Winfred Taylor Frazier, Zuleica M. Santiago-Delgado, Kenneth C. Stupka, II
Onychomycosis is a chronic fungal infection of the fingernail or toenail bed, causing brittle, discolored, and thickened nails. Confirming the diagnosis with a potassium hydroxide preparation is recommended before initiating treatment, which can include oral or topical...
Robert C. Langan, Andrew J. Goodbred
Serologic testing for immunoglobulin M anti–hepatitis A virus antibodies is used for diagnosis. Supportive care is often sufficient for treatment. Routine immunization is recommended for all children 12 to 23 months of age, persons at high risk of contracting the infection,...
Nicholas A. Rathjen, S. David Shahbodaghi
Bioterrorism is the deliberate release of viruses, bacteria, toxins, or fungi with the goal of causing panic, mass casualties, or severe economic disruption. Treatment includes proper isolation and administration of antimicrobial or antitoxin agents in consultation with...
Eric M. Matheson, Scott W. Bragg, Russell S. Blackwelder
In 40% of diabetes mellitus–related foot ulcers, related infections occur causing significant morbidity. Indicators of infection include erythema, induration, tenderness, warmth, and drainage. Antibiotic treatment duration is typically one to two weeks and is longer for...
David C. Bury, Tyler S. Rogers, Michael M. Dickman
Osteomyelitis is an inflammatory condition of bone secondary to an infectious process. Diagnosis is usually based on imaging and laboratory findings. Bone biopsy and microbial cultures offer definitive diagnosis. Antibiotics are the primary treatment option. Surgical bony...
Nicole Powell-Dunford, Joseph R. Adams, Christopher Grace
Air travel is generally safe, but it can pose physiologic challenges to some. To optimize health outcomes, communication between the traveler, family physician, and airline carrier should occur when there is any doubt about fitness for air travel.
Daniel Dierfeldt, Kerstin Knopf, Linda Jackson
The COVID-19 pandemic has drawn greater attention to the continuing discrimination that racial minorities face within the medical system. Often these disparities are considered in the context of patients who are not actively dying. However, care delivered at the end of life...
Steven R. Brown
Knowing that the high price of drugs is a major detriment to public health in the United States and that the pharmaceutical industry spends vast sums marketing to health care professionals, physicians should refuse visits, gifts, payments, and drug samples from pharmaceutical...
Julie Hyppolite, Brian Antono, Stephen Petterson, Yalda Jabbarpour
In 2016, for the first time, less than one-half of practicing physicians had an ownership stake in their own practices. The most recent American Medical Association Physician Practice Benchmark Survey reveals that this trend continues. More physicians are identifying as...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Elizabeth Salisbury-Afshar
Compared with placebo, using antipsychotic drugs for maintenance therapy in patients with schizophrenia is associated with relapse prevention at seven to 12 months.
Dustin K. Smith, Nadine Barksdale, Spencer Dean
Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.
Justin Mills, Nolan O'Dowd
Series of short reports and quizzes based on guidelines from the USPSTF.
Courtney Humphrey, Bronson Shetayh
A patient presented with a polypoid, unpigmented mass on the top of the head that was raised and asymmetrical with slightly irregular borders.
Michael Layne, Kristen Gogoli
A patient presented with a pruritic, nonscaly, ring-like rash on the dorsa of both hands.
Joshua Felton Gilens, Molly Hoss, Corey Lyon, Kristen DeSanto
Light therapy appears to be mildly effective in treating depression in older adults, but ideal wavelength, intensity, and length of treatment are unknown.
Aaron Warning, Tori Applegren, Krystal Foster
The available evidence does not support screening adults 65 years and older for visual impairment in the primary care setting.
Annette Chavez, Karlynn Sievers
First-person accounts from the front lines of family medicine.
Noa C. Hammer, John J. Koch, Hilary C. Hopkins
The American Heart Association released minor updates to neonatal resuscitation recommendations with only minor changes to the previous algorithm.
Michael J. Arnold
The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).
Michael Gottlieb, Brit Long
Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.
Shiv Dalla, Michael Rausch, Rick Kellerman
Phuong B. Le, Nancye McCowan, Ross L. Pearlman
Ken Grauer
Reply: John R. McConaghy, Malvika Sharma, Hiten Patel
Kento Sonoda
Reply: Ronald Goldschmidt, Carolyn Chu
Osteomyelitis (OSS-tee-oh-MY-uh-LIE-tiss) is an infection in a bone. It is caused by bacteria that spread through the blood from a wound or infection somewhere else in the body. In children, it usually occurs in the arms and legs. In adults, it usually affects the feet, spine...
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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