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Articles

Edema: Diagnosis and Management

KATHRYN P. TRAYES, JAMES S. STUDDIFORD, SARAH PICKLE, AMBER S. TULLY

Edema is the result of an abnormal expansion in interstitial fluid volume that may produce pitting, tenderness, and skin changes. Patient history, physical examination, and imaging can provide diagnostic clues to the cause of edema, which may include chronic venous...

A Primary Care Approach to Substance Misuse

BRAD SHAPIRO, DIANA COFFA, ELINORE F. McCANCE-KATZ

Many physicians report feeling inadequately prepared to identify and treat patients with substance use disorders. Brief validated screening tools are available that allow for rapid identification of problematic drug use. Brief counseling may be helpful for some patients with...

Cluster Headache

JACQUELINE WEAVER-AGOSTONI

Treatment focuses on avoiding triggers and includes abortive therapies, prophylaxis during the cluster period, and long-term treatment in patients with chronic cluster headache. Evidence supports the use of supplemental oxygen, sumatriptan, and zolmitriptan for acute...

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

AAFP Provides Guidance to Congress on Sustainable Growth Rate Formula Overhaul | AMA Study Finds Patients Responsible for Nearly One-Fourth of Their Medical Bills | AAFP to CMS: Transparency Program Should Allow Physicians to Review Payment Reports | Policy Brief Examines...

Editorials

Bullying Among Adolescents: A Challenge in Primary Care

DAVID A. KLEIN, KATHRYN K. MYHRE, DALE M. AHRENDT

Patients of primary care physicians should undergo psychosocial screening as part of routine wellness visits and when seeking care for mental health or somatic problems, or behavioral concerns. Physicians should be alert to any indications of bullying and identify relevant...

AFP Journal Club

Pulmonary Embolism Rule-Out Criteria: A Clinical Decision Rule That Works

ROBERT DACHS, JILL ENDRES, MARK A. GRABER

A number of clinical decision rules have been released recently. The PERC rule is an example of one that works well because it was derived from a large number of patients, and it was internally and externally validated.

Clinical Evidence Handbook

Acute Asthma and Other Recurrent Wheezing Disorders in Children

AUGUSTA OKPAPI, AMANDA JANE FRIEND, STEPHEN WILLIAM TURNER

What are the effects of treatments for acute asthma in children?

Photo Quiz

Pigmented Lesion on the Sole in a Child

DAMIANO TAMBASCO, MARCO D'ETTORRE, STEFANO GENTILESCHI, ROBERTO BRACAGLIA

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

POEMs

Epidural Steroids for Sciatica Minimally Effective in the Short Term

ALLEN F. SHAUGHNESSY

Epidural corticosteroid treatment produces a small and not clinically relevant decrease in leg pain and disability in the short term in patients with sciatica; any difference is gone after one year.

Most Antibiotics Similar in Efficacy for Lower UTI

MARK H. EBELL

This network meta-analysis found that the antibiotics commonly used to treat lower UTI are similar in efficacy, with one exception: amoxicillin/clavulanate (Augmentin) is significantly less effective than the others.

Curbside Consultation

Treating Patients with Borderline Personality Disorder in the Medical Office

LESLIE DEAN, SHERRY A. FALSETTI

The prevalence of borderline personality disorder in the general population is thought to be between 1% and 2%. As family physicians, we often treat these patients for chronic medical conditions. There are multiple obstacles to caring for these patients because of their...

Practice Guidelines

Endocrine Society Releases Guidelines on Diagnosis and Management of Hypertriglyceridemia

CARRIE ARMSTRONG

The Endocrine Society recently published evidence-based recommendations on the diagnosis and management of hypertriglyceridemia in adults. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes...

FPIN's Clinical Inquiries

Corticosteroids for Presumed Pneumocystis Pneumonia in Patients with HIV Infection

KAREN ISAACS, ALBERT MEYER, DONNA FLAKE

Adjunctive corticosteroids decrease mortality in patients with HIV infection who have moderate to severe hypoxemia and suspected or confirmed pneumocystis pneumonia. Corticosteroids lead to a higher incidence of herpetic lesions, but not other opportunistic conditions.

Information from Your Family Doctor

Cluster Headache

A cluster headache is a rare type of headache in which there is very bad pain on one side of the head, often around the eye. The pain lasts from 15 minutes to two hours, but comes back at about the same time each day. The pain may happen up to eight times in a single day.



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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