• Articles

    Metabolic Surgery for Adult Obesity: Common Questions and Answers

    Elaine Seaton Banerjee, Robin Schroeder, T. Daniel Harrison

    Metabolic surgery reduces all-cause mortality by 30% to 40% at two to 15 years compared with patients with obesity who did not have surgery. Remission of type 2 diabetes mellitus occurs in as many as 70% of patients two years after surgery and is maintained at 10 years in...

    Soft Tissue Masses: Evaluation and Treatment

    Suraj Achar, Jarrod Yamanaka, Jennifer Oberstar

    Soft tissue masses are a common presentation in family medicine. This article describes common masses, discusses the usefulness of various imaging modalities, and provides recommendations for treatment, including indications for referral to specialists for possible malignancy.

    Acute Stroke Diagnosis

    Edwin Y. Choi

    Rapid diagnosis and prompt treatment of stroke are essential. The initial assessment should focus on the signs and symptoms of focal neurologic injury and rule out stroke mimics. Appropriate workup should be started immediately, and recombinant tissue plasminogen activator...

    Community-Acquired Pneumonia in Adults: Rapid Evidence Review

    Jason Womack, Jill Kropa

    This article reviews evidence for diagnosis and treatment of community-acquired pneumonia in adults, including clinical signs and symptoms and current society guidelines for the use of imaging and microbiologic testing. The CRB-65 rule for risk stratification and options for...

    Common Finger Fractures and Dislocations

    Marc A. Childress, Jairo Olivas, Anna Crutchfield

    Finger fractures and dislocations are commonly seen in the primary care setting. Patients often present with a deformity, swelling, and bruising with loss of function. Primary care physicians can manage most uncomplicated injuries with simple immobilization. Appropriate...

    Preoperative Evaluation in Children

    Kyle Jordan Fletke, Alexander Kaysin, Stephanie Jones

    A preoperative evaluation is advised for all children and adolescents having elective surgery with anesthesia. The evaluation assesses medical and psychosocial factors that may affect the timing of surgery and identifies underlying conditions that would benefit from...

    Editorials

    AFP 2022: New Fellow, New Resident and Student Representatives, Top 20 Articles, AFP Statistics, and Thanking Peer Reviewers

    Sumi M. Sexton

    For the past 27 years I have been editing American Family Physician (AFP) in some role or another, but the experience of editing the journal these past two years has been like no other. Although the pandemic posed significant challenges, there were some positive outcomes...

    Simplifying Pneumococcal Immunizations for Adults

    Amit A. Shah

    With the approval of the 15-valent PCV vaccine (Vaxneuvance) and 20-valent PCV vaccine (Prevnar-20), ACIP has simplified pneumococcal immunization recommendations for adults.

    AFP Clinical Answers

    Hypotension, Postpartum Thyroiditis, Adenomyosis, Pruritus, Hepatitis C, Borderline Personality Disorder

    Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

    Diary of a Family Physician

    Diary of a Family Physician

    Cate Buley

    First-person accounts from the front lines of family medicine.

    Cochrane for Clinicians

    Mini-Cog, IQCODE, MoCA, and MMSE for the Prediction of Dementia in Primary Care

    Christi Stewart

    How well do four common, brief clinical assessments (Mini-Cog, Informant Questionnaire on Cognitive Decline in the Elderly [IQCODE], Montreal Cognitive Assessment [MoCA], and Mini-Mental State Examination [MMSE]) predict dementia in primary care?

    SSRIs and SNRIs for Premature Ejaculation in Adult Men

    Meera Sunder

    Are selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) safe and effective for the treatment of premature ejaculation in adult men?

    Graham Center Policy One-Pagers

    Distribution of Spanish-Speaking Family Physicians, 2013–2019

    Jose Flores-Rodarte

    Language concordance between physician and patient is important in providing high-quality care. Many counties in the United States have a disparity between the number of patients speaking Spanish and the number of family physicians who are able to provide care in Spanish....

    STEPS

    Tenapanor (Ibsrela) for the Treatment of Irritable Bowel Syndrome With Constipation

    Seth Curtis

    Tenapanor (Ibsrela) is labeled for the treatment of irritable bowel syndrome with constipation (IBS-C) in adults.1 It is a sodium/hydrogen exchanger 3 inhibitor that acts on the surface of the small intestine and colon to block the absorption of dietary sodium, resulting in...

