• Articles

    Constipation in Children and Adolescents: Evaluation and Treatment

    Elie Mulhem, Faiza Khondoker, Sanjiv Kandiah

    The prevalence of constipation in children and adolescents is estimated to be as high as 30% worldwide. Functional constipation is the most common type in children and can usually be diagnosed with a comprehensive history and physical examination, which should exclude red...

    Tendinopathies of the Foot and Ankle

    Rajwinder S. Deu, Alexis M. Coslick, Geoffrey Dreher

    This article reviews the diagnosis and treatment of posterior tibial, peroneal, and tibialis anterior tendinopathies.

    Lung Cancer: Diagnosis, Treatment Principles, and Screening

    Jeffrey Kim, Hobart Lee, Brian W. Huang

    Lung cancer is the second most common cancer in men and women in the United States, and it remains the leading cause of cancer-related death in the United States and worldwide. The most common but nonspecific symptom of lung cancer is a cough.

    Evaluation After a First Seizure in Adults

    Kate Rowland, Carl Earl Lambert, Jr.

    The evaluation of a patient with a first seizure should focus on identifying underlying provoking factors such as brain injury, metabolic derangement, or certain medications. The decision to start anti-seizure medication is based on assessment of the patient's risk of seizure...

    Sexually Transmitted Infections: Updates From the 2021 CDC Guidelines

    Jessica Dalby, Bradley P. Stoner

    The 2021 Centers for Disease Control and Prevention (CDC) sexually transmitted infection (STI) guidelines provide updated recommendations. Family physicians can reduce STIs by taking a thorough sexual history, ordering screening tests and treatment based on the CDC guidelines...

    Child Abuse: Approach and Management

    Elizabeth A. Suniega, Lauren Krenek, Gabriel Stewart

    Child abuse and maltreatment can include neglect and emotional, physical, and sexual abuse. Physicians should be aware of risk factors and signs of potential abuse and mindful of providing trauma-informed care. A comprehensive list of resources is provided in an online table.

    Editorials

    The Case for Supervised Injection Sites in the United States

    Jorge Finke, Jie Chan

    As the opioid epidemic continues, a movement advocating for medically supervised injection sites in U.S. cities is growing. Family physicians should be knowledgeable about their potential impacts.

    Credentialing Family Physicians Who Provide Maternity Care

    Michael Loeven

    Without national standards of credentialing based on competency, family physicians who provide obstetric care may struggle to obtain hospital privileges.

    AFP Clinical Answers

    Diabetes, Vocal Cord Dysfunction, Periodontal Disease, Light Therapy, Septic Arthritis, Dental Cleanings, Pneumonia in Children

    What is the preferred medication for diabetes mellitus management in patients with end-stage renal disease? | What tests are performed in the diagnostic workup for vocal cord dysfunction? | Does periodontal disease contribute to the development of other diseases? | Does light...

    Cochrane for Clinicians

    Reduced Dietary Salt for Patients With Chronic Kidney Disease

    Madhavi Singh, Kiyomi Goto, Jeffery Wisinski

    In patients with chronic kidney disease (CKD), reducing dietary salt intake by approximately 4.2 g per day lowers mean systolic blood pressure by 6.9 mm Hg and diastolic blood pressure by 3.9 mm Hg compared with patients on a higher salt diet. In patients with CKD who do not...

    Kinesiology Taping for Rotator Cuff Disease

    Jeffrey C. Leggit, Alan L. Williams

    Kinesiology taping for adults with rotator cuff disease has little to no benefit compared with sham taping or conservative (i.e., nonsurgical) therapy.

    Implementing AHRQ Effective Health Care Reviews

    Physical Activity and the Health of Wheelchair Users

    Ruben Salinas, Jr., Aaron Saguil

    What are the benefits of physical activity in patients with multiple sclerosis (MS), cerebral palsy, and spinal cord injury who use or are at risk of using wheelchairs?

    FPIN's Clinical Inquiries

    Does Performing Dating Ultrasonography Before a First-Trimester Uterine Evacuation Improve Outcomes or Safety?

