• Articles

    Acute Lower Gastrointestinal Bleeding: Evaluation and Management

    Matthew K. Hawks, Jennifer E. Svarverud

    Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease, hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel disease are common sources. Initial evaluation...

    Cerebral Palsy: An Overview

    Kirsten Vitrikas, Heather Dalton, Dakota Breish

    Cerebral palsy is defined as a group of disorders that affects an individual’s movement, posture, and balance due to injury to the developing brain. Treatments for the movement disorders associated with cerebral palsy include intramuscular onabotulinumtoxinA injections,...

    Coccidioidomycosis (Valley Fever) in Primary Care

    Kevin R. Herrick, Madison E. Trondle, Taynet T. Febles

    The incidence of coccidioidomycosis is increasing in endemic areas, causing as many as 17% to 29% of all cases of community-acquired pneumonia in some regions. Residing in or traveling to areas endemic for Coccidioides is required for the diagnosis. A travel history is...

    Editorials

    U.S. Policies and Their Effects on Immigrant Children’s Health

    Ranit Mishori

    Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right...

    AFP Clinical Answers

    Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride Supplementation

    When and how should amenorrhea be evaluated? | How should ingrown toenails be treated? | Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain? | What infantile hemangiomas require evaluation or treatment? | Who should receive routine...

    Point-of-Care Guides

    Diagnosis of Heart Failure with Reduced Ejection Fraction

    Mark H. Ebell

    Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?

    U.S. Preventive Services Task Force

    Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: Recommendation Statement

    The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief...

    Putting Prevention Into Practice

    Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer

    Justin Mills, Adeola Fakolade

    A 31-year-old woman presents to your office for a well-woman examination. She is sexually active in a monogamous relationship and has never been pregnant. She tells you that her mother was diagnosed with tubal cancer at age 40 and that her sister, who is 42 years of age, was...

    Photo Quiz

    An Anatomical Cause of Dysphagia

    Robert P. Schneider, Alan V. Godfrey, Jonas Singer

    A man presented with worsening dysphagia, with sore throat, dyspnea, cough, heartburn, and wheezing.

    STEPS

    Dupilumab (Dupixent) for Asthma

    Kathleen Barry, Dinah Gorelik

    Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.

    POEMs

    No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria

    Nita Shrikant-Kulkarni

    Inappropriate treatment of asymptomatic bacteriuria is common in hospitalized patients. Older patients, those with dementia or acutely altered mental status, and those with abnormal urinalysis results are more likely to be treated with antibiotics.

    Increased Readmissions and Adverse Events with Intensification of Antihypertensive Regimen on Hospital Discharge

    Nita Shrikant-Kulkarni

    The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.

    Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis

    Mark H. Ebell

    Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

    Do Not Change Antidepressant Treatment Early Based on Lack of Response

    Allen F. Shaughnessy

    Practice Guidelines

    ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules

    Pamela G. Rockwell

    The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

    Letters to the Editor

    The Risk of Corticosteroids in Community-Acquired Pneumonia

    Information from Your Family Doctor

    What You Should Know About Valley Fever

    Valley fever (also called coccidioidomycosis, or cocci [COX-ee] for short) is an infection caused by mold that grows in outdoor dirt. It is most common in the southwest United States, especially in parts of Arizona and southern California (see map). You can’t get it if you...



    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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