• Articles

    Bone Cancer: Diagnosis and Treatment Principles

    Jason L. Ferguson, Sean P. Turner

    Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation,...

    Preoperative Assessment in Older Adults: A Comprehensive Approach

    Chandrika Kumar, Brooke Salzman, Jessica L. Colburn

    Older adults experience disproportionate levels of morbidity and mortality following surgery. To decrease the likelihood of poorer surgical outcomes, physicians should first discuss patients' goals and priorities in the context of their overall health to determine whether the...

    Nutrition in Toddlers

    Lyrad K. Riley, Jedda Rupert, Olivia Boucher

    During toddlerhood, children develop preferences that affect their food selections. Children one to two years of age should begin drinking whole cow's milk. Water is a good option for between meals. Sugary drinks should be avoided, although 100% juice may be given in...

    Epistaxis: Outpatient Management

    Jason P. Womack, Jill Kropa, Marissa Jimenez Stabile

    Epistaxis is a common otolaryngologic emergency. At presentation, physicians should assess patients’ vital signs, mental status, and airway patency before examining the nose for the source of bleeding. Stepwise management of anterior epistaxis consists of compression,...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Study Suggests Link Between Scope of Practice and Burnout | Authors See Crucial Role for Primary Care in Opioid Epidemic | CMS Releases Planned Changes for 2019 Medicare Payments | Patients, Caregivers Weigh In on Care Transition

    Editorials

    Point-of-Care Ultrasonography in Family Medicine

    Paul Bornemann, Tyler Barreto

    There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.

    STEPS

    Delafloxacin (Baxdela) for Skin Infections

    Sarah Eudaley

    Delafloxacin is a new fluoroquinolone antibiotic available in intravenous and oral formulations for the treatment of serious skin and skin structure infections in patients requiring initial intravenous therapy. It is effective for infections caused by MRSA or P. aeruginosa,...

    POEMs

    Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA

    Nita Shrikant Kulkarni

    Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.

    Medications Ineffective to Prevent Cognitive Decline or Dementia

    Allen F. Shaughnessy

    None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.

    Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment

    Allen F. Shaughnessy

    Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but...

    Pulmonary Embolism Rule-Out Criteria Reduces the Need for CT Pulmonary Angiography in Low-Risk Patients

    David Slawson

    Use of the PERC clinical decision rule significantly reduces the need for CT pulmonary angiography in adults with an initial low-risk clinical estimate of suspected PE.

    Photo Quiz

    Solitary Ulcerated Lesion on the Arm

    Nandhini Veeraraghvan, Hanadi Abou Dargham, Jinal Gangar

    A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.

    Putting Prevention Into Practice

    Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults

    Tina Fan, Elizabeth A. Erickson

    Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.

    Point-of-Care Guides

    Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage

    Neelima Kale, Amimi S. Osayande

    When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

    Practice Guidelines

    Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety Releases Consensus Bundle

    Jennifer Wilkes

    The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.

    U.S. Preventive Services Task Force

    Interventions to Prevent Falls in Community-Dwelling Older Adults: Recommendation Statement

    The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.

    Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Older Adults: Recommendation Statement

    The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of vitamin D and calcium supplementation, alone or combined, for the primary prevention of fractures in men and premenopausal women.

    Information from Your Family Doctor

    Bone Cancer

    Many types of cancer can spread to the bones. But, there are three cancers that start in bones: osteosarcoma (OS-tee-oh-sar-CO-ma), Ewing sarcoma, and chondrosarcoma (KON-dro-sar-CO-ma). Osteosarcoma and Ewing sarcoma are more common in children and teenagers. Chondrosarcoma...

    Giving Your Toddler the Best Nutrition

    Raising a healthy, active toddler takes work, and parents need to know the best foods to give their children. Feeding toddlers isn't always easy, but knowing about nutrition and eating habits will help you make the best choices for your child.



    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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