May 2026

Articles

Injections of the Foot and Ankle

James Wilcox, Sabrina Silver, Kimbre Zahn

Foot and ankle injections are commonly performed by family physicians for the management of several musculoskeletal conditions. If symptoms persist despite conservative measures, injections may improve function and reduce pain. Ultrasound guidance improves accuracy of injection…

Skin and Soft Tissue Infections

M. Lee Chambliss, Alison Rumball, Carina M. Brown

Skin and soft tissue infections are clinical diagnoses. They are classified as mild, moderate, or severe, depending on the structures involved and presence or absence of systemic symptoms. Treatment depends on severity and includes oral and intravenous antibiotics

Botulinum Toxin Procedures: A Practical Approach to Cosmetic Injections

Rebecca Small

Botulinum toxin injection offers predictable results, has few adverse effects, and is associated with high patient satisfaction. A review of facial anatomy, injection techniques, and complications for cosmetic botulinum toxin treatment, with a focus on glabellar lines, is…

Severe Hypertension: Evaluation and Treatment

Robert L. Gauer, Adam I. Rifaat, Daniel R. Blankinship

Severe hypertension is defined as a blood pressure of 180/110 to 120 mm Hg or greater in the absence of new or worsening target organ damage. Multiple trials have shown no short-term benefit of treatment, which has been associated with increased risk of cardiovascular events…

Postoperative Management After Metabolic Surgery: Role of the Family Physician

Lindsay Green, Christopher Dunlap, Craig Glass

Metabolic and bariatric surgery is an effective treatment for severe obesity, improves cardiometabolic risk factors, and reduces mortality. Family physicians play a key role in managing postoperative complications, nutritional deficiencies, and long-term effects on chronic…

HIV Infection: What Is New in Prevention and Treatment?

Prakash R. Ganesh, Lisa C. Navracruz

Despite significant advances in prevention and treatment, approximately 1.2 million Americans live with HIV. New developments in the care of patients with HIV include updated screening strategies, expanded prevention and treatment options, and management recommendations for…

Inside AFP

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Acknowledging and Thanking AFP’s 2025 Peer Reviewers

Sumi M. Sexton

Acknowledging and Thanking AFP’s 2025 Peer Reviewers

Editorials

Beyond the Exam Room: Why Family Physicians Must Advocate for Evidence-Based Vaccine Policy

David M. Higgins, Katelyn Jetelina

Addressing vaccine misinformation requires family physicians to move upstream into advocacy spaces.

GPEvidence.org: A Point-of-Care Resource for Primary Care

Julian Treadwell, Stephen A. Martin

GP Evidence (https://www.gpevidence.org) is a free website designed primarily for family physicians. it offers summaries of the evidence behind treatments for common conditions.

Cochrane for Clinicians

Atypical Antipsychotics to Manage Behavioral Symptoms in Autism Spectrum Disorder

Anjani Urban, Kimberly Schiel, Kento Sonoda

In children with ASD, treatment with risperidone or aripiprazole for 3 months may reduce irritability, obsessive-compulsive symptoms, and inappropriate speech. There is insufficient evidence to determine whether these drugs are effective in adults.

NSAIDs to Manage Acute Renal Colic Pain

James Wilcox

In adults with acute renal colic, NSAIDs provide clinically meaningful pain relief at 30 minutes. NSAIDs also reduce the need for rescue analgesia within 1 hour

Photo Quiz

Pruritic Axillary Rash in a Patient With Uncontrolled HIV

Suzanne Sirota Rozenberg, Allison Meihofer, Valerie Foy, Regina Zambrano DiFiore

A 32-year-old man presented with a rash in his right axilla that had developed 7 days earlier.

Blue-Gray Nails and Skin

Robert L. Gauer, Daniel Blankinship

A 74-year-old woman presented with changes in the color of her nails and skin that started 15 years earlier.

FPIN's Clinical Inquiries

e-Cigarette Use and Risk of Chronic Respiratory Conditions in Adults

Ishandeep Gandhi, Nicole Tenegra, Rami Elmasry

Physicians should counsel adults to avoid use of e-cigarettes, because they may increase the risk of asthma and COPD.

Curbside Consultation

Art and Science of Providing Reassurance

Eliza H. Hutchinson, Ebony M. White-Manigault, Christopher J. Frank

Reassurance is a multifaceted interaction between a physician and a concerned patient that can reduce fear, worry, and doubt about the etiology of symptoms or possibility of a serious medical condition; reassurance results in positive changes in patient perception…

POEMs

STEPS

Pivmecillinam (Pivya) for Uncomplicated Urinary Tract Infections in Female Patients

Sara Diletti-Swenson, Emily Feng

Pivmecillinam is well tolerated, but it is less conveniently dosed than other useful treatments for uncomplicated UTI. It may have a role in treatment of acute cystitis in patients where antibiotic resistance is a concern, but is too expensive for routine first-line use.

Practice Guidelines

Evaluating Young Children With Fractures for Child Abuse: Report From the AAP

Michael J. Arnold

The American Academy of Pediatrics (AAP) published a clinical report of best practices based on expert opinion to guide physicians in differentiating child abuse from other causes.

Diagnosing Fungal Causes of Community-Acquired Pneumonia: Guidance From the CDC and MSGERC

Yelizaveta Hamrick, Adam Hamrick

The Centers for Disease Control and Prevention and Mycoses Study Group Education and Research Consortium released guidelines on when and how to test for fungal etiologies of pneumonia.

Medicine by the Numbers

Preventing Falls in Older Adults in Care Facilities

Emmeline Ha, Kristen Nayak

A color recommendation of yellow (unclear benefits) is assigned for interventions (eg, multifactorial interventions, active exercise, vitamin D supplementation) for reducing the rate of falls or fall risk in older people in care facilities.

Letters to the Editor

Appropriate Diagnosis of Bacterial Vaginosis

Daniel Rosenberg

Reply: Kamini Geer, MD, MPH, and Ann Klega, MD

Corrections

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Corrections

Incorrect placement of table information. “Evaluation of Neck Masses in Adults” (February 2026, p. 160) incorrectly paired some diagnoses and supporting history and examination details for the physical examination finding “Diffuse cervical or more generalized lymphadenopathy…

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Corrections

Incorrect screening recommendation. “Cancer Screening in Older Adults” (December 2025, p. 629) incorrectly stated the age range for prostate cancer screening. Men should not be screened for prostate cancer after 69 years of age. The online version of the article has been…

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Corrections

Incorrect drug class. “Acute and Chronic Urticaria: Evaluation and Treatment” (March 2026, p. 222) incorrectly listed leukotriene receptor antagonists as leukotriene receptor agonists. The online version of the article has been corrected.

Funded Educational Content

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The GLP-1 Era: Why Muscle and Mental Health Have Become Primary Care Responsibilities

This funded, non-CME educational content was developed by Wiley with funding from BTL Industries, Inc. to provide convenient access to information that may be of interest. It should not be considered an AAFP or American Family Physician endorsement or recommendation of the…

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