Articles
Hair Loss: Diagnosis and Treatment
Hair loss is characterized as diffuse, patterned, or focal. Androgenetic alopecia is the most common form, for which topical minoxidil is first-line treatment.
Urinary Catheter Management
The three main types of urinary catheters are external urinary devices, clean intermittent catheterization, and indwelling urinary catheterization. Family physicians often aid in initial catheter choice, provide routine care, and address complications.
Palpitations: Evaluation, Management, and Wearable Smart Devices
The presence of palpitations is associated with a low mortality rate, but routine palpitations can impair quality of life. A detailed history, focused physical examination, directed laboratory studies, and electrocardiography are often sufficient to identify the etiology of…
Cushing's Syndrome: Rapid Evidence Review
Family physicians have an important role in recognizing the symptoms of Cushing's syndrome, ordering initial tests, referring patients to the appropriate specialists, and following up with patients and their families.
Alzheimer Disease: Treatment of Cognitive and Functional Symptoms
Approximately 6.9 million people in the United States 65 years and older live with Alzheimer disease, a number expected to double by 2060. Although there is no cure for Alzheimer disease, treatments are available to manage symptoms.
Inside AFP
AFP's Article of the Year
We are pleased to honor authors for their excellent scholarly contributions to family medicine by presenting the AFP Article of the Year Award, which is selected based on the most online views and highest ratings from the AFP editors.
Editorials
Familial Hypercholesterolemia: Screening, Diagnosis, and Treatment
Screening for and diagnosing familial hypercholesterolemia in childhood can lead to treatment with lifestyle changes and medication, reducing the serious vascular effects of this dyslipidemia.
Testing Infants and Children With Perinatal Exposure to Hepatitis C Virus
Early identification of hepatitis C exposure in infants can significantly improve outcomes.
Medicine by the Numbers
Decision Aids for Patients Facing Health Treatment or Screening Decisions
Given the benefits of aids on decision-making without any significant harms, a color recommendation of green (benefits greater than harms) has been assigned for the use of decision aids for patients facing health treatment or screening decisions.
Cochrane for Clinicians
Surgical vs. Nonsurgical Treatment for Carpal Tunnel Syndrome
Surgery for carpal tunnel syndrome probably results in some clinical improvement compared with splinting in the long term (more than 3 months), but it does not appear to lead to clinically significant improvement in symptoms or hand function. Similarly, surgery does not appear…
Treatment Options for Morton Neuroma
In patients with Morton neuroma, combined corticosteroid/local anesthetic injection does not improve pain, function, or quality of life at 3 to 6 months vs. local anesthetic injection alone. More adverse events, including skin and plantar fat pad atrophy and hypopigmentation…
AFP Clinical Answers
Breast Cancer, Nausea and Vomiting With Migraine, PCI for Stable Angina, Rosacea, Giving Bad News, Gallstone Disease
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Putting Prevention Into Practice
Screening for Lipid Disorders in Children and Adolescents
This PPIP quiz is based on the recommendations of the USPSTF.
U.S. Preventive Services Task Force
Screening for Lipid Disorders in Children and Adolescents
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years or younger.
Diagnostic Tests
CCTA to Evaluate for Coronary Artery Stenosis in Intermediate-Risk Patients With Stable Chest Pain
CCTA is preferred over ICA for evaluation of stable chest pain in intermediate-risk patients without known CAD because it is noninvasive, widely available, and has high patient satisfaction and lower procedural complications.
Lown Right Care
Routine Vitamin D Testing: Unnecessary and Ineffective
A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
Point-of-Care Guides
PREVENT Equations for Assessing Cardiovascular Risk
Using demographic and laboratory data, what is the best way to assess the likelihood that a patient will experience a cardiovascular event in the next 10 or 30 years?
FPIN's Clinical Inquiries
Intra-Articular Steroids for Adhesive Capsulitis
Intra-articular steroid injections inconsistently improve pain and function when used to treat adhesive capsulitis in the short term (less than 12 weeks) and medium term (less than 6 months). Ultrasound guidance improves accuracy of injection into the glenohumeral joint, but…
Photo Quiz
Nail Abnormality for Several Months
A 73-year-old woman presented with a nail abnormality.
Clavicle Deformity
A 20-year-old man presented with right shoulder pain.
STEPS
Resmetirom (Rezdiffra) for the Treatment of Noncirrhotic Nonalcoholic Steatohepatitis With Moderate to Advanced Fibrosis
Resmetirom may be considered in some patients with NASH, but it has not yet been shown to impact patient-oriented outcomes. Resmetirom is more expensive than alternative treatments and is not likely to be covered by all insurance plans.
POEMs
Continuous or Intermittent Glucose Monitoring Not Effective, Perhaps Harmful
POEMs
Practice Guidelines
Management of Chronic Coronary Disease: Guidelines From the American College of Cardiology and American Heart Association
In 2023, the American College of Cardiology and American Heart Association released guidelines for management of chronic coronary disease, primarily for primary care physicians and cardiologists who provide care in the outpatient setting.
Otitis Media With Effusion in Children: Guidelines From NICE
The UK National Institute for Health and Care Excellence (NICE) released guidelines for the evaluation and treatment of otitis media with effusion.
