July 2026

Articles

Atypical Moles

Liza Straub, Matthew Zeitler, Brian Rayala

Atypical moles are associated with increased risk of melanoma and should prompt periodic, systematic skin examination. Management includes clinical assessment with dermoscopy, excisional biopsy, and postbiopsy monitoring.

Amenorrhea: A Practical Approach to Diagnosis and Management

David A. Klein, Jillian E. Sylvester, Scott L. Paradise

Menstrual patterns are key indicators of overall health, and amenorrhea—primary or secondary—requires timely evaluation using a thorough history, physical examination, and targeted laboratory testing. Diagnostic evaluation is individualized to identify endocrine, metabolic, or…

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The 2026 AFP Photo Contest Winners

Sunitha Konatham, Komal Gangar

American Family Physician has selected the winners of our fifth annual photo contest, recognizing one medical student and one family medicine resident for their creative submissions highlighting the role AFP plays in their medical education and training.

Climate-Smart Health Care: Role of the Family Physician

Bhargavi Chekuri, Logan Harper

Climate change caused by humans continues to accelerate, causing more frequent and severe weather events. Physicians can play a pivotal role in managing environmental health risks, such as heat and air pollution, and counseling patients on plant-forward diets and active…

Knee Pain in Adults and Adolescents: The Initial Evaluation

Bernadette Pendergraph, John Cheng, Stephanie Diana Garcia

Knee pain is prevalent across age groups, commonly related to osteoarthritis in older adults and patellofemoral syndrome in younger adults. Assessment includes a detailed history, physical examination (inspection, palpation, range of motion, strength testing, and specialized…

Evaluation of the Painful Eye

Nicole T. Yedlinsky, Allison M. Coy, David Embers

The evaluation of patients presenting with eye pain should focus on identifying potentially emergent causes that require prompt evaluation and treatment. Most causes of eye pain can be diagnosed by history and physical examination, including functional and anatomic assessment.

Editorials

AFP 2026: Introducing Fellows and Representatives, Updates and Statistics, and Looking Ahead

Sumi M. Sexton

Routine questionnaire-based screening in asymptomatic adults in primary care is not supported by evidence demonstrating improved patient-oriented outcomes.

Is Questionnaire-Based Screening for Depression Worthwhile in Primary Care?

James J. Stevermer, Nikole Cronk

Screening for depression provides health benefit for adolescents, adults (including those older than 65), and people who are pregnant or postpartum.

Is Questionnaire-Based Screening for Depression Worthwhile in Primary Care?

Arnav Agarwal, Eddy Lang

Routine questionnaire-based screening in asymptomatic adults in primary care is not supported by evidence demonstrating improved patient-oriented outcomes.

Medicine by the Numbers

Pharmacotherapy for Cannabis Use Disorder

Simone Ilia, Joseph Young

A color recommendation of yellow (unclear benefits) is assigned for the use of pharmacotherapy for cannabis use disorder.

Cochrane for Clinicians

Corticosteroids for Treating Sepsis in Children and Adults

Katherine Chu, Maria Fowler, Christopher Davis

Systemic corticosteroids probably reduce 28-day mortality for adults (18 years and older) hospitalized with sepsis. Furthermore, systemic corticosteroids may decrease length of hospitalization, probably reduce in-hospital mortality, and may reduce 90-day all-cause mortality for…

Wrist Acupuncture to Prevent Postoperative Nausea and Vomiting

Juan Qiu, Dongsheng Jiang

Invasive traditional percutaneous needling and noninvasive acupressure PC6 acupoint stimulation reduce postoperative nausea compared with sham interventions. Invasive and noninvasive PC6 acupoint stimulation reduce postoperative vomiting compared with sham interventions…

Curbside Consultation

When a Patient Declines Interpreter Services

Maniraj Jeyaraju, Jaime Russell, Rana Alkhaldi

Having a language-access plan can help physicians advocate and care for patients who decline interpreter services.

Photo Quiz

Painless Neck Mass in an Adolescent Girl

Jones Fonseca, Adelaide Catarina Barbosa, Ema Santos Faria

A 14-year-old girl presented with a painless swelling in her neck that had started 3 months prior.

Blue Periorbital Nodule in a Newborn

Arely Contreras, Anthony J. Mancini

A 4-day-old female infant was brought to the clinic for evaluation of a blue nodule near her left eye.

FPIN's Clinical Inquiries

Menopause and Increased Risk of Metabolic Dysfunction–Associated Steatotic Liver Disease

Jennifer Sullivan, Daniel Harris, L. Elizabeth Moreno

Menopause is associated with a 2.19 times higher risk of metabolic dysfunction-associated steatotic liver disease, previously known as nonalcoholic fatty liver disease.

STEPS

Tradipitant (Nereus) for the Prevention of Motion Sickness

Emily Feng, Keri Bergeson

Tradipitant (Nereus) is a P/neurokinin-1 receptor antagonist labeled for the prevention of motion-induced vomiting in adults.

POEMs

Norethindrone Reduced Prolonged Bleeding Related to Etonogestrel Implant

Linda Speer

Does oral norethindrone reduce prolonged uterine bleeding related to etonogestrel implant use?

For Adults and Children With Moderate to Severe Eczema, Frequency of Bathing Has No Impact on Symptoms

Mark H. Ebell

In children and adults with eczema, is bathing daily or weekly better?

Surgery Provides No Additional Benefit for Shoulder Impingement Syndrome

Allen F. Shaughnessy

Is surgery more effective than placebo surgery or referral for supervised exercise therapy in patients with shoulder impingement syndrome?

Practice Guidelines

Dietary Guidelines for 2025–2030: Recommendations From the USDA and HHS

Sara Elsayed, Michelle Nelson

The USDA and HHS have released updated dietary guidelines, emphasizing nutrient-dense foods and limiting highly processed foods, refined carbohydrates, and added sugars.

Interventions for Noncancer Chronic Spine Pain: Rapid Recommendations From BMJ

Michael J. Arnold

Chronic spine pain is defined as back pain lasting 3 months or longer with pain on at least one-half of days in the past 6 months. Chronic low back pain has been estimated to affect 4% of adults ages 24 to 39 years and 20% of adults ages 20 to 59 years. Chronic low back and…

Letters to the Editor

Primary Palliative Care Starts Before End-of-Life

Ryan Jozwiak

Reply: Tamara McGregor, MD; Heather Dalton, MD; Jared Morphew, MD

Nonoperative Interventions for Achilles Pathology

Thomas R. Wojda

Reply: Nailah Adams Morancie, MD, MS, CAQSM, FAAFP

Corrections

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Correction

Incorrect test information. “Colorectal Cancer Screening and Prevention” (September 2025, p. 278) incorrectly described details related to the US Food and Drug Administration's approval of a blood-based colorectal cancer screening test (Shield), inclusion of the test in…

Funded Educational Content

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The Importance of Adult Immunizations

Amra Resic, James Bigham

Adult immunizations are a cornerstone of preventive care. Waning immunity, older age, chronic conditions and social determinants of health increase adults' susceptibility to vaccine-preventable diseases. However, recent national data show that only 23 percent of people 19 years…

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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