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New Issue: Hip Pain, Dysphagia, Labor Dystocia

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

 

 

JANUARY 15, 2021

AFP’s COVID-19 Collection

New topics include intimate partner violence during the COVID-19 pandemic, outpatient management of COVID-19, and long COVID.  in the collection that is open-access and frequently updated.


 

Hip pain usually localizes anteriorly, laterally, or posteriorly. A focused history and physical examination can help differentiate the causes of hip pain, which is important for prescribing effective therapy. Imaging is sometimes needed for a definitive diagnosis.

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FOR YOUR PATIENTS ▶  [FREE FULL TEXT]

Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging in patients with impaired swallowing. An understanding of the basic pathophysiology of swallowing and the etiologies and clinical presentations of dysphagia allows family physicians to distinguish between oropharyngeal and esophageal pathology, make informed management decisions, and collaborate appropriately with specialists.

 

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Avoiding admission to labor and delivery during the latent phase, assuming maternal/fetal status is reassuring, is recommended. Managing a protracted active stage includes oxytocin augmentation with or without amniotomy. Primary interventions for a protracted second stage include use of oxytocin and manual rotation from the occiput posterior fetal position. When contractions or pushing is inadequate, vacuum or forceps delivery may be needed. Effective measures for preventing dystocia and subsequent cesarean delivery include providing cervical ripening agents for induction in patients with an unfavorable cervix and walking or upright positioning during the first stage.

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FP Essentials: Diagnostic Methods, Treatments, and Guidelines to Keep You Current

FP Essentials provides family physicians with comprehensive, up-to-date, peer-reviewed information on important subjects in family medicine. Plus earn up to 60 Prescribed CME credits per year.

 to FP Essentials monograph. Available in print and online.

 
AFP CLINICAL ANSWERS
EDITORIALS

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U.S. PREVENTIVE SERVICES TASK FORCE

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AFP By Topic

Find the best available content from AFP on more than 70 clinical topics in one place.

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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 4 credits for this issue.

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The newest episode of the podcast includes topics on systemic racism, breast cancer screening, electronic cigarettes for smoking cessation, treatment-resistant depression, eating disorders in primary care, and appropriate use of diagnostic imaging.!

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