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Articles

Metabolic Surgery for Adult Obesity: Common Questions and Answers

Elaine Seaton Banerjee, Robin Schroeder, T. Daniel Harrison

Metabolic surgery reduces all-cause mortality by 30% to 40% at two to 15 years compared with patients with obesity who did not have surgery. Remission of type 2 diabetes mellitus occurs in as many as 70% of patients two years after surgery and is maintained at 10 years in...

Soft Tissue Masses: Evaluation and Treatment

Suraj Achar, Jarrod Yamanaka, Jennifer Oberstar

Soft tissue masses are a common presentation in family medicine. This article describes common masses, discusses the usefulness of various imaging modalities, and provides recommendations for treatment, including indications for referral to specialists for possible malignancy.

Acute Stroke Diagnosis

Edwin Y. Choi, Gilberto A. Nieves, Darrell Edward Jones

Rapid diagnosis and prompt treatment of stroke are essential. The initial assessment should focus on the signs and symptoms of focal neurologic injury and rule out stroke mimics. Appropriate workup should be started immediately, and recombinant tissue plasminogen activator...

Community-Acquired Pneumonia in Adults: Rapid Evidence Review

Jason Womack, Jill Kropa

This article reviews evidence for diagnosis and treatment of community-acquired pneumonia in adults, including clinical signs and symptoms and current society guidelines for the use of imaging and microbiologic testing. The CRB-65 rule for risk stratification and options for...

Common Finger Fractures and Dislocations

Marc A. Childress, Jairo Olivas, Anna Crutchfield

Finger fractures and dislocations are commonly seen in the primary care setting. Patients often present with a deformity, swelling, and bruising with loss of function. Primary care physicians can manage most uncomplicated injuries with simple immobilization. Appropriate...

Preoperative Evaluation in Children

Kyle Jordan Fletke, Alexander Kaysin, Stephanie Jones

A preoperative evaluation is advised for all children and adolescents having elective surgery with anesthesia. The evaluation assesses medical and psychosocial factors that may affect the timing of surgery and identifies underlying conditions that would benefit from...

Editorials

AFP 2022: New Fellow, New Resident and Student Representatives, Top 20 Articles, AFP Statistics, and Thanking Peer Reviewers

Sumi M. Sexton

For the past 27 years I have been editing American Family Physician (AFP) in some role or another, but the experience of editing the journal these past two years has been like no other. Although the pandemic posed significant challenges, there were some positive outcomes...

Simplifying Pneumococcal Immunizations for Adults

Amit A. Shah

With the approval of the 15-valent PCV vaccine (Vaxneuvance) and 20-valent PCV vaccine (Prevnar-20), ACIP has simplified pneumococcal immunization recommendations for adults.

AFP Clinical Answers

Hypotension, Postpartum Thyroiditis, Adenomyosis, Pruritus, Hepatitis C, Borderline Personality Disorder

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

Diary of a Family Physician

Diary of a Family Physician

Cate Buley, Annette Chavez

First-person accounts from the front lines of family medicine.

Cochrane for Clinicians

Mini-Cog, IQCODE, MoCA, and MMSE for the Prediction of Dementia in Primary Care

Christi Stewart, Jonathan Stewart, Sarah Stubbs, John W. Epling

How well do four common, brief clinical assessments (Mini-Cog, Informant Questionnaire on Cognitive Decline in the Elderly [IQCODE], Montreal Cognitive Assessment [MoCA], and Mini-Mental State Examination [MMSE]) predict dementia in primary care?

SSRIs and SNRIs for Premature Ejaculation in Adult Men

Meera Sunder

Are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) safe and effective for the treatment of premature ejaculation in adult men?

Graham Center Policy One-Pager

Distribution of Spanish-Speaking Family Physicians, 2013–2019

Jose Flores-Rodarte, Michael Topmiller, Yalda Jabbarpour

Language concordance between physician and patient is important in providing high-quality care. Many counties in the United States have a disparity between the number of patients speaking Spanish and the number of family physicians who are able to provide care in Spanish....

