Articles
Post-ICU Care in the Outpatient Setting
An increasing percentage of patients treated in the intensive care unit (ICU) survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for common post-ICU…
Dyspareunia in Women
Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress, affecting approximately 10% to 20% of U.S. women. Dyspareunia may be superficial or deep. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress…
Hypothyroidism: Diagnosis and Treatment
Clinical hypothyroidism is present in one in 300 people in the United States, with a higher prevalence in female and older patients. Symptoms range from minimal to life-threatening. More common symptoms include cold intolerance, fatigue, weight gain, dry skin, constipation, and…
Editorials
Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic
How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?
AFP Clinical Answers
Irritable Bowel Syndrome, Altitude Illness, Transfusions, Group B Streptococcus, Acute Pain
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 Asymptomatic Carotid Artery Stenosis: Recommendation Statement
The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.
Putting Prevention Into Practice
Screening for Asymptomatic Carotid Artery Stenosis
This PPIP quiz is based on the recommendations of the USPSTF.
Photo Quiz
Blunt Costophrenic Angle in a Patient with Pancreatitis
A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.
STEPS
Lactic Acid, Citric Acid, and Potassium Bitartrate (Phexxi) Vaginal Gel for Contraception
Given its high cost, mediocre contraceptive protection, and rate of adverse effects, Phexxi may be preferred only by people desiring to avoid hormonal contraception who wish to use on-demand contraception that they control, or for whom other contraceptive options are not suited…
POEMs
Screening Smokers for Lung Cancer with Low-Dose CT Decreases Lung Cancer Mortality
High-quality trials show that low-dose CT screening decreased lung cancer mortality in smokers.
SGLT2 Inhibitors Improve All-Cause and Cardiovascular Mortality in Patients Regardless of Diabetes or Heart Failure Status
What effect do sodium-glucose cotransporter-2 (SGLT2) inhibitors have on mortality and cardiovascular and renal outcomes in patients with and without diabetes mellitus, heart failure, or kidney disease?
Early Introduction of Dietary Gluten Delays the Diagnosis of Celiac Disease in Breastfed Infants
The introduction of dietary allergens, including gluten, to exclusively breastfed infants at four months of age, compared with six months of age, delays the prevalence of celiac disease at three years of age.
Colchicine Reduces MI and Revascularization in Patients with Established Coronary Artery Disease
Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.
Practice Guidelines
Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List
The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.
Letters to the Editor
Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis
Reply: Mark H. Ebell, Roland Grad
Corrections
Correction
Incorrect Statistics. In the Lown Right Care, “Anticoagulation in Older Adults” (June 15, 2020, p. 748), the second sentence of the Clinical Commentary section incorrectly stated that atrial fibrillation is more common in women rather than men. The sentence should have read…