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New Issue: Shoulder Dystocia, Syphilis, Asymptomatic Bacteriuria

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

 

 

JULY 15, 2020

Don’t Miss AFP’s COVID-19 Resources

From succinct summaries of key studies in our Daily Research Briefs to timely commentaries in the AFP Community Blog, the editors have collected AFP’s COVID-19 content in one place for easy access from a single page. .


 

Shoulder dystocia is an obstetric emergency. It can lead to neonatal brachial plexus injuries, hypoxia, and maternal trauma. Most cases occur without warning, but prior shoulder dystocia and preexisting or gestational diabetes mellitus increase risk. Each institution should consider the length of time it will take to prepare the operating room for general inhalational anesthesia and abdominal rescue and practice this during simulation exercises.

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Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. This article reviews the key recommendations from the Infectious Diseases Society of America’s 2019 guidelines on screening for asymptomatic bacteriuria and appropriate treatment.

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Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians. Learn how to recognize common signs and symptoms of each stage of syphilis, and find out which patients should be screened and which antibiotic regimens to use in patients allergic to penicillin.

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ONLINE AHEAD OF PRINT

Learn how to counsel pregnant patients on how much weight they should gain, which foods to avoid, which vitamins and supplements they should be taking, how much and which types of exercise are safe, whether prescription and over-the-counter medicines are safe, and recommendations on sex, alcohol, cannabis, caffeine, artificial sweeteners, and hair treatments.

CME credit for this article will be available when it is published in print.

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Apply to be a Family Medicine Discovers scholar. Scholars receive $40,000 for practice-based research to generate new evidence for what works in real-world primary care settings. No research experience required. .

 
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U.S. PREVENTIVE SERVICES TASK FORCE
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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 receive AFP in their own name can earn 4 credits for this issue.

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New Online Ahead of Print Editorial: 2020 National Residency Match Program Results

The increasingly prominent role of family physicians over the past few months highlights the versatility of family medicine training and competencies. Although the results of The Match have been overshadowed by coronavirus disease 2019, a record number of family medicine positions were filled. What is next for family medicine?  in this online ahead of print editorial.

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