October 15, 2020

Because no individual therapy for chronic musculoskeletal pain has consistent benefit, a multimodal treatment approach is recommended. Many nonpharmacologic, noninvasive treatment approaches yield small to moderate improvement in pain and function. This article summarizes the…

Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. Symptoms in children tend to be milder and may include fever, cough, and feeding difficulty. The incubation period is two to 14 days, although symptoms typically…

Groin hernias are caused by a defect of the abdominal wall in the groin area and comprise inguinal and femoral hernias. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. Watchful waiting is a reasonable and…

This editorial highlights the top 20 AFP articles of 2019, provides an update on AFP's statistics for print circulation and website visits, and thanks our peer reviewers.

First-person accounts from the front lines of family medicine.

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

M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.

Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?

A patient presented with a pruritic rash on the hand after working in the garden.

Trifarotene (Aklief) is a topical retinoid labeled for the treatment of facial and truncal acne vulgaris in patients nine years and older.1 Similar to other retinoids, its exact mechanism of action is not known, but it may work by normalizing keratinization and by having anti…

Key Points for Practice

This review found that the best evidence supports C-reactive protein as the most useful and accurate biomarker for diagnosing CAP in adults presenting with lower respiratory tract symptoms.

Hyperbaric oxygen provided with a device that cycles oxygen from high pressure to low pressure increased the likelihood of complete healing of diabetic foot ulcers when combined with standard dressing and an offloading boot.

This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

For toenail onychomycosis, continuous terbinafine (Lamisil), 250 mg, and continuous itraconazole (Sporanox), 200 mg, for 12 to 24 weeks are the preferred therapies.

The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral counseling interventions to prevent illicit drug use, including nonmedical use of prescription drugs, in…

Comprehensive public school–based programs providing supervised administration of asthma medication and/or education for staff, children, and parents markedly decrease asthma-related ED visits for school-aged children.

Reply: Michael J. Arnold, Christopher E. Jonas, Rachel E. Carter

A hole or weak spot can form inside the abdomen, the part of the body between the chest and hips. If this happens, some of your insides, usually your intestines, can begin to bulge out of that spot. This is called a hernia. Two types of hernias can happen in the groin, the area…