• Articles

    Evaluation of a First Seizure

    STEPHEN M. ADAMS, PAUL D. KNOWLES

    Patient history and physical examination should direct diagnostic testing decisions for patients presenting after a first seizure. All patients should receive electroencephalography. Neuroimaging should be performed in all adults and in children with risk factors.

    Universal Newborn Hearing Screening

    A. STEVENS WRIGHTSON

    Hearing loss may affect asmany as three out of every 1,000 newborns in the United States. Universal newborn hearing screening helps to identify hearing impairment in newborns with or without risk factors.

    Pleurisy

    SARA M. KASS, PAMELA M. WILLIAMS, BRIAN V. REAMY

    The causes of pleuritic chest pain range fromlife-threatening to benign, and serious causes must be ruled out first. History, physical examination, and chest radiography are recommended for all patients. Treatment consists of pain management with nonsteroidal anti...

    Management of Hypertriglyceridemia

    ROBERT C. OH, J. BRIAN LANIER

    The initial management of hypertriglyceridemia should include counseling patients about therapeutic lifestyle changes and screening for metabolic syndrome and other acquired or secondary causes. After adequate initiation of therapeutic lifestyle changes, pharmacotherapy with...

    Inside AFP

    AFP and FPM Web Sites Rank High Among Physicians

    ROBERT EDSALL, JOYCE A. MERRIMAN

    A new report from PERQ/HCI Corp. indicates that the Web sites for the Academy's journals American Family Physician and Family Practice Management rank among the top 10 Web sites for medical journals. PERQ/HCI studies readership of medical journals (print and online) by...

    Newsletter

    Newsletter

    Report Examines Federal Perceptions of Sustainable Growth Rate Formula | Organizations Tell CMS That Volunteer Preceptor Rule Needs Revision | CMS Extends Deadline for Use of National Provider Identifiers | Colorado Bill Requires Transparency in Health Insurers' Contracts |...

    Quantum Sufficit

    Quantum Sufficit

    SHERRI DAMLO

    In the United States, two out of three homicide victims are killed with firearms. Because little is known about the role of household firearms in homicides, the authors of a study appearing in Social Science and Medicine sought to examine a possible association. Analyzing...

    Editorials

    Family-Oriented Patient Care

    MARC C. NEWMAN, JOHN J. LAWLESS, FLORENCE GELO, null DMIN

    Family physicians encounter patients with a broad array of medical problems. The bio-psychosocial model encourages us to explore the impact of these problems on patients' abilities to function within daily spheres of life—family, friends, work, and school—to help them...

    Adolescent Pregnancy and Associated Risks: Not Just a Result of Maternal Age

    MICHAEL K. MAGILL, RYAN WILCOX

    Adolescent pregnancy (i.e., in females 13 to 19 years of age) is associated with an increased risk of maternal complications during pregnancy and delivery, as well as increased risk to the fetus and neonate. Complications associated with adolescent pregnancy include preterm...

    Cochrane for Clinicians

    Exercise Is an Effective Intervention in Overweight and Obese Patients

    ROBERT DACHS

    Exercise leads to a weight loss of 1 lb, 2 oz to 16 lb, 12 oz (0.5 to 7.6 kg), compared with a 3-oz (0.1-kg) weight loss to a weight gain of 1 lb, 9 oz (0.7 kg) with no treatment. Patients participating in higher-intensity exercise lose 3 lb, 5 oz (1.5 kg) more than those...

    Cochrane Briefs

    MARK EBELL

    Tramadol Relieves Neuropathic Pain

    Cochrane Briefs

    CLARISSA KRIPKE

    Nonpharmacologic vs. Anticholinergic Therapies for Overactive Bladder

    Clinical Evidence Handbook

    Seborrheic Dermatitis

    JUAN JORGE MANRÍQUEZ, PABLO URIBE

    What are the effects of topical treatments for seborrheic dermatitis of the scalp, face and body in adults?

    Photo Quiz

    Swelling of the Right Ear

    ABEL D. JARELL, MARK A. HALL

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

    Curbside Consultation

    How Do EHRs Affect the Physician-Patient Relationship?

    WILLIAM VENTRES, AMIT SHAH

    In the United States, 28 percent of primary care physicians use EHRs, and another 31 percent plan to implement the system within the next year.

    Practice Guidelines

    ACIP Releases Recommendations on Quadrivalent Human Papillomavirus Vaccine

    CARRIE ARMSTRONG

    Guideline source: Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices

    Letters to the Editor

    Screening for Dysplasia of the Hip: Weigh Harms and Benefits

    DOUG CAMPOS-OUTCALT

    Use of Exenatide for Weight Loss in Patients with Diabetes

    AYAZ VIRJI

    Tips from Other Journals

    Inhaled Corticosteroids Effective in Acute Asthma Attacks

    KARL E. MILLER

    Growth Hormone Improves Clinical Outcomes in Cystic Fibrosis

    AMY CRAWFORD-FAUCHER

    Which Exercise Regimen Is Best for Patients with Severe COPD?

    KENNETH W. LIN

    Information from Your Family Doctor

    Seizures: What You Should Know

    If you have problems in your brain, you might have a seizure (SEE-zher). During a seizure you might jerk or shake. You might repeat movements like smacking your lips or grinding your teeth. After a seizure, most people feel sleepy or confused.

    Hypertriglyceridemia: What You Should Know

    Hypertriglyceridemia (HIGH-pur-try-gliss-er-eye-DEEM-ee-uh) is when you have too much fat in your blood. This fat is called triglycerides. People with high triglycerides usually do not have symptoms. Sometimes it causes heart and liver problems. Hypertriglyceridemia also can...



    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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