Mary N. R. Lesser, Lenard I. Lesser
Nutrition support therapy is the delivery of formulated enteral or parenteral nutrients to maintain or restore nutrition status. Family physicians can provide nutrition support therapy to patients at risk of malnutrition when it would improve clinical outcomes or quality of...
John Scott Earwood, Tyler R. Walker, Gregory J. C. Sue
Physical examination findings and serum markers, including erythrocyte sedimentation rate and C-reactive protein, are helpful in the diagnosis of septic arthritis but are nonspecific. Synovial fluid studies are required to confirm the diagnosis. Antibiotic treatment should be...
Cannabis use in the United States is on the rise because of state-level legalization, decreased risk perception, and increased social acceptability. Cannabis use can impair short-term memory, judgment, and coordination. Treatment of cannabis use disorder is largely behavioral...
Beatriz Martinez Quintero, Cynthia Yazbeck, Lori B. Sweeney
Thyroiditis is a general term for inflammation of the thyroid gland. The most common forms of thyroiditis encountered by family physicians include Hashimoto disease, postpartum, and subacute. Most forms of thyroiditis result in a triphasic disease pattern of thyroid dysfunction.
Dustin K. Smith, Daniel P. Kuckel, Anthony M. Recidoro
In the United States, pneumonia is the most common cause of hospitalization in children. Treatment is dependent on age, treatment setting, and vaccination status. Typical presenting signs and symptoms include tachypnea, cough, fever, and anorexia.
David L. Maness, Elly Riley, Grant Studebaker
Hepatitis C virus infection is an underdiagnosed and undertreated multifaceted systemic disease that affects an estimated 3.7 million people in the United States. Globally, less than 5% of people with hepatitis C virus infection have been diagnosed, and less than 1% have...
Amy B. Locke
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...
José E. Rodríguez, Kendall M. Campbell, Judy C. Washington
The murders of George Floyd and countless other members of the Black community by police prompted family medicine journals and professional societies to publish antiracism statements that provide actions, plans, and accountability structures to eliminate systemic anti-Black...
Winston Liaw, Ioannis A. Kakadiaris, Zhou Yang
Over the past decade, artificial intelligence (i.e., technologies that perform tasks that normally require human intelligence) has been integrated into clinical decision support systems to provide timely information at the point of care and inform medical decision-making....
Monica Ajinkya, Stephen Petterson, Jack Westfall, Yalda Jabbarpour
Comprehensiveness of care is one of the cardinal attributes of high-performing primary care. Evidence has shown that more comprehensive care, as measured by the number of services offered, is associated with lower costs and a reduction in hospitalizations. Comprehensiveness...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Tyler S. Rogers, Molly Chandler, Ashley Hall
In patients with acute perineal pain at four hours' postpartum, a single dose of an oral NSAID and a single dose of oral acetaminophen are each effective at achieving adequate pain relief. Both NSAIDs and acetaminophen are effective at reducing the need for further analgesia....
Alan L. Williams, Jeffrey C. Leggit
In patients with trigger finger, there is no significant difference in outcomes at 12 to 24 weeks— including resolution of symptoms, recurrence, total active motion, residual pain, patient satisfaction, or adverse events—when comparing treatment with NSAID injections vs....
Kiana Espinosa, Steven R. Brown
Can the neonatal early-onset sepsis calculator safely and accurately evaluate the risk of early-onset sepsis in neonates?
Morgan Hungenberg, Shawnecca Burke, Aline Hansen-Guzman, Shaun Thompson, Corey Lyon, Kristen DeSanto
Virtual reality does not appear to be effective and should not be used in the treatment of generalized anxiety disorder. In trials including anxiety disorders such as phobias and fear of flying, virtual reality may be better than no treatment, but it is not superior to...
Justin Mills, Sopan Mohnot
A 28-year-old South Asian patient at 30 weeks' gestation, S.F., presents to transfer prenatal care to your clinic. The patient has recently moved, and prenatal records indicate that S.F.'s most recent prenatal visit was at 22 weeks' gestation. This is the patient's first...
First-person accounts from the front lines of family medicine.
Thomas Quattlebaum, Charles Sonido
A woman presented with green discoloration of her right first toenail.
Shayna C. Rivard
A surfer presents with a worsening rash with erythema and scaling after treatment with a topical medication.
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.
Alan L. Williams, Jeffrey Bevan, Michael J. Arnold
A multidisciplinary panel representing the Infectious Diseases Society of America, the American Academy of Neurology, and the American College of Rheumatology has published recommendations on the prevention, diagnosis, and treatment of Lyme disease.
Michael J. Arnold
The American Urological Association released an updated guideline for risk-based evaluation of microscopic hematuria.
Brit Long, Michael Gottlieb
Learn more about probiotics for preventing antibiotic-associated diarrhea.
Mark H. Ebell
A third booster dose of the Pfizer-BioNTech mRNA vaccine against COVID-19 provides a large increase in protection for people 60 years and older against mild and severe infection. The protection against mild infection could help reduce community spread and reduce the incidence...
Allen F. Shaughnessy
Active nonpharmacologic treatments such as biofeedback, relaxation techniques, and general or specific psychological support (e.g., cognitive behavior therapy) may be a good place to start when trying to decrease migraine frequency in children and adolescents. The research is...
Henry C. Barry
Diagnostic ultrasonography is highly accurate for diagnosing most upper extremity fractures but slightly less accurate for fractures involving the elbow. Clinicians should not use ultrasonography alone to rule in elbow fractures in children.
Mark H. Ebell
Surgical closure of the left atrial appendage during cardiac surgery for another reason safely reduces the risk of ischemic stroke. Because the risk of stroke in the first 30 days after any cardiac surgery is approximately 2% and the absolute reduction in the risk of stroke...
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