Articles
Acute Bronchitis: Rapid Evidence Review
Acute bronchitis is defined as acute cough with symptoms of lower respiratory tract infection. This article provides a summary of the best available patient-oriented evidence for the diagnosis and management of acute bronchitis in the primary care setting.
Chronic Pelvic Pain in Women: Evaluation and Treatment
Chronic pelvic pain in women is most often the result of multiple coexisting pain conditions and central nervous system hypersensitivity, and management should follow an interdisciplinary approach to improve function and quality of life.
Pacifiers: Common Questions and Answers
Pacifier use reduces the risk of sudden infant death syndrome, primarily in the first 6 months of life, but it should not be introduced until breastfeeding has been well established.
Care of Infants and Children With Down Syndrome: Role of the Family Physician
Down syndrome is the most commonly diagnosed chromosomal abnormality. Screening; immunizations; and health maintenance, emphasizing early intervention and comprehensive support services, vary based on age.
The Pretravel Consultation
Patients who will be traveling internationally should be advised to schedule dedicated pretravel assessments with their primary care physicians to identify hazards and guide risk-mitigation strategies. Travel safety measures should be itinerary specific and include infectious…
Editorials
The Empowerment of Consumers for Health: AI Accelerates a Long-Standing Trend
The rise of AI represents another step toward empowering consumers to take control of their health decisions. This might mean the decline in low-acuity visits to physicians. Health care will need to refocus on higher acuity, less easily automated activities.
Updates to Management of Adults With Chronic Kidney Disease
Kidney Disease: Improving Global Outcomes (KDIGO) updates related to new medications that can delay chronic kidney disease progression and recommendations for atherosclerotic cardiovascular disease risk assessment in patients with chronic kidney disease.
Inside AFP
The Evolution of Evidence-Based Medicine in American Family Physician
By updating our content with the best evidence, AFP continues to innovate and be a leader in helping our readers provide high-quality care for patients.
Medicine by the Numbers
Nicotine Electronic Cigarettes for Smoking Cessation
We have assigned a color recommendation of yellow (unclear benefits) for the use of e-cigarettes for smoking cessation on the basis of some promising results compared with current cessation treatments but insufficient long-term evidence and a high risk of bias within considered…
Cochrane for Clinicians
Exercise-Based Cardiac Rehabilitation for Adults With Heart Failure
Exercise-based cardiac rehabilitation likely reduces the risk of all-cause hospital admission in adults who have heart failure with reduced or preserved ejection fraction. Exercise-based cardiac rehabilitation likely improves short-term health-related quality of life in adults…
High-Flow Nasal Cannula Therapy for Infants With Bronchiolitis
High-flow nasal cannula (HFNC) treatment is appropriate for infants younger than 24 months with bronchiolitis. Compared with low-flow oxygen, use of HFNC treatment results in a modest reduction in length of hospital stay (ie, by 0.65 days) and need for treatment escalation with…
Diagnostic Tests
Temporal Artery Ultrasonography for the Diagnosis of Giant Cell Arteritis
Temporal artery ultrasonography offers a noninvasive, lower-cost option for the diagnosis of GCA compared with biopsy. However, there is limited data to support replacing biopsy with ultrasonography. The American College of Rheumatology continues to recommend biopsy as the…
STEPS
Berdazimer (Zelsuvmi) for the Treatment of Molluscum Contagiosum
Berdazimer is a complicated, long-term treatment for molluscum contagiosum. Its cost and inconvenience in preparation should be considered against the time-limited nature of molluscum contagiosum, with spontaneous clearing in 20% of patients at 3 months.
FPIN's Clinical Inquiries
Zuranolone (Zurzuvae) for Treatment of Severe Postpartum Depression in Adults
Zuranolone is an effective treatment for adults with severe postpartum depression.
Curbside Consultation
Caring for Adults With Intellectual Disabilities in the Community
When caring for a person with intellectual and developmental disabilities, clinicians should provide patients with options for community living, services, and supports, allowing them the opportunity to make their will and preferences known. With any major life change, a person…
Lown Right Care
Potential Downstream Harms of Routine Temperature Measurements in Well-Appearing Infants
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.
Photo Quiz
Acute Left Shoulder Pain After a Weight Lifting Injury
A 30-year-old man presented with a left shoulder injury.
Pigmented Lesion on the Hard Palate
A 59-year-old man presented with a bluish-black lesion on the hard palate.
Point-of-Care Guides
Predicting the Risk of Esophageal Adenocarcinoma in People With Barrett Esophagus
In patients with Barrett esophagus, what is the annual risk of developing invasive esophageal adenocarcinoma?
POEMs
Practice Guidelines
Alcohol-Associated Liver Disease: Guidelines From the American College of Gastroenterology
The American College of Gastroenterology has released guidelines for management of alcohol-associated liver disease.
Letters to the Editor
Exercise Therapy for Chronic Low Back Pain
Reply: Donald Clinton Maharty, Shaun Hines, Regina Bray-Brown
Prostate-Specific Antigen Testing in the Evaluation of Chronic Low Back Pain
Reply: Donald Clinton Maharty, Shaun Hines, Regina Bray-Brown