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Articles

Adhesive Capsulitis: Diagnosis and Management

Jason Ramirez

Adhesive capsulitis is a painful shoulder condition that limits range of motion. Nonsurgical treatments for adhesive capsulitis include nonsteroidal anti-inflammatory drugs, short-term oral corticosteroids, intra-articular corticosteroid injections, physiotherapy, acupuncture...

Gas, Bloating, and Belching: Approach to Evaluation and Management

John M. Wilkinson, Elizabeth W. Cozine, Conor G. Loftus

Gas, bloating, and belching are most often caused by functional gastrointestinal disorders. Psychological distress often makes the symptoms worse. Exhaustive testing is not necessary for diagnosis. Most patients are classified as having gastric or small bowel bloating,...

Hepatitis B: Screening, Prevention, Diagnosis, and Treatment

Thad Wilkins, Richard Sams, Mary Carpenter

Screening for hepatitis B virus is recommended in pregnant women at their first prenatal visit and in adolescents and adults at high risk of chronic infection. Chronic infection can lead to hepatocellular carcinoma and cirrhosis; however, morbidity and mortality can be...

Editorials

To Prepare Patients Better: Reimagining Advance Care Planning

Leah B. Rosenberg, Jeffrey L. Greenwald, Juliet C. Jacobsen

Forty-five million Americans live with one or more serious illnesses, many of which are life-limiting and marked by functional decline. Family physicians play a pivotal role in the care of these patients through their deep, longitudinal relationships.

AFP Clinical Answers Cochrane for Clinicians

Smectite for Acute Infectious Diarrhea in Children

Dustin K. Smith, Nadine S. Barksdale, Joshua D. Sohn

When compared with placebo, smectite decreases the duration of diarrhea by about a day, with a mean difference of 24.4 fewer hours of diarrhea (95% confidence interval [CI], 17.9 to 30.9 hours). Smectite also decreases stool output by 11.4 g per kg (95% CI, 0.8 to 22 g per kg).

Different Durations of Corticosteroid Therapy for COPD Exacerbations

Megan Magovern, Samuel Sawyer

Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

Photo Quiz

Lesions on the Roof of the Mouth

Sindhuja Tekumalla, Anuradha Bishnoi, Keshavamurthy Vinay

A 29-year-old man presented with a painless, white area on the roof of his mouth that had been present for three months. He had no difficulty with eating or drinking. He was otherwise healthy with no medical conditions, although he had poor dentition. He had smoked cigarettes...

Implementing AHRQ Effective Health Care Reviews

Management of Uterine Fibroids

Tyler S. Rogers, Anthony M. Bieck

What are the comparative effectiveness and harms of treatments for uterine fibroids, and what is the risk of finding unexpected leiomyosarcoma in women with fibroids?

Practice Guidelines Medicine by the Numbers

Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese

Amanda L. Jainchill, Breanna L. Gawrys, James J. Arnold

This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia,...

FPIN's Help Desk Answers

Pharmacologic Treatment of Borderline Personality Disorder

Justin D. Parker, Aimen Naeem

There is no pharmacotherapy regimen that improves the overall symptoms of borderline personality disorder. When used for six months or less, antipsychotics can improve paranoia, dissociation, mood lability, anger, and global functioning.

Information from Your Family Doctor

Gas, Bloating, and Belching

Most people have had excess gas, bloating, or belching. Sometimes these symptoms can cause problems or pain.

Hepatitis B

The hepatitis B virus infects the liver. You can get hepatitis B from blood and body fluids such as saliva and semen. If a pregnant woman is infected with hepatitis B, her baby may be infected at birth.



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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