• Articles

    Common Dermatologic Conditions in Skin of Color

    Winfred Taylor Frazier, Sanketh Proddutur, Kayley Swope

    This article focuses on five diagnoses that disproportionately affect people with skin of color and can substantially impact mental health and quality of life.

    Tonsillitis and Tonsilloliths: Diagnosis and Management

    Kelly Lacy Smith, Rachel Hughes, Palee Myrex

    Tonsillitis is most commonly caused by viruses. Treatment is focused on supportive care; however, if tonsillitis is caused by group A beta-hemolytic streptococcus, it should be treated with antibiotics to prevent complications. Tonsillar stones may be associated with...

    Polyarticular Joint Pain in Adults: Evaluation and Differential Diagnosis

    Zoë J. Foster, Alvin Lee Day, Jesse Miller

    Initial evaluation of polyarticular joint pain should focus on inflammation, location of pain, duration of symptoms, presence of systemic symptoms, and any exposures to pathogens that could cause arthritis.

    Temporomandibular Disorders: Rapid Evidence Review

    Eric M. Matheson, Joli D. Fermo, Russell S. Blackwelder

    Temporomandibular disorders affect between 5% and 12% of the population. The diagnosis is based on history and physical examination; however, use of computed tomography or magnetic resonance imaging is recommended if the diagnosis is in doubt.

    Potassium Disorders: Hypokalemia and Hyperkalemia

    Michael J. Kim, Christina Valerio, Glynnis K. Knobloch

    Hypokalemia is caused by decreased intake, renal losses, gastrointestinal losses, or transcellular shifts. Diuretics are among the most common causes of hypokalemia, especially at higher doses. Hyperkalemia results from impaired urinary potassium excretion, transcellular...

    Infectious Mononucleosis: Rapid Evidence Review

    Jillian E. Sylvester, Benjamin K. Buchanan, Taran W. Silva

    Infectious mononucleosis is characterized by a triad of fever, pharyngitis, and posterior cervical lymphadenopathy. Initial testing should include a heterophile antibody test and complete blood count with differential. Treatment is supportive, with surveillance for potential...


    Improving Diversity, Equity, and Inclusion in AFP

    Sumi M. Sexton, Kenneth W. Lin, Christopher W. Bunt, John E. Delzell, Jr., Renée Crichlow

    Beginning in the fall of 2020, in response to reader comments and the historic heightened awareness of racism as a public health crisis, AFP editors have taken steps to improve our approach to and the advancement of health equity.

    Caring for Children in Foster or Kinship Care

    Caitlin Collier

    Children in foster or kinship care are likely to experience fractured and inadequate health care. However, with proper attention, planning, and education, family physicians are well suited to lead a multidisciplinary team that cares for these children into adulthood.

    Graham Center Policy One-Pager

    Family Physicians Are Using Neighborhood Navigator to Address Social Determinants of Health

    Nick DeVetter, John M. Westfall, Mark Carrozza, Lauren Vorbeck, Erin Westfall

    Social determinants of health are crucial drivers of health outcomes and inequities in the United States and account for approximately 80% of health outcomes, compared with only 20% for health care. Family physicians are increasingly asked to assess social needs and connect...

    Medicine by the Numbers

    Corticosteroids for the Treatment of Kawasaki Disease in Children

    Robert A. Beck, Sara Spiva

    A color recommendation of green (benefits greater than harms) was assigned for corticosteroid treatment in the acute phase of Kawasaki disease because of the promising moderate-certainty evidence supporting this intervention and possibly limited adverse events.

    AFP Clinical Answers

    Diverticulitis, AAA, Multiple Sclerosis, Iron Deficiency Anemia, Testicular Torsion

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

    Cochrane for Clinicians

    Oral NSAIDs vs. Other Oral Analgesic Agents for Acute Soft Tissue Injury

    Karl T. Clebak, Lynn K. Weaver, Jason R. Croad

    There is no difference in effectiveness between NSAIDs and other pain relievers, including acetaminophen and opioids, for pain reduction in patients younger than 65 years who have acute strains and sprains.

    Medical Methods for First-Trimester Abortion

    Donna Cohen, Lisa Golden

    There is moderate-quality evidence that a combined regimen of mifepristone and misoprostol is more effective than misoprostol alone for medication abortions before 12 weeks of gestation. The effectiveness of this regimen is no different with a mifepristone dose of 200 mg...

    U.S. Preventive Services Task Force

    Screening for Prediabetes and Type 2 Diabetes in Children and Adolescents

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for type 2 diabetes in children and adolescents.

    Putting Prevention Into Practice

    Screening for Prediabetes and Type 2 Diabetes in Children and Adolescents

    Justin Mills, Helen Barnhart

    This PPIP quiz is based on the recommendations of the USPSTF.