STEPS

Tenapanor (Ibsrela) for the Treatment of Irritable Bowel Syndrome With Constipation

Seth Curtis, Megan Curtis

Tenapanor (Ibsrela) is labeled for the treatment of irritable bowel syndrome with constipation (IBS-C) in adults.1 It is a sodium/hydrogen exchanger 3 inhibitor that acts on the surface of the small intestine and colon to block the absorption of dietary sodium, resulting in...

Putting Prevention Into Practice

Screening for Atrial Fibrillation

Howard Tracer, Jacob P. VanHouten

Series of short reports and quizzes based on guidelines from the USPSTF.

Point-of-Care Guides

Bruising Characteristics to Predict Child Abuse

Aaron Saguil, Ruben Salinas, Jr.

Is it possible to predict the likelihood of child abuse based on bruising characteristics detected on examination?

FPIN's Clinical Inquiries

Oral vs. Intramuscular Vitamin B12 for Treating Vitamin B12 Deficiency

Anne Mounsey, David C. Brendle, Kerwyn Flowers

How effective is oral vitamin B12 supplementation compared with intramuscular supplementation in patients with vitamin B12 deficiency?

Diagnostic Tests

Multiparametric MRI for the Evaluation of Prostate Cancer

Carl Bryce, Amanda Rapp

Multiparametric magnetic resonance imaging (mpMRI) is a specific MRI test used to detect and evaluate prostate cancer. It requires additional radiologist training and sequences not routinely performed in anatomic imaging, such as diffusion-weighted and dynamic contrast...

Lown Right Care

Overuse of Interventional Procedures for Low Back Pain

Alan R. Roth, Andy Lazris, Helen Haskell, John James

A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

Photo Quiz

Child With Recurrent Pruritic Skin Lesions

Brian Green, Meloria Hoskins, Laurie Krnjaic

An 11-year-old girl with a history of frequent headaches, diarrhea, and one episode of difficulty breathing presented with multiple, pruritic skin lesions.

Pinpoint Foot Pain at the Base of the Phalanx

Richa Sharma, Jaap Patel

A woman presented with one-month history of pain in her right foot under the fourth toe at the base of proximal phalanx.

Practice Guidelines

SGLT-2 Inhibitors and GLP-1 Receptor Agonists in Type 2 Diabetes: BMJ Rapid Recommendation

Michael J. Arnold, Andrew Buelt

BMJ-MAGIC Group publishes recommendations for using SGLT-2 inhibitors and GLP-1 receptor agonists in patients with type 2 diabetes.

Clostridioides difficile Infection: A Focused Guideline Update From the IDSA

Jorge Finke

Key Points for Practice

U.S. Preventive Services Task Force

Screening for Atrial Fibrillation

Clinical Summary table of the latest USPSTF recommendations.

Medicine by the Numbers

Antibiotics for the Treatment of Sore Throat

Rukayat Balogun, Alexander Knobloch

Learn more about antibiotic use for the treatment of sore throat.

POEMs

Selective Serotonin Reuptake Inhibitors Are Probably the Best First Option for Patients With Panic Disorder

Allen F. Shaughnessy

For Mild to Moderate Acne, Adapalene Plus Benzoyl Peroxide, Clindamycin Plus Benzoyl Peroxide, and Adapalene Alone Are Most Effective

Mark H. Ebell

British Society of Gastroenterology Guidelines for the Management of Irritable Bowel Syndrome

Mark H. Ebell

No Improved Patient-Oriented Outcomes With Sacubitril/Valsartan in Adults With Heart Failure and Preserved Ejection Fraction

David C. Slawson

Letters to the Editor

Case Report: Nirmatrelvir/Ritonavir and Tacrolimus in a Kidney Transplant Recipient With COVID-19

Kristen E. Lindauer, Ashlee G. Hamel

Reevaluating the Measurement of Potency of Topical Corticosteroids

Alyssa D’Addezio, Gretchen Shelesky

Reply: Stephen K. Stacey, Mark McEleney

Case Report: Delayed Diagnosis of a High-Grade Spindle Cell Sarcoma Presenting as a Thigh Mass

Malvika Sharma, Hiten Patel

Case Report: Infant With a Disproportionately Large Head

Tyler Wilson, Jyothi Patri, Arjun Yarenahalli



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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