• Articles

    Stimulant and Designer Drug Use: Primary Care Management

    Ann E. Klega, Jennifer Tickal Keehbauch

    Illicit drug use is among the top 10 preventable risk factors for years of healthy life lost in developed countries. Cocaine blocks the reuptake of the monoamine transporters dopamine, norepinephrine, and serotonin. Methamphetamine blocks reuptake of monoamine transporters,...

    Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign

    Roland Grad, Mark H. Ebell

    The annual installment of this series summarizes actions to consider avoiding in clinical practice, consistent with the goals of the Choosing Wisely campaign. These POEMs (patient-oriented evidence that matters) were rated highly by members of the Canadian Medical Association...

    Delivering Bad or Life-Altering News

    Franklin J. Berkey, Joseph P. Wiedemer, Nicki D. Vithalani

    Family physicians are often in the position of delivering bad or life-altering news to patients. Bad news may include information about a terminal diagnosis, a chronic disease, or an injury leading to a significant life change. Physicians should determine patient preferences...

    AAFP News Now: AFP Edition

    AAFP News: AFP Edition

    AMA Task Force Reports Progress on Reversing Opioid Epidemic | The Role of Patient Portals and Social Media in Health Care Communication | CDC Reports a Spike in U.S. Suicide Rates | High-Deductible Health Plans May Impede Preventive Care


    Counseling Parents and Adolescents About Marijuana

    Seth D. Ammerman

    Physicians are increasingly likely to be asked by adolescents or their parents whether recreational marijuana use is safe. Although many adults view marijuana as benign, there are major concerns about its use in adolescents because all illicit drug use, including marijuana,...

    Putting Prevention Into Practice

    Behavioral Counseling to Prevent Skin Cancer

    Tracy Wolff, Jennifer Chevinsky

    A 25-year-old Irish American woman presents for a wellness visit for herself and her two young children, a two-year-old boy and a seven-month-old girl. All three have fair skin, red hair, and freckles. She reports that she is looking forward to an upcoming family vacation to...

    Photo Quiz

    Lower Extremity Erythema

    Theodore Demetriou, Cassiopeia Roychowdhury, Tara Kennedy

    A man who lived a hermit lifestyle presented with an open eschar over the left medial malleolus.

    FPIN's Clinical Inquiries

    Physical Therapy for Low Back Pain

    Corey Lyon, Lindsey Kolar, Kristen DeSanto

    There is some evidence that early physical therapy may decrease posttreatment health care utilization for low back pain.

    Medicine by the Numbers

    The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term Hormone Therapy in Perimenopausal and Postmenopausal Women

    Patricia Van Leer

    Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.


    Lifitegrast Ophthalmic Solution 5% (Xiidra) for Dry Eye Disease

    Jay Patel, John Franko

    Studies have shown that lifitegrast will reduce the symptoms of dry eye disease in some patients, although the benefit is borderline clinically significant. It is much more expensive than over-the-counter ointments, artificial tears, and lubricant eye drops.

    Practice Guidelines

    Hepatitis B Virus Vaccination and Screening: Best Practices from the ACP and CDC

    Lisa Hauk

    The American College of Physicians and Centers for Disease Control and Prevention highlights the consensus among these recommendations, with recent evidence, to develop a best practice advice statement for vaccination, screening, care, and treatment of patients at risk of or...

    U.S. Preventive Services Task Force

    Behavioral Counseling to Prevent Skin Cancer: Recommendation Statement

    The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.

    Letters to the Editor

    HEART Score for Predicting Adverse Outcomes in Patients with Chest Pain

    Information from Your Family Doctor

    Marijuana: Talking Points for Parents and Teens

    1. Marijuana is not a benign drug for teens. The teenage brain is still developing, and marijuana may cause abnormal brain development.

    Club Drugs: What You Should Know

    Club drugs are often found at parties, bars, nightclubs, and concerts, but they can also be used in other settings. Most of the drugs are illegal and can cause serious illness, injury, or even death. The main club drugs are GHB (“liquid ecstasy”), MDMA (“ecstasy”),...

    Meth: What You Should Know

    Methamphetamine (METH-am-FET-uh-meen), or meth, is an addictive drug. In small amounts, it can be given by doctors to treat certain illnesses. But it is often sold illegally in very dangerous forms. Some common names for meth are crystal meth, ice, crank, speed, chalk, and...


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