• Articles

    Hip Pain in Adults: Evaluation and Differential Diagnosis

    Rachel Chamberlain

    Hip pain usually localizes anteriorly, laterally, or posteriorly. A focused history and physical examination can help differentiate the causes of hip pain, which is important for prescribing effective therapy. The history should include personal history of hip problems,...

    Labor Dystocia in Nulliparous Patients

    Nicholas M. LeFevre, Ellisa Krumm, William Jacob Cobb

    Dystocia accounts for 25% to 55% of primary cesarean deliveries. Avoiding admission to labor and delivery in the latent phase is recommended, assuming maternal/fetal status is reassuring. An arrested active phase is more than four hours without cervical change despite...

    Dysphagia: Evaluation and Collaborative Management

    John M. Wilkinson, Don Chamil Codipilly, Robert P. Wilfahrt

    Dysphagia is common but may be underreported. Oropharyngeal dysphagia manifests as coughing, choking, aspiration, or difficulty initiating swallowing, and is most often caused by chronic neurologic conditions. Patients with esophageal dysphagia may report a sensation of food...

    Editorials

    Evidence Lacking to Support Universal Unhealthy Drug Use Screening

    Sarah Coles, Alexis Vosooney

    To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and...

    AFP Clinical Answers

    COVID-19, Scoliosis, Muscle Weakness, Preterm Birth, Fecal Incontinence

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

    U.S. Preventive Services Task Force

    Screening for Unhealthy Drug Use: Recommendation Statement

    The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

    Photo Quiz

    Fever and Rash After Travel to the Philippines

    Micah Pippin, Lois Buller

    A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.

    FPIN's Help Desk Answers

    Antepartum Perineal Massage for Intrapartum Lacerations

    Susie Wenstrup, Divesh Goel, Beenish Viqar

    Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

    STEPS

    Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of Heart Attack and Stroke

    Leena Myran, Thanh-Nga Nguyen

    Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

    Practice Guidelines

    Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology and Arthritis Foundation

    Andrew Buelt, Dusty Marie Narducci

    The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

    POEMs

    Twenty-Year Follow-Up of the Women's Health Initiative Trials: Lower Breast Cancer Mortality with Estrogen Alone, No Difference with Estrogen Plus Progesterone

    David C. Slawson

    Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No Effect on Severe Exacerbations

    Mark H. Ebell

    Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days)...

    Short-Term Low Back Pain Relief with Placebo

    Allen F. Shaughnessy

    Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.

    Buffering Lidocaine 1%/Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as Effective and Less Painful than a 9:1 Ratio

    David C. Slawson, Christina M. Garcia

    Letters to the Editor

    Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents

    Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding

    Newborn Circumcision Techniques and Medical Ethics

    Information from Your Family Doctor

    Hip Pain in Adults

    Hip pain is common and can happen at any age.

    Corrections

    Corrections

    Updated recommendation. The article “Upper Gastrointestinal Bleeding in Adults: Evaluation and Management,” (March 1, 2020, p. 294) referenced a recommendation from 2010 regarding blood transfusions for patients with upper gastrointestinal (GI) bleeding when hemoglobin is...

    Corrections

    Inaccurate disease description. In the Practice Guidelines “Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA” (July 15, 2020, p. 121), in the title of Table 2 (page 122) and the first sentence in the second paragraph of the Antibiotic Therapy...



    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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