Articles
Hip Pain in Adults: Evaluation and Differential Diagnosis
Hip pain usually localizes anteriorly, laterally, or posteriorly. A focused history and physical examination can help differentiate the causes of hip pain, which is important for prescribing effective therapy. The history should include personal history of hip problems, sports…
Labor Dystocia in Nulliparous Patients
Dystocia accounts for 25% to 55% of primary cesarean deliveries. Avoiding admission to labor and delivery in the latent phase is recommended, assuming maternal/fetal status is reassuring. An arrested active phase is more than four hours without cervical change despite amniotomy…
Dysphagia: Evaluation and Collaborative Management
Dysphagia is common but may be underreported. Oropharyngeal dysphagia manifests as coughing, choking, aspiration, or difficulty initiating swallowing, and is most often caused by chronic neurologic conditions. Patients with esophageal dysphagia may report a sensation of food…
Editorials
Evidence Lacking to Support Universal Unhealthy Drug Use Screening
To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and…
AFP Clinical Answers
COVID-19, Scoliosis, Muscle Weakness, Preterm Birth, Fecal Incontinence
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
U.S. Preventive Services Task Force
Screening for Unhealthy Drug Use: Recommendation Statement
The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.
Photo Quiz
Fever and Rash After Travel to the Philippines
A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.
FPIN's Help Desk Answers
Antepartum Perineal Massage for Intrapartum Lacerations
Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.
STEPS
Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of Heart Attack and Stroke
Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.
Practice Guidelines
Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology and Arthritis Foundation
The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.
POEMs
Buffering Lidocaine 1%/Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as Effective and Less Painful than a 9:1 Ratio
POEMs
Short-Term Low Back Pain Relief with Placebo
Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.
Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No Effect on Severe Exacerbations
Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days…
Letters to the Editor
Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents
Reply: Suraj Achar, Jarrod Yamanaka
Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding
Reply: Thad Wilkins, Brittany Wheeler, Mary Carpenter
Newborn Circumcision Techniques and Medical Ethics
Reply: Rolashade Omole, Walkitria Smith, Kitty Carter-Wicker
Information from Your Family Doctor
Hip Pain in Adults
Hip pain is common and can happen at any age.
Corrections
Corrections
Updated recommendation. The article “Upper Gastrointestinal Bleeding in Adults: Evaluation and Management,” (March 1, 2020, p. 294) referenced a recommendation from 2010 regarding blood transfusions for patients with upper gastrointestinal (GI) bleeding when hemoglobin is less…
Corrections
Inaccurate disease description. In the Practice Guidelines “Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA” (July 15, 2020, p. 121), in the title of Table 2 (page 122) and the first sentence in the second paragraph of the Antibiotic Therapy section…