Brian Veauthier, Jaime R. Hornecker, Tabitha Thrasher
Potential precipitating factors for the recent onset of altered mental status can be multifactorial and include central nervous system insults, systemic infections, metabolic disturbances, toxin exposure, medications, chronic systemic diseases, and psychiatric conditions....
John Malaty, Velyn Wu
Vocal cord dysfunction can be severe and impair breathing or, more commonly, less severe and impact the patient's voice. Nasolaryngoscopy and pulmonary function testing can help in the diagnosis. Management includes treatment of triggers and referral for therapeutic breathing...
Kevin R. Herrick, Jennifer M. Terrio, Crispin Herrick
Integrating patients' medical and dental health care is important because there are correlations between periodontal disease and some medical conditions. Medical consultations before dental procedures present opportunities to integrate cross-disciplinary preventive care and...
Andrea Westby, Laura Miller
Fetal growth restriction, formerly known as intrauterine growth restriction, is a condition in which estimated fetal weight is below the 10th percentile for gestational age. Early detection and management are essential. All pregnant patients should be screened for fetal...
End-stage renal disease is diagnosed when kidney function is no longer adequate for long-term survival without kidney transplantation or dialysis. This article provides an overview of the medical management of end-stage renal disease, as well as its comorbidities and...
Sarina Schrager, Sarah M. Lyon, Samuel O. Poore
Breast implants are used for a range of cosmetic and reconstructive purposes. Several factors are important to consider preoperatively, including the impact on mammography, future lactation, and potential long-term implant complications.
Sumi Sexton, Matthew Neff
This summer we held the first American Family Physician photo competition, which was intended to encourage students and residents to share their stories through photographs about how they use the AFP journal.
Kurtis S. Elward
The 2020 Focused Updates to the asthma management guidelines represent the first revision of the National Asthma Education and Prevention Program guidelines in more than 10 years. The report differs from the Global Initiative for Asthma recommendations because of the focused...
Amy B. Locke, Rachel Goossen
The answer to the simple question “What should we eat?” is remarkably contentious and fraught with strongly held personal beliefs and preferences, as well as substantial financial and disease implications. It is a question that patients and families often ask their physicians...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
In patients with chronic heart failure, supplementation with coenzyme Q10 may reduce all-cause mortality. Adverse effects are generally mild and may be only slightly increased with coenzyme Q10 supplementation.
Ray Antonelli, Scott Plensdorf
The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have...
How effective are pharmacologic and nonpharmacologic acute treatments for episodic migraine in adults?
Elizabeth Close, Andrew Keyes, Jonathan Burden, Corey Bray, Alyssa Migdalski
Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.
Howard Tracer, Robert West
Series of short reports and quizzes based on guidelines from the USPSTF.
Karl T. Clebak, Jarrett K. Sell, Ashley Koontz
The Aptima M. genitalium assay is highly sensitive and specific. The Centers for Disease Control and Prevention recommends the use of NAAT testing for M. genitalium infection in men with recurrent nongonococcal urethritis, in women with recurrent cervicitis, and possibly in...
The cost and effectiveness profile of tirbanibulin make it a last-line option compared with current first-line therapies such as fluorouracil and imiquimod, which are less expensive and have a higher clearance rate of AK lesions. Further trials comparing the effectiveness of...
Matthew Helm, Brandon Ng, Anne Mogavero
A patient presented with a crusted papule on the antihelix of the ear that had grown slowly over several years.
Nicole T. Yedlinsky, David Embers
An infant is born with a yellowish linear plaque on the cheek.
Caroline E. Wellbery, Andrew Lewandowski, Cheryl Holder
This case provides an example of how climate change and the environment can have significant impacts on the health of our patients. It also illustrates the complex interaction of local, regional, and global environmental harms. The wide scope of environmental threats to human...
Tyler J. Raymond, Nick F. Bennett, Maria I. Rodionova
The National Heart, Lung, and Blood Institute (NHLBI) published asthma management guidelines in 1991 and 2007. In 2020, the NHLBI released an update focusing on six priority topics.
Michael J. Arnold, Michael C. Harding, Anna T. Conley
Key Points for Practice
Kara Zerbini, Alexander Knobloch
Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.
Henry C. Barry
David C. Slawson
Henry C. Barry
Mark H. Ebell
Pascal J. de Caprariis, Ann DiMaio
It is when your vocal cords partly close while you are breathing. This may cause sudden, severe shortness of breath, tightness in your throat, or trouble speaking. Vocal cord dysfunction can sometimes be mistaken for asthma.
Breast implants are fluid- or gel-filled devices that are put into your chest to change the shape or size of your breast. Most breast implants are used after breast cancer surgery (mastectomy) or when women want to increase their breast size (augmentation).
Incorrect measurement. In the article “Management of Infants Born to Mothers with HIV Infection,” (July 2021, p. 58) the HIV RNA load threshold for recommending a cesarean delivery was incorrect in the second sentence of the Perinatal Transmission section on page 58. The...
Missing reference. In the article “Out-of-Hospital Birth,” (June 1, 2021, p. 672) the citation for reference 60 was inadvertently omitted (page 679). The citation should have read: “Ecker J, Minkoff H. Home birth: what are physicians' ethical obligations when patient choices...
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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