• Articles

    Seasonal Affective Disorder: Common Questions and Answers

    Samuel V. Galima, Stephen R. Vogel, Adam W. Kowalski

    Seasonal affective disorder is a variant of major depressive disorder or bipolar disorder. It is characterized by depressive symptoms that occur at a specific time of year, typically fall or winter, with full remission at other times of year. Possible risk factors include...

    Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign

    Roland Grad, Mark H. Ebell

    The annual installment of this series summarizes the top POEMs (patient-oriented evidence that matters) of 2019 that are consistent with the Choosing Wisely campaign. These POEMs were highly rated by physician members of the Canadian Medical Association for their clinical...

    Parkinson Disease

    Anne D. Halli-Tierney, Jacquelynn Luker, Dana G. Carroll

    Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. The diagnosis of Parkinson disease is clinical, and key disease features are bradykinesia, rigidity, and tremor. Parkinson disease progression is variable, and clinical...

    Editorials

    Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians

    David T. O'Gurek, Kenneth W. Lin, Melanie D. Bird

    Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non...

    AFP Clinical Answers

    Cirrhosis, Ureteral Stones, Depression, Sleep Apnea, Scoliosis

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

    Cochrane for Clinicians

    Low-Protein Diets for Adults Without Diabetes Mellitus Who Have CKD

    Donna Cohen, Anne Ramsey

    In patients without diabetes mellitus who have chronic kidney disease, is a low-protein diet effective at preventing progression to end-stage renal disease or the need for dialysis?

    Beta Blockers for Suspected or Diagnosed Acute Myocardial Infarction

    Nicholas M. LeFevre, Nolan Mischel

    Compared with placebo, beta-blocker use in patients with acute MI reduces short-term (less than three months) risk of MI and long-term (more than three months) risk of cardiovascular mortality and all-cause mortality.

    POEMs

    Fecal Occult Blood Testing Is Inaccurate as Part of Diagnostic Workup

    Henry C. Barry

    In this well-conducted systematic review, FOBT, although useful in screening for colorectal cancer, is not highly accurate in evaluating patients with clinical indications.

    Easy Rule Identifies Patients with Low-Risk Penicillin Allergies

    Allen F. Shaughnessy

    A label of penicillin allergy clears the shelves of many effective treatments for various infections. A simple rule outlined in the synopsis effectively identifies (without allergy testing) low-risk penicillin allergies in patients with a history of a penicillin allergy event.

    Vaginal Bleeding Decreases over Time with a Levonorgestrel Intrauterine System

    Linda Speer

    Bleeding decreased over time for most women after the insertion of a levonorgestrel-releasing intrauterine system.

    Some Drugs Slightly Improve Cognition in People with Dementia; Effects on Behavioral or Psychological Symptoms Remain Unclear

    Allen F. Shaughnessy

    Some treatments can improve cognition on research scales, but daily function will not be affected in a noticeable way. Managing behavioral or psychological issues with medication is not supported by current evidence

    Photo Quiz

    Shoulder Pain and Stiffness with Abnormal Imaging Findings

    Justin Lee

    A 51-year-old patient presented with several years of diffuse shoulder pain and abnormal imaging findings.

    Practice Guidelines

    Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from AAFP and ACP

    Michael J. Arnold

    The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low...

    FPIN's Clinical Inquiries

    Immunogenicity of Childhood Vaccines after Pediatric Cancer

    Elizabeth Close, Grayson McConnell, Steven Cross, J. Lacie Bradford

    Children treated for cancer do not retain full immunity from previous vaccinations; therefore, it is likely beneficial for children who survive cancer to be revaccinated six to 12 months after immunosuppressive therapy.

    Medicine by the Numbers

    Antibiotics for Uncomplicated Diverticulitis

    Shiva Poola, Michael Ritchie

    The mainstay of treatment for uncomplicated diverticulitis has been antibiotic therapy with bowel rest. However, recent studies have questioned the role of antibiotics.

    Letters to the Editor

    Case Report: Need for Vigilance in Recognizing Neurologic Presentations of COVID-19

    Catherine Avener, Rebecca Gomez, Tresha Williams

    Case Reports: Rhabdomyolysis Associated with COVID-19

    Balraj Singh, Parminder Kaur, Ro-Jay Romor Reid

    Is Cutaneous Cryosurgery the Best Treatment Option for Cutaneous Warts?



    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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