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Articles

Back Pain in Children and Adolescents

Suraj Achar, Jarrod Yamanaka

Back pain is a relatively common condition in children. Typical causes include muscle strain or spasm, spinal deformities, spondylolysis, bulging or herniated intervertebral disks, apophysitis of the iliac crest, and functional pain syndromes. Spondyloarthropathies may...

Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications

Jay S. Raval, Joseph R. Griggs, Anthony Fleg

Transfusion of blood products is a common medical procedure, although it can cause adverse reactions. Physicians should consider the patient's relevant laboratory data, overall clinical circumstances, adjuncts, and feasible alternatives as part of the informed consent process...

Cervical Colposcopy: Indications and Risk Assessment

Jessica Valls Burness, Jillian Marie Schroeder, Johanna B. Warren

Changes in cervical cancer screening and guidelines, human papillomavirus (HPV) vaccination recommendations, and colposcopy standards from the American Society for Colposcopy and Cervical Pathology have implications for all primary care clinicians. Cervical cancer screening...

Editorials

The Promise and Challenge of Home Health Services During the COVID-19 Pandemic

Akshay Sood, Jolene Walker

The COVID-19 pandemic presents family physicians with unique opportunities to work with home health providers to combat the pandemic, provide quality care, and ease the burden of fear among patients.

Graham Center Policy One-Pager

Family Physicians Play Key Role in Bridging the Gap in Access to Opioid Use Disorder Treatment

Rohit Abraham, Elizabeth Wilkinson, Yalda Jabbarpour, Andrew Bazemore

Buprenorphine prescribing in primary care is a key bottleneck in the access to medications for opioid use disorder (OUD). In a Medicare claims study including family medicine, internal medicine, general practice, and psychiatry, the largest share of buprenorphine prescribers...

AFP Clinical Answers

COVID-19 and Remdesivir, Insulin Analogues, Opioid Use Disorder, Urinary Incontinence

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

Cochrane for Clinicians

Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD

Jeanmarie B. Rey, Afsoon A. Anvari

Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).

Nicotine Replacement Therapy for Smoking Cessation

Kathleen Barry, Jorge Finke

Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).

Photo Quiz

Knee Bruising and Swelling in a Teenager

Megan Ferderber, Kellner Pruett

A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.

FPIN's Help Desk Answers

Antiemetics for Acute Gastroenteritis in Children

Pnina Strasbourger, Gary Kelsberg, Sarah Safranek

Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.

Diagnostic Tests

PAULA's Test for Lung Cancer Screening

Karl T. Clebak, Michael T. Partin, Megan Mendez-Miller

PAULA's test (Protein Assays Utilizing Lung Cancer Analytes) is a blood test for early detection of lung cancer in high-risk adults.1 Eligible patients are 50 years or older, current or former smokers with more than a 20-pack-year history and less than 15 years of smoking...

Curbside Consultation

A Primary Care Approach to Adverse Childhood Experiences

Jennifer Hinesley, Alex Krist

A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her...

Practice Guidelines

Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and Management

Libby Wetterer

Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming...

Medicine by the Numbers

Vitamin D Supplementation and All-Cause Mortality

Bruce M. LeClair, Celine Si, Jontu Solomon

Observational studies have shown that those with low vitamin D levels have higher cancer and cardiovascular mortality. Read more to learn about the effect of vitamin D supplementation on all-cause mortality.

Letters to the Editor

The COVID-19 Pandemic Is a Battle Against Disease, Fear, and Misinformation

Timothy N. Stephens

Beware of False-Positive Results with SARS-CoV-2 Antibody Tests

Mark H. Ebell, Henry C. Barry



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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