• Articles

    Audiometry Interpretation for Hearing Loss in Adults

    Mandi Sehgal, Alexandra Sellers, Wendy S. Biggs

    Individuals' impaired ability to hear and communicate may result in negative emotional, cognitive, economic, and social consequences. Objective hearing impairment should be assessed when a patient or family member raises a concern or if cognitive or mood symptoms are present...

    Preventive Care for Men Who Have Sex With Men

    Stephen McMullan, Therese Anderson, Nadine Elhage

    Men who have sex with men are disproportionately affected by HIV infection, anal cancer, syphilis, and depression. Preventive care includes supplementary immunizations, additional screenings, and counseling to reduce the risk of sexually transmitted infections, such as...

    Management of Type 2 Diabetes Mellitus With Noninsulin Pharmacotherapy

    Elizabeth M. Vaughan, Zuleica M. Santiago-Delgado

    An individualized approach to noninsulin pharmacