D. Ashley Hill, Jorge Lense, Fay Roepcke
Shoulder dystocia is an obstetric emergency where normal traction on the fetal head does not lead to delivery of the shoulders. It can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma. Most cases occur without warning, but prior shoulder dystocia and...
Jason Ricco, Andrea Westby
Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians. Prompt diagnosis can be challenging because not all infected patients have common manifestations....
Richard Colgan, Gregory A. Jaffe, Lindsay E. Nicolle
Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. Treatment is not beneficial for most patients, and...
Kenneth W. Lin
Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.
Afsaneh Alavi, Monica Shah, Na-Young Cindy Kang
A man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge.
David M. Siebert, Marie Cadwell Meyer, Eric Jensen
Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.
Jeffrey Tingen, John D. Gazewood
Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.
Mark H. Ebell
Nita Shrikant Kulkarni
Henry C. Barry
Allen F. Shaughnessy
The American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) recently updated their recommendations on the diagnosis and treatment of community-acquired pneumonia.
Reply: Jason Wilbur, Scott T. Larson
Manasa Irwin, Amy Crawford-Faucher
Reply: Kenny Lin
Sateesh Sakhamuri, Sanjeeva Goli, Surujpal Teelucksingh
Barbara P. Yawn
Reply: Evan L. Dvorin
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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