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Articles

Current Concepts in Concussion: Initial Evaluation and Management

Keith A. Scorza, Wesley Cole

Concussion results from trauma to the head; it affects individuals physically, cognitively, and emotionally/behaviorally and is a major health concern. Headache is the most common symptom. Spine and serious brain injuries should be ruled out before diagnosis. Symptom...

Abnormal Uterine Bleeding in Premenopausal Women

Noah Wouk, Margaret Helton

Abnormal uterine bleeding is a common symptom in reproductive-aged women. The acronym PALM-COEIN facilitates the classification of bleeding, with PALM referring to structural etiologies (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia), and COEIN referring to...

Febrile Seizures: Risks, Evaluation, and Prognosis

Dustin K. Smith, Kerry P. Sadler, Molly Benedum

A febrile seizure is a seizure occurring in a child six months to five years of age that is accompanied by a fever (100.4°F [38°C] or greater) without central nervous system infection. It can be simple or complex. Children who have a simple febrile seizure and are well...

Editorials Close-ups Cochrane for Clinicians

Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns

Tyler Barreto

Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects...

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD

John W. Lax, Racheal Wood, Christopher E. Jonas

Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for...

AFP Clinical Answers Photo Quiz

Subcutaneous Nodules on the Chest, with Cough and Weight Loss

Darrell R. Over, J. Brett McCutcheon

A 60-year-old smoker presented with cough and hemoptysis. She had also developed several subcutaneous masses on her chest wall and left and right abdominal wall over the past several months.

FPIN's Help Desk Answers

Maternal Pertussis Vaccination During Pregnancy

John B. Waits, Lacy Smith, Daniel J. Hurst

Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.

Curbside Consultation

Palliative Care in Advanced Dementia

Scott Endsley, Rachel Main

What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

POEMs Practice Guidelines

Mild TBI in Children: Guidance from the CDC for Diagnosis and Treatment

Lisa Croke

Mild traumatic brain injury in children is a major problem in the United States. Based on a systematic literature review, the Centers for Disease Control and Prevention (CDC) released recommendations specific to children with Glasgow Coma Scale scores of 13 to 15.

Medicine by the Numbers Letters to the Editor


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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