• Articles

    Common Tongue Conditions in Primary Care

    Liza Straub, Priscille Schettini, Palee Myrex

    Primary care clinicians should be prepared to evaluate, manage, and refer patients with common tongue conditions. Correct diagnosis requires a comprehensive history with assessment of risk factors for malignancy, including tobacco and alcohol use, and an examination of tongue...

    Diabetic Ketoacidosis: Evaluation and Treatment

    Brian Veauthier, Blaine Levy-Grau

    Diabetic ketoacidosis is a life-threatening complication of type 1 and type 2 diabetes resulting from an absolute or relative insulin deficiency. It can occur in patients of all ages. This article details the most common symptoms, methods of diagnosis, and treatment and...

    Genital Herpes: Rapid Evidence Review

    Meghan Plunkett, Colby T. Neville, Jennifer G. Chang

    This article briefly summarizes and reviews the best available patient-oriented evidence for genital herpes, the most common cause of genital ulcers in the United States.

    Prostate Cancer Screening: Common Questions and Answers

    Jinping Xu, Samantha McPharlin, Elie Mulhem

    Shared decision-making is strongly recommended before initiation of prostate cancer screening, which has the primary intent of identifying patients with clinically significant cancer who may benefit from curative treatment.

    Bleeding and Bruising: Primary Care Evaluation

    Pamela R. Hughes, Meghan N. Lewis, Shalease S. Adams

    Taking a comprehensive history, using a bleeding assessment tool, and performing a physical examination can help identify causes of abnormal bleeding and bruising. Consultation with hematology is recommended after initial testing.

    Rheumatoid Arthritis: Diagnosis and Management for the Family Physician

    Emily Peterson, Mary K. Gallagher, Jason Wilbur

    Rheumatoid arthritis is a chronic inflammatory autoimmune disease characterized by polyarthritis and a range of extra-articular manifestations. Although rheumatologists provide advanced treatment, family physicians play an important role in high-quality care for patients with...

    Editorials

    Navigating Polygenic Risk Scores in Primary Care: Challenges and Considerations for Diverse Populations

    Sean P. David, Latha Palaniappan

    Primary care physicians work on the front lines with patients from diverse backgrounds and they should prepare themselves with the knowledge and resources to discuss patient questions about direct-to-consumer genetic testing.

    Financial Hardship Following a Cancer Diagnosis: A Family Matter

    K. Robin Yabroff, Ya-Chen Tina Shih, Cathy J. Bradley

    As a common point of access to health care, family physicians are well-positioned to identify medical financial hardship and ensure patients with cancer and their families get the support they need.

    Medicine by the Numbers

    Effect of Vitamin B12 Supplementation in Pregnancy on Perinatal Outcomes

    Victoria A. Sullivan, Russell S. Blackwelder

    Overall, there may be a benefit to vitamin B12 supplementation in addressing deficiency in the antepartum period, but no evidence suggests that treatment affects patient-oriented outcomes.

    AFP Clinical Answers

    Atrial Fibrillation, Acute Pericarditis, GBS Colonization During Labor, Rosacea, Carpal Tunnel, Pulmonary Hypertension

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

    Cochrane for Clinicians

    Testosterone Replacement Therapy in Men With Sexual Dysfunction

    KENTO SONODA

    Testosterone replacement therapy provides little to no benefit in men with sexual dysfunction in whom testosterone levels are unknown.

    Mindfulness-Enhanced Parenting Programs Improve the Psychosocial Outcomes of Children up to 18 Years and Their Parents

    DUSTIN K. SMITH, HAILEY A. MURRAY, JANET M. WEST

    When compared with no treatment, mindfulness-enhanced parent training programs result in a small improvement in parenting skills and a moderate decrease in parental depression or anxiety. The addition of a mindfulness component to parent training programs decreases parenting...

    Putting Prevention Into Practice

    Screening for Chronic Obstructive Pulmonary Disease

    Brandy Peaker, Natalie E. Slepski

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

    Photo Quiz

    Painful, Red, Swollen Ear

    Juan-Manuel Duran, English Gonzalez

    A 69-year-old man presented with a swollen left auricle.

    Crusted Facial Lesions on a Child

    Nisrine N. Makarem

    A 5-year-old boy presented with lesions on his left cheek and temporal area.

    FPIN's Clinical Inquiries

    High Fruit and Vegetable Intake to Decrease Risk of Depression in Adults

    Simone Bigelow, Kimberly Crosby, Viviane Sachs, Alberto Benjamin Chong, Toni Hoberecht

    A diet that includes high fruit and vegetable intake is associated with a decreased risk of depression by 9% to 15% in adults 45 years and older. In women, greater consumption of fruits and vegetables is associated with a decreased risk of depression and depressive symptoms.

    Diagnostic Tests

    Using Artificial Intelligence in Screening Mammography

    Karl T. Clebak, Michael T. Partin, Nathan J. Hemerly

    Current evidence does not support regular use of AI with breast cancer mammography screening, and family physicians cannot specifically request that it be added.

    STEPS

    Brexpiprazole (Rexulti) for the Treatment of Agitation Associated With Alzheimer Disease

    Jennie B. Jarrett, Alexander F. Infante

    Brexpiprazole reduces unwanted agitation behaviors in patients with Alzheimer disease, but its benefit over placebo is minimal and may not be clinically noticeable. With its potential for numerous adverse effects and high cost, its use should be reserved for after other more...

    Curbside Consultation

    Documenting US Citizenship Examination Exemption for Medically Qualified Refugees

    Sommer Aldulaimi, Suzanne Teeple

    For patients with medical conditions that impair their ability to learn English and civics, this certifying examination can be a barrier to naturalization; however, a pathway to citizenship is possible for qualified applicants through completion of a Medical Disability...

    POEMs

    Single Postpartum Dose of Esketamine May Reduce Postpartum Depression

    Allen F. Shaughnessy

    UTI: Low Rates of Renal Scarring in Children; No Link to Long-Term Consequences

    Henry C. Barry

    Dequalinium Is Noninferior to Metronidazole for Bacterial Vaginosis

    David C. Slawson

    Regular Multivitamin Use Is Not Associated With a Mortality Benefit

    David C. Slawson

    Practice Guidelines

    Anaphylaxis: Guidelines From the Joint Task Force on Allergy-Immunology Practice Parameters

    Stacy Rubin, Joanna Drowos, Charles H. Hennekens

    A joint task force, including members of the American Academy of Allergy, Asthma and Immunology and the American College of Allergy, Asthma and Immunology, developed practice parameters focused on important elements of anaphylaxis diagnosis and treatment.

    Polycystic Ovary Syndrome: Assessment and Management Guidelines

    Michelle Nelson, Vanessa LaRouche

    An international group of professional organizations has developed an evidence-based guideline for the assessment and management of polycystic ovary syndrome.

    Letters to the Editor

    Alcohol Use Disorder and Expectation-Based Medicines

    Alain Braillon

    Reply: Elisabeth Poorman, Brianna M. McQuade, Sarah Messmer

    Information from Your Family Doctor

    Should I Get Screened for Prostate Cancer?

    The prostate is a walnut-sized organ that sits behind your penis. Its purpose is to help make semen. It usually gets larger with age.



    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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