• Articles

    Cutaneous Cryosurgery for Common Skin Conditions

    Karl T. Clebak, Megan Mendez-Miller, Jason Croad

    Cryosurgery, the application of freezing temperatures to destroy tissue, is a safe, effective, and inexpensive outpatient procedure. Dipstick, probe, and spray options are common techniques used to treat benign, premalignant, and malignant skin lesions; benign lesions can...

    Sepsis: Diagnosis and Management

    Robert Gauer, Damon Forbes, Nathan Boyer

    Respiratory, gastrointestinal, genitourinary, and skin and soft tissue infections are the most common sources of sepsis. Indwelling devices, endocarditis, and meningitis and encephalitis also increase the risk. To improve sepsis diagnosis, which can be challenging, clinicians...

    Frequent Headaches: Evaluation and Management

    Anne Walling

    Frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable and difficult to treat. A complete history is...

    Editorials

    70 Years of American Family Physician

    Sumi Sexton

    In April of 1950, the American Academy of General Practice published the first issue of American Family Physician's (AFP's) predecessor, GP. The journal's name didn't change until 1970 when it was briefly called American Family Physician/GP and then officially American Family...

    Cochrane for Clinicians

    Pelvic Floor Muscle Training vs. Control for Urinary Incontinence in Women

    Corey Fogleman, Noelle Prescott

    Use of pelvic floor muscle training to treat women with all subtypes of urinary incontinence results in improvement or cure vs. no treatment (number needed to treat [NNT] = 2.5; 95% CI, 1.4 to 5.4). Treatment with pelvic floor muscle training also results in one fewer episode...

    Interventions for Reducing Childhood Obesity

    Michael J. Arnold, David Sorensen, Andrew Buelt

    Individual dietary interventions alone fail to change body mass index or the standardized BMI z-score across all age groups. The impact of regular physical activity or combined dietary and physical activity interventions is modest at best.

    AFP Clinical Answers

    Tendinopathy, Medical Abortion, Counseling for Children and Adolescents, Cold Prevention

    Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

    Photo Quiz

    Persistent Infraorbital Plaque

    Amanda M. Lau, Shayna C. Rivard

    A woman presents with a pruritic mass under one eye that had been growing slowly for three years.

    FPIN's Clinical Inquiries

    Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis

    Rachel Kopicki, Jane T. Chang, Gary Kelsberg, Sarah Safranek

    Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.

    POEMs

    Five Days of Penicillin for Strep Throat Is Equal to 10 Days

    Allen F. Shaughnessy

    Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.

    Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk

    David C. Slawson

    This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times....

    Results of Fecal Immunochemical Tests for Colorectal Cancer Screening Not Affected by NSAIDs, Aspirin, or Anticoagulants

    Mark H. Ebell

    The use of aspirin, NSAIDs, and oral anticoagulants has no clinically important effects on the positive predictive value of FIT in a screening population.

    No Benefit to Routine Antipsychotic Use for Treatment or Prevention of Delirium in Hospitalized Patients

    Nita Shrikant Kulkarni

    Evidence does not support the routine use of haloperidol or second-generation antipsychotics for the treatment or prevention of delirium in hospitalized patients. Although second-generation antipsychotics may reduce the incidence of delirium in the postoperative setting, more...

    Practice Guidelines

    Frostbite: Recommendations for Prevention and Treatment from the Wilderness Medical Society

    Carrie Armstrong

    Recommendations for prevention and treatment of frostbite from the Wilderness Medical Society.

    Medicine by the Numbers

    Benzodiazepines for Panic Disorder in Adults

    David L. Kriegel, II, Anne Azrak

    Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.



    Disclosure

    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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