Denise K. C. Sur, Monica L. Plesa
Studies show that many upper respiratory tract infections are treated unnecessarily with antibiotics. Antibiotics should not be used for the common cold, influenza, COVID-19, or laryngitis. Evidence supports antibiotic use in most cases of acute otitis media, group A beta...
Jeanne P. Spencer, Stephanie Thomas, Ruth H. Trondsen Pawlowski
This article provides information on the management of medications for common conditions during breastfeeding.
Alicia Kowalchuk, Sandra J. Gonzalez, Roger J. Zoorob
Anxiety disorders are the most common psychiatric conditions in children and adolescents. There are several validated screening measures for symptom assessment and monitoring. Cognitive behavior therapy and selective serotonin reuptake inhibitors are first-line treatments and...
Jeremy D. Schroeder, Sean P. Turner, Emily Buck
Hip fractures are common causes of disability, with mortality rates reaching 30% at one year. Plain radiography is usually sufficient for diagnosis, but magnetic resonance imaging should be obtained if suspicion of fracture persists despite normal radiography.
Jason S. Lanham, Paige White, Brody Gaffney
Homelessness increases morbidity associated with cardiovascular, respiratory, and infectious diseases and all-cause mortality. A multidisciplinary approach to the care of people experiencing homelessness that includes pharmacists, case managers, and social workers improves...
Richard D. Bruehlman, Stella Winters, Connor McKittrick
Galactorrhea, the production of breast milk unrelated to physiologic lactation, has a variety of causes. This rapid evidence review provides diagnostic guidance and treatment recommendations based on the underlying cause.
MaryAnn Dakkak, Evelyne Chiakpo, Kimberly Tauches
This editorial highlights the additional risks to and health care recommendations for transgender and adolescent pregnant patients and pregnant patients with opioid use disorder.
Asha N. Talati, Emily E. Hardisty, Neeta L. Vora
The American College of Obstetricians and Gynecologists, Society for Maternal-Fetal Medicine, and American College of Medical Genetics and Genomics recommend that all pregnant patients be offered screening or diagnostic testing for aneuploidy with appropriate pre- and...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Breanna L. Gawrys, Diana T. Trang
We have assigned a color recommendation of yellow (unclear benefits) for the effects of music therapy on global improvement, total autism severity, and quality of life in autistic people.
Sajeewane Seales, Paul Seales
Selective serotonin reuptake inhibitors (SSRIs) improve symptoms of PTSD and are considered first-line pharmacologic agents. Mirtazapine and amitriptyline also improve PTSD symptoms. SSRI use is associated with an increased risk of treatment withdrawal because of adverse...
Madhavi Singh, Kristen Grine
Antiplatelet therapy reduces the risk of myocardial infarction by 0.8% compared with placebo in patients with chronic kidney disease but is associated with an increased risk of major bleeding.
Yuriy Golub, Matthew Duenas, Jon O. Neher
Several deprescribing methods may provide limited success. Some patients may have a return of symptoms with abrupt discontinuation. Changing the proton pump inhibitor prescription to as-needed dosing results in fewer pills being used (by about four pills per week), but with...
For adults 40 years or older who do not have any symptoms of glaucoma, the USPSTF found that the evidence is insufficient to assess the balance of benefits and harms of screening for primary open-angle glaucoma in adults.
Andy Lazris, Alan R. Roth, Helen Haskell, John James
A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
James Daucher, Emily Jensen
A woman with a history of midurethral sling procedure presented with a recurrent groin abscess.
Raghuveer Vedala, Krishna Vedala, Jillian Harsha
A 13-year-old girl with history of acne, seasonal allergies, and asthma presented with a cut on her foot that worsened into an ulcer.
James D. Knox, Hugh Silk
First-person accounts from the front lines of family medicine.
Mark H. Ebell
How accurate are history and physical examination in diagnosing testicular torsion?
Brian K. Unwin, Nicole Bailey Bedsaul, Sarah Stubbs
Selection of a long-term care facility is influenced by many factors, including social and cultural norms, timing of placement (e.g., from hospital vs. from home), language, and family dynamics. Selection is most heavily influenced by location, with the usual goal of being...
Michael J. Arnold
The American Academy of Family Physicians updated a recent systematic review with a literature review of subsequent studies to recommend blood pressure targets for primary care management of hypertension.
Sarah Coles, Lynn Fisher, Kenneth W. Lin, Corey Lyon, Alexis A. Vosooney, Melanie D. Bird
The American Academy of Family Physicians updated a recent systematic review with a literature review of subsequent studies to recommend blood pressure targets for primary care management of hypertension.
Jennifer L. Creamer, Subodh K. Arora, Matthew R. Rusling
To support physicians in making treatment plans to address adherence for patients with sleep apnea, the American Academy of Sleep Medicine has updated its clinical practice guidelines on surgical referral for patients with obstructive sleep apnea.
Mia J. Biondi, Cheryl Dale
Reply: David D. Maness, Elly Riley, Grant Studebaker
Antibiotics are medicines that can fight or prevent some infections. Infections are caused by two types of germs—bacteria and viruses.
Fracture is another word for broken bone. A hip fracture is a break at the top of your upper leg bone. Hip fractures can occur at any age, but most occur from a fall in older adults. Hip fractures are more common in women. People with weak bones from osteoporosis (AH-stee-oh...
Galactorrhea (guh-LACK-toe-REE-uh) is a milky discharge from the breast that isn’t from breastfeeding or that happens at least one year after stopping breastfeeding. It usually happens in both breasts, but it can also happen in only one. Both women and men can have galactorrhea.
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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