November 2022

Cigarette smoking is the leading cause of preventable disease and death in the United States despite its known health effects. Although nearly one-half of people who smoke try to quit each year, only up to 1 in 20 who quit without support achieve abstinence for at least six…

Postacute sequelae of COVID-19, or long COVID, has affected millions of people, with a broad range of symptoms such as fatigue, postexertional malaise, and cognitive dysfunction. Symptoms usually resolve over time. However, there are varying rates of recovery and outcomes, and…

Vaccination rates for adults in the United States have not met public health goals. Family physicians can positively influence vaccination uptake by educating, reassuring, and recommending vaccinations to patients.

Sport-related injuries to the head and neck can be life threatening, and preparation is key for the sideline physician. This article provides guidance on sideline management of sport-related head and neck injuries.

Nocturnal enuresis is nighttime urinary incontinence occurring at least twice weekly in children five years and older. An in-depth history is an integral component of the initial evaluation; treatment should begin with behavioral modification and can progress to enuresis alarms…

Edema, an accumulation of fluid in the interstitial compartment, is a common clinical sign that may indicate numerous pathologies; it is a common finding in primary care and can be diagnostically challenging. Chronicity and laterality of the edema guide evaluation.

The American Family Physician (AFP) photo competition encourages students and residents to share their stories through photographs about how they use the AFP journal.

This editorial summarizes key points in the current understanding of long COVID in children and provides a suggested management approach.

There is a lack of physicians with training in caring for children with serious illnesses who also work with hospice agencies. A previous editorial in American Family Physician discusses why “…family physicians are in a unique position to champion this philosophy of terminal…

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

Learn more about magnesium sulfate infusion to prevent hospitalization for acute COPD exacerbations.

Older patients (i.e., 60 to 84 years of age) who are hospitalized but not undergoing surgery and who have individualized discharge plans have shorter hospital stays compared with patients who receive standard care only. Patients with individualized discharge plans have lower…

In people hospitalized with COVID-19, the use of anticoagulants reduces all-cause mortality. Using a higher dose of anticoagulants may reduce the risk of pulmonary embolism compared with a lower dose of the same agent. Using a higher dose also increases the risk of major…

The USPSTF recommends against the use of beta carotene or vitamin E supplements for the prevention of cardiovascular disease or cancer.

This PPIP quiz is based on the recommendations of the USPSTF.

The goal of care transitions for older adults is to promote the best possible safe functioning for the individual in the least restrictive environment throughout their late life. Some needs of older adults for assistance due to normal aging, medical comorbidities, or…

A 53-year-old man presented with a mobile, spongy, ovoid scrotal mass superior to the testicle and roughly twice the size.

A 30-year-old woman presented with bilateral wrist pain that began about eight months earlier. The pain progressed in severity and was associated with tingling, numbness, weakness, and aching in both forearms. The patient used a thumb spica splint at night with occasional but…

Binx IO is a rapid, point-of-care option for the detection of C. trachomatis and N. gonorrhoeae infections in adults and can be used for screening and diagnosis. The test can be completed in approximately 30 minutes, allowing for testing and treatment in the same visit.

The use of NSAIDs for more than three days at higher doses during the postoperative or acute phase of fracture healing may lead to increased rates of nonunion, delayed union, and pseudarthrosis in adults. NSAIDs do not appear to impair fracture healing in children younger than…

In patients with symptomatic HF with reduced ejection fraction following hospitalization for HF or the need for outpatient intravenous diuretics, the impact of vericiguat as an add-on treatment to optimal triple therapy on the composite of risk of death from cardiovascular…

POEMs

POEMs

POEMs

POEMs

The American College of Obstetricians and Gynecologists (ACOG) has new recommendations about screening for and diagnosis of osteoporosis.

The Society of Critical Care Medicine has updated the guidelines of the Surviving Sepsis Campaign.

Letter

Reply: Nicole Powell-Dunford

Letter

A wide range of new, returning, or ongoing health problems may happen four or more weeks after getting COVID-19. These health problems are sometimes called long COVID.

Inaccurate Description. In the Photo Quiz, “Growing Mass in an Adolescent,” (October 2021, p. 413) the term “flesh-colored” was used inaccurately numerous times. The seventh sentence of the introductory paragraph has been changed to “Physical examination revealed a skin-colored…