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Articles

The Preparticipation Physical Evaluation

James MacDonald, Marie Schaefer, Justin Stumph

The preparticipation physical evaluation (PPE) is a common primary care medical visit for young athletes. In 2019, the American Academy of Pediatrics published updated PPE recommendations. The general goals outlined in these guidelines include determining general physical and...

In-flight Medical Emergencies

Jocelyn S. Hu, Jordan K. Smith

An aircraft in flight is a physically constrained and resource-limited environment. If a health care volunteer is requested, medical professionals should consider if they are in an appropriate condition to render aid, and then identify themselves to cabin crew, perform a...

Urethritis: Rapid Evidence Review

Jarrett Sell, Munima Nasir, Chloe Courchesne

Urethritis is classified as gonococcal or nongonococcal in origin. The most common cause is Chlamydia trachomatis infection, and the most common signs and symptoms include dysuria, mucopurulent urethral discharge, urethral discomfort, and erythema. Diagnostic criteria include...

Editorials

Clinical Considerations in Caring for Transgender Athletes

Janelle Marra, A. Mei Yun Law, Elizabeth Conlon

Family physicians are in a unique position to care for transgender athletes, including providing preventive and gender-affirming care and addressing acute athletic injuries and chronic health concerns.

AFP Clinical Answers

Pulmonary Function Testing, Vulvovaginal Candidiasis, Breast Cancer, Fasting Lipid Levels

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

Cochrane for Clinicians

Ketogenic Diets for Drug-Resistant Epilepsy

Carlton Covey

In children with drug-resistant epilepsy, a ketogenic diet decreases the risk of seizures by 50% after three to four months.

Exercise for Dysmenorrhea

Paul Seales, Sajeewane Seales, Garry Ho

Low-intensity exercise, such as stretching or core strengthening, and high-intensity exercise, such as Zumba or aerobic training, improve menstrual pain intensity compared with no exercise.

Photo Quiz

Foot Lesions in a Rehabilitation Facility Resident

Igor Melnychuk, Vasili Katsadouros

A patient in a rehabilitation facility presented with gluteal skin ulcers and dark purple foot lesions.

Implementing AHRQ Effective Health Care Reviews

Nonopioid Pharmacologic Treatments for Chronic Pain

Tyler J. Raymond, Kristen A. Tobin, Tyler S. Rogers

What are the effects of nonopioid drugs on pain, function, and quality of life in patients with specific types of chronic pain, and what are the adverse events related to these drugs?

Diagnostic Tests

FM/a Blood Test for Diagnosis of Fibromyalgia

Liza Straub, Anne Mounsey

Limited data suggest that the FM/a test accurately differentiates patients with fibromyalgia from healthy controls and has some ability to differentiate fibromyalgia from other rheumatologic diseases.

FPIN's Clinical Inquiries

Positional Therapies for Obstructive Sleep Apnea

Bryan Wu, Jon O. Neher, Sarah Safranek

Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.

Curbside Consultation

Identifying and Addressing Vicarious Trauma

Anita Ravi, Jessica Gorelick, Harika Pal

Vicarious trauma is part of a spectrum of responses to trauma exposure, including secondary traumatic stress, caregiver fatigue, compassion fatigue, and burnout. These conditions have varying definitions and categorizations, with overlapping symptoms, diagnostic criteria, and...

Practice Guidelines

Eosinophilic Esophagitis: Management Guidelines from the AGA and JTF

Michael J. Arnold

The American Gastroenterological Association (AGA) and the Joint Task Force on Allergy-Immunology Practice Parameters (JTF) published guidelines for treatment of eosinophilic esophagitis.

Medicine by the Numbers

Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years

Brit Long, Michael Gottlieb

A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.

Information from Your Family Doctor

Urethritis

Urethritis (YOO-ree-THRI-tus) is an inflammation of the urethra, which is the tube that carries urine from the bladder to the penis, then out of the body (see drawing).



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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