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Articles

Sarcoidosis: Evaluation and Treatment

Michael Partin, Karl T. Clebak, Rensa Chen, Matthew Helm

Patients with sarcoidosis can exhibit constitutional symptoms such as fever, unintentional weight loss, and fatigue. Pulmonary symptoms, including shortness of breath, dry cough, and chest pain, occur in 50% of symptomatic patients. The early recognition and diagnosis of...

Acute Coronary Syndrome: Diagnosis and Initial Management

Raman Nohria, Anthony J. Viera

Acute coronary syndrome is reduced blood flow to the coronary myocardium, and the most common symptom is crushing, substernal chest pain that can spread to the arms and jaw. This article reviews risk assessment tools, diagnostic and imaging studies, and pharmacologic...

Acute Asthma Exacerbations: Management Strategies

William Dabbs, Megan H. Bradley, Shaunta' M. Chamberlin

Evaluation and management of asthma exacerbations vary across settings, including at home, in the office, in the emergency department, and inpatient hospital management. Early recognition, management, and treatment are essential for the prevention of exacerbations. This...

Mental Status Examination in Primary Care

Anna T. Wiley, James W. Dreher, Jill D. London

The mental status examination is an evaluation of a patient's cognitive and affective state, and it can help the primary care physician identify and distinguish a variety of conditions such as delirium, dementia, mania, or depression.

Injections of the Hip and Knee

Charles W. Webb, Geoff McLeod, Rathna Nuti

Family physicians often use joint injections in the treatment of common conditions. Techniques include anatomic landmark–guided and ultrasound-guided injections and aspiration for the hip and knee. There are few contraindications for injections that are not related to the...

Medications for Alcohol Use Disorder

Elisabeth Poorman, Brianna M. McQuade, Sarah Messmer

Excessive alcohol use is a leading cause of preventable death in the United States. Physicians can offer pharmacotherapy or behavioral interventions for patients diagnosed with alcohol use disorder; several medications have consistent evidence of effectiveness but continue to...

Editorials

STIs During Pregnancy

Patricia Carr Reese

Screening for and treatment of sexually transmitted infections (STIs) is a key aspect of prenatal care.

Medicine by the Numbers

Breastfeeding Support for Healthy Mothers and Healthy, Term Infants

Whitney Kaefring, Guang Hao Liu

Given that no harms were reported and that interventions helped reduce the risk of breastfeeding cessation at multiple time points, a color recommendation of green (benefits greater than harms) has been assigned as associated with breastfeeding support.

Cochrane for Clinicians

Compression Therapy for Chronic Venous Ulcers

Meera Sunder

Compared with treatment featuring no compression, therapy involving compression bandages or stockings results in faster and more complete ulcer healing over 12 months, reduced pain, and improved disease-specific quality of life.

Local Corticosteroid Injection vs. Placebo for Carpal Tunnel Syndrome

Karl T. Clebak, Morgan L. Chambers, Kevin Q. Nguyen

Local corticosteroid injection is effective for reducing symptoms and improving function and quality of life in patients with mild to moderate CTS, with benefits lasting up to six months. Patients who receive local corticosteroid injections have a reduced need for surgery at...

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

Pruritic Rash on the Shins

Oliver J. Wisco, Kyra Diehl, Matthew R. Clark, Robert T. Gilson, Lisa M. Cohen

A 49-year-old man presented with a progressively worsening rash on both shins.

AFP Clinical Answers Diagnostic Tests Curbside Consultation

Approaches to a Patient With Anemia Who Is Refusing a Blood Transfusion

Zachary Wiser, Robert Gauer

Blood transfusions are a foundational component of treating severe anemia and are considered a lifesaving therapy. This makes caring for patients with severe anemia who refuse blood transfusions challenging.

STEPS

Norgestrel 0.075 mg (Opill) for Contraception

John Torro, Azmina Bhayani

Norgestrel is an effective contraceptive option in women who have contraindications to combined estrogen-progesterone treatment.

POEMs Practice Guidelines 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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