    Emily Rose Bainwol, Brianna Grinnell, Anh-Chi Do, Jon O. Neher, Sarah Safranek

    Routine use of ultrasonography before a first-trimester abortion is not necessary. In patients seeking medical or surgical abortion in the first trimester, date of the last menstrual period (LMP) alone can appropriately determine gestational age for treatment (before 63 to 90...

    Diagnostic Tests

    MyProstateScore for Predicting High-Grade Prostate Cancer

    Sarah M. Balloga, Jennifer G. Chang

    MyProstateScore (MPS; also referred to as Michigan Prostate Score) is a promising tool for the detection of clinically significant prostate cancer and has been validated for determining the necessity of a prostate biopsy in select individuals. It has not been studied as a...

    Curbside Consultation

    Vaccination Disagreement Between Parents

    James Giordano

    In addressing this case, it is important to note that the dissenting parent (the mother) has not informed the family physician that she adamantly opposes giving the vaccine; this opposition would provide explicit proscription. Importantly, in a legal context, a parent (the...

    Photo Quiz

    A Diffuse Nodular Eruption

    Joy Shen-Wagner, Amanda Alldredge, Kian Lari

    A 40-year-old man presented with erythematous, raised, painful nodules across his trunk, back, arms, and legs and unintended weight loss.

    Jammed Finger in High School Football Player

    Daniel Warden, Nicholas Moore, Kyle Samyn

    A 16-year-old football player presented after a game with pain and deformity of his left ring finger.

    Practice Guidelines

    Sexually Transmitted Infections: Updated Guideline From the CDC

    David A. Klein, Christina R. Valerio, Zari N. Cofield

    The Centers for Disease Control and Prevention released updated recommendations for management of sexually transmitted infections.

    Psoriasis: Update on Topical Therapy From the American Academy of Dermatology

    Alex M. Shreiber, Eileen Friery

    The American Academy of Dermatology and National Psoriasis Foundation updated their recommendations on topical therapies for patients with mild to moderate psoriasis.

    POEMs

    Nirmatrelvir/Ritonavir Reduces Risk of Hospitalization in At-Risk Outpatients

    Mark H. Ebell

    Nirmatrelvir/ritonavir significantly reduces the likelihood of hospitalization or death in unvaccinated adults with confirmed COVID-19 who are at risk of a more severe course of disease.

    Ibuprofen, Ketorolac, and Diclofenac Are Equivalent for the Treatment of Acute, Nonradicular Low Back Pain

    David C. Slawson

    This study found no differences among ibuprofen, ketorolac, and diclofenac in the primary outcome of overall clinical improvement at five days in adults presenting to the emergency department with acute, nonradicular low back pain. Some of the secondary outcomes favored...

    Dual Antiplatelet Therapy With Aspirin Plus Clopidogrel for 30 Days Is the Best Option After Minor Stroke or TIA

    Mark H. Ebell

    For patients with minor stroke or transient ischemic attack, dual antiplatelet therapy with aspirin plus clopidogrel for up to 30 days reduces the likelihood of subsequent stroke more than aspirin monotherapy, with a small increase in the risk of major hemorrhage. A longer...

    Amoxicillin for Children With CAP: Low-Dose for Three Days Is Noninferior to High-Dose for Seven Days

    David C. Slawson

    In children with community-acquired pneumonia who are discharged from an emergency department or inpatient setting within 48 hours, a lower dose of oral amoxicillin is noninferior to a higher dose, and three days of treatment is noninferior to seven days in reducing the need...

    Letters to the Editor

    Upright Walkers as Mobility Assistive Devices for Older Adults

    USPSTF Recommendations for the Management of Dyslipidemia for Cardiovascular Risk Reduction

    Information from Your Family Doctor

    Lung Cancer

    Lung cancer is a tumor on your lung. It can make you cough, be short of breath, have chest pain, and cough up blood. As the cancer gets worse or spreads, you may not want to eat as much as normal, and you may lose weight, lose your energy, and become weak.

    Seizures in Adults: What You Should Know

    A seizure (SEE-zhure) is typically a sudden, unexpected disruption of your normal brain activity. It can make your body jerk or shake. You might repeat movements like smacking your lips or grinding your teeth. Sometimes people pass out or stare into space during a seizure....



    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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