February 15, 2021

Articles

Health Maintenance for Women of Reproductive Age

Heather L. Paladine, Himabindu Ekanadham, Daniela C. Diaz

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

Robert Allison, II, Shauna Assadzandi, Megan Adelman

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

Gabrielle Marzani, Amy Price Neff

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

Tobie Smith, Matthew Fedoruk, Amy Eichner

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

Seiji Hayashi

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

STEPS

Lemborexant (Dayvigo) for the Treatment of Insomnia

Morgan Adams Rhodes

Lemborexant (Davigo) is labeled for adults with insomnia to improve with sleep onset and maintenance.

Photo Quiz

Severely Pruritic, Whip-like Dermatitis

Daniel Jason Frasca, Jacqueline Mulhall, Anna Elseth

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

Kelvin Kwofie, Allan B. Wolfson

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

Mark H. Ebell

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

Allen F. Shaughnessy

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

Henry C. Barry

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

Nita Shrikant Kulkarni

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

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical Society

Christopher E. Jonas, Michael J. Arnold

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

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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