Leave a Message
Articles

Fever of Unknown Origin in Adults

Aïsha David, Jeffrey D. Quinlan

Fever of unknown origin is defined as a clinically documented temperature of 101°F or higher on several occasions, coupled with an unrevealing diagnostic workup. The possible causes are typically categorized as infection, malignancy, noninfectious inflammatory disease, or...

Hemoptysis: Evaluation and Management

David O'Gurek, Hiu Ying Joanna Choi

Hemoptysis is the expectoration of blood from the lower respiratory tract. More than 90% of hemoptysis cases are nonmassive, self-limiting, and have a good prognosis with conservative management. However, massive hemoptysis has a mortality rate of greater than 50%.

Borderline Personality Disorder

Megan Mendez-Miller, Julianna Naccarato, Julie A. Radico

Borderline personality disorder is characterized by instability in affect regulation, impulse control, interpersonal relationships, and self-image. Patients may have chronic or vague somatic concerns, suicidal ideation, aggressive outbursts, high-risk sexual behaviors, and...

Maturity-Onset Diabetes of the Young: Rapid Evidence Review

Ravi Kant, Amanda Davis, Vipin Verma

Maturity-onset diabetes of the young is a non–insulin-dependent form of diabetes mellitus that is most often diagnosed in nonobese young adults with a strong family history of diabetes. Lifestyle modification is the first-line treatment. Sulfonylureas are the preferred...

Common Sleep Disorders in Children

Prajakta Deshpande, Betzy Salcedo, Cynthia Haq

Childhood sleep disorders can disrupt family dynamics, cause cognitive and behavior problems, and cause motor vehicle crashes in teenagers. Early recognition and management of common sleep disorders can prevent these complications.

Cervical Ripening and Induction of Labor

Vernon Wheeler, Ariel Hoffman, Michael Bybel

This article updates clinical guidelines for induction of labor, including indications, assessment of cervical favorability, and timing of induction. The authors review the effectiveness and safety of inducing labor using mechanical and pharmacologic methods and their...

Editorials: Controversies in Family Medicine AFP Clinical Answers Graham Center Policy One-Pager

The National Health Service Corps at 50 Years

Adrian N. Billings, Yalda Jabbarpour, Jack Westfall

The National Health Service Corps (NHSC) was established in 1970 to address the mal-distribution of physicians in the United States. In 1972, it placed the first clinicians (181 physicians) into rural and urban underserved communities. Since then, the NHSC has grown into a...

Medicine by the Numbers Cochrane for Clinicians

Behavioral Interventions for Smoking Cessation

Nicholas LeFevre, Joshua St. Louis

A variety of behavioral interventions are effective for smoking cessation. Providing individual or group counseling, guaranteed financial incentives, and text message–based counseling provide the greatest benefit. Population characteristics do not consistently affect the...

Virtual vs. In-Person Pulmonary Rehabilitation for Chronic Lung Disease

Meghan Raleigh, Jennifer Chang

For patients with chronic obstructive pulmonary disease, virtual pulmonary rehabilitation is equivalent to in-person pulmonary rehabilitation at reducing symptoms of breathlessness and increasing six-minute walking distance. Participants in both virtual and in-person...

Putting Prevention Into Practice Photo Quiz

Hyperpigmented Reticular Patches in a Young Adult

Sandra Osswald, Kavina Patel, Amreen Sitabkhan

A patient presented with faint, dark purple, hyperpigmented patches in a reticular pattern, forming several complete rings, on his dorsal thighs and a few on his lower legs and arms.

Inflammation of the Eye

Richard M. Rubin, Ayodeji Alaketu

A patient presented with dilated right eye, with incomplete constriction to light, and a small collection of white fluid in the anterior chamber of the affected eye.

Implementing AHRQ Effective Health Care Reviews

Cervical Ripening in the Outpatient Setting

Tyler S. Rogers, Ben Lampe, Stephanie Skelly

What is the effectiveness and what are the harms of cervical ripening methods in the outpatient vs. inpatient setting?

FPIN's Clinical Inquiries

Topical Nitroglycerin for Lower Extremity Tendinopathy

Jeremy Loescher, Paul Waclawski, Richard Guthmann

In non-insertional Achilles tendinopathy, topical NTG patches are minimally better than placebo at 24 weeks. Topical NTG plus physical therapy is not superior for pain relief or functional improvement compared with placebo patches plus physical therapy. In chronic patellar...

Diagnostic Tests

Multitarget Stool DNA Testing (Cologuard) for Colorectal Cancer Screening

Karl T. Clebak, Sarah Nickolich, Megan Mendez-Miller

MT-sDNA testing is a stool-based screening method that is recommended by the U.S. Preventive Services Task Force and covered by most insurance plans. It has higher sensitivity than FIT or FOBT for advanced adenomas but leads to more false-positive results, has a higher...

Diary of a Family Physician POEMs Practice Guidelines U.S. Preventive Services Task Force Letters to the Editor Information from Your Family Doctor

Fever of Unknown Origin in Adults

It's a fever of 101°F (or 38.3°C) or higher that occurs several times. Even after you see your doctor, there's not a clear reason for the fevers.

Corrections

Correction

Clarification of clinical quality measure. In the article, “Home Blood Pressure Monitoring,” (September 2021, p. 237) the third paragraph of the Best Practices for Home Blood Pressure Monitoring section on page 241 discussed the clinical quality measures related to home blood...



Disclosure

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


Tag Legend

Legend

CME Continuing Medical Education Credit
POC Point-of-Care Resource
FREE Free Access
Alg Algorithm
DDx Differential Diagnosis
PtEd Patient Education