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Articles

Treatment of Adult Obesity with Bariatric Surgery

ROBIN SCHROEDER, DANIEL T. HARRISON, SHANIQUA L. McGRAW

Patients with obesity who meet selection criteria for bariatric surgery commonly undergo one of three procedures. Laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass, and laparoscopic adjustable gastric banding each result in greater weight loss for patients than...

Common Questions About the Evaluation of Acute Pelvic Pain

AMIT K. BHAVSAR, ELIZABETH J. GELNER, TONI SHORMA

Acute pelvic pain has a broad differential diagnosis that can be narrowed using the patient's age and pregnancy status. In nonpregnant women, common causes include idiopathic pain, pelvic inflammatory disease, and acute appendicitis, among others. In pregnant women, it is...

Somatic Symptom Disorder

STUART L. KURLANSIK, MARIO S. MAFFEI

Primary care physicians often treat patients who manifest symptoms for which there is no biologic cause. Patients with somatic symptom disorder may be subjected to unnecessary testing and procedures, so appropriate diagnosis is essential. Management strategies include...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

Survey: One in Three Family Physicians Is Pursuing Value-Based Payment | AMA Aims to Combat Antibiotic Resistance | Heads Up: CMS Contractor May Call in 2016 | AAFP Urges Streamlining of MU Program

Editorials: Controversies in Family Medicine

Yes: Screening Makes Sense for High-Risk Adults

MARC G. GHANY

Chronic hepatitis C virus (HCV) infection is an important public health issue. It is estimated that 1% of the noninstitutionalized U.S. population has chronic HCV infection, corresponding to 2.7 million persons.1 This figure is likely low because of undersampling of...

No: One-time Screening Still Has Too Many Unanswered Questions

KENNETH W. LIN

Of the estimated 2.7 million persons in the United States with chronic hepatitis C virus (HCV) infection in 2010,1 fewer than 200,000 were successfully diagnosed and treated, with success defined as a sustained viral response (SVR) or clearance of HCV at least three months...

Cochrane for Clinicians FPIN's Help Desk Answers

Home Visits for Pregnant Adolescents

VINCE WINKLERPRINS, EMILIE WEIGEL

Nurse home visits for pregnant adolescents seem to improve resource utilization and prenatal clinic visit show rates.

Close-ups

Making Lifestyle Changes After Gastric Bypass

JO MARIE REILLY, ANTHONY ZAMUDIO, ABI VARTANIAN

Family physicians are well positioned to counsel and support patients making lifestyle changes before and after bariatric surgery.

Photo Quiz

Skin Ulcers of Unknown Etiology

SOMMER ALDULAIMI, SARA LACARIA

A woman with a long history of cocaine use presented to the emergency department with leg ulcers and ecchymoses on her ears.

POEMs

More Nuanced Guidelines for Lipid Lowering to Prevent CVD

ALLEN F. SHAUGHNESSY

The authors of this guideline give a more nuanced and less aggressive approach to lipid lowering than other groups. For the primary prevention of CVD, check blood pressure and lipids (nonfasting is fine) to calculate the 10-year CVD risk. If greater than 12%, treat; if 12% or...

CBT Effective for Chronic Insomnia

ALLEN F. SHAUGHNESSY

A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.

Practice Guidelines Information from Your Family Doctor

Weight Loss Surgery

Weight loss surgery (also called bariatric or metabolic surgery) makes the stomach smaller and changes the hormones that signal hunger. The three most common surgeries are gastric banding, sleeve gastrectomy, and Roux-en-Y (ROO-en-Y) gastric bypass. The goal of these...



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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