Articles
Plantar Fasciitis
Plantar fasciitis is common in runners but can also affect sedentary people. Risk factors include limited ankle dorsiflexion, increased body mass index, and standing for prolonged periods of time. Symptoms are stabbing, nonradiating pain first thing in the morning in the…
Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention
Globally, approximately 80 million individuals have diabetic kidney disease (DKD). It is associated with higher cardiovascular and all-cause morbidity and mortality. Screening is best done with annual spot urine albumin/creatinine ratio testing and is confirmed by repeated…
Bartholin Duct Cyst and Gland Abscess: Office Management
Blockage of the Bartholin ducts can result in enlargement of the gland and subsequent development of cysts or abscesses. Two percent of women will develop a cyst or an abscess in their lifetime, and physicians should be familiar with the range of treatment options. Bartholin…
Editorials
Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings
We have identified the ways in which family physicians can implement the USPSTF screening recommendation for unhealthy alcohol use and then intervene when a patient has a positive screen.
AFP Clinical Answers
Coronary Syndrome, HPV Vaccination, Acute Sore Throat, Food Allergies, Breastfeeding
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Lown Right Care
Lung Cancer Screening: Pros and Cons
A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
Graham Center Policy One-Pager
Ensuring Primary Care Access in States with an Aging Family Physician Workforce
In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.
Point-of-Care Guides
Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting
When is it safe to treat a patient with community-acquired pneumonia a an outpatient?
Putting Prevention Into Practice
Screening and Behavioral Counseling Intervention to Reduce Unhealthy Alcohol Use in Adolescents and Adults
A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be…
Photo Quiz
Painful Vesicular Eruption on the Index Finger of a Butcher
A man who worked as a butcher presented with erythema, swelling, and painful lesions on his index finger that did not resolve with antibiotics. Plain radiography did not show bony abnormalities.
STEPS
Erenumab (Aimovig) for Migraine Prophylaxis in Adults
Erenumab is a safe option for migraine prophylaxis in adults. However, it is expensive and should be reserved for patients who have experienced intolerable adverse effects while taking oral migraine prophylaxis medication or who have poor adherence to daily preventive treatment.
FPIN's Clinical Inquiries
H. pylori Screening Before Initiation of Long-term NSAIDs
Should clinicians perform laboratory screening for and eradicate Helicobacter pylori in patients before initiating long-term therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce the risk of peptic ulcer disease?
Practice Guidelines
Depression After ACS Events: AAFP Releases Updated Guidelines
The American Academy of Family Physicians has released a guideline focusing on depression in adults within three months of an ACS event (unstable angina or myocardial infarction). The guideline is based on a systematic review of randomized controlled trials and observational…
Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines from the AAFP
Purpose: To review the evidence and provide clinical recommendations for the screening and treatment of depression in patients who have had a recent acute coronary syndrome event.
Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines from the AAFP
Purpose: To review the evidence and provide clinical recommendations for the screening and treatment of depression in patients who have had a recent acute coronary syndrome event.
U.S. Preventive Services Task Force
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: Recommendation Statement
The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use…
Letters to the Editor
Information from Your Family Doctor
Plantar Fasciitis
The plantar fascia (PLAN-tar FASH-ee-ah) is a band of tough fiber on the bottom of your foot (see drawing). It runs from your toes to your heel and forms the arch of your foot. Plantar fasciitis (fashee-EYE-tis) happens when this tissue is injured. This makes your heel hurt…
Corrections
Corrections
Anatomy clarification. The article “Renal Cell Carcinoma: Diagnosis and Management” (February 1, 2019, p. 179) incorrectly identified the right testicular venous system as draining to the right renal vein rather than the inferior vena cava in the third sentence of the “Clinical…
Corrections
Incorrect amount listed in table. The article “Gastroenteritis in Children” (February 1, 2019, p. 159) contained an error in the last column of row two of Table 4 (page 162). The table incorrectly identified the amount of oral rehydration solution (ORS) to give in the first…
