Articles
Patellofemoral Pain Syndrome
Patellofemoral pain syndrome, a common cause of knee pain in adolescents and adults younger than 60 years, can cause limitations in daily physical activity and ability to exercise if undiagnosed. The cardinal feature of patellofemoral pain syndrome is pain in or around the…
Neuropsychological Evaluations in Adults
More than 750,000 persons in the United States inject drugs, a number that is increasing sharply because of the opioid epidemic. Persons who inject drugs are at risk of skin and soft tissue, pulmonary, cardiac, neurologic, and other complications. Nonjudgmental inquiries about…
Primary Care for Persons Who Inject Drugs
A neuropsychological consultation can help characterize cognitive deficits, clarify diagnoses, and develop optimal management plans for patients with cognitive issues. Family physicians should consider referring patients when there are questions about diagnostic decision making…
Editorials
Fitness-Related Cardiac Arrhythmias
How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.
AFP Clinical Answers
Animal Bites, Fall Risk, Croup, Scoliosis, Recurrent VTE, Postpartum Perineal Pain
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
STEPS
Prasterone (Intrarosa) for Dyspareunia
Prasterone (Intrarosa) is an intravaginal product used to treat moderate to severe dyspareunia due to vulvar and vaginal atrophy caused by menopause.1 The mechanism of action of intravaginal prasterone is not known, but it may involve local metabolism to estrogens and androgens…
Putting Prevention Into Practice
Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors
A 46-year-old Asian American woman with no significant medical history presents to your clinic for the first time for a pre-employment physical examination.
Photo Quiz
White Lesions on the Hands and Lower Extremities
A 16-year-old girl presented with asymptomatic, white lesions on the hands and lower extremities. The lesions were first noted five years earlier and had slowly increased in size. There was no family history of a similar skin disorder or autoimmune disease.
FPIN's Clinical Inquiries
Intravenous Magnesium Sulfate for Acute Asthma Exacerbations
Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.
Practice Guidelines
Colorectal Cancer Screening: ACS Updates Guideline for Adults with Average Risk
To support early identification and treatment, the American Cancer Society (ACS) has updated its 2008 guidance on counseling and referring patients at average risk of colorectal cancer (CRC) based on new evidence regarding screening options and the ever-changing risk of CRC.
U.S. Preventive Services Task Force
Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors: Recommendation Statement
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adding the ankle-brachial index (ABI), high-sensitivity C-reactive protein (hsCRP) level, or coronary artery calcium score to traditional risk assessment for…
Letters to the Editor
Top 20 POEMs Should Provide Better Context of Study Quality and Scope
Reply: Mark Ebell, Roland Grad
Broadening the Female Athlete Triad: Relative Energy Deficiency in Sport
Reply: Rachel Chamberlain
Case Report: Gonorrhea as a Cause of Exudative Tonsillitis
Letters to the Editor from AFP reader regarding a case report of gonorrhea as a cause of exudative tonsillitis.
Information from Your Family Doctor
Patellofemoral Pain Syndrome
Patellofemoral (puh-TELL-oh-FEM-er-al) pain syndrome (or PFPS for short) is pain at the front of your knee. It may happen when the kneecap (or patella) moves differently than usual.