• Articles

    Chronic Cough: Evaluation and Management

    CHARLIE MICHAUDET, JOHN MALATY

    Four conditions account for most cases of chronic cough in adults: upper airway cough syndrome, gastroesophageal reflux disease/laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic bronchitis. Other potential causes include angiotensin-converting enzyme...

    Heart Failure with Preserved Ejection Fraction: Diagnosis and Management

    JOHN D. GAZEWOOD, PATRICK L. TURNER

    Heart failure with preserved ejection fraction results from abnormalities of active ventricular relaxation and passive ventricular compliance, leading to a decline in stroke volume and cardiac output. It should be suspected in patients with typical signs and symptoms of...

    Disorders of Puberty: An Approach to Diagnosis and Management

    DAVID A. KLEIN, JILL E. EMERICK, JILLIAN E. SYLVESTER, KAREN S. VOGT

    Abnormal pubertal timing can adversely affect a child's physical and psychosocial well-being, and may be benign or a result of a pathologic etiology. Precocious puberty is diagnosed when secondary sexual characteristics are identified in girls younger than eight years and...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Studies: Medical Education System Not Meeting Physician Workforce Needs | Residents Who Train in THCs More Likely to Practice in Underserved Areas | CDC Launches Rx Awareness Campaign to Educate Patients About Opioid Epidemic | CDC Report: Sexually Transmitted Infections Hit...

    Editorials

    AHRQ's Tools for Better Practice: Helping Family Physicians Manage Today's Challenges

    THEODORE G. GANIATS, ARLENE S. BIERMAN

    The AHRQ invests in innovative primary care research to generate new knowledge, synthesize existing evidence that is applicable to the primary care setting, and create tools for improving primary care practice. They would like your feedback on the tools included in this article.

    Cochrane for Clinicians

    Interventions for Tobacco Cessation in Patients Being Treated for or Recovering from Substance Use Disorders

    ELIZABETH SALISBURY-AFSHAR

    Pharmacotherapy alone and pharmacotherapy plus counseling are effective for tobacco cessation among patients being treated for or recovering from alcohol and substance use disorders. Counseling interventions without pharmacotherapy are not effective for tobacco cessation...

    Topical NSAIDs for Chronic Musculoskeletal Pain in Adults

    JOSEPH R. YANCEY, CATHERINE GILL

    Topical diclofenac and ketoprofen are slightly more effective than placebo for relieving chronic pain associated with osteoarthritis in adults. Evidence is lacking to determine the effectiveness of topical NSAIDs compared with oral NSAIDs.

    Photo Quiz

    Erythematous, Scaly Rash After Sun Exposure

    RITA S. MATOS, TIAGO TORRES

    A woman presents with an erythematous, scaly rash on her back that developed after a period of intense sun exposure.

    Curbside Consultation

    Tapering Patients Off of Benzodiazepines

    CHINYERE I. OGBONNA, ANNA LEMBKE

    When prescribed at a low dosage for a short time (fewer than 30 days), benzodiazepines can effectively treat generalized and social anxiety, panic disorder, and sleep disorders. Long-term use for anxiety and sleep disorders is not supported by research because it is...

    Practice Guidelines

    Reflux-Cough Syndrome: Guidelines from the ACCP

    MARSELLE BREDEMEYER

    In their updated guideline, the American College of Chest Physicians offers recommendations addressing: (1) whether treating gastroesophageal reflux disease (GERD) improves cough in patients with chronic cough, and (2) which clinical criteria suggest that chronic cough will...

    Medicine by the Numbers

    Statins in Persons at Low Risk of Cardiovascular Disease

    JOHN ABRAMSON

    Despite the small reductions in nonfatal heart attacks and strokes, statins were not associated with a reduction in serious illness overall.

    FPIN's Help Desk Answers

    History and Physical Examination for Identifying Rotator Cuff Tears

    V. BIAGIO BOYTIM, CARL V. TYLER, JR.

    There are no historical features that reliably identify full-thickness rotator cuff tears. The physical examination maneuvers that best identify the presence of a full-thickness rotator cuff tear are the internal rotation lag test, the external rotation lag test, and a...

    Risk of Preterm Birth with Vaginal Progesterone in Twin Pregnancies

    M. CHRISTINE LIVERGOOD, AMANDA TRUDELL

    Women with twin pregnancies should not routinely receive vaginal progesterone because it does not reduce the risk of preterm birth. Vaginal progesterone should be administered to reduce adverse neonatal outcomes in women with twin pregnancies and a short cervix (25 mm or less).

    Letters to the Editor

    Selecting POEMs Studies from the Larger Body of Evidence

    Information from Your Family Doctor

    Puberty: Early and Delayed

    Puberty is when a child starts to mature into an adult. Hormones (estrogen and testosterone) cause the body to change during puberty. Normal puberty starts in the brain. The brain tells the ovaries (in girls) and testicles (in boys) to make estrogen and testosterone. The...

    Corrections

    Corrections

    Incorrect anatomy. The article “Cervical Radiculopathy: Nonoperative Management of Neck Pain and Radicular Symptoms” (January 1, 2010, p. 33) incorrectly labeled the disk interspaces for nerve roots C8 and T1 in Table 1 (p. 35). Because there is not a C8 vertebral body, the...

    Corrections

    Incorrect dosing requirements. The article “Treating Painful Diabetic Peripheral Neuropathy: An Update” (August 1, 2016, p. 227) incorrectly identified “no dosing adjustment requirement in patients with renal impairment” as a reason to prefer pregabalin to gaba-pentin as a...

    Corrections

    Incorrect placement of arrows in figure. The article “Evaluation of Patients with Leukocytosis” (December 1, 2015, p. 1004) contained misplaced black and white arrows in Figure 3 (p. 1008). During the production process, the black and white arrows were inadvertently offset...



    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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