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AAFP Update New Issue: Gout, Eye Emergencies, Vulvar Disorders

An editorially independent, peer-reviewed journal of the American Academy of Family Physicians.

 

 

NOVEMBER 1, 2020

Systemic Racism and Health Disparities: A Joint Statement from Editors of Family Medicine Journals

Racism is a pervasive and systemic issue that has profound adverse effects on health. The editors of several North American family medicine journals have come together to issue a call to action to confront systemic racism and eliminate health disparities to better serve patients and communities. To read the full statement, click 


 

Risk factors of gout include male sex; obesity; hypertension; alcohol intake; and a diet rich in meat, seafood, and fructose-rich food and beverages. Gout is characterized by swelling, pain, or tenderness in a peripheral joint or bursa. Diagnosis is made using several validated clinical prediction rules. Arthrocentesis should be performed when suspicion for an underlying septic joint is present; synovial fluid or tophus analysis should be performed if the diagnosis is uncertain. Colchicine, nonsteroidal anti-inflammatory drugs, and corticosteroids all relieve pain in acute episodes. Indications for chronic urate-lowering therapy include chronic kidney disease, two or more flares per year, urolithiasis, the presence of tophus, chronic gouty arthritis, and joint damage.

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Common eye emergencies include central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments. Family physicians should be able to recognize the signs and symptoms of each condition and be able to perform a basic eye examination to evaluate the patient.

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Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Find out which patients can be diagnosed clinically, when to order a biopsy, and how to treat each of these conditions.

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Clinicians should be aware of this life-threatening manifestation of COVID-19 so that prompt and appropriate interventions can be undertaken if rhabdomyolysis is suspected or confirmed. Read more in this online ahead of print Letter to the Editor.

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DIAGNOSTIC TESTS: WHAT PHYSICIANS NEED TO KNOW
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FPIN'S CLINICAL INQUIRIES
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IMPLEMENTING AHRQ EFFECTIVE HEALTH CARE REVIEWS
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CURBSIDE CONSULTATION
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COCHRANE FOR CLINICANS
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Take the AFP CME Quiz on your computer or mobile device to receive instant credit. AAFP members and others who recieve AFP in their own name can earn 7 credits for this issue.

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Online access to content in new issues of American Family Physician is restricted to AAFP members and paid subscribers. Free full text is available for selected items. All content of each issue is made freely available about one year after publication. The bulk of the online archives is open to all. For access to all AFP content, you may want to  or .

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