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Articles

Preoperative Testing Before Noncardiac Surgery: Guidelines and Recommendations

MOLLY A. FEELY, C. SCOTT COLLINS, PAUL R. DANIELS, ESAYAS B. KEBEDE, AMINAH JATOI, KAREN F. MAUCK

Certain tests can be helpful to stratify risk, direct anesthetic choices, and guide post-operative management, but should not be performed when they are not medically necessary. The decision to order preoperative tests should be guided by the patient's clinical history,...

Managing Difficult Encounters: Understanding Physician, Patient, and Situational Factors

ROSEMARIE CANNARELLA LORENZETTI, C. H. MITCH JACQUES, CAROLYN DONOVAN, SCOTT COTTRELL, JOY BUCK

Difficult clinical encounters can leave the physician and patient feeling frustrated. Contributing factors to difficult encounters may be related to the physician, patient, situation, or a combination. Recognizing these factors can lead to a more effective office visit.

Evaluation of Occult Gastrointestinal Bleeding

KATHY BULL-HENRY, FIRAS H. AL-KAWAS

Gastrointestinal bleeding may be characterized as overt, occult, or obscure, with the source of bleeding not visible to the patient or the physician. This article reviews the possible causes of gastrointestinal bleeding; methods of investigation and evaluation are also discussed.

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

Legislation Proposed to Eliminate SGR Formula and Boost Medicare Payments | Data Collection for Physician Payments Sunshine Act Begins in August 2013 | Practice Facilitators and Care Managers May Enhance Team-Based Care | CDC Provides Infographic on Pertussis

Editorials

Using Mindfulness Techniques to Improve Difficult Clinical Encounters

OSMAN N. SANYER, KATHERINE FORTENBERRY

Difficult clinical encounters add to other persistent sources of stress for physicians today, increasing the risk of burnout. Interventions focusing on mindfulness, or the ability to be purposefully attentive and present in every moment, are promising tools to help physicians...

AFP Journal Club Putting Prevention Into Practice

Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions

AILEEN BUCKLER

Case Study: A 59-year-old healthy, postmenopausal woman presents for a routine health maintenance visit. She has an intact uterus and no history of skeletal fractures. She asks if menopausal hormone therapy would help prevent chronic illness, specifically stroke and dementia.

Photo Quiz

Enlarging Mass on the Back

TERRELL BENOLD, TONGNY WILFRIED FOADEY

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

Clinical Evidence Handbook

Kidney Stones

TIMOTHY Y. TSENG, GLENN M. PREMINGER

What are the effects of interventions for the removal of asymptomatic renal or ureteric stones? What are the effects of interventions for the management of acute renal colic?

POEMs Practice Guidelines

IDSA Releases Guidelines for Management of Acute Bacterial Rhinosinusitis

MARA LAMBERT

The Infectious Diseases Society of America (IDSA) has released a guideline for the management of acute bacterial rhinosinusitis in children and adults in the community or emergency department settings. Each recommendation includes a quality of evidence grade (i.e., strong or...

U.S. Preventive Services Task Force FPIN's Clinical Inquiries


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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