Articles
Toilet Training: Common Questions and Answers
Most U.S. children achieve the physiologic, cognitive, and emotional development necessary for toilet training by 18 to 30 months of age, although some children require more time. Markers of readiness for toilet training include being able to walk, don and remove clothing, and…
Acne Vulgaris: Diagnosis and Treatment
Typical acne lesions involve the pilosebaceous follicles and the interrelated processes of sebum production, Cutibacterium acnes colonization, and inflammation. Treatment is based on severity and usually includes topical agents such as retinoids, benzoyl peroxide, and…
Postpartum Care: An Approach to the Fourth Trimester
Postpartum care should be initiated within three weeks after delivery in person or by phone, and a full assessment is recommended within 12 weeks. Women diagnosed with gestational diabetes mellitus should receive a 75-g two-hour fasting oral glucose tolerance test between four…
Editorials
What Family Physicians Can Do to Reduce Maternal Mortality
Family physicians can catalyze efforts to ensure the safety of all people who give birth and to support well-being during the postpartum period.
AFP Clinical Answers
Flu Vaccine, Car Seats, PTSD, Kidney Stones, Bridging Warfarin
Do influenza vaccines reduce the risk of influenza in healthy children, healthy adults, and older adults? | When is the optimal time for children to transition to a booster seat or sit in the front seat of the car? | What are the benefits and harms of psychotherapies and…
FPIN's Help Desk Answers
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease
Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit…
Photo Quiz
Nail Changes Following a Viral Infection
A seven-year-old boy presented with abnormal growth of his fingernails that began two weeks prior. He had no other symptoms, including pain or pruritus on his hands or around his nails. He did not have fevers, chills, nausea, vomiting, or change in activity. He had hand-foot…
Point-of-Care Guides
Predicting the Risk of Postoperative Pulmonary Complications
What is the best approach to evaluate postoperative pulmonary risk?
STEPS
Elagolix (Orilissa) for Endometriosis Pain
Elagolix can decrease pain in women with endometriosis, but it is expensive and has adverse effects similar to those of other medications that decrease estrogen levels.
Practice Guidelines
Influenza Vaccination: Updated Recommendations from ACIP
The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.
U.S. Preventive Services Task Force
Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation Statement
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.
Letters to the Editor
Pharmacologic Treatment for Older Children with ADHD
Reply: Matthew Schefft, Diane Liu, Ricardo Quinonez
Information from Your Family Doctor
Toilet Training
Most children are ready for toilet training by 18 to 30 months. Typical signs that children are ready include:
