• Articles

    HIV Infection in Adults: Initial Management

    Ronald Goldschmidt, Carolyn Chu

    One-half of the estimated 1.1 million people in the United States with HIV infection are not receiving effective antiretroviral therapy. HIV screening and diagnostic testing are essential for timely antiretroviral therapy initiation and transmission prevention because...

    The Suicidal Patient: Evaluation and Management

    David R. Norris, Molly S. Clark

    Suicide is the second leading cause of death in people 10 to 34 years and the 10th leading cause of mortality among adults overall. National rates of suicide are increasing, and how people are attempting suicide is becoming more lethal. Asking patients at high risk about...

    Cerebrospinal Fluid Analysis

    Brian Shahan, Edwin Y. Choi, Gilberto Nieves

    Urgent indications for lumbar puncture and analysis of cerebrospinal fluid (CSF) include suspected central nervous system infection or subarachnoid hemorrhage. CSF analysis can also be useful in the evaluation of other neurologic conditions, such as spontaneous intracranial...

    Editorials

    Preventing Physician Suicide

    Jennifer L. Middleton

    Physicians who complete suicide are much less likely to have sought mental health care compared with nonphysicians, most commonly because of barriers to access and stigma in the medical community.

    AFP Clinical Answers

    Tuberculosis, COPD, Pelvic Floor Muscle Training, Burns, Sepsis

    Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

    Cochrane for Clinicians

    Active vs. Expectant Management in the Third Stage of Labor

    Karl T. Clebak, Jason R. Croad, Andrew I. Lutzkanin

    Very low-quality evidence suggests that active management of the third stage of labor reduces the risk of severe primary postpartum hemorrhage greater than 1,000 mL.

    Epidural Corticosteroid Injections for Lumbosacral Radicular Pain

    Alan L. Williams, Jeffrey C. Leggit

    Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

    Diagnostic Tests

    Digital Breast Tomosynthesis for Breast Cancer Screening

    Kathleen Barry, Chelsea Evans

    There is currently not enough evidence to replace digital mammography with digital breast tomosynthesis for breast cancer screening in women at average or high risk.

    Medicine by the Numbers

    Treatment of Distal DVT

    D. Jason Frasca, Kayla Leach-Frasca

    A Cochrane review demonstrated that anticoagulation was effective and superior to observation for deep venous thrombosis; however, given the quality of the evidence, the benefits are unclear.

    FPIN's Clinical Inquiries

    Kinesiology Taping for Knee Osteoarthritis Pain

    Dan Kelley, Gary Kelsberg, Sarah Safranek

    How effective is kinesiology taping (elastic tape applied to the knee to create patellar tension) for osteoarthritis pain of the knee?

    Photo Quiz

    Acute Neck Swelling in a Child

    Nandhini Veeraraghavan, Hussein Bharwani, Hadra Habib

    A five-year-old child presented with a midline swelling on his neck

    POEMs

    Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic

    Allen F. Shaughnessy

    Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief...

    Three Strategies Are Effective in Managing Patients with Medication Overuse Headaches

    Henry C. Barry

    Achieving cure from medication overuse headaches after six months was likely regardless of strategy: detoxification (discontinuation of analgesic) plus pharmacologic prophylaxis, pharmacologic prophylaxis without withdrawal, or detoxification with pharmacologic preventive...

    In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces Cardiovascular Death and Stroke, But at a Price

    Mark H. Ebell

    In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.

    iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation

    Allen F. Shaughnessy

    Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).

    Practice Guidelines

    Obstructive Sleep Apnea and Chronic Insomnia Disorder: Updated Guidelines from the VA/DoD

    Joanna Drowos

    The U.S. Department of Veterans Affairs and Department of Defense (VA/DoD) approved a clinical practice guideline for the management of obstructive sleep apnea and chronic insomnia disorder.

    Letters to the Editor

    Case Report: Chest-Wall Lump Yields a Surprising Diagnosis

    Tim Aung, Lee Seng Ong

    The Role of Family Medicine in Reducing the Risk of Myopia

    Bobeck S. Modjtahedi, Donald S. Fong, Susan Chiarito, Flora Lum

    The Role of Family Medicine in Reducing the Risk of Myopia

    Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis

    Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis



    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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