Bradford T. Winslow, Carmen Vandal, Laurel Dang
Fibromyalgia is characterized by diffuse musculoskeletal pain, fatigue, poor sleep, and other somatic symptoms. It can occur in children and adults, and is found worldwide and across cultures. Changes in the diagnostic criteria over the past decade have resulted in more...
Edward A. Jackson, Kamini Geer
Acute otitis externa is an inflammatory condition that affects the external ear canal. It is usually of rapid onset and is the result of a bacterial infection. It presents with pain, redness, and swelling of the canal and is more common in children and young adults.
Michael Erlandson, Maggie C. Wertz, Emily Rosenfeld
Benign hormone-related changes, preexisting skin conditions, and pregnancy-specific disorders can affect patients in varying ways during pregnancy. This article summarizes these conditions and safe treatment options.
Benjamin Shipton, Sunkesula Sagar, Jennifer K. Mall
Myofascial trigger points occur in tight bands of skeletal muscle, causing pain, decreased range of motion, and musculoskeletal disability. They are commonly seen in primary care. Massage, physical therapy, and osteopathic manual medicine are initial noninvasive treatment...
John R. McConaghy, Amara Decker, Shalina Nair
Although dyspepsia often occurs without underlying pathology, it can indicate the presence of peptic ulcer disease. The combination of Helicobacter pylori infection and NSAID use increases the risk of ulcers. The H. pylori test-and-treat strategy is the mainstay of outpatient...
Heather Kovich, William Kim, Anthony M. Quaste
Shared decision-making that considers treatment history, comorbidities, costs, and risk of adverse effects should be used when choosing an antidepressant. When discontinuing an antidepressant, gradually tapering the dosage while concurrently providing cognitive therapy can...
Andrew Buelt, John R. McQuaid
This editorial highlights the similarities and differences in clinical practice guidelines that are most relevant to family physicians and other clinicians treating patients with major depressive disorder.
Salman Waqar, Nazim Ghouri, Rania Awaad
This editorial provides guidance on chronic disease management and explores specific ways physicians can support patients who observe Ramadan.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Brandon Brown, S. Tucker Price
The systematic review found that oral naldemedine improves opioid-induced bowel dysfunction over two weeks in patients with cancer, and subcutaneous methylnaltrexone improves opioid-induced bowel dysfunction over two weeks in patients receiving palliative care.
Jordan Stouffer, Jennifer G. Chang
High- and medium-potency topical corticosteroids increase treatment success compared with low-potency topical corticosteroids, but there is no difference in effectiveness between high- and medium-potency topical corticosteroids.
Alan L. Williams, Sajeewane M. Seales
FITs are more likely than gFOBTs to detect colorectal cancer or advanced adenomas in individuals at average risk.
The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults aged 40 to 75 years who have one or more CVD risk factors and an estimated 10-year risk of a cardiovascular event of 10% or greater.
Howard Tracer, Helen Barnhart
This PPIP quiz is based on the recommendations of the USPSTF.
Tyler S. Rogers, Brendan Lushbough
What are the risks and benefits of less frequent antenatal in-person visits vs. traditional visit schedules and televisits replacing some in-person antenatal appointments?
Matthew Helm, Shara Chopra
A patient presented with a five-month history of well-demarcated, violaceous nodules on her face.
Kartik R. Shah, Charles Thacker
A patient presented with headache, lightheadedness, loss of balance, and chest discomfort. Electrocardiography was performed.
Anita Albanese, Brian Vukelic, Dominik Ose, Eliza Taylor, Katherine T. Fortenberry
Trazodone should not be used to treat insomnia. Trazodone decreases the number of nightly awakenings and may slightly improve subjective sleep quality, but it does not significantly improve total sleep time, sleep efficiency (the ratio of time sleeping to time in bed), sleep...
Megan Bradley, Dwight Humpherys
First-person accounts from the front lines of family medicine.
Mark H. Ebell
David C. Slawson
Henry C. Barry
Nita Shrikant Kulkarni
Sajeewane M. Seales, Andre L. Jones, Katharine L. Neff
The American College of Physicians (ACP) performed a systematic review to determine the most effective diagnosis and management options for acute left-sided colonic diverticulitis.
Andrew Buelt, Jack Kennady, Michael Arnold
The American Heart Association/American College of Cardiology (AHA/ACC) updated guidelines for management of chest pain, which are endorsed by five other cardiology groups.
Justin Schmidt, Richard S. Vetter, Li Schmidt
Reply: Joel Herness, Matthew J. Snyder, Raquelle Suzanne Newman
William B. Ventres
Shi Yu Derek Lim, Wei Na Suzanne Cheng
Kevin Glover, Jeremy Jie Casey, Molly Gilbert
Kento Sonoda
Fibromyalgia (FI-bro-my-AL-juh) is a common condition that causes pain in muscles, joints, ligaments, and tendons. People with fibromyalgia often feel tired and stiff. They may also have trouble sleeping and may feel depressed. The symptoms of fibromyalgia can be different in...
They are thought to work by changing levels of natural chemicals in your brain called neurotransmitters. Neurotransmitters help cells in your brain communicate with each other, and this can change the way you feel. These medicines can help people with mild or moderate...
Acute otitis externa is an infection of the ear canal. Because the ear canal is warm and dark, bacteria (germs) and fungus can grow and cause an infection.
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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