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Articles

Hearing Loss in Older Adults

ANNE D. WALLING, GRETCHEN M. DICKSON

Screening for hearing loss is recommended in adults older than 50 to 60 years. The medical history can indicate etiology and identify risk factors. Physical examination includes inspection of the auditory canal and tympanic membrane. Management goals are to address any...

Diagnosis and Evaluation of Heart Failure

MICHAEL KING, JOE KINGERY, BARETTA CASEY

Heart failure has high morbidity and mortality rates, especially in older persons. Many conditions, such as coronary artery disease, hypertension, valvular heart disease, and diabetes mellitus, can cause or lead to decompensation of chronic heart failure. The initial...

Update on Acute Ankle Sprains

JEFFREY D. TIEMSTRA

Ankle sprains are common injuries in teenagers and young adults, and often occur during athletic activity. The Ottawa ankle rules may be used to determine the need for radiography by ruling out fracture. Options for pain relief include cryotherapy and pharmacotherapy. Ankle...

AAFP News Now: AFP Edition

AAFP News Now:AFP Edition

Report Shows First-Year Enrollment in U.S. Medical Schools Steadily Increasing | Reducing Waste in Six Key Areas Could Save Billions of Dollars in U.S. Health Care Costs | AAFP, USPSTF Issue Final Recommendation Against Routine PSA-Based Screening | Vaccination Rates Could Be...

Editorials

Bisphosphonate-Related Osteonecrosis of the Jaw in Patients with Osteoporosis

CHRISTINE HENG, VICTOR M. BADNER, TASIOS G. VAKKAS, ROSEMARY JOHNSON, YVON YEO

In 2007, more than 5.4 million patients in the United States were taking oral bisphosphonates. However, bisphosphonates are under scrutiny because of the risk of bisphosphonate-related osteonecrosis of the jaw.

AFP Journal Club

Transient Ischemic Attack: The Rules Have Changed

ROBERT DACHS, ANDREA DARBY-STEWART, MARK A. GRABER

This scientific guideline includes three game changers for physicians regarding TIA. The Journal Club authors discuss why physicians should be wary of clinical guidelines that are based on expert opinion.

Clinical Evidence Handbook

Cervical Cancer

PIERRE L. MARTIN-HIRSCH, NICHOLAS J. WOOD

What are the effects of interventions to prevent cervical cancer? What are the effects of interventions to manage early-stage cervical cancer? What are the effects of additional interventions to manage bulky early-stage cervical cancer?

Photo Quiz

Enlarging, Pedunculated Skin Lesion

JUSTIN A. LEE, MORTEZA KHODAEE

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

STEPS

Dutasteride/Tamsulosin (Jalyn) for Benign Prostatic Hyperplasia

STEPHEN A. WILSON, JENNIE BRODERS

Jalyn offers the convenience of taking one medication instead of two. Although monotherapy with dutasteride or tamsulosin is beneficial for many men, the combination drug is slightly better than either component alone at decreasing symptom scores; however, these benefits are...

Practice Guidelines

ACP Recommendations for VTE Prophylaxis in Hospitalized Patients

AMBER RANDEL

Most hospitalized patients have at least one risk factor for venous thromboembolism (VTE), such as pulmonary embolism or deep venous thrombosis. The American College of Physicians (ACP) has released guidelines on VTE prophylaxis in hospitalized, nonsurgical patients,...

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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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