• Articles

    Gout: Rapid Evidence Review

    Karl T. Clebak, Ashley Morrison, Jason R. Croad

    Risk factors of gout include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat, seafood, and fructose-rich food and beverages; chronic kidney disease; being a member of certain ethnic groups, including Taiwanese, Pacific Islander, and New...

    Eye Emergencies

    Christopher D. Gelston, Galia A. Deitz

    Eye emergencies can result in permanent vision loss if not treated urgently. Common eye emergencies include central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments. Family physicians should be able to recognize the signs and...

    Common Benign Chronic Vulvar Disorders

    Nancy E. Ringel, Cheryl Iglesia

    Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to atrophy of normal vulvar and vaginal tissues. It is typically treated with lubricants, moisturizers, and intravaginal estrogen. Lichen sclerosus is characterized by intense vulvar itching...

    Editorials

    Evidence Against the Routine Use of MRI for Nonoperative Treatment of Chronic Orthopedic Conditions

    Donald C. Pompan

    Physicians should consider the ramifications before ordering an MRI in the setting of chronic pain. An MRI that is not indicated can lead to a procedure that is not necessary as both patient and physician focus on the abnormal study finding. Most patients improve with...

    AFP Clinical Answers

    Frostbite, Antiplatelet Therapy, Stuttering, Asthma, Cardioversion

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

    Cochrane for Clinicians

    Mechanical Methods of Induction of Labor

    Drew C. Baird, Skyler Brown

    Mechanical induction of labor with single or double balloon catheters is similar to induction with vaginal prostaglandin E2 in rates of vaginal delivery achieved within 24 hours, and it has a more favorable safety profile.

    Metformin to Prevent Diabetes in Patients at Increased Risk

    Alexis Reedy-Cooper, Leesha Helm, David Lee

    In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

    Implementing AHRQ Effective Health Care Reviews

    Treatment of Depression in Children and Adolescents

    Tyler Barreto

    What are the benefits and harms of nonpharmacologic and pharmacologic treatments for depressive disorders in children and adolescents?

    Diagnostic Tests

    KardiaMobile for ECG Monitoring and Arrhythmia Diagnosis

    Madhavi Singh, Ravi Rao, Smriti Gupta

    KardiaMobile is a mobile, single-lead electrocardiogram (ECG) device that has been approved by the U.S. Food and Drug Administration for detection of atrial fibrillation (AF), bradycardia, and tachycardia.1 It connects wirelessly to a smartphone application to provide the ECG...

    Photo Quiz

    Palmar Rash in a Young Child

    Eugene Kim, Madison Paul

    A child presented with with a pruritic rash when on the palms when they were exposed to water.

    Curbside Consultation

    How to Manage a Patient with Weight Regain

    Ku-Lang Chang, Frank A. Orlando, W. Troy Donahoo

    A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).

    Practice Guidelines

    Accidental Hypothermia: Guidelines from the Wilderness Medical Society

    Natasha Pyzocha

    The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.

    FPIN's Clinical Inquiries

    Rebound Bilirubin Levels after Phototherapy in Neonates with Hyperbilirubinemia

    Paul Gordon, Sommer Aldulaimi, Carol L. Howe

    Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours...

    Medicine by the Numbers

    Antibiotics for Acute Bronchitis

    Brian M. Killeen, Allan B. Wolfson

    Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.

    Information from Your Family Doctor

    Genitourinary Syndrome of Menopause: What You Should Know

    Genitourinary syndrome of menopause (called GSM for short) happens after your period stops. Your body makes less estrogen hormone, and this makes your vagina and vulva (the outside of the vagina) dry. This can lead to pain with sex, pain or burning of the vulva, and urinary...



    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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