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Articles

Erythema Multiforme: Recognition and Management

Kathryn P. Trayes, Gillian Love, James S. Studdiford

Erythema multiforme is an immune-mediated reaction that involves the skin and sometimes the mucosa. Erythema multiforme lesions can be isolated, recurrent, or persistent, and are classically described as target-like with three concentric segments: a dark center, surrounded by...

Acupuncture for Pain

Robert B. Kelly, Joel Willis

Acupuncture, which is well-tolerated with low risk, has been increasingly used as an integrative or complementary therapy for pain. Acupuncture may provide modest benefits in the treatment of chronic low back pain, tension headache and chronic headache, migraine headache...

Hearing Loss in Adults: Differential Diagnosis and Treatment

Thomas C. Michels, Maribeth T. Duffy, Derek J. Rogers

Hearing loss is categorized as conductive, sensorineural, or mixed. Age-related sensorineural hearing loss is the most common type in adults. Several approaches can be used to screen for hearing loss, but the benefits of screening are uncertain. Patients with suspected...

Editorials

Integrating Medical Acupuncture into Family Medicine Practice

Christy J.W. Ledford, Paul F. Crawford, III

Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

AFP Clinical Answers

Ankle Sprains, Counseling Strategies, Dysphonia, Acute Coronary Syndrome, Egg Allergy

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

U.S. Preventive Services Task Force

Interventions to Prevent Child Maltreatment: Recommendation Statement

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment.

Photo Quiz

Gradually Progressive Dysphagia, Reflux, Weight Loss, and Chest Discomfort

Judith Volcy, Taiwo Ajose, Chinedu Ivonye

A 52-year-old man presented with dysphagia to solids and liquids that had been worsening gradually over the previous two years. He reported a choking sensation with gagging while eating, but drinking water helped wash the food down. He had unintentional weight loss of 100 lb....

STEPS

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus

Shaunta Chamberlin, William Dabbs

Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

POEMs

Vitamin D Is Equal to Placebo for Preventing Cognitive Decline in African American Women with Low Vitamin D Levels

Henry C. Barry

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific Mortality

Mark H. Ebell

The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality,...

Misoprostol Alone Is Associated with a High Rate of Successful First-Trimester Abortion

Linda Speer

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes Mellitus

Mark H. Ebell

In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

Practice Guidelines

Interpregnancy Care: Guidelines from ACOG and SMFM

Amber Randel

The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.

Letters to the Editor

When to Discuss Prostate Cancer Screening with Your Patients

Christy J.W. Ledford, Dean A. Seehusen

Reply: James J. Stevermer, Kenneth S. Fink

Medical Screening and Care of Incarcerated Transgender Patients

Scott Nass

Dawn M. Davis, Jennifer K. Bello

Fasting vs. Nonfasting Lipid Profile for Assessing Cardiovascular Risk

Alan M. Ehrlich

Reply: Joel J. Heidelbaugh

Personal Experience Is Not Always Consistent with Published Evidence

John Saxer

Reply: Mark H. Ebell, Allen F. Shaughnessy, David C. Slawson

Information from Your Family Doctor

Acupuncture for Pain Relief

Acupuncture is when thin needles are put into certain places on the body. Acupuncture has been an important part of traditional Chinese medicine for thousands of years.

Corrections

Corrections

Incorrect FDA approval. The article, “Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment” (March 15, 2019, p. 362), contained an error in the last sentence of the “Anticoagulant Therapy” section in the first column of page 367, which stated that the...



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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