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.

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...

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

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...

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.

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...

Cancer Genetic Risk Assessment for Individuals at Risk of Familial Breast Cancer

JANELLE GUIRGUIS-BLAKE

Based on limited evidence from three trials, cancer genetic risk assessment reduces distress, improves accuracy of perceived breast cancer risk, and increases breast cancer and genetics knowledge.

A Purpuric Rash and Mononeuritis Multiplex

DAVID E. WINCHESTER, KRISTIN GUILLIAMS

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

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...

Initial Counseling of Children with Eating Disorders and Their Families

ERIN FOSTER

It can be challenging to work with adolescents and their parents when eating disorders are involved.

AHA Releases Updated Guidelines on the Prevention of Infective Endocarditis

LISA GRAHAM

The American Heart Association (AHA) has released updated guidelines on the prevention of infective endocarditis. Many studies have questioned the effectiveness of antibiotic prophylaxis for prevention of infective endocarditis in patients undergoing dental or...

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.

First-Line Therapies for Lowering Triglyceride Levels

VASUDEVAN A. RAGHAVAN

Managing Hypertriglyceridemia with Diet Modifications

Sertraline Ineffective for Menopausal Hot Flashes

ANNE D. WALLING

Physical Activity Recommendations for Healthy Adults

AMY CRAWFORD-FAUCHER

Is MRI Useful for High-Risk Breast Cancer Screening?

KENNETH T. MOON

Otitis Media Guidelines Do Not Reflect Clinical Practice

CAROLINE WELLBERY

Does Chondroitin Reduce Osteoarthritis Pain?

AMY CRAWFORD-FAUCHER

Communication Test Scores Predict Future Patient Complaints

CAROLINE WELLBERY

Testicular Cancer: What You Should Know

Testicular cancer is cancer that starts in one or both testicles. These are held inside a skin sack called the scrotum (see drawing 1).

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.