December 15, 2020

Articles

Acute Chest Pain in Adults: Outpatient Evaluation

John R. McConaghy, Malvika Sharma, Hiten Patel

Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation of chest pain is based on determining whether the patient needs to be referred to a higher level of care to…

Peripheral Neuropathy: Evaluation and Differential Diagnosis

Gregory Castelli, Krishna M. Desai, Rebecca E. Cantone

Peripheral neuropathy is one of the most common neurologic problems encountered by family physicians, and it is important to differentiate it from mimicking disorders and to identify and address potential causes. Common identifiable causes include diabetes mellitus, nerve…

Degenerative Cervical Myelopathy: Recognition and Management

Shawn F. Kane, Katarina V. Abadie, Adam Willson

Mechanical compression of the spinal cord is the underlying cause of degenerative cervical myelopathy. Degenerative changes leading to spinal cord compression can occur naturally as a normal part of aging. The signs and symptoms are variable and can mimic other conditions…

Editorials

Long COVID: A Primer for Family Physicians

Trisha Greenhalgh, Matthew Knight

As the United States struggles with a prolonged wave of acute coronavirus disease 2019 (COVID-19; see article recently published in American Family Physician), family physicians need to be prepared to care for patients presenting with postacute (one to three months) or chronic…

AFP Clinical Answers

Blood Lead Levels, Urinary Incontinence, Back Pain, Hemorrhoids, Contraceptives, Lipid Levels

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

Photo Quiz

Penile Swelling

Diana Ladkany, Jonathan E. Davis

A 34-year-old patient presented with penile pain and swelling that had been present for several hours following insertive anal intercourse. The patient had no history of pain associated with erection or intercourse before the onset of swelling.

Lown Right Care

Preoperative Evaluation and Frailty Assessment in Older Patients

Ann Lindsay, Helen Haskell, John James

A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

STEPS

Lasmiditan (Reyvow) for the Treatment of Acute Migraine

Cara Marshall, John Torro

Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

Diary of a Family Physician

Diary of a Family Physician

Annette Chavez

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

Practice Guidelines

Off-Label Use and Misuse of Hormone Supplements: AACE and ACE Position Statement

Michael J. Arnold

The American Association of Clinical Endocrinologists and the American College of Endocrinology developed a summary of known risks of using off-label hormone treatments.

Information from Your Family Doctor

Degenerative Cervical Myelopathy

Degenerative cervical myelopathy is when the spinal cord in the neck gets squeezed (compressed). This can happen when changes in the bones, disks, and ligaments of the spine push on the spinal cord. It is more common in older adults. Some of these changes are a normal part of…

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.

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