• Articles

    Post-ICU Care in the Outpatient Setting

    Jason Wilbur, Jessica Rockafellow, Brian Shian

    An increasing percentage of patients treated in the intensive care unit (ICU) survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for common post-ICU...

    Dyspareunia in Women

    D. Ashley Hill, Chantel A. Taylor

    Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress, affecting approximately 10% to 20% of U.S. women. Dyspareunia may be superficial or deep. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress,...

    Hypothyroidism: Diagnosis and Treatment

    Stephen A. Wilson, Leah A. Stem, Richard D. Bruehlman

    Clinical hypothyroidism is present in one in 300 people in the United States, with a higher prevalence in female and older patients. Symptoms range from minimal to life-threatening. More common symptoms include cold intolerance, fatigue, weight gain, dry skin, constipation,...

    Editorials

    Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic

    Alan R. Roth, Andy Lazris

    How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

    AFP Clinical Answers

    Irritable Bowel Syndrome, Altitude Illness, Transfusions, Group B Streptococcus, Acute Pain

    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 Asymptomatic Carotid Artery Stenosis: Recommendation Statement

    The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

    Putting Prevention Into Practice

    Screening for Asymptomatic Carotid Artery Stenosis

    Justin Mills, Sonia Molchan

    A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.

    Photo Quiz

    Blunt Costophrenic Angle in a Patient with Pancreatitis

    Joel Amidon, Brynlynn Pitt, Megan David

    A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.

    STEPS

    Lactic Acid, Citric Acid, and Potassium Bitartrate (Phexxi) Vaginal Gel for Contraception

    Joshua Steinberg, Sarah E. Lynch

    Given its high cost, mediocre contraceptive protection, and rate of adverse effects, Phexxi may be preferred only by people desiring to avoid hormonal contraception who wish to use on-demand contraception that they control, or for whom other contraceptive options are not...

    POEMs

    Screening Smokers for Lung Cancer with Low-Dose CT Decreases Lung Cancer Mortality

    Henry C. Barry

    High-quality trials show that low-dose CT screening decreased lung cancer mortality in smokers.

    SGLT2 Inhibitors Improve All-Cause and Cardiovascular Mortality in Patients Regardless of Diabetes or Heart Failure Status

    Allen F. Shaughnessy

    What effect do sodium-glucose cotransporter-2 (SGLT2) inhibitors have on mortality and cardiovascular and renal outcomes in patients with and without diabetes mellitus, heart failure, or kidney disease?

    Early Introduction of Dietary Gluten Delays the Diagnosis of Celiac Disease in Breastfed Infants

    Henry C. Barry

    The introduction of dietary allergens, including gluten, to exclusively breastfed infants at four months of age, compared with six months of age, delays the prevalence of celiac disease at three years of age.

    Colchicine Reduces MI and Revascularization in Patients with Established Coronary Artery Disease

    Mark H. Ebell

    Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.

    Practice Guidelines

    Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List

    Michael J. Arnold

    The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

    Letters to the Editor

    Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis

    Ultrasound Subthalamotomy for the Management of Parkinson Disease

    Corrections

    Correction

    Incorrect Statistics. In the Lown Right Care, “Anticoagulation in Older Adults,” (June 15, 2020, p. 748), the second sentence of the Clinical Commentary section incorrectly stated that atrial fibrillation is more common in women rather than men. The sentence should have read:...



    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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