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Articles

Bone Cancer: Diagnosis and Treatment Principles

Jason L. Ferguson, Sean P. Turner

Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation,...

Preoperative Assessment in Older Adults: A Comprehensive Approach

Chandrika Kumar, Brooke Salzman, Jessica L. Colburn

Older adults experience disproportionate levels of morbidity and mortality following surgery. To decrease the likelihood of poorer surgical outcomes, physicians should first discuss patients' goals and priorities in the context of their overall health to determine whether the...

Nutrition in Toddlers

Lyrad K. Riley, Jedda Rupert, Olivia Boucher

During toddlerhood, children develop preferences that affect their food selections. Children one to two years of age should begin drinking whole cow's milk. Water is a good option for between meals. Sugary drinks should be avoided, although 100% juice may be given in...

Epistaxis: Outpatient Management

Jason P. Womack, Jill Kropa, Marissa Jimenez Stabile

Epistaxis is a common otolaryngologic emergency. At presentation, physicians should assess patients’ vital signs, mental status, and airway patency before examining the nose for the source of bleeding. Stepwise management of anterior epistaxis consists of compression,...

AAFP News Now: AFP Edition

AAFP News: AFP Edition

Study Suggests Link Between Scope of Practice and Burnout | Authors See Crucial Role for Primary Care in Opioid Epidemic | CMS Releases Planned Changes for 2019 Medicare Payments | Patients, Caregivers Weigh In on Care Transition

Editorials

Point-of-Care Ultrasonography in Family Medicine

Paul Bornemann, Tyler Barreto

There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.

STEPS

Delafloxacin (Baxdela) for Skin Infections

Sarah Eudaley

Delafloxacin is a new fluoroquinolone antibiotic available in intravenous and oral formulations for the treatment of serious skin and skin structure infections in patients requiring initial intravenous therapy. It is effective for infections caused by MRSA or P. aeruginosa,...

POEMs

Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA

Nita Shrikant Kulkarni

Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.

Medications Ineffective to Prevent Cognitive Decline or Dementia

Allen F. Shaughnessy

None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.

Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment

Allen F. Shaughnessy

Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but...

Pulmonary Embolism Rule-Out Criteria Reduces the Need for CT Pulmonary Angiography in Low-Risk Patients

David Slawson

Use of the PERC clinical decision rule significantly reduces the need for CT pulmonary angiography in adults with an initial low-risk clinical estimate of suspected PE.

Photo Quiz

Solitary Ulcerated Lesion on the Arm

Nandhini Veeraraghvan, Hanadi Abou Dargham, Jinal Gangar

A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.

Putting Prevention Into Practice

Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults

Tina Fan, Elizabeth A. Erickson

Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.

Point-of-Care Guides

Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage

Neelima Kale, Amimi S. Osayande

When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

Practice Guidelines

Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety Releases Consensus Bundle

Jennifer Wilkes

The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.

U.S. Preventive Services Task Force

Interventions to Prevent Falls in Community-Dwelling Older Adults: Recommendation Statement

The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.

Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Older Adults: Recommendation Statement

The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of vitamin D and calcium supplementation, alone or combined, for the primary prevention of fractures in men and premenopausal women.

Information from Your Family Doctor

Bone Cancer

Many types of cancer can spread to the bones. But, there are three cancers that start in bones: osteosarcoma (OS-tee-oh-sar-CO-ma), Ewing sarcoma, and chondrosarcoma (KON-dro-sar-CO-ma). Osteosarcoma and Ewing sarcoma are more common in children and teenagers. Chondrosarcoma...

Giving Your Toddler the Best Nutrition

Raising a healthy, active toddler takes work, and parents need to know the best foods to give their children. Feeding toddlers isn't always easy, but knowing about nutrition and eating habits will help you make the best choices for your child.



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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