Articles
Foreign Bodies in the Ear, Nose, and Throat
Foreign bodies in the ear, nose, and throat are common in young children. For ear and nasal foreign bodies, in-office removal should be considered if objects are directly visible and graspable, and if the patient can cooperate or be adequately immobilized. All airway foreign…
Top 20 Research Studies of 2024 for Primary Care Physicians
This article is the 14th installment of the annual series and summarizes the 20 most clinically relevant POEMs (patient-oriented evidence that matters) of 2024 for primary care physicians.
Fingertip Injuries
Family physicians can provide timely care for common fingertip injuries, including subungual hematoma, nail bed laceration, distal interphalangeal joint dislocation, distal phalanx fracture, mallet finger, and jersey finger, to minimize long-term disability and restore…
Approach to Developmental Screening and Surveillance in Young Children
Early childhood development focuses on physical well-being, motor skills development, social interaction patterns, and attainment of specific cognitive and communication skills. Family physicians should use their best judgment when deciding whether to implement universal…
Intimate Partner Violence
Women of reproductive age should be screened for intimate partner violence. For all patients, universal education should be practiced to provide information about healthy relationships and resources.
Inside AFP
Students and Residents: The Future of American Family Physician
This special edition of Inside AFP is dedicated to family medicine residents and students: the future of our specialty.
Editorials
Safe and Effective Pain Management in Children: A New AAP Guideline
Finding the correct balance in safe and effective opioid prescription is essential.
Menopausal Hormone Therapy: Limited Benefits, Significant Harms
Some symptoms attributed to menopause, including aches and pains, tiredness, incontinence, and mood disorders, are equally common among older men and more fairly attributed to aging.
Medicine by the Numbers
Surgical vs Nonsurgical Treatments for Carpal Tunnel Syndrome
A color recommendation of yellow (unclear benefits) was assigned for this intervention because of the lack of conclusive data regarding many of the comparisons and heterogeneity of disease severity and defined outcomes among the studies.
STEPS
Benzgalantamine (Zunveyl) for the Treatment of Mild to Moderate Alzheimer Disease
Benzgalantamine should improve cognitive and behavioral symptoms in patients with mild to moderate Alzheimer disease over the short-term, similarly to galantamine. Given the frequent intolerance of galantamine, benzgalantamine can be considered if intolerance occurs.
Cochrane for Clinicians
Vaccines for Measles, Mumps, Rubella, and Varicella in Children and Adolescents
Vaccination reduces the number of cases of MMR and varicella among children and adolescents. Common adverse effects include rash and seizures, with no evidence of any increased risk of autism spectrum disorder or inflammatory bowel disease.
Effectiveness of Topical Anti-Inflammatory Drugs for Eczema
Low- to moderate-confidence evidence shows that select topical anti-inflammatory drugs are the most effective treatment for eczema. These potent and very potent drugs include corticosteroids (eg, clobetasol), calcineurin inhibitors (eg, tacrolimus 0.1%), and Janus kinase…
FPIN's Help Desk Answers
Metformin to Decrease Mortality in Patients With Prediabetes
A large, multicenter, randomized controlled trial (RCT) with extended follow-up showed that metformin does not decrease the mortality rate in patients with prediabetes. In patients with prediabetes, metformin reduces progression to diabetes. Metformin does not reduce the rate…
FPIN's Clinical Inquiries
Use of Intravenous Antihypertensives in Adults Hospitalized for Noncardiac Causes
Multiple retrospective cohort studies have shown that use of IV antihypertensives in adults with hypertensive blood pressure (BP) measurements who have been hospitalized for noncardiac causes is associated with significant harm. Use of IV antihypertensives in these patients…
Photo Quiz
Rapidly Progressing Facial Rash
A 21-year-old woman presented with a fever and worsening facial rash.
Bullous Rash on the Legs
A 22-year-old man presented with blisters on his lower legs.
Curbside Consultation
Dialectical Behavior Therapy: A Brief Counseling Skill for Clinical Practice
Identifying strategies to deliver pragmatic behavioral health support in the primary care setting can offset some of the many barriers to mental health care. One skill set that physicians can implement in primary care is dialectical behavior therapy.
POEMs
Universal Respiratory Syncytial Virus Prophylaxis Decreases Health Care Use by Infants
POEMs
Practice Guidelines
Assessment and Management of Patients at Risk for Suicide: Guidelines From the VA/DoD
The US Department of Veterans Affairs and US Department of Defense (VA/DoD) published updated guidelines on evaluation and management of patients at risk for suicide.
