• Articles

    Childhood and Adolescent Sports-Related Overuse Injuries

    Laura J. Lintner, Jeremy Swisher, Zachary E. Sitton

    With early sports specialization, overuse injuries are becoming more common. Proper technique, resistance training, protective equipment, and avoiding early sports specialization are necessary for injury prevention in adolescents.

    Chronic Kidney Disease: Prevention, Diagnosis, and Treatment

    Andrew J. Goodbred, Robert C. Langan

    Chronic kidney disease affects approximately 15% of the U.S. population; however, 9 out of 10 people do not know they have impaired renal function. The most common causes of chronic kidney disease are diabetes mellitus (38%) and hypertension (26%). More advanced disease is...

    Psoriasis: Recognition and Management Strategies

    Kathryn K. Garner, Kattie D. S. Hoy, Adriana M. Carpenter

    Psoriasis is an inflammatory skin and systemic disorder that affects 3.2% of the U.S. population, including 1% of children. It presents in various forms; treatment strategies are similar for most forms of psoriasis and based on body surface area involved. Special...

    Adnexal Masses: Diagnosis and Management

    Vernon Wheeler, Blade Umstead, Christina Chadwick

    Adnexal masses, found in fallopian tubes, ovaries, and surrounding areas, are mostly benign. Evaluation includes assessment for symptoms that may suggest malignancy, such as abdominal pain, bloating, and early satiety; ectopic pregnancies must be considered in women of...

    Preventing CVD in Women: Common Questions and Answers

    Erin Westfall, Anna B. Viere, Joanne E. Genewick

    Physicians recognize traditional cardiovascular disease (CVD) risk factors but may be uncertain about how to account for the unique stages across a woman’s lifespan that can increase CVD risk.

    Preconception Counseling and Care

    Elizabeth D. Close, April O. Gunn, Alexandria Cooke

    Primary care for women and other patients with similar reproductive potential can include a discussion about the desire for pregnancy, and preconception care can improve pregnancy-related maternal and fetal outcomes.

    Editorials

    Learning the ABCDs of Weight Stigma and Bias

    Syeachia Dennis, Crysta J. Chatman, Raye Reeder

    Body mass index is an inadequate predictor of health outcomes and does not integrate ethnic or sociocultural context for obesity. The term adiposity-based chronic disease, or ABCD, was recommended to replace the term obesity and address weight stigma and bias in the diagnosis...

    AFP Clinical Answers

    Ischemic Heart Disease, Hearing Screening, Olfactory Dysfunction, Gestational Diabetes, More

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

    Graham Center Policy One-Pager

    Family Medicine Research Is Not a Federal Priority

    Alison Huffstetler, Hoon Byun, Yalda Jabbarpour

    Research in family medicine produces clinical information and improves care delivery, but it has yet to receive equitable federal invest¬ment. The National Institutes of Health (NIH) is the primary funder of medical research in the United States.

    Medicine by the Numbers

    Adjunctive Corticosteroids for Severe Community-Acquired Pneumonia

    Brit Long, Michael Gottlieb

    Despite several limitations, the 2023 meta-analysis found that using adjunctive corticosteroids in adults with severe CAP reduced 30-day, all-cause mortality; need for mechanical ventilation; length of ICU stay; and length of hospital stay with no increase in adverse events.

    Cochrane for Clinicians

    Spinal Cord Stimulation for Low Back Pain

    Brian Nelson, Deson Haynie, Jeffrey C. Leggit

    When studied for up to six months, spinal cord stimulation likely does not improve pain, func¬tion, or health-related quality of life vs. placebo. When studied for up to 12 months, spinal cord stimulation and optimal medical management may slightly improve back function and...

    Stable COPD and the Role of Inhaled Corticosteroids

    Alexis Reedy-Cooper, Ritika Aggarwal, Ryan Liu

    ICS monotherapy decreases the likelihood of exacerbations in patients with stable COPD compared with placebo. (Strength of Recommendation: A, based on consistent, good-quality patient-oriented evidence.)

    Lown Right Care

    Overuse of Antireflux Medications in Infants

    Elizabeth R. Wolf, Naren Vadlamudi, Matthew Schefft, Patient Perspective by Helen Haskell, John James

    A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

    U.S. Preventive Services Task Force

    Preexposure Prophylaxis to Prevent Acquisition of HIV

    The USPSTF recommends that clinicians prescribe preexposure prophylaxis using effective antiretroviral therapy to persons who are at increased risk of HIV acquisition to decrease the risk of acquiring HIV.

    Putting Prevention Into Practice

    Preexposure Prophylaxis to Prevent Acquisition of HIV

    Howard Tracer, Nathan C. Lorei

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

    FPIN's Clinical Inquiries

    Does Magnesium Supplementation Treat Nocturnal Leg Cramps?

    Nicholas Kaufman, Daniel White, Jessica Bull, Roxanne Radi, Kristen DeSanto

    Magnesium supplementation should not be used for short courses (less than 60 days) to treat idiopathic or pregnancy-related nocturnal leg cramps. There is limited evidence that magnesium oxide may improve nocturnal leg cramps after 60 days of treatment.

    Photo Quiz

    Facial Swelling in a Young Traveler

    Katie Coble, Alisha Provost

    A 32-year-old woman presented after two days of worsening facial swelling and associated pruritus.

    Persistent Dry Cough

    Jennifer M. Corliss, Jennifer M. Lai

    A 71-year-old man presented with a persistent dry cough that had been gradually worsening over the past 30 years.

    Diary of a Family Physician

    Diary of a Family Physician

    Seiji Hayashi

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

    Point-of-Care Guides

    Initial Evaluation of Clinically Suspected Dementia

    Allison K. Kaplan, Benjamin J. Merrill

    In the primary care setting, what is the best approach for the initial evaluation of patients with suspected dementia?

    POEMs

    Early Treatment of Gestational Diabetes Is Modestly Beneficial for Neonatal and Maternal Outcomes

    Linda Speer

    Opioids Are Equal to Placebo in Adults With Acute Nonspecific Low Back or Neck Pain

    Henry C. Barry

    Terbinafine, 250 mg Once Daily—12 Weeks on, 12 Weeks off, Four Weeks on—Is Preferred for Onychomycosis in Adults

    Mark H. Ebell

    Nearly Zero Risk of Sexually Transmitting HIV When Viral Loads Are Less Than 1,000 Copies per mL

    Henry C. Barry

    Practice Guidelines

    Caring for Transgender and Gender-Diverse People: Guidelines From WPATH

    MaryAnn Dakkak, David L. Kriegel, II, Kimberly Tauches

    The World Professional Association for Transgender Health (WPATH) conducted systematic reviews to publish guidelines for care of transgender and gender-diverse people.

    Letters to the Editor

    Enhanced Screening for People Living With HIV Infection

    Joshua St. Louis

    Reply: Kira Harris

    Case Report: Rare, Catastrophic Complication of Catheter Ablation

    Andrew Victor, Hadeel Barrawi, Dylan Thomas Mooney

    Information from Your Family Doctor

    Psoriasis

    Psoriasis is a disease that affects the skin. It causes red, scaly patches of dry skin. They can be anywhere on the body. They can also be on your nails. Some people get joint pain.



    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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