• Articles

    Well-Child Visits for Infants and Young Children

    Katherine Turner

    Well-child visits provide the opportunity for comprehensive assessment and the ability to determine whether further evaluation of the child is necessary. These visits involve a complete history, head-to-toe examination, a review of immunizations, and screening for postpartum...

    Hemolytic Anemia: Evaluation and Differential Diagnosis

    James Phillips, Adam C. Henderson

    Hemolytic anemia is defined as the premature destruction of red blood cells before the normal 120-day life span. It ranges from chronic to life-threatening, and should be considered in patients with unexplained normocytic or macrocytic anemia. Patients with chronic hemolysis...

    Intestinal Obstruction: Evaluation and Management

    Patrick Jackson, Mariana Vigiola Cruz

    Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause. It is most commonly caused by intra-abdominal adhesions, malignancy, and herniation. Laboratory evaluation should include a complete blood count,...

    Breastfeeding: Common Questions and Answers

    Katie L. Westerfield, Kristen Koenig, Robert Oh

    Exclusive breastfeeding is recommended for the first six months of life, and should be continued for at least 12 to 24 months. Postdischarge primary care support for breastfeeding mothers and infants can increase breastfeeding rates and duration. Physicians can support...

    AAFP News: AFP Edition

    AAFP News: AFP Edition

    Study Shows Antibiotic Prescribing Lowest in Medical Offices | Obesity Linked to Influenza Transmission Risk | Rise of ‘JUULing’ Among Youth Sparks Sharp Response | AAFP, Other Groups Demand HHS Stop Stalling on Regulations

    Editorials

    Evidence-Based Medicine: Common Misconceptions, Barriers, and Practical Solutions

    Jay Siwek

    EBM is the integration of the best available evidence with clinical expertise and the individual patient's values, preferences, and unique circumstances. Despite the success of this approach, misconceptions and barriers remain.

    Putting Prevention Into Practice

    Screening for Cardiovascular Disease Risk with Electrocardiography

    Howard Tracer, Yuri T. Jadotte

    A 55-year-old man presents for an annual visit. He has no history of hypertension, cardiovascular disease (CVD), or diabetes mellitus; has never smoked; and has no family history of CVD. His lipid panel results from one year ago were normal, and he has no current symptoms of CVD.

    Photo Quiz

    A Pigmented Thumbnail Lesion

    Michael A. Santos, Galen Foulke

    A man with no recent trauma presented with a pigmented lesion on his thumbnail.

    STEPS

    Crisaborole (Eucrisa) for Mild to Moderate Atopic Dermatitis

    Gregory Castelli, Monica Schaffer

    Crisaborole has been shown to be effective in about one-third of patients who use it, but it is much more expensive than other available products. Although crisaborole is a safe option for patients in whom topical corticosteroids are considered risky (e.g., children at least...

    Curbside Consultation

    Violence in the Health Care Setting: What Can We Do?

    Bonnie Huang Hall

    n July 2017, Dr. Todd Graham was fatally shot by his patient's husband when Dr. Graham denied his patient's request for opioids. This case highlights that, according to the Bureau of Labor Statistics, health care professions are one of the most dangerous industries of...

    POEMs

    Single Maintenance and Reliever Therapy More Effective Than Inhaled Corticosteroids and Beta Agonists for Asthma

    David Slawson

    When compared with standard therapy (inhaled corticosteroids with or without LABAs and SABAs as relief therapy), SMART is associated with a reduced risk of acute asthma exacerbations in patients 12 years or older.

    HPV Testing Better Than Cytology for Women Vaccinated Against HPV

    Allen Shaughnessy

    In women who had received the HPV vaccine, screening for HPV every five years, with cytology and colposcopy follow-up as needed, resulted in higher rates of identification of high-grade pre-cancerous disease than standard liquid-based cytology every 2.5 years with HPV follow...

    Febuxostat Increases All-Cause and Cardiovascular Mortality Compared with Allopurinol

    Mark H. Ebell

    For patients with gout who require treatment to lower their uric acid level, allopurinol is a safer option than febuxostat.

    Practice Guidelines

    Deprescribing Antipsychotics for Behavioral and Psychological Symptoms of Dementia and Insomnia

    Lisa Hauk

    As part of the Deprescribing Guidelines in the Elderly Project, a Canadian team consisting of two family physicians, one geriatric psychiatrist, two geriatricians, and four pharmacists has provided recommendations to guide physicians in deprescribing antipsychotics for...

    U.S. Preventive Services Task Force

    Screening for Cardiovascular Disease Risk with Electrocardiography: Recommendation Statement

    The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.

    Letters to the Editor

    Adherence to CPAP May Make a Difference for Cardiovascular Outcomes in Patients with OSA

    Consider Cardiovascular Risk Factors Before Prescribing Triptans for Migraine

    Information from Your Family Doctor

    Helpful Tips for Breastfeeding

    Unless your baby needs immediate medical attention, you should have skin-to-skin contact with your baby right away after giving birth. You should breastfeed within the first hour, even if it means breastfeeding before your baby is weighed or bathed.



    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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