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Articles

Impetigo: Diagnosis and Treatment

HOLLY HARTMAN-ADAMS, CHRISTINE BANVARD, GREGORY JUCKETT

Two principal types of impetigo exist: nonbullous, which is characterized by honey-colored crusts on the face and extremities, and bullous, which is characterized by flaccid bullae and is more likely to affect intertriginous areas. Both types usually resolve within two to...

Dog and Cat Bites

ROBERT ELLIS, CARRIE ELLIS

Dog and cat bite wounds should be irrigated with normal saline and explored for tendon or bone involvement and possible foreign bodies. Wounds can be closed for cosmetic reasons, unless there is a high risk of infection. Antibiotic prophylaxis should be used for high-risk...

Common Questions About Outpatient Care of Premature Infants

ROBERT L. GAUER, JEFFREY BURKET, ERIC HOROWITZ

After a premature infant is discharged, the goals of the primary care physician include coordination of medical and social services, nutritional surveillance, and managing conditions associated with prematurity. Enriched formula or nutrient fortifiers may be necessary for...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

CMS Updates Schedule for Reviewing, Disputing Open Payments Data | Home Health Proposal Could Lighten Family Physicians' Administrative Burden | Proposed 2015 Medicare Fee Schedule Has Good and Bad News for Family Physicians | <b><i>M<sc>ed</sc>W<sc>atch</sc></i></b>: FDA...

Editorials: Controversies in Family Medicine STEPS

Indacaterol (Arcapta) for COPD

RANDI SOKOL, GEORGE MAXTED

Indacaterol provides a similar benefit to other long-acting bronchodilators for the treatment of moderate to severe COPD, with once-daily dosing. As with other LABAs, it should be used only as add-on therapy in patients already taking inhaled corticosteroids.

Putting Prevention Into Practice

Primary Care Interventions to Prevent Child Maltreatment

TINA FAN, ANH PHAM

A young couple comes to your clinic with their adopted four-year-old daughter for her annual well-child visit. On physical examination, the patient appears to be well developed and well nourished, and measures in the 75th percentile for her height and weight.

Photo Quiz

Chest Pain with Diffuse T-Wave Inversion

BRIAN SHIAN, JOSHUA EKEN

A 45-year-old man presented with worsening left-sided, sharp pleuritic chest pain that began one week earlier.

Practice Guidelines U.S. Preventive Services Task Force FPIN's Clinical Inquiries

Cardiovascular Effects of NSAIDs

KAITYANN SHERVE, CHRISTOPHER J. GERARD, JON O. NEHER, LEILANI ST. ANNA

Aspirin does not elevate blood pressure. Among nonselective NSAIDs, ibuprofen increases the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of...

Graham Center Policy One-Pager

The Continued Importance of Small Practices in the Primary Care Landscape

ROBERT PHILLIPS, JR., KATHLEEN KLINK, STEVE PETTERSON, NOAH KOJIMA, ANDREW BAZEMORE

In 2010, as many as 45% of active primary care physicians (PCPs) were practicing at sites with five or fewer physicians. This large cohort of practices faces unique challenges in meeting the increasing demands of practice transformation, payer reporting requirements, and...

POEMs

Immunochemical FOBTs Moderately Sensitive and Highly Specific for Colorectal Cancer

ALLEN F. SHAUGHNESSY

Immunochemical FOBTs, such as OC-Micro, OC-Sensor, or OC-Light, are moderately sensitive (73% to 89%) and highly specific (92% to 95%) for identifying colorectal cancer. In comparison, Hemoccult Sensa has a lower sensitivity (64% to 80%) and specificity (87% to 90%)....

Opioids for Chronic Back Pain: Short-Term Effectiveness, Long-Term Uncertain

HENRY C. BARRY

Overall, in patients with chronic low-back pain, opioids are moderately more effective than placebo in the short term for pain relief and slightly more effective in the short term for improving function. However, data for long-term use are virtually nonexistent. The long-term...

2013 ACC/AHA Cholesterol Guideline Greatly Increases Number Eligible for Statin Treatment

LAUREN S. HUGHES, MARK H. EBELL

The new guideline from the ACC/AHA increases the number of adults between 40 and 75 years of age who are eligible to take statins by 12.8 million. The largest increases were among adults who would take statins for primary prevention and for adults between 60 and 75 years of...

Letters to the Editor Information from Your Family Doctor

Impetigo

Impetigo (im-puh-TIE-go) is a bacterial infection of the top layer of skin. It often is around the nose or mouth, or somewhere else on the face. It may also be on the legs, arms, or diaper area. Signs include:

Corrections


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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