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Articles

Sarcoidosis: Evaluation and Treatment

Michael Partin, Karl T. Clebak, Rensa Chen, Matthew Helm

Patients with sarcoidosis can exhibit constitutional symptoms such as fever, unintentional weight loss, and fatigue. Pulmonary symptoms, including shortness of breath, dry cough, and chest pain, occur in 50% of symptomatic patients. The early recognition and diagnosis of...

Acute Coronary Syndrome: Diagnosis and Initial Management

Raman Nohria, Anthony J. Viera

Acute coronary syndrome is reduced blood flow to the coronary myocardium, and the most common symptom is crushing, substernal chest pain that can spread to the arms and jaw. This article reviews risk assessment tools, diagnostic and imaging studies, and pharmacologic...

Acute Asthma Exacerbations: Management Strategies

William Dabbs, Megan H. Bradley, Shaunta' M. Chamberlin

Evaluation and management of asthma exacerbations vary across settings, including at home, in the office, in the emergency department, and inpatient hospital management. Early recognition, management, and treatment are essential for the prevention of exacerbations. This...

Mental Status Examination in Primary Care

Anna T. Wiley, James W. Dreher, Jill D. London

The mental status examination is an evaluation of a patient's cognitive and affective state, and it can help the primary care physician identify and distinguish a variety of conditions such as delirium, dementia, mania, or depression.

Injections of the Hip and Knee

Charles W. Webb, Geoff McLeod, Rathna Nuti

Family physicians often use joint injections in the treatment of common conditions. Techniques include anatomic landmark–guided and ultrasound-guided injections and aspiration for the hip and knee. There are few contraindications for injections that are not related to the...

Medications for Alcohol Use Disorder

Elisabeth Poorman, Brianna M. McQuade, Sarah Messmer

Excessive alcohol use is a leading cause of preventable death in the United States. Physicians can offer pharmacotherapy or behavioral interventions for patients diagnosed with alcohol use disorder; several medications have consistent evidence of effectiveness but continue to...

Editorials

It Is Time to Switch to Primary HPV Screening for Cervical Cancer

Diane M. Harper, Catherine M. Bettcher, Alisa P. Young

It is time to switch to primary human papillomavirus (HPV) screening for cervical cancer.

STIs During Pregnancy

Patricia Carr Reese

Screening for and treatment of sexually transmitted infections (STIs) is a key aspect of prenatal care.

Medicine by the Numbers

Breastfeeding Support for Healthy Mothers and Healthy, Term Infants

Whitney Kaefring, Guang Hao Liu

Given that no harms were reported and that interventions helped reduce the risk of breastfeeding cessation at multiple time points, a color recommendation of green (benefits greater than harms) has been assigned as associated with breastfeeding support.

Cochrane for Clinicians

Compression Therapy for Chronic Venous Ulcers

Meera Sunder

Compared with treatment featuring no compression, therapy involving compression bandages or stockings results in faster and more complete ulcer healing over 12 months, reduced pain, and improved disease-specific quality of life.

Local Corticosteroid Injection vs. Placebo for Carpal Tunnel Syndrome

Karl T. Clebak, Morgan L. Chambers, Kevin Q. Nguyen

Local corticosteroid injection is effective for reducing symptoms and improving function and quality of life in patients with mild to moderate CTS, with benefits lasting up to six months. Patients who receive local corticosteroid injections have a reduced need for surgery at...

U.S. Preventive Services Task Force

Screening for Syphilis Infection in Nonpregnant Adolescents and Adults

The USPSTF recommends screening for syphilis infection in persons who are at increased risk for infection.

Putting Prevention Into Practice

Screening for Syphilis in Nonpregnant Adolescents and Adults

Brandy Peaker, Cara Dooley

This PPIP quiz is based on the recommendations of the USPSTF.

FPIN's Clinical Inquiries

Prenatal Acetaminophen Use and Attention-Deficit/Hyperactivity Disorder

Stephenie Matosich, Gary Kelsberg, Sarah Safranek

Pregnant patients should discuss acetaminophen use with their maternal health care professional because it is associated with an increased risk of ADHD in offspring.

FPIN's Help Desk Answers

Tadalafil for the Treatment of Lower Urinary Tract Symptoms in Men With Benign Prostatic Hyperplasia

C. R. Rohrbough, Bridget Colgan, Ollie Gasser

Tadalafil may be useful in improving symptoms and quality of life in patients with lower urinary tract symptoms associated with benign prostatic hyperplasia.

Photo Quiz

New-Onset Seizure in an Adult

Robert L. Gauer

A 26-year-old man presented after having a five-minute tonic-clonic seizure.

Pruritic Rash on the Shins

Oliver J. Wisco, Kyra Diehl, Matthew R. Clark, Robert T. Gilson, Lisa M. Cohen

A 49-year-old man presented with a progressively worsening rash on both shins.

AFP Clinical Answers

Rhinosinusitis, Undescended Testicle, Hypertension, Hyperglycemia, Benzodiazepine Tapers, Antihistamines During Pregnancy

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

Diagnostic Tests

FilmArray GI Panel in the Assessment of Acute Gastroenteritis

Carl Bryce

Multiplex PCR tests have the potential to shorten the time to diagnosis and increase the diagnostic yield for carefully selected patients presenting with infectious diarrhea.

Curbside Consultation

Approaches to a Patient With Anemia Who Is Refusing a Blood Transfusion

Zachary Wiser, Robert Gauer

Blood transfusions are a foundational component of treating severe anemia and are considered a lifesaving therapy. This makes caring for patients with severe anemia who refuse blood transfusions challenging.

STEPS

Norgestrel 0.075 mg (Opill) for Contraception

John Torro, Azmina Bhayani

Norgestrel is an effective contraceptive option in women who have contraindications to combined estrogen-progesterone treatment.

POEMs

No Increased Risk of Esophageal Cancer With Nonerosive Gastroesophageal Reflux

Allen F. Shaughnessy

Amoxicillin Oral Challenge Is Safe and Accessible for Removing Erroneous Penicillin Allergy Label

David C. Slawson

Network Analysis Finds Oral Isotretinoin Most Effective for Acne Vulgaris

Henry C. Barry

Nicotine Replacement With e-Cigarettes Might Help Smokers Quit

Allen F. Shaughnessy

Practice Guidelines

Diagnosis and Management of Celiac Disease: Guidelines From the American College of Gastroenterology

Michael J. Arnold

Nearly 1% of Americans are affected by celiac disease, a permanent immune-mediated response to gluten in wheat, barley, and rye. Celiac disease has multisystemic effects characterized by specific antibodies and small bowel injury.

Treatment and Prevention of HIV Infection: Recommendations From the International Antiviral Society-USA Panel

Michael J. Arnold

Four decades after the initial HIV case was reported, strategies for treating and preventing the disease continue to advance.

Letters to the Editor

Additional Evidence for the Treatment of Potassium Disorders

David Rebedew

Reply: Michael J. Kim, Christina Valerio, Glynnis K. Knobloch

Nonalcoholic Fatty Liver Disease Is Not a Label

Anna T. Wiley

Reply: Andy Lazris



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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