• Articles

    Nerve Blocks: Part I. Upper Extremity

    Jacqueline L. Yurgil, Chad D. Hulsopple, Jeffrey C. Leggit

    Procedural anesthesia may be administered by family physicians when managing a variety of conditions, such as neuropathies, fracture reduction, foreign body removals, and complex wounds. Nerve blocks can be guided by bony landmarks, peripheral nerve stimulation, or...

    Nerve Blocks: Part II. Lower Extremity

    Jacqueline L. Yurgil, Chad D. Hulsopple, Jeffrey C. Leggit

    Nerve blocks are used for a variety of procedures involving the lower extremity. Depending on the required area of anesthesia for the procedure, various points throughout the lower extremity can be used to block the lateral femoral cutaneous, common peroneal, saphenous,...

    Newborn Circumcision Techniques

    Folashade Omole, Walkitria Smith, Kitty Carter-Wicker

    Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. Performing male circumcision during the neonatal period has several advantages, including a lower risk of complications, faster healing, and lower cost. The...

    Editorials

    Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption

    Sandy L. Robertson, Allen F. Shaughnessy, David C. Slawson

    Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.

    AFP Clinical Answers

    Decompression Surgery, Fabric Masks, Heat Stroke, e-Cigarette Use

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

    Cochrane for Clinicians

    Emergency Contraception: Safety and Effectiveness

    Sajeewane Seales, Paul Seales

    Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.

    Potential of Fetal Fibronectin Testing to Prevent Preterm Birth

    Tyler Barreto

    Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

    FPIN's Clinical Inquiries

    Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome

    Lawrence M. Gibbs, Kim Pham, Sarah Langston, Sue Stigleman

    No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).

    Photo Quiz

    Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis

    Mónica García-Arpa, Violeta Herrera-Montoro, Elisa Gómez-Torrijos

    A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.

    Practice Guidelines

    Preparticipation Physical Evaluation: AAFP and Others Update Recommendations

    Sean Wise, Jeffrey Leggit

    The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.

    POEMs

    No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low Back Pain

    Allen F. Shaughnessy

    Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

    Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer Rate but May Cause Overdiagnosis

    Mark H. Ebell

    Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per...

    Useful Signs and Symptoms for Diagnosing Hip Osteoarthritis

    David C. Slawson

    Although plain radiographs are often used to diagnose hip OA, the correlation between radiographic indicators of hip arthritis and hip pain is low.

    For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred over PCI

    Mark H. Ebell

    For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.

    Medicine by the Numbers

    Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive Pulmonary Disease

    Bryan Zorko, Michael Ritchie

    Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of...

    Letters to the Editor

    Sexual Health Communication Strategies for Breast Cancer Survivors

    Letters to the Editor from AFP readers regarding previously published articles.



    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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