women with Postpartum Hemorrhage

    HENRY C. BARRY

    In this really large study, tranexamic acid did not decrease the frequency of the primary outcome of death or hysterectomy in women with postpartum hemorrhage. However, there was a very small reduction in the rate of death from bleeding in the women treated with tranexamic acid.

    Newer Oral Hypoglycemics Do Not Increase or Decrease Mortality

    ALLEN F. SHAUGHNESSY

    This seems like a strange question considering that the goal is to decrease mortality with drug therapy. Nevertheless, this study showed that the new kids on the diabetes block—exenatide (Byetta), dulaglutide (Trulicity), sitagliptin (Januvia), saxagliptin (Onglyza), and...

    Treatment of Subclinical Hypothyroidism Ineffective in Older Adults

    MARK H. EBELL

    Treatment of patients with a minimally elevated thyrotropin (thyroid-stimulating hormone) level did not result in any improvement in symptoms. If patients present with a thyrotropin level between 4.6 and 10 mIU per L, repeat the test because the levels often normalize (this...

    U.S. Preventive Services Task Force

    Screening for Obesity in Children and Adolescents: Recommendation Statement

    The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older, and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.

    Information from Your Family Doctor

    Chronic Rhinosinusitis: What You Need to Know

    Chronic rhinosinusitis happens when the lining of the sinuses swells because of inflammation. It is also called chronic sinusitis. Sometimes, the swelling is so severe that you get polyps (noncancerous growths) in your nose and sinuses. The sinuses are air-filled spaces in...



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    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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