Michael J. Arnold, Aaron L. Moody
About 80% of running injuries are due to overuse, and most involve the knee, hamstring, tibia, ankle, or plantar fascia. Common acute injuries include ankle sprains and hamstring strains. Exercise therapy is generally recommended for overuse injuries, whereas rest, ice,...
David L. Maness, Michael Martin, Gregg Mitchell
Group A beta-hemolytic streptococcus can cause several postinfectious, nonsuppurative immune-mediated diseases. Rheumatic fever presents as a febrile illness characterized by arthritis, carditis or valvulitis, and neurologic and cutaneous disease, followed many years later by...
Mark H. Ebell
Osteoarthritis should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate...
2018 Match Is New High for Family Medicine | Article: To Improve Patient Care, Free Physicians from Transactional Tasks | CDC's New Online Tool Lets Physicians Review Data on Disease Outbreaks | AAFP Urges Improvements to Patient Data Plan
Family physicians should be familiar with recommendations regarding the female athlete triad, because prevention and early intervention can significantly reduce morbidity from this disorder.
Sumi M. Sexton
This year it is my pleasure to acknowledge the hard work of our peer reviewers in improving American Family Physician's (AFP's) review articles. We recognize that these reviewers have volunteered their time and shared important expertise. Peer review continues to be an...
Corey Lyon, Henry Colangelo, Kristen DeSanto
Prophylactic antibiotics may be used to reduce the overall rate of COPD exacerbations and delay their onset. However, the appropriate antibiotic regimen and target population are unclear.
Alvin B. Oung
Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.
Marjorie E. Montanez-Wiscovich, Norma J. Ogbonna
A healthy 62-year-old woman presented with a pruritic rash on her ankle three days after applying a lidocaine patch.
Nita Shrikant Kulkarni
For nonhypoxic patients with acute stroke, routine oxygen therapy for 72 hours, either continuously or at night only, does not improve functional outcomes at 90 days. Long-term outcomes were not assessed in this study, and the question remains whether 90 days is an adequate...
Learn the results of a Cochrane review which studied the effectiveness of Qvar in two sets of patients with chronic asthma: those receiving oral corticosteroids and those not receiving them.
Howard Tracer, Debra Lynne McKee
D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results,...
The American Academy of Pediatrics (AAP) previously published guidance on screening for and managing high blood pressure (BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an...
The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.
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