• Articles

    Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments

    Diane M. Flynn

    Because no individual therapy for chronic musculoskeletal pain has consistent benefit, a multimodal treatment approach is recommended. Many nonpharmacologic, noninvasive treatment approaches yield small to moderate improvement in pain and function. This article summarizes the...

    Outpatient Management of COVID-19: Rapid Evidence Review

    Anthony Cheng, Dominic Caruso, Craig McDougall

    Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. Symptoms in children tend to be milder and may include fever, cough, and feeding difficulty. The incubation period is two to 14 days, although symptoms typically...

    Inguinal Hernias: Diagnosis and Management

    Amer Shakil, Kimberly Aparicio, Elizabeth Barta, Kristal Munez

    Groin hernias are caused by a defect of the abdominal wall in the groin area and comprise inguinal and femoral hernias. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. Watchful waiting is a reasonable and...

    Editorials

    AFP 2020: Reflections, New Fellows, Updates, and AFP Statistics

    Sumi Sexton

    This editorial highlights the top 20 AFP articles of 2019, provides an update on AFP's statistics for print circulation and website visits, and thanks our peer reviewers.

    Diary of a Family Physician

    Diary of a Family Physician

    Seiji Hayashi, Annette Chavez

    First-person accounts from the front lines of family medicine.

    AFP Clinical Answers

    Learning Disorders, Perinatal Depression, Infants with GERD, Kidney Injury, Amblyopia

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

    Putting Prevention Into Practice

    Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults

    Justin Mills, Leanna Wonoprabowo

    M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.

    Point-of-Care Guides

    Acute Diverticulitis: Identifying Patients Unlikely to Have Complications

    Mark H. Ebell

    Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?

    Photo Quiz

    Pruritic Rash on the Hand of a Home Gardener

    Courtney Humphrey, Elsa Montoya-Aguilar, Matthew Dorcus

    A patient presented with a pruritic rash on the hand after working in the garden.

    STEPS

    Trifarotene (Aklief) for the Treatment of Acne

    Amimi Osayande, Candis M. McGraw-Senat

    Trifarotene (Aklief) is a topical retinoid labeled for the treatment of facial and truncal acne vulgaris in patients nine years and older.1 Similar to other retinoids, its exact mechanism of action is not known, but it may work by normalizing keratinization and by having anti...

    Practice Guidelines

    Influenza Vaccination: Updated 2020–2021 Recommendations from ACIP

    Carrie Armstrong

    Key Points for Practice

    U.S. Preventive Services Task Force

    Primary Care–Based Interventions to Prevent Illicit Drug Use: Recommendation Statement

    The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral counseling interventions to prevent illicit drug use, including nonmedical use of prescription drugs, in...

    FPIN's Help Desk Answers

    School-Based Asthma Management Programs

    Vivian Liu, Javad Keyhani

    Comprehensive public school–based programs providing supervised administration of asthma medication and/or education for staff, children, and parents markedly decrease asthma-related ED visits for school-aged children.

    POEMs

    Cycled Hyperbaric Oxygen Improves the Healing of Diabetic Foot Ulcers

    Allen F. Shaughnessy

    Hyperbaric oxygen provided with a device that cycles oxygen from high pressure to low pressure increased the likelihood of complete healing of diabetic foot ulcers when combined with standard dressing and an offloading boot.

    Increased Daily Steps Associated with Reduced All-Cause Mortality

    David C. Slawson

    This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

    Terbinafine and Itraconazole Are Most Effective for Toenail Onychomycosis

    Mark H. Ebell

    For toenail onychomycosis, continuous terbinafine (Lamisil), 250 mg, and continuous itraconazole (Sporanox), 200 mg, for 12 to 24 weeks are the preferred therapies.

    C-Reactive Protein Is the Most Useful Biomarker for Diagnosis of Outpatient CAP

    David C. Slawson

    This review found that the best evidence supports C-reactive protein as the most useful and accurate biomarker for diagnosing CAP in adults presenting with lower respiratory tract symptoms.

    Letters to the Editor

    Formal Training in POCUS Can Positively Impact Family Medicine Practices

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

    Information from Your Family Doctor

    Inguinal (Groin) Hernias

    A hole or weak spot can form inside the abdomen, the part of the body between the chest and hips. If this happens, some of your insides, usually your intestines, can begin to bulge out of that spot. This is called a hernia. Two types of hernias can happen in the groin, the...



    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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