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Articles

Acute Lower Gastrointestinal Bleeding: Evaluation and Management

Matthew K. Hawks, Jennifer E. Svarverud

Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease, hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel disease are common sources. Initial evaluation...

Cerebral Palsy: An Overview

Kirsten Vitrikas, Heather Dalton, Dakota Breish

Cerebral palsy is defined as a group of disorders that affects an individual’s movement, posture, and balance due to injury to the developing brain. Treatments for the movement disorders associated with cerebral palsy include intramuscular onabotulinumtoxinA injections,...

Coccidioidomycosis (Valley Fever) in Primary Care

Kevin R. Herrick, Madison E. Trondle, Taynet T. Febles

The incidence of coccidioidomycosis is increasing in endemic areas, causing as many as 17% to 29% of all cases of community-acquired pneumonia in some regions. Residing in or traveling to areas endemic for Coccidioides is required for the diagnosis. A travel history is...

Editorials

U.S. Policies and Their Effects on Immigrant Children’s Health

Ranit Mishori

Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right...

AFP Clinical Answers

Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride Supplementation

When and how should amenorrhea be evaluated? | How should ingrown toenails be treated? | Which noninvasive nonpharmacologic treatments for chronic neck pain improve function or pain? | What infantile hemangiomas require evaluation or treatment? | Who should receive routine...

Point-of-Care Guides

Diagnosis of Heart Failure with Reduced Ejection Fraction

Mark H. Ebell

Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?

U.S. Preventive Services Task Force

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: Recommendation Statement

The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief...

Putting Prevention Into Practice

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer

Justin Mills, Adeola Fakolade

This PPIP quiz is based on the recommendations of the USPSTF.

Photo Quiz

An Anatomical Cause of Dysphagia

Robert P. Schneider, Alan V. Godfrey, Jonas Singer

A man presented with worsening dysphagia, with sore throat, dyspnea, cough, heartburn, and wheezing.

STEPS

Dupilumab (Dupixent) for Asthma

Kathleen Barry, Dinah Gorelik

Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.

POEMs

No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria

Nita Shrikant-Kulkarni

Increased Readmissions and Adverse Events with Intensification of Antihypertensive Regimen on Hospital Discharge

Nita Shrikant-Kulkarni

Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis

Mark H. Ebell

Do Not Change Antidepressant Treatment Early Based on Lack of Response

Allen F. Shaughnessy

Practice Guidelines

ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules

Pamela G. Rockwell

The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

Letters to the Editor

The Risk of Corticosteroids in Community-Acquired Pneumonia

Kevin G. Buell, Eric M. Lander

Information from Your Family Doctor

What You Should Know About Valley Fever

Valley fever (also called coccidioidomycosis, or cocci [COX-ee] for short) is an infection caused by mold that grows in outdoor dirt. It is most common in the southwest United States, especially in parts of Arizona and southern California (see map). You can’t get it if you...



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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