Anna T. Wiley, James C. Watson, Delaney N. Lehmann
Migraine treatment should begin with preventive measures that include trigger avoidance, lifestyle modification, and pharmacologic interventions. Many medications have good evidence to support their use for acute migraine treatment; therefore, cost, contraindications, and...
Jeffrey D. Tiemstra
Patients with moderate or severe opioid use disorder should be offered buprenorphine treatment. Buprenorphine is highly effective and safer than full opioid agonists such as methadone and should be continued as long as it is beneficial to the patient.
Wyatt Maloy, Brian Merrigan, Chad D. Hulsopple
Complex anatomy contributes to the difficulty in reaching an exact diagnosis for groin pain. This article focuses on the differential diagnosis of musculoskeletal causes of groin pain, including relevant evaluations and treatments.
Wendy S. Biggs, Jennifer M. Romeu, Taylor Gaudard
Premenstrual syndrome and premenstrual dysphoric disorder manifest in a spectrum of physical and psychological symptoms. Selective serotonin reuptake inhibitors are first-line treatment for these disorders, and continuous vs intermittent dosing may be more effective.
Christina Valerio, Mariah Norby, Patsy Kremsreiter
Physicians should provide unbiased, medically accurate information and resources regarding options for patients with unintended pregnancies. Options include continuing the pregnancy and parenting, pursuing adoption, or having a medication or procedural abortion.
Michelle Nelson
Dr. Siwek embodies the spirit of family medicine with his compassion and commitment to patients through the education of future family physicians.
Dorothy N. Charles, Meera Nagarsheth, Lauren Oshman
The US Selected Practice Recommendations for Contraceptive Use is the first guideline to recommend that all patients be counseled and provided with a person-centered plan for pain management.
Amanda Niklasson, Victor M. Montori, Minna Johansson
With practice guidelines that are impossible to follow, it's time for family physicians to lead the prioritization of how we spend our time.
Elise Blaseg, Alison Huffstetler
Although most physicians are interested in the use of augmented or artificial intelligence (AI) in health care, only 38% are using AI in their practices. Initial results from AI integrated organizations show that AI scribe programs significantly decrease electronic health...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Bradley J. Touchet, Verneeta L. Williams
In men with symptoms of sexual dysfunction but no known testosterone deficiency, testosterone replacement therapy does not appear to be different from placebo in the short term. In the long term, it is uncertain whether testosterone replacement therapy is helpful because data...
Carlton J. Covey, Jake Van Weezep
Compared with minimal management (ie, no formal treatment), 10 to 15 sessions of cognitive behavior therapy reduce posttreatment anxiety severity for 2 to 8 weeks in persons older than 55 years. This reduction is not sustained 3 to 6 months posttreatment. Symptoms of worry...
Kento Sonoda, Carly Messenger
Using low cutoffs with the Fibrosis-4 score (ie, 1.45 or greater for detecting at least severe fibrosis [F3 or higher]) or Forns index (ie, 4.2 or greater for detecting at least significant fibrosis [F2 or higher]) yields relatively accurate results for predicting fibrosis...
Brock Cardon, Tanner Pulsipher
Cold water immersion immediately after exercise can improve perceived recovery and delay onset of muscle soreness in the 24 hours after high-intensity and resistance exercise. Short immersion times (ie, less than 10 to 15 minutes) at temperatures below 59°F (15°C) have the...
Melissa Neuman, Martin Keil, Kristen DeSanto
Exercise therapy with strength, aerobic, or aquatic physical therapy (PT) may decrease pain due to knee osteoarthritis in the short term (6-18 weeks). Improvements may persist for 1 year but typically are diminished by 18 months. PT results in greater pain relief for 1 year...
Jesse Bracamonte, Michael Underhill, Molly Kresin, Murk Rani
A 64-year-old man presented with a solitary nodule on his chin that had gradually increased in size over several months.
Robert Dazé, Nathaniel Oommen, Krutil Patel
A 41-year-old man presented with a pruritic rash between his toes that had been present for at least 2 months.
Jennie Zheng, Stephen Finney
First-person accounts from the front lines of family medicine.
Daniel S. Hwang, Steven R. Banks
The American College of Obstetricians and Gynecologists released guidelines on managing the first and second phases of labor.
Lauren Oshman, Melissa Elafros, Brian Callaghan
Reply: Sean Haley, Sarah Tucker Marrison, Scott Bragg
Holly Leigh Stegall, Dawn Caviness
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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