Articles
Atypical Moles
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
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…
The 2026 AFP Photo Contest Winners
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
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
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
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
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?
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?
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
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
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
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
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
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
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
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
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
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
In children and adults with eczema, is bathing daily or weekly better?
Surgery Provides No Additional Benefit for Shoulder Impingement Syndrome
Is surgery more effective than placebo surgery or referral for supervised exercise therapy in patients with shoulder impingement syndrome?
Risk-Based Mammography (With Most Women Getting Biennial Screening Starting at Age 50 Years) Is Noninferior to Annual Screening
Is risk-based mammography noninferior to routine annual?
Practice Guidelines
Dietary Guidelines for 2025–2030: Recommendations From the USDA and HHS
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
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
Reply: Tamara McGregor, MD; Heather Dalton, MD; Jared Morphew, MD
Nonoperative Interventions for Achilles Pathology
Reply: Nailah Adams Morancie, MD, MS, CAQSM, FAAFP
Corrections
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
The Importance of Adult Immunizations
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…
