• 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...


    Evidence Lacking to Support Universal Unhealthy Drug Use Screening

    Sarah Coles, Alexis Vosooney

    Substance use disorders (SUDs) are highly prevalent and dangerous. The 2018 National Survey on Drug Use and Health found that 20.3 million people 12 years and older had an SUD and that 10.3 million individuals older than 12 years misused opioids within the previous year.1 In...

    AFP Clinical Answers

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

    Does dexamethasone reduce mortality in patients with COVID-19 who are oxygen dependent? | How should a patient with concerns for scoliosis be evaluated? | What diagnostic workup should be performed in patients with muscle weakness? | Are omega-3 fatty acids safe and effective...

    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 (Table 1). (Screening...

    Photo Quiz

    Fever and Rash After Travel to the Philippines

    Micah Pippin, Lois Buller

    A 33-year-old patient presented with a rash that developed two days earlier and was preceded by fever, headache, nausea, and arthralgias. The rash was worse on the limbs. The medical history was unremarkable, but the patient had recently traveled to the Philippines.

    FPIN's Help Desk Answers

    Antepartum Perineal Massage for Intrapartum Lacerations

    Susie Wenstrup, Divesh Goel, Beenish Viqar

    Does antepartum perineal massage reduce intrapartum lacerations?


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

    Leena Myran, Thanh-Nga Nguyen

    Icosapent ethyl (Vascepa) is a purified ethyl ester of eicosapentaenoic acid (EPA).1 It can be used as an adjunct to maximally tolerated statin therapy to reduce the risk of myocardial infarction, stroke, coronary revascularization, and unstable angina requiring...

    Practice Guidelines

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

    Andrew Buelt, Dusty Marie Narducci

    Key Points for Practice


    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

    Short-Term Low Back Pain Relief with Placebo

    Allen F. Shaughnessy

    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.



    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...


    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...


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