• Articles

    Shoulder Dystocia: Managing an Obstetric Emergency

    D. Ashley Hill, Jorge Lense, Fay Roepcke

    Shoulder dystocia is an obstetric emergency where normal traction on the fetal head does not lead to delivery of the shoulders. It can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma. Most cases occur without warning, but prior shoulder dystocia and...

    Syphilis: Far from Ancient History

    Jason Ricco, Andrea Westby

    Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians. Prompt diagnosis can be challenging because not all infected patients have common manifestations....

    Asymptomatic Bacteriuria

    Richard Colgan, Gregory A. Jaffe, Lindsay E. Nicolle

    Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. Treatment is not beneficial for most patients, and...


    Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis

    Kenneth W. Lin

    Unrecognized or inadequately treated syphilis infection during pregnancy leads to congenital syphilis, whose diverse clinical manifestations include stillbirth, skin rashes, cataracts, hepatomegaly, bone abnormalities, and seizures.1 The review of syphilis in this issue of...

    AFP Clinical Answers

    Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth

    How should venous ulcers be treated? | How should patient care be modified after diagnosis of dementia? | Are self-collected swabs accurate in detecting SARS-CoV-2? | Does the use of telehealth for outpatient subspecialty consultations improve clinical outcomes?

    U.S. Preventive Services Task Force

    Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: Recommendation Statement

    The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery (Table 1). D recommendation.

    Photo Quiz

    Inflamed, Purulent Axillary Nodules

    Afsaneh Alavi, Monica Shah, Na-Young Cindy Kang

    A 21-year-old man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge in several areas, including the axillae, buttocks, and gluteal cleft. The symptoms caused physical discomfort and...

    FPIN's Help Desk Answers

    Acetaminophen for Pain Relief in Osteoarthritis

    David M. Siebert, Marie Cadwell Meyer, Eric Jensen

    Is acetaminophen effective for relief of hip or knee pain due to osteoarthritis?


    Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure

    Jeffrey Tingen, John D. Gazewood

    Dapagliflozin (Farxiga) is a selective sodium-glucose cotransporter 2 inhibitor that promotes glycosuria. It is labeled for the treatment of type 2 diabetes mellitus in adults as an adjunct to diet and exercise to improve glycemic control. Recently the labeling has been...


    Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer Screening

    Mark H. Ebell

    Increasing the d-Dimer Threshold for Patients with Low Clinical Pretest Probability Effectively Rules Out PE

    Nita Shrikant Kulkarni

    No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies

    Henry C. Barry

    Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain

    Allen F. Shaughnessy

    Practice Guidelines

    Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA

    Carrie Armstrong

    Key Points for Practice

    Letters to the Editor

    Differential Diagnosis of Muscle Weakness in Adults

    Skin Disorders in Patients with Skin of Color

    Case Report: Flavored Vaping–Associated Hypokalemia

    Sateesh Sakhamuri, Sanjeeva Goli, Surujpal Teelucksingh

    Importance of Appropriate Diagnosis Before Prescribing Corticosteroids


    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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