Stable Coronary Artery Disease: Treatment

Michael M. Braun, William A. Stevens, Craig H. Barstow

Coronary artery disease is considered stable if patients are asymptomatic or their symptoms are controlled by medications or revascularization. Treatment involves risk factor management, antiplatelet therapy, and antianginal medications. Tobacco cessation, exercise, and...

Chronic Pancreatitis: Diagnosis and Treatment

Kathleen Barry

Clinical manifestations of chronic pancreatitis include disabling abdominal pain, steatorrhea, and diabetes mellitus. Computed tomography is the recommended initial imaging study. However, diagnosis is challenging, especially in the early stages of disease, and patients may...

Evaluation of Suspected Dementia

Nathan Falk, Ariel Cole, T. Jason Meredith

The prevalence of dementia is likely to increase as the number of Americans older than 65 years is expected to double by 2060. Older age is the greatest risk factor for dementia. Other strong risk factors include family history of dementia; personal history of cardiovascular...

AAFP News: AFP Edition

Study: Underutilization of Team-Based Care Linked to Burnout in Primary Care Physicians | AAFP Joins Other Physician Groups in Demanding Action on Gun Violence | 2018 Osteopathic Match Again Shows Family Medicine on Top | Updated E/M Documentation Rules Aim to Support Primary...

ACC/AHA Hypertension Guideline: What Is New? What Do We Do?

Michael LeFevre

Redefining a cutoff point above which the value of a physiologic measurement reflects a disease has huge implications.1 The recently released guideline from the American College of Cardiology (ACC) and American Heart Association (AHA) on the prevention, detection, evaluation,...

Lesinurad (Zurampic) for Gout

Phung C. On

Lesinurad (Zurampic) is a uricosuric agent labeled for the treatment of hyperuricemia that is associated with gout. It should be used in patients who are already taking appropriate doses of a xanthine oxidase inhibitor such as allopurinol, but who have not yet reached target...

Screening for Thyroid Cancer

Elisabeth Kato, David W. Niebuhr

A 45-year-old Korean American woman comes to your office for a wellness visit. She has a history of allergic rhinitis, and her family history is significant for diabetes mellitus in her father. She describes her health as good and has no concerns. Her coworker was recently...

Minimal Effect of ERT on Sexual Function in Menopausal Women

Allen F. Shaughnessy

Ibuprofen and Morphine Provide Similar Post-op Pain Relief in Kids; Ibuprofen Has Fewer Harms

Mark H. Ebell

High-Sensitivity Troponin I of Less Than 5 ng per L Has Negative Predictive Value of 99.9% for Cardiac Death at One Year

David Slawson

Recurrent Oral Ulcers in a Refugee

Sahil Mullick, Yow-Jeng Franny Pan, Anand Desai, Sonal Singh, Essien Ekong

A 41-year-old refugee from Africa presented with seven months of recurrent painful oral ulcers. The ulcers were present prior to his arrival in the United States. The ulcers initially responded to oral corticosteroids but recurred one month after treatment. Associated...

High Blood Pressure: ACC/AHA Releases Updated Guideline

Carrie Armstrong

Key Points for Practice

Screening for Thyroid Cancer: Recommendation Statement

The USPSTF recommends against screening for thyroid cancer in asymptomatic adults (Table 1). D recommendation.

Probiotics for Symptoms of Depression and Anxiety

Erin Westfall, Dana Brandenburg

Are probiotics effective for the treatment of symptoms of depression and anxiety?