• Articles

    Tinnitus: Diagnosis and Management

    Sarah N. Dalrymple, Sarah H. Lewis, Samantha Philman

    Tinnitus is the perception of sound in the absence of an objective internal or external source. Tinnitus is a symptom, not a disease, and although it is typically not associated with a dangerous condition, it can significantly affect an individual's quality of life....

    Out-of-Hospital Birth

    Gregory Lang, Edwin A. Farnell, IV, Jeffrey D. Quinlan

    The rate of out-of-hospital births has increased in recent years. Out-of-hospital (or community) birth can be planned or unplanned. Of those that are planned, most occur at home and are assisted by midwives. Patients who choose a planned community birth do so for multiple...

    Polycythemia Vera: Rapid Evidence Review

    Steven Fox, Leslie Griffin, Dominique Robinson Harris

    Polycythemia vera is one of three common myeloproliferative neoplasms and is characterized by erythrocytosis; it commonly has associated leukocytosis and thrombocytosis. It has a substantial negative impact on overall mortality and morbidity in the form of arterial and venous...


    Promoting Safety in Community-Based Birth Settings

    Lawrence Leeman, Jessica Taylor Goldstein

    Births outside of the hospital setting are uncommon in the United States; however, since 2004, home birth rates have increased by 77%, and rates at community birth centers have doubled.1 Although controversy regarding the safety of giving birth outside of the hospital setting...

    Medicine by the Numbers

    Oxytocin as First-line Uterotonic Therapy for Postpartum Hemorrhage

    Brian Ford, Rebecca Allen

    Study Population: Patients being actively managed in the third stage of labor who also have postpartum hemorrhage

    AFP Clinical Answers

    Abdominal Aortic Aneurysm, Migraines in Children, Mucolytics for COPD, Paget Disease, ARDS

    In what population is screening for abdominal aortic aneurysm appropriate based on USPSTF recommendations? | What are the first-line medications used to treat acute migraines in children? | Are oral mucolytics effective at reducing the number of acute exacerbations, days of...

    Cochrane for Clinicians

    Pessaries for Managing Pelvic Organ Prolapse in Women

    Juan Qiu, Dongsheng Jiang

    Are pessaries effective in treating pelvic organ prolapse in women?

    Psychological Therapies for Women Who Experience Intimate Partner Violence

    Madhavi Singh, Marina Jeffery

    Are psychological therapies safe and effective for women who experience intimate partner violence (IPV)?

    Diagnostic Tests

    Flash Continuous Glucose Monitoring (FreeStyle Libre 14-Day System) for Self-Management of Diabetes Mellitus

    Hiu Ying Joanna Choi

    *—The fair price represents the reasonable out-of-pocket cost based on price comparisons. Actual cost will vary with insurance and by region. Information obtained at https://www.goodrx.com and https://provider.myfreestyle.com/ (accessed April 21, 2021; zip code: 66211).

    Photo Quiz

    Linear Hyperpigmentation

    Clare L. Coda, John P. Woods

    A 26-year-old patient presented to urgent care with a worsening rash on the left forearm that developed four days earlier. The rash started after the patient spent a weekend at the beach. The rash was initially mildly erythematous but became hyperpigmented over the two days...

    FPIN's Clinical Inquiries

    Preoperative A1C Threshold in Patients with Diabetes

    Bernadette Kiraly, Alyssa Migdalski, Dominik Ose

    In patients with diabetes mellitus who are preparing for total joint replacement, what is the preoperative A1C goal to reduce postoperative periprosthetic joint infections?


    Eating Eggs Is Not Associated with Cardiovascular Disease

    Allen F. Shaughnessy

    Lipid Lowering Is Beneficial for Secondary Prevention but Not Primary Prevention in Patients 75 Years and Older

    Mark H. Ebell

    Exercise Is the Only Intervention to Provide Long-Term Improvement in Patients with Chronic Low Back Pain

    Henry C. Barry

    Continuous Glucose Monitoring Adds Little Benefit, Especially in Adults

    Allen F. Shaughnessy

    Practice Guidelines

    Chronic Kidney Disease in Diabetes: Guidelines from KDIGO

    Kamlesh Khunti, Ian H. de Boer, Peter Rossing

    Key Points for Practice

    Letters to the Editor

    Case Report: Thrombotic Thrombocytopenia after COVID-19 Janssen Vaccination

    Allison Costello, Aakriti Pandita, Jessica Devitt

    Using DaTscan to Diagnose Parkinson Disease

    Information from Your Family Doctor


    Tinnitus (TIN-ih-tus) is a sound you may hear when there is not sound coming from a source outside your body. It is not usually a serious condition, but it can be annoying. Tell your doctor if you notice a sound you think might be tinnitus.

    Having a Baby Outside of a Hospital: What You Need to Know

    When you're having a baby, you can decide where to give birth. It is a personal choice, but you need good information to make the best choice. A hospital is the most common place, but there are other options. You should know the risks and benefits of each setting before you...


    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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