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Articles

Functional Dyspepsia: Evaluation and Management

Anne Mounsey, Amir Barzin, Ashley Rietz

Symptoms of functional dyspepsia include postprandial fullness, early satiety, and epigastric pain or burning. Endoscopy should be performed in patients 60 years or older with dyspepsia symptoms. For patients younger than 60 years, a test and treat strategy for Helicobacter...

Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care

Evan L. Dvorin, Mark H. Ebell

Short-term systemic corticosteroids are frequently prescribed for adults by primary care physicians. Short courses of steroids are associated with adverse effects, including hyperglycemia, elevated blood pressure, mood disturbance, sepsis, and fracture. There is evidence...

Muscle Weakness in Adults: Evaluation and Differential Diagnosis

Scott T. Larson, Jason Wilbur

Muscle weakness can be challenging to evaluate in primary care practice. Physicians must distinguish true muscle weakness from subjective fatigue or pain-related motor impairment. The differential diagnosis of muscle weakness is extensive, including neurologic, rheumatologic,...

AFP Clinical Answers Editorials U.S. Preventive Services Task Force Putting Prevention Into Practice Photo Quiz FPIN's Help Desk Answers

Pain Medications Before IUD Placement

Kyaw Naing, Sonal Shah

Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.

STEPS

Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease

Joanne Wilkinson, Ronald Tutalo

Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use...

Practice Guidelines

Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS

Lisa Croke

This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug...

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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