Articles
Amblyopia: Detection and Treatment
Early recognition and treatment of amblyopia in children are important to prevent vision loss. All children three to five years of age should be screened at least once to detect amblyopia or its risk factors. Routine, age-appropriate red reflex testing, examination for signs of…
Influenza: Diagnosis and Treatment
The hallmark of influenza infection is abrupt onset of fever, cough, chills or sweats, myalgias, and malaise. For most patients in the outpatient setting, the diagnosis is made clinically, and laboratory confirmation is not necessary. Laboratory testing may be useful in…
Cirrhosis: Diagnosis and Management
Cirrhosis is the 12th leading cause of death in the United States, but only one in three people know they have it. New research shows that early cirrhosis may be reversible. Most patients remain asymptomatic until the onset of decompensation; evaluation should begin immediately…
Editorials
The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk Assessment
Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.
AFP Clinical Answers
Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial Biopsy
Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
Lown Right Care
Overuse of Statins in Older Adults
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.
Putting Prevention Into Practice
Screening for Pancreatic Cancer
This PPIP quiz is based on the recommendations of the USPSTF.
Photo Quiz
Rash on the Ankle
A man presented with a vesicular rash on his ankle in a serpentine-like pattern.
STEPS
Baloxavir Marboxil (Xofluza) for Influenza
Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a…
Point-of-Care Guides
Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting
What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?
Practice Guidelines
Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice Bulletin
The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.
POEMs
Augmentation of Antidepressant Treatment Offers Little Benefit
The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is…
Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of Symptom Onset
Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.
One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone Is Superior to 12 Months of Dual Antiplatelet Therapy After Percutaneous Coronary Intervention
This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five…
Platelet-Rich Plasma Is Equal to Saline for Patients with Patellar Tendinopathy
In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.
U.S. Preventive Services Task Force
Screening for Pancreatic Cancer: Recommendation Statement
The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.