    FPIN's Clinical Inquiries

    SGLT-2 Inhibitors for Cardiovascular Outcomes in Heart Failure With Preserved Ejection Fraction

    Stephen Carek, Jacqueline Yurgil, Anne Mounsey

    SGLT-2 inhibitors can reduce hospitalizations from heart failure but do not significantly reduce cardiovascular-related mortality. Dapagliflozin (Farxiga) decreases symptoms of heart failure and improves distance walked in a six-minute walk test.

    FPIN's Help Desk Answers

    Falls and Death in Dual Sensory Impairment

    Mary Rose Puthiyamadam, Jodi-Ann Charlton, Sokkha Hak, Frank Minio, Janki Panchmatia

    Dual sensory (vision and hearing) impairment in patients older than 65 years may be associated with an increased mortality risk.

    Photo Quiz

    Rapidly Progressing, Blistering Skin Condition

    Darren Dillard, Connor Hedstrom

    A patient presented with fluid-filled bullae in different stages that began on his hands and feet then spread.

    A Large Pedunculated Mass

    Fareedat Oluyadi, Bailey Minish, Michael Evers

    A patient presented with a large pedunculated mass stemming from the labia.


    Semaglutide (Wegovy) for the Treatment of Obesity

    Elizabeth Bald, Hanna Raber

    Semaglutide may result in more weight loss than other currently available treatments, but many patients will experience gastrointestinal effects and may regain a portion of the weight lost if the medication is discontinued. Some patients may not want to use an injectable...

    Curbside Consultation

    Central Sensitization: When It Is Not “All in Your Head”

    Arya B. Mohabbat, John M. Wilkinson

    Patients and many physicians often think of chronic pain as a direct manifestation of ongoing tissue (nociceptive pain) or nerve (neuropathic pain) damage. In recent years, a third type of pain—centralized or nociplastic pain—has been recognized.


    Pharmacogenomic Testing for Selection of Antidepressant Provides Minimal, If Any, Benefit

    David C. Slawson

    Screening for Atrial Fibrillation in Primary Care Is Not Effective

    Mark H. Ebell

    Similar Functional Outcomes After Treating Minimally Displaced or Nondisplaced Scaphoid Waist Fractures With Surgery or Immobilization

    Henry C. Barry

    Tirzepatide Helps Adults With Obesity Without Diabetes Lose 15% to 21% of Their Body Weight Over 72 Weeks

    Mark H. Ebell

    Practice Guidelines

    Lung Cancer Screening: Guidelines From the American College of Chest Physicians

    Michael J. Arnold, Gregory Zhang

    The American College of Chest Physicians published guidelines for lung cancer screening based on a systematic review.

    Physical Activity in Patients With Type 2 Diabetes Mellitus: Updated Consensus Statement From the ACSM

    Emily L. Crossman

    The American College of Sports Medicine (ACSM) updated its original statement on physical activity for people with type 2 diabetes. Recommendations include all types of physical activity, encompassing more human movement than just planned exercise.

    Letters to the Editor

    Recognizing Differing Evidence in the Literature

    William E. Cayley, Jr.

    Applying Harm Reduction Principles to Reproductive Health

    Michael H. Baca-Atlas, Rathika Nimalendran, Stefani N. Baca-Atlas

    Women With a History of Gestational Diabetes Mellitus Should Be Screened for Prediabetes and Diabetes

    Maryam Sattari

    Reply: Howard Tracer

    Information from Your Family Doctor

    Common Skin Conditions in Skin of Color

    Dermatosis papulosa nigra (DUR-muh-TOE-sis PAP-yoo-LOW-suh NIE-gruh) are small, smooth, dark bumps on the skin. The bumps are usually not painful and do not itch. They are not harmful. They are mostly on the face but also can be on the chest and back. Both men and women can...

    Tonsillitis (Strep Throat)

    Strep throat is an infection of the tonsils, which are tissue in the back of the throat. It is caused by a specific type of bacteria (group A beta-hemolytic streptococcus). It is most common in children three to 15 years of age.

    Tonsil Stones

    Tonsil stones are small lumps of hard material that form in the tonsils. Tonsil stones are usually not painful or harmful but they can cause bad breath. They are also called tonsilloliths (TON-sill-uh-liths).

    Temporomandibular Disorders

    Temporomandibular (TEM-puh-roh-man-DIB-yoo-ler) disorders (also called TMDs) affect the jaw and the muscles you use to chew and open your mouth. They are sometimes incorrectly called TMJ, but this refers to only the jaw joint.

    Potassium: What If I Have Too Much or Not Enough?

    Potassium is a mineral that helps the cells in your body work correctly. The World Health Organization recommends a diet rich in potassium for most healthy adults. You can get potassium from eating most fruits, vegetables, meats, and fish. Foods with a lot of potassium...



    Quiz Answer Choice. After publication, the online version of the article, “Evidence-Based Contraception: Common Questions and Answers” (September 2022, p. 251), was updated to include information from the U.S. Food and Drug Administration from August 2022 that extended the...


    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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