January 15, 2015

Articles

Common Questions About Wound Care

BROOKE WORSTER, MICHELE Q. ZAWORA, CHRISTINE HSIEH

The most important aspect of treating a minor wound is irrigation and cleaning. Occlusion of the wound is key to preventing contamination. Suturing, if required, can be completed up to 24 hours after the trauma occurs. There is no evidence that prophylactic antibiotics improve…

Colorectal Cancer Screening and Surveillance

MATTHEW W. SHORT, MILES C. LAYTON, BETHANY N. TEER, JASON E. DOMAGALSKI

Colon cancer screening should begin at 50 years of age in average-risk persons. Screening recommendations for patients with a family history of colorectal cancer vary based on the relative's relationship to the patient, findings, and age when the cancer was diagnosed. Findings…

Disability Evaluations: More Than Completing a Form

DAVID L. MANESS, MUNEEZA KHAN

Patients with a disability often experience health disparities and barriers to appropriate health care. Disability agencies commonly enlist family physicians to assess impairments and determine functional limitations in their patients. The physician's assessment is then used to…

AFP News Now - AFP Edition

AAFP News: AFP Edition

ONC Researchers Search for Factors That Influence Physician EHR Adoption | 2015 Physician Fee Schedule Lacks Payment Code Details, AAFP Tells CMS | Study: Physician Needs Must Be Addressed to Curb Burnout and Improve Patient Care | CMS to Consider Covering HPV Testing

Close-Ups

More Than a Rash: Skin Disease and Quality of Life

CAROLINE WELLBERY

Pityriasis rubra pilaris, like its mimic psoriasis, can have emotional and social effects.

Editorials

Screening and Surveillance for Colorectal Cancer: Avoiding the Pitfalls of Overscreening

JAY SIWEK

Although much has been written about the need to encourage colonoscopy in underscreened populations, overscreening for colorectal cancer is now recognized as a problem that can lead to harm.

Clinical Evidence Handbook

Absence Seizures in Children

EWA POSNER

What are the effects of treatments for typical absence seizures in children?

FPIN's Clinical Inquiries

Medications for Treatment of Interstitial Cystitis

REX DANCEL, ANNE MOUNSEY, LARA HANDLER

There are no long-term clinically effective oral medications. Pentosan (Elmiron) can improve overall symptom scores for interstitial cystitis over three to six months, but it does not improve scores for any of three individual symptoms (dysuria, urgency, frequency) compared…

Putting Prevention Into Practice

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in Women

KAREN LEE, CARLO ROSSI

L.M. is a 37-year-old nonsmoking woman who is not taking any medications and has no significant past medical problems. Three of her female relatives have a history of breast cancer: her mother (diagnosed at 49 years of age, before menopause), her paternal grandmother (diagnosed…

Photo Quiz

Skin Sloughing and Lip Lesions After a Recent Foot Procedure

STANISLAV N. TOLKACHJOV

A woman taking an antibiotic presented with fever, blistering on her lips, and progressive sloughing of skin. She also had diffuse muscle aches and increased pigmentation and edema on her face. Laboratory tests revealed new acute renal insufficiency.

Curbside Consultation

Screening for Hereditary Cancer Syndromes

KU-LANG CHANG, LISA BROWN

Family physicians play a key role in identifying patients in need of increased cancer surveillance because of a personal or family history of cancer. How does one know if a patient warrants genetic testing for hereditary cancer predisposition?

POEMs

Evidence Does Not Show Benefit of Treating Mycoplasma Pneumonia in Children

ALLEN F. SHAUGHNESSY

After all these years of knowing about Mycoplasma pneumoniae as a cause of lower respiratory tract infections and the effectiveness of various antibiotics against it in a Petri dish, we still do not know whether treating mycoplasma pneumonia in children is effective. This study…

Increasing HDL Level Ineffective at Decreasing Cardiovascular Events

ALLEN F. SHAUGHNESSY

Being the “good” cholesterol is not the same as being the “useful” cholesterol. Drug therapy aimed at increasing HDL cholesterol levels, when added to statin treatment, does not decrease patients' likelihood of experiencing a cardiovascular event or of dying earlier.

Antidepressants and Psychological Therapies Are Effective for IBS

LAUREN S. HUGHES

Antidepressants and psychological therapies are effective in treating the symptoms of IBS. This study, an update of a similar systematic review and meta-analysis completed five years ago, found the same level of effectiveness for both treatment approaches as the previous…

Practice Guidelines

AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke or TIA

AMBER RANDEL

The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients…

U.S. Preventive Services Task Force

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in Women: Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with…

Information from Your Family Doctor

Colon Cancer Screening: What You Should Know

The colon, also called the large intestine, is a long tube that carries digested food from the small intestine to the anus. Colon cancer is an abnormal growth that can begin anywhere in the colon. It can spread to other parts of the body and lead to death. Colon cancer is…

PtEd

Wound Care

Hold the wound under warm tap water. Use soap and a soft washcloth to clean the skin around it. Try to keep soap out of the wound. Ask your doctor if you should use anything other than soap and water, because some disinfectants (such as hydrogen peroxide or iodine) may slow…

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

Disclosures

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.