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AAFP Clinical Answers June 1, 2023

Key Clinical Questions and Evidence-Based Answers from American Family Physician
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American Family Physician | Clinical Answers
 

When should patients with hip fractures undergo surgical repair?

Operative management of a hip fracture should occur within 24 to 48 hours of injury unless a delay is needed to stabilize comorbidities. Early operative management improves pain control, decreases length of hospitalization, and reduces complications. Read the full article.

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When can patients with infectious mononucleosis return to sports?

Individuals with infectious mononucleosis should not participate in athletic activity for three weeks following symptom onset to decrease the risk of splenic rupture, beginning with light, noncontact exercise. Athletes should return only when they feel clinically well and are afebrile. Shared decision-making should be used to determine the timing of return to sports. There is no strong evidence to support the use of ultrasonography in expediting the patient's return to sports. Read the full article.

When should testing for Lyme disease be considered in patients with diffuse musculoskeletal symptoms?

Unless history of exposure or symptoms consistent with Lyme disease are present, routine testing for Lyme disease in the setting of musculoskeletal symptoms is not recommended. Read the full article.

 

❯ ❯ AFP Clinical Answers distills evidence-based answers to clinical questions from AFP content for use at the point of care. Visit our online collection for more.

 

Tip for Using AFP at the Point of Care

Do you need to refresh your procedural skills? The AFP Video Collection includes short, educational videos that have accompanied AFP articles or were submitted as freestanding videos. All videos are peer-reviewed.

 

INFORMATION FROM THE AAFP

Time to Stop Taking Work Home With You

You spend enough time in clinic every day—you shouldn’t have to bring the clinic home with you. Minimize or even eliminate after-hours work with easy-to-use tips and tricks. Plus, learn what the AAFP is doing to cut your administrative burden so you have time for the things you love.

 

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Medical Director of the Ehlers Danlos Syndrome Institute (EDSI) - Medical University of South Carolina - Charleston, SC

Family Medicine Physician - Logan Health - Eureka, MT

Primary Care Physician - Goals Healthcare - New York City, NY

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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 two years after publication. The bulk of the online archives is open to all. For access to all AFP content, you may want to subscribe to the journal or join the AAFP.

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