• Articles

    Neck Pain: Initial Evaluation and Management

    Marc A. Childress, Samantha Jayne Stuek

    The broad differential diagnosis for neck pain requires an efficient but global assessment. Emphasis is typically placed on red flags that can assist in the early recognition and treatment of more concerning diagnoses, such as traumatic injuries, infection, malignancy,...

    Intrapartum Fetal Monitoring

    James J. Arnold, Breanna L. Gawrys

    Continuous electronic fetal monitoring was developed to screen for signs of hypoxic-ischemic encephalopathy, cerebral palsy, and impending fetal death during labor; it is appropriately used in high-risk labor. When used during low-risk labor, structured intermittent...

    Acute Pyelonephritis in Adults: Rapid Evidence Review

    Joel Herness, Amelia Buttolph, Noa C. Hammer

    Acute pyelonephritis is a bacterial infection of the kidney and renal pelvis and should be suspected in patients with flank pain and pyuria. Urine culture should direct antibiotic therapy. Outpatient management is appropriate for uncomplicated cases; extended emergency...

    Editorials

    Benefits of Teaching Medical Students: Perspectives from a Community Physician Preceptor

    Michael S. Burke

    There is a need for more enthusiastic community family physician mentors to improve the shortage of medical students going into primary care and to reach the goal of 25% of students choosing family medicine by 2030.

    AFP Clinical Answers

    COVID-19, Acne Treatment, Threatened Miscarriage, Pilonidal Disease

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

    Medicine by the Numbers

    Fetal Fibronectin Testing in Threatened Preterm Labor

    Dean A. Seehusen, Mark Schwade

    Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in...

    Cochrane for Clinicians

    Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs

    Anne Mounsey, Rita M. Lahlou

    NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.

    Smoking Cessation with Text Messaging and App-Based Interventions

    Elizabeth Salisbury-Afshar, Ruchi M. Fitzgerald

    Automated text messaging interventions are more effective than minimal smoking cessation support (absolute risk reduction [ARR] = 3%; 95% CI, 1% to 5%).

    Photo Quiz

    Hyperpigmentation of the Tongue and Buccal Mucosa

    H.U. Rehman, Sarah Lohrenz

    A 45-year-old woman with a 10-year history of primary adrenal insufficiency was admitted to the hospital for treatment of pyelonephritis caused by Escherichia coli infection, for which she was given intravenous antibiotics and fluids.

    FPIN's Help Desk Answers

    Acupuncture for Knee Osteoarthritis

    Susan E. Hansen, Neilson M. Mathews, Susan S. Mathieu, Veronica M. Brohm, Beth Auten

    Electroacupuncture can be used to improve pain and physical function in adults with knee osteoarthritis.

    POEMs

    Rates of Adverse Effects of Treatment for Otitis Media Vary by Antibiotic and Dose

    Henry C. Barry

    The rates of diarrhea and rashes associated with the treatment of children with acute otitis media vary depending on each specific antibiotic and its dosing. The rates of diarrhea and generalized rash were highest with amoxicillin/clavulanate (Augmentin) and high-dose...

    Practice Guidelines

    VTE in Patients with Cancer: Guidelines from the American Society of Clinical Oncology

    Michael J. Arnold

    The American Society of Clinical Oncology has updated recommendations for the prevention and treatment of venous thromboembolism (VTE) in patients with cancer.

    Letters to the Editor

    Race-Based Treatment Decisions Perpetuate Structural Racism

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

    Information from Your Family Doctor

    Intrapartum Fetal Monitoring

    Fetal monitoring is a way for your doctor to know how your baby is doing during labor. The doctor and nurse use special equipment to listen to your baby's heartbeat and your contractions. There are two options: continuous electronic fetal monitoring or structured intermittent...



    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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