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Articles

Chronic Shoulder Pain: Part I. Evaluation and Diagnosis

KELTON M. BURBANK, J. HERBERT STEVENSON, GREGORY R. CZARNECKI, JUSTIN DORFMAN

Common causes of chronic shoulder pain are adhesive capsulitis, glenohumeral instability, osteoarthritis, and rotator cuff pathology. Diagnosis involves consideration of medical history, physical examination, and imaging.

Diagnosis and Treatment of Testicular Cancer

JOEL SHAW

Although routine screening and self-examination for testicular cancer is not ecommended in asymptomatic men, patients with suggestive signs and symptoms require thorough examination. Primary treatment is orchiectomy, and additional treatment is determined by microscopic...

Reducing Tobacco Use in Adolescents

IRENE M. ROSEN, DOUGLAS M. MAURER

Screening for tobacco use is recommended at every patient visit, and smokers should be offered smoking cessation assistance including counseling, nicotine replacement therapy, bupropion therapy, or combination therapy.

Chronic Shoulder Pain: Part II. Treatment

KELTON M. BURBANK, J. HERBERT STEVENSON, GREGORY R. CZARNECKI, JUSTIN DORFMAN

Treatment of chronic shoulder pain disorders typically involves activity modification, physical therapy, and pain medication. Additional treatment options may include corticosteroid injections and surgical referral.

Inside AFP

Recognizing the “Behind the Scenes” Specialists of AFP

JOYCE A. MERRIMAN

Publishing a clinical review journal 24 times a year requires significant contributions from a variety of people, many of whom get very little, if any, public recognition for their efforts. Yet, it is because of their suggestions and contributions that AFP remains the best...

Editorials

Endocarditis Prophylaxis: An Evolution of Change

KATHRYN A. TAUBERT

In 1955, the American Heart Association (AHA) started making recommendations for the prevention of infective endocarditis.1 Since then, patients considered at increased risk of infective endocarditis who were undergoing certain dental procedures or upper respiratory,...

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

Analysts Predict No Major Nationwide Health Care Reform in the Near Future | Congressional Advisory Body to Submit Medicare-Related Recommendations | CDC, AAFP, and AAP Update Immunization Schedules for Children and Adolescents | Despite Increase, Funding for Antitobacco...

Close-ups

A Long Recovery

KENNETH T. MOON

The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

Cochrane for Clinicians

Are Long-acting Insulin Analogues Better Than Isophane Insulin?

MICHAEL D. SCHOOFF, LALITA GUPTA

Based on poor quality evidence, this review suggests that insulin glargine and insulin detemir have no advantage over isophane insulin in reducing A1C levels. In one study, isophane insulin reduced A1C levels slightly more than insulin detemir. However, patients on insulin...

Photo Quiz STEPS

Selegiline Transdermal Patch (Emsam) for Major Depressive Disorder

SARAH MELTON, CHARLOTTE ANN TOWNSEND

Transdermal selegiline is an expensive treatment option for patients with major depressive disorder who have not responded to other antidepressants or who cannot swallow or take oral medications. Based on guidelines from the American Psychiatric Association, MAO inhibitor...

Curbside Consultation Practice Guidelines

ACOG Guidelines on Endometrial Ablation

SHERRI DAMLO

In its guidelines for endometrial ablation, the American College of Obstetricians and Gynecologists (ACOG) compare standard resectoscopic endometrial ablation with nonresectoscopic endometrial ablation techniques and devices.

Letters to the Editor Tips from Other Journals Information from Your Family Doctor

Tobacco Use: What Teenagers Should Know

Smoking can cause many diseases, including lung cancer, mouth cancers, and heart disease. It can also cause cough that won't go away, and it may make it hard for you to breathe. Smoking can shorten your life by as much as 14 years.



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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