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Articles

Office-Based Urinalysis: A Comprehensive Review

Nathan Hitzeman, Dineen Greer, Erik Carpio

Urinalysis is a simple, inexpensive means of detecting urologic and systemic conditions such as infection, urolithiasis, malignancy, and metabolic diseases. Visual inspection of the urine, familiarity with dipstick testing, and point-of-care micros-copy are important...

Celiac Disease: Common Questions and Answers

Pamela M. Williams, Lisa M. Harris, Michael R. Odom

Celiac disease may present with a variety of manifestations and develop at any age. This article presents evidence-based answers to common questions about the evaluation and management of celiac disease.

Acute Pancreatitis: Rapid Evidence Review

Kathryn E. Oppenlander, Christina Chadwick, Kayla Carman

This article summarizes the best available patient-oriented evidence for the diagnosis and treatment of acute pancreatitis, the most common gastrointestinal condition requiring hospital admission in the United States.

Care of the Active Female

Katherine Wojnowich, Rachel Dhani

Physical activity has many health-related benefits, including prevention and management of chronic disease, weight management, and improved mental health. Active females are at risk of overuse injuries; treatment of overuse injuries usually includes activity modification, a...

Top 20 Research Studies of 2021 for Primary Care Physicians

Mark H. Ebell, Roland Grad

The annual installment of this series summarizes the top studies of 2021, which were summarized as POEMs (patient-oriented evidence that matters). Topics in this group of studies include type 2 diabetes mellitus, musculoskeletal conditions, gastrointestinal conditions, and...

Acute Diarrhea in Adults

Erica S. Meisenheimer, Carly Epstein, Derrick Thiel

In the United States, diarrhea accounts for an estimated 179 million outpatient visits, 500,000 hospitalizations, and more than 5,000 deaths annually, resulting in approximately one episode of acute diarrheal illness per person per year. Infectious noninf lammatory diarrhea...

Editorials

Controversial Topics in Family Medicine and Our Duty to Engage

Marc Tunzi, William Ventres, Philip G. Day, David J. Satin

What are the ethical responsibilities for clinical journals publishing articles on controversial topics?

Ethics, Education, and American Family Physician

Sumi M. Sexton

American Family Physician covers a comprehensive array of topics in family medicine.

Medicine by the Numbers

Membrane Sweeping at Term to Induce Labor

Brian Ford, Andrew Anderson, Carrie Nichols

Learn more about term membrane sweeping to induce labor.

AFP Clinical Answers

DVT, AAA, Sleep Apnea in Children, MODY, Fever, Sacroiliac Joint Dysfunction

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

Cochrane for Clinicians

DPP-4 Inhibitors, GLP-1 Receptor Agonists, and SGLT-2 Inhibitors for People With Cardiovascular Disease

Kento Sonoda, Aaron Saguil

DPP-4 inhibitors do not reduce mortality or cardiovascular outcomes in people with CVD, and they increase the risk of pancreatitis. GLP-1 receptor agonists reduce cardiovascular mortality, all-cause mortality, and stroke in people with CVD. SGLT-2 inhibitors reduce...

Palliative Care Interventions in Advanced Dementia

Jeanmarie B. Rey, Jeffrey R. Bevan, Jill E. Danyluk

Advance care planning interventions for people with advanced dementia likely increase the documentation of advance directives and the number of discussions about goals of care with family decision-makers.

U.S. Preventive Services Task Force

Screening for Chlamydia and Gonorrhea

Review the most recent recommendations from the USPSTF.

Putting Prevention Into Practice

Screening for Chlamydia and Gonorrhea

Brandy Peaker, Emilie Biondokin

This PPIP quiz is based on the recommendations of the USPSTF.

Photo Quiz

Descending Maculopapular Rash in a Child

Sungyub Lew, Jacqueline Lau, Nada Al-Hashimi

A 10-year-old girl presented with headache, cough, and morbilliform rash.

Circular Skin Lesion

Jeremy D. Schroeder, Marco Jose Dela Cruz

A patient presented with mildly tender, circular, hyperpigmented skin lesions with small bumps affecting the dorsum of both hands and the medial aspect of one foot.

FPIN's Clinical Inquiries

Does Exercise During Pregnancy Decrease the Risk of Developing Hypertensive Disorders?

Richard Wolferz, Misha Fotoohi, Saskia Spiess, Dominik Ose, Brian Vukelic, Katherine T. Fortenberry

Exercise regimens initiated early in pregnancy and performed consistently are an effective way to reduce a patient’s risk of developing gestational hypertension and preeclampsia.

FPIN's Help Desk Answers

Effectiveness of Epidural Steroid Injections for Low Back Pain

Socorro Shelton, Andrew Yochum, Ethan Walker, Nicole Waters

Treatment with epidural steroid injections in the lower spine is not effective for reducing pain and disability.

STEPS

Abametapir 0.74% (Xeglyze) for the Treatment of Head Lice

Meera Sunder

Abametapir is shown to be an effective treatment for head lice infestation in patients six months and older.

Diagnostic Tests

Coronary Artery Calcium Scoring for Prevention of Cardiovascular Disease

Hiu Ying Joanna Choi

A CAC score is a strong predictor of CHD, CVD, and mortality risk and provides risk discrimination and stratification beyond that provided by traditional risk factor models.

Curbside Consultation

Assisting Adult Protective Services in Addressing Maltreatment in Older Adults

Brian K. Unwin, Sarah L. Stubbs, Holly D’Heron

Elder abuse affects at least one in 10 older adults but is often undetected and underreported, even compared with any other form of abuse.

POEMs

Closed-Loop System Improves Glycemic Control but Not Hypoglycemia for Young Children With Type 1 Diabetes Mellitus

Mark H. Ebell

Several Drugs Are Effective for Weight Loss in Obese or Overweight Adults; It Is Unclear Whether They Improve Health Outcomes

Henry C. Barry

All-Cause Mortality Is Comparable in Patients With Left Main Coronary Artery Disease Treated With PCI or CABG

Henry C. Barry

Proton Pump Inhibitor Use Associated With an Increased Risk of Gastric Cancer

Mark H. Ebell

Practice Guidelines

High-Flow Nasal Oxygen for Acute Respiratory Failure: Guidelines From the American College of Physicians

C.R. Rohrbough, Matthew Pflipsen

The American College of Physicians published guidelines for use of HFNO in adults based on a systematic review focusing on all-cause mortality, hospital length of stay, hospital-acquired pneumonia, intubation/reintubation, intensive care unit admissions, and patient comfort.

Palliative Care of Patients With Cancer: Guidelines From the National Comprehensive Cancer Network

Michael J. Arnold

The National Comprehensive Cancer Network has updated recommendations for palliative care of patients with cancer.

Letters to the Editor

Case Report: Multiple Supernumerary Nipples in a Young Woman

Allison Kirchner, Priyanka Patel, Sheryl Hoyer

Treatment of Chagas Disease in Breastfeeding Dyads

Cherec Morrison, Nithya Natrajan, Lindsay Snow

Reply: Paul T. Cantey, Susan P. Montgomery, Anne Straily

Information from Your Family Doctor

Celiac Disease

Celiac (SEE-lee-ack) disease is swelling in the stomach caused by eating gluten. Gluten is a protein in foods made with grains such as wheat, rye, or barley. The swelling stops your body from getting the nutrients it needs. It can occur at any age. About one in 100 people...

RED-S in the Active Female

Relative energy deficiency in sport (RED-S) affects active people. It happens when they burn more calories than they take in. It used to be called the female athlete triad. RED-S affects males and females differently. Not having enough available energy affects the way our...



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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