February 1, 2020

Articles

Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive Care

David A. Klein, Scott L. Paradise, Corinne A. Landis

Healthy development in adolescents occurs when risk factors are limited and when protective factors are fostered; this is encouraged when adolescents feel valued, feel empowered, and form healthy social connections. Threats typically result from experimentation and psychosocial…

Chronic Wounds: Evaluation and Management

Steven Bowers, Eginia Franco

Chronic wounds do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. Common lower extremity wounds include arterial, diabetic, pressure, and venous ulcers. Physical examination alone can often guide the…

Alg

Clostridioides difficile Infection: Update on Management

Anne Mounsey, Kelly Lacy Smith, Vinay C. Reddy, Sarah Nickolich

Clostridioides difficile (formerly called Clostridium difficile) is the most commonly reported nosocomial pathogen in the United States. Risk factors for C. difficile infection include recent exposure to health care facilities or antibiotics, especially clindamycin. C…

Editorials

Shared Decision-Making for Administering PCV13 in Older Adults

Amit A. Shah, Mark R. Wallace, Heather Fields

In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.

AFP Clinical Answers

H. pylori, Heart Failure, Acupuncture, Injections for Tendinopathy, Hirsutism

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

Cochrane for Clinicians

OnabotulinumtoxinA for the Prevention of Chronic Migraine in Adults

Margot Savoy

Is onabotulinumtoxinA (Botox) safe and effective at reducing the frequency of chronic migraine headaches in adults?

Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults

Karl T. Clebak, Leesha Helm, Matthew Helm

The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.

Photo Quiz

Painful Lower Extremity Ulcerations with Hyperpigmentation

Erik A Kumetz, Nicholas F. Logemann, Shayna C. Rivard

A 25-year-old woman presented with ulcerations of the lower extremities that developed one week earlier in the setting of hyperpigmentation over two to three years. She initially noticed multiple angular-shaped, erythematous nodules on the distal lower extremities that became…

Implementing AHRQ Effective Health Care Reviews

Adverse Events of Pharmacologic Treatments of Major Depression in Older Adults

Elizabeth Salisbury-Afshar

What are the adverse events of antidepressants prescribed to treat major depressive disorder in adults 65 years and older?

FPIN's Clinical Inquiries

Treatments for Postmenopausal Hypoactive Sexual Desire Disorder

Erin McAdams, Zoë Cross, Clarivette Bosch, José E. Rodriguez, Joan Nashelsky

Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications

Practice Guidelines

Breast Cancer Screening: ACP Releases Guidance Statements

Lindsey Hoover

The American College of Physicians reviewed guidelines from other organizations and developed four statements to provide advice to clinicians about breast cancer screening for women who are at average risk.

Medicine by the Numbers

Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease

Kim Hagarty, Daniel Runde

Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.

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.