    Putting Prevention Into Practice

    Screening for Atrial Fibrillation

    Howard Tracer, Jacob P. VanHouten

    A 60-year-old man, W.S., comes to your office for a wellness visit. He is originally from India and has lived in the United States for more than 40 years. He has a history of hypertension, has never smoked, and has no history of stroke. He is current with preventive services,...

    Point-of-Care Guides

    Bruising Characteristics to Predict Child Abuse

    Aaron Saguil, Ruben Salinas, Jr.

    Is it possible to predict the likelihood of child abuse based on bruising characteristics detected on examination?

    FPIN's Clinical Inquiries

    Oral vs. Intramuscular Vitamin B12 for Treating Vitamin B12 Deficiency

    Anne Mounsey

    How effective is oral vitamin B12 supplementation compared with intramuscular supplementation in patients with vitamin B12 deficiency?

    Diagnostic Tests

    Multiparametric MRI for the Evaluation of Prostate Cancer

    Carl Bryce

    Multiparametric magnetic resonance imaging (mpMRI) is a specific MRI test used to detect and evaluate prostate cancer. It requires additional radiologist training and sequences not routinely performed in anatomic imaging, such as diffusion-weighted and dynamic contrast...

    Lown Right Care

    Overuse of Interventional Procedures for Low Back Pain

    Alan R. Roth, Andy Lazris, 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.

    Photo Quiz

    Child With Recurrent Pruritic Skin Lesions

    Brian Green, Meloria Hoskins, Laurie Krnjaic

    An 11-year-old girl with a history of frequent headaches, diarrhea, and one episode of difficulty breathing presented with multiple, pruritic skin lesions.

    Pinpoint Foot Pain at the Base of the Phalanx

    Richa Sharma, Jaap Patel

    A woman presented with one-month history of pain in her right foot under the fourth toe at the base of proximal phalanx.

    Practice Guidelines

    SGLT-2 Inhibitors and GLP-1 Receptor Agonists in Type 2 Diabetes: BMJ Rapid Recommendation

    Michael J. Arnold, Andrew Buelt

    BMJ-MAGIC Group publishes recommendations for using SGLT-2 inhibitors and GLP-1 receptor agonists in patients with type 2 diabetes.

    Clostridioides difficile Infection: A Focused Guideline Update From the IDSA

    Jorge Finke

    Key Points for Practice

    U.S. Preventive Services Task Force

    Screening for Atrial Fibrillation

    Note: The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision-making to the specific patient or situation.

    Medicine by the Numbers

    Antibiotics for the Treatment of Sore Throat

    Rukayat Balogun, Alexander Knobloch

    Learn more about antibiotic use for the treatment of sore throat.

    POEMs

    Selective Serotonin Reuptake Inhibitors Are Probably the Best First Option for Patients With Panic Disorder

    Allen F. Shaughnessy

    For Mild to Moderate Acne, Adapalene Plus Benzoyl Peroxide, Clindamycin Plus Benzoyl Peroxide, and Adapalene Alone Are Most Effective

    Mark H. Ebell

    British Society of Gastroenterology Guidelines for the Management of Irritable Bowel Syndrome

    Mark H. Ebell

    No Improved Patient-Oriented Outcomes With Sacubitril/Valsartan in Adults With Heart Failure and Preserved Ejection Fraction

    David C. Slawson

    Letters to the Editor

    Case Report: Nirmatrelvir/Ritonavir and Tacrolimus in a Kidney Transplant Recipient With COVID-19

    Kristen E. Lindauer, Ashlee G. Hamel

    Reevaluating the Measurement of Potency of Topical Corticosteroids

    Case Report: Delayed Diagnosis of a High-Grade Spindle Cell Sarcoma Presenting as a Thigh Mass

    Malvika Sharma, Hiten Patel

    Case Report: Infant With a Disproportionately Large Head

    Tyler Wilson, Jyothi Patri, Arjun Yarenahalli



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


    Tag Legend

    Legend

    CME CME
    POC Point-of-Care
    FREE Free
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education