John M. Wilkinson, Margaret C. Gill
Irritable bowel syndrome (IBS) is a heterogeneous group of conditions related to specific biologic and cellular abnormalities that are not fully understood. Psychological factors do not cause IBS, but many people with IBS also have an anxious or depressed mood, prior adverse...
Mandi Sehgal, Jeremy Jacobs, Wendy S. Biggs
Assistive devices such as canes, crutches, walkers, and wheelchairs can help alleviate the effects of mobility limitations in older adults, providing improved independence and quality of life. Clinicians should understand how to select the appropriate device and size for...
Michael J. Arnold, Kerry Sadler, KelliAnn Leli
Obstetric lacerations are a common complication of vaginal delivery and can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved. Late third-trimester perineal massage can reduce perineal lacerations in...
Sumi M. Sexton
American Family Physician (AFP) continues its annual tradition of updating our readers on changes in the journal, welcoming new members to our editing team, highlighting the top 20 articles from the prior year, sharing print circulation and website statistics, and thanking...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Tina Fan, Grace Lee
A 27-year-old patient, R.C., with a history of generalized anxiety disorder presents for a wellness examination. R.C. previously smoked a pack of cigarettes per day but has cut down to half a pack per day and started using electronic cigarettes (e-cigarettes) and is...
Ossama Abbas, Carla Stephan, Tara Bardawil, Mazen Kurban
A patient presented with a fleshy, erythematous, round, exophytic red nodule over the frontal scalp.
Andy Lazris, Alan R. Roth, Helen Haskell, John James
A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
Seán O. Whelan, Frank Moriarty
In patients reporting a penicillin allergy, is it possible to determine the likelihood of true allergy without formal testing?
Kento Sonoda, Seiji Hayashi
First-person accounts from the front lines of family medicine.
Andrew Buelt, Adrienne Richards, Andre L. Jones
The International Society of Hypertension has published summary guidelines based on major international guidelines published between 2017 and 2020 on the control of hypertension. These summary guidelines include essential recommendations and suggestions for optimal care.
The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.
Chris Stewart-Patterson, Robert Bourgeois, Douglas W. Martin
If you have one leg that is painful or weak and makes it hard to walk or keep your balance, a cane might help. If you have poor balance or feel unsteady on your feet, a walker might be better. The type of cane or walker that is best for you depends on your strength, fitness...
Missing reference text. In the article “Cerebrospinal Fluid Analysis,” (April 1, 2021, p. 422) the full citation for reference 60 was inadvertently truncated (page 428). The full citation should have read: “60. Zorofchian S, Iqbal F, Rao M, et al. Circulating tumour DNA,...
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