• Articles

    Health Maintenance for Women of Reproductive Age

    Heather L. Paladine, Himabindu Ekanadham, Daniela C. Diaz

    This article focuses on screening and counseling for health conditions that are more prevalent in, or have a unique impact on, women, transgender men, and nonbinary individuals of reproductive age. Health issues including cardiovascular risk factors, obesity, hypertension,...

    Frailty: Evaluation and Management

    Robert Allison, II, Shauna Assadzandi, Megan Adelman

    Frailty is a state of increased vulnerability across multiple health domains. It affects 5% to 17% of older adults. Frail older adults are at increased risk of falls, disability, hospitalizations, and death. A comprehensive geriatric assessment can identify risk factors and...

    Bipolar Disorders: Evaluation and Treatment

    Gabrielle Marzani, Amy Price Neff

    Bipolar disorders are common mental health conditions of variable severity that are difficult to diagnose. New diagnostic criteria and specifiers with attention on mixed features and anxious distress aid the physician in recognizing episode severity and prognosis. Early...

    Editorials

    Performance-Enhancing Drug Use in Recreational Athletes

    Tobie Smith, Matthew Fedoruk, Amy Eichner

    Family physicians may be surprised to learn the number of their patients who use performance-enhancing drugs, either deliberately to improve athletic performance or unknowingly through contaminated dietary supplements.

    AFP Clinical Answers

    Breast Cancer Screening, Plantar Warts, IUD Insertion, Osteoporosis, Anal Fissures

    What is the most effective breast cancer screening strategy in women at average risk? | Is cryosurgery more effective than salicylic acid in the treatment of plantar warts? | Do preprocedure medications affect the pain of IUD insertion? | How should osteoporosis be monitored...

    Diary of a Family Physician

    Diary of a Family Physician

    Seiji Hayashi

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

    STEPS

    Lemborexant (Dayvigo) for the Treatment of Insomnia

    Morgan Adams Rhodes

    Lemborexant (Davigo) is labeled for adults with insomnia to improve with sleep onset and maintenance.

    Photo Quiz

    Severely Pruritic, Whip-like Dermatitis

    Daniel Jason Frasca, Jacqueline Mulhall, Anna Elseth

    A patient presented with fever, headache, cough, sore throat, and a widespread pruritic rash two days after ingestion of shiitake mushrooms.

    Medicine by the Numbers

    Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults

    Kelvin Kwofie, Allan B. Wolfson

    Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.

    POEMs

    Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema

    Mark H. Ebell

    Adding compression to patient education reduces the likelihood of recurrent cellulitis in patients with chronic leg edema.

    Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years

    Allen F. Shaughnessy

    Following a high-quality colonoscopy (adequate bowel preparation, full visualization, and high rates of detection by the colonoscopist), patients at average risk with no neoplasm found on examination had the same rate of developing colorectal cancer or dying from it in the 10...

    Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of Other Obesity-Related Events

    Henry C. Barry

    Based on population registry data, bariatric surgery is associated with lower all-cause mortality and a lower risk of developing many subsequent obesity-related conditions.

    Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone

    Nita Shrikant Kulkarni

    For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

    Practice Guidelines

    ACIP Approves 2021 Adult and Child/Adolescent Immunization Schedules

    Pamela G. Rockwell

    Key Points for Practice

    Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical Society

    Christopher E. Jonas, Michael J. Arnold

    The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.

    U.S. Preventive Services Task Force

    Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for high blood pressure in children and adolescents.

    Letters to the Editor

    Broad Screening Is Needed for All Patients at Risk of Syphilis

    Case Report: DKA with Lower-than-Expected Blood Glucose in the Setting of SGLT2 Inhibitor Use

    Armen Voskertchian, Liana Milanes

    Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis

    Carmen Marcos Alonso, Joaquín Batista Cruzado

    Case Report: Limitations of Virtual Care in Older Adults with Functional and Cognitive Impairment

    Evan S. Morrison, Shenbagam Dewar



    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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