Articles
Health Maintenance for Women of Reproductive Age
This article focuses on screening and counseling for health conditions that are more prevalent in, or have a unique impact on, women, transgender men, and nonbinary individuals of reproductive age. Health issues including cardiovascular risk factors, obesity, hypertension…
Frailty: Evaluation and Management
Frailty is a state of increased vulnerability across multiple health domains. It affects 5% to 17% of older adults. Frail older adults are at increased risk of falls, disability, hospitalizations, and death. A comprehensive geriatric assessment can identify risk factors and…
Bipolar Disorders: Evaluation and Treatment
Bipolar disorders are common mental health conditions of variable severity that are difficult to diagnose. New diagnostic criteria and specifiers with attention on mixed features and anxious distress aid the physician in recognizing episode severity and prognosis. Early…
Editorials
Performance-Enhancing Drug Use in Recreational Athletes
Family physicians may be surprised to learn the number of their patients who use performance-enhancing drugs, either deliberately to improve athletic performance or unknowingly through contaminated dietary supplements.
AFP Clinical Answers
Breast Cancer Screening, Plantar Warts, IUD Insertion, Osteoporosis, Anal Fissures
What is the most effective breast cancer screening strategy in women at average risk? | Is cryosurgery more effective than salicylic acid in the treatment of plantar warts? | Do preprocedure medications affect the pain of IUD insertion? | How should osteoporosis be monitored in…
Diary of a Family Physician
Diary of a Family Physician
First-person accounts from the front lines of family medicine.
STEPS
Lemborexant (Dayvigo) for the Treatment of Insomnia
Lemborexant (Davigo) is labeled for adults with insomnia to improve with sleep onset and maintenance.
Photo Quiz
Severely Pruritic, Whip-like Dermatitis
A patient presented with fever, headache, cough, sore throat, and a widespread pruritic rash two days after ingestion of shiitake mushrooms.
Medicine by the Numbers
Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults
Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.
POEMs
Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema
Adding compression to patient education reduces the likelihood of recurrent cellulitis in patients with chronic leg edema.
Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years
Following a high-quality colonoscopy (adequate bowel preparation, full visualization, and high rates of detection by the colonoscopist), patients at average risk with no neoplasm found on examination had the same rate of developing colorectal cancer or dying from it in the 10…
Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of Other Obesity-Related Events
Based on population registry data, bariatric surgery is associated with lower all-cause mortality and a lower risk of developing many subsequent obesity-related conditions.
Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone
For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.
Practice Guidelines
ACIP Approves 2021 Adult and Child/Adolescent Immunization Schedules
Key Points for Practice
Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical Society
The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.
U.S. Preventive Services Task Force
Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for high blood pressure in children and adolescents.
Letters to the Editor
Broad Screening Is Needed for All Patients at Risk of Syphilis
Reply: Jason Ricco, Andrea Westby
