July 2025

Articles

Foreign Bodies in the Ear, Nose, and Throat

J. Lane Wilson

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

Roland Grad, Mark H. Ebell

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

Jordan Hilgefort, Jonathan Becker, Justin Chu

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

John J. Koopman, David C. Fiore, Karen Thiele

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

Elizabeth C. Halloran, Tiffany Fay Ho

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

Sumi M. Sexton

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

Scott E. Hadland, Rita Agarwal

Finding the correct balance in safe and effective opioid prescription is essential.

Menopausal Hormone Therapy: Limited Benefits, Significant Harms

Adriane Fugh-Berman, Barbara Mintzes

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

Thomas M. Neubauer, Jason B. Alisangco

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

Esther M. Johnston, Jody L. Lounsbery

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

CMEFREE

Vaccines for Measles, Mumps, Rubella, and Varicella in Children and Adolescents

William E. Cayley, Jr

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

Joseph R. Yancey, Samantha Green

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

Charla Allen, Kayden Barber, Brian Mallory, Annalee Toti

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

Elin Kondrad, Allyson Westling, Megan Harper, Stephanie Weldon

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

Jideofor K. Ndulue, Chiagoziem J. Ndulue

A 21-year-old woman presented with a fever and worsening facial rash.

Bullous Rash on the Legs

David M. Quillen, Scott H. Lang, Sara A. Lohbauer

A 22-year-old man presented with blisters on his lower legs.

Curbside Consultation

Dialectical Behavior Therapy: A Brief Counseling Skill for Clinical Practice

Josh Bylotas, Mary-Katharine Cherubini, Mark A. Dixon

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

Practice Guidelines

Assessment and Management of Patients at Risk for Suicide: Guidelines From the VA/DoD

Michael J. Arnold

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.

Letters to the Editor

FREE

VA/DoD Guidelines: Oral Health in Prenatal Care

Shenam Ticku, Hugh Silk

Letter

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

Disclosures

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.

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