Articles
The Preparticipation Physical Evaluation
The preparticipation physical evaluation (PPE) is a common primary care medical visit for young athletes. In 2019, the American Academy of Pediatrics published updated PPE recommendations. The general goals outlined in these guidelines include determining general physical and…
In-flight Medical Emergencies
An aircraft in flight is a physically constrained and resource-limited environment. If a health care volunteer is requested, medical professionals should consider if they are in an appropriate condition to render aid, and then identify themselves to cabin crew, perform a…
Urethritis: Rapid Evidence Review
Urethritis is classified as gonococcal or nongonococcal in origin. The most common cause is Chlamydia trachomatis infection, and the most common signs and symptoms include dysuria, mucopurulent urethral discharge, urethral discomfort, and erythema. Diagnostic criteria include…
Editorials
Clinical Considerations in Caring for Transgender Athletes
Family physicians are in a unique position to care for transgender athletes, including providing preventive and gender-affirming care and addressing acute athletic injuries and chronic health concerns.
AFP Clinical Answers
Pulmonary Function Testing, Vulvovaginal Candidiasis, Breast Cancer, Fasting Lipid Levels
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Cochrane for Clinicians
Ketogenic Diets for Drug-Resistant Epilepsy
In children with drug-resistant epilepsy, a ketogenic diet decreases the risk of seizures by 50% after three to four months.
Exercise for Dysmenorrhea
Low-intensity exercise, such as stretching or core strengthening, and high-intensity exercise, such as Zumba or aerobic training, improve menstrual pain intensity compared with no exercise.
Photo Quiz
Foot Lesions in a Rehabilitation Facility Resident
A patient in a rehabilitation facility presented with gluteal skin ulcers and dark purple foot lesions.
Implementing AHRQ Effective Health Care Reviews
Nonopioid Pharmacologic Treatments for Chronic Pain
What are the effects of nonopioid drugs on pain, function, and quality of life in patients with specific types of chronic pain, and what are the adverse events related to these drugs?
Diagnostic Tests
FM/a Blood Test for Diagnosis of Fibromyalgia
Limited data suggest that the FM/a test accurately differentiates patients with fibromyalgia from healthy controls and has some ability to differentiate fibromyalgia from other rheumatologic diseases.
FPIN's Clinical Inquiries
Positional Therapies for Obstructive Sleep Apnea
Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.
Curbside Consultation
Identifying and Addressing Vicarious Trauma
Vicarious trauma is part of a spectrum of responses to trauma exposure, including secondary traumatic stress, caregiver fatigue, compassion fatigue, and burnout. These conditions have varying definitions and categorizations, with overlapping symptoms, diagnostic criteria, and…
Practice Guidelines
Eosinophilic Esophagitis: Management Guidelines from the AGA and JTF
The American Gastroenterological Association (AGA) and the Joint Task Force on Allergy-Immunology Practice Parameters (JTF) published guidelines for treatment of eosinophilic esophagitis.
Medicine by the Numbers
Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years
A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.
Information from Your Family Doctor
Urethritis
Urethritis (YOO-ree-THRI-tus) is an inflammation of the urethra, which is the tube that carries urine from the bladder to the penis, then out of the body (see drawing).
