Articles
Home Blood Pressure Monitoring
Home blood pressure monitoring can confirm the diagnosis of hypertension after an elevated in-office blood pressure measurement. Although ambulatory blood pressure monitoring is the diagnostic standard for measurement, home blood pressure monitoring is more practical and…
Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: An Overview and Comparison
Kawasaki disease and multisystem inflammatory syndrome in children are inflammatory conditions that present with overlapping features; however, they are two distinct conditions. Kawasaki disease predominantly affects children younger than five years, whereas multisystem…
Alcohol Withdrawal Syndrome: Outpatient Management
Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. Alcohol withdrawal syndrome can lead to tremors, insomnia, nausea and vomiting, hallucinations, anxiety, and…
Hereditary Hemochromatosis: Rapid Evidence Review
Hereditary hemochromatosis results in systemic iron overload, leading to tissue damage and organ failure. There is no typical presentation or pathognomonic signs and symptoms, although a common initial presentation is an asymptomatic patient with mildly elevated liver enzymes…
Splenomegaly: Diagnosis and Management in Adults
The most common causes of splenomegaly in the United States are liver disease, malignancy, and infection. Patient habits, travel, and medical conditions can increase the risk of splenomegaly, and symptoms can suggest infectious, malignant, hepatic, or hematologic causes.
Neglected Parasitic Infections: What Family Physicians Need to Know—A CDC Update
Neglected parasitic infections affect millions of people in the United States. Family physicians should understand the basic principles of clinical presentation, diagnosis, and treatment of diseases such as Chagas disease, cysticercosis, and toxoplasmosis.
Editorials
Neonatal Abstinence Syndrome: A Call for Mother-Infant Dyad Treatment Approach
Neonatal abstinence syndrome (NAS) is a constellation of symptoms observed in newborns exposed to opioids during pregnancy. Between 50% and 80% of infants exposed to opioids in utero will develop NAS.
Parasitic Infections: Do Not Neglect Strongyloidiasis
A review of infections of increasing relevance to family physicians in the United States because of demographic changes and increased ability for or access to international travel.
AFP Clinical Answers
Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Cochrane for Clinicians
Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in Antenatal and Postnatal Patients
Does pelvic floor muscle training (PFMT) help prevent or treat urinary or fecal incontinence during pregnancy or after delivery?
Reducing Saturated Fat Intake to Decrease the Risk of Cardiovascular Disease
Does reducing saturated fat intake decrease morbidity and mortality related to cardiovascular disease (CVD)?
Curbside Consultation
Using Race with Caution in the ASCVD Calculator
Legal, psychological, and ethical encounters found in physicians' day-to-day practices.
Putting Prevention Into Practice
Screening for Colorectal Cancer
Series of short reports and quizzes based on guidelines from the USPSTF.
FPIN's Clinical Inquiries
Melatonin to Treat Insomnia in Older Adults
How safe and effective are melatonin receptor agonists for treating insomnia in older adults?
Photo Quiz
Slow-Growing, Painless Periungual Nodule
A 53-year-old patient presented with a painless lesion on the left third digit that had been slowly growing for about 20 years.
Hyperpigmentation of the Hands, Feet, and Tongue
A 55-year-old patient presented with a one-month history of a painless, nonpruritic rash involving the palms, soles, and tongue.
Diagnostic Tests
Fecal Calprotectin for the Evaluation of Inflammatory Bowel Disease
Calprotectin is a protein expressed by neutrophils. The presence of fecal calprotectin is a sensitive indicator of gastrointestinal inflammation, with higher levels representing more inflammation. The U.S. Food and Drug Administration has approved the use of fecal calprotectin…
Lown Right Care
Efficient Approach to the Evaluation of Syncope
A 78-year-old patient in good health has hypertension that is well controlled with medication. One fall afternoon, the patient was raking leaves when they suddenly passed out. The patient had no dizziness or other symptoms before or after the event. Their partner saw them fall…
Point-of-Care Guides
Applying a Clinical Prediction Rule to Distinguish Lower Extremity Cellulitis from Its Mimics
How can a clinician best determine whether a patient with lower leg erythema has cellulitis?
STEPS
Remdesivir (Veklury) for the Treatment of COVID-19 in Hospitalized Patients
Remdesivir (Veklury) is an antiviral drug that inhibits the replication of pathogenic human coronaviruses, including SARS-CoV-2 and SARS-CoV-1.
Diary of a Family Physician
Diary of a Family Physician
First-person accounts from the front lines of family medicine.
Practice Guidelines
Cervical Cancer Screening: Updated Guidelines from the American Cancer Society
Key Points for Practice
Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD
Key Points for Practice
Medicine by the Numbers
Comparison of Treatment Regimens for Helicobacter pylori Infection
Evidence-based ratings from the NNT Group of therapies, diagnostic tests, and risk assessments.
POEMs
The Risk of Progression from Prediabetes to Diabetes in Older Adults Is Low
POEMs
Information from Your Family Doctor
Checking Your Blood Pressure at Home
Checking your blood pressure at home is more accurate than checking it at the doctor's office. If your blood pressure is high, treating it can lower the risk of problems with your heart, kidneys, and eyes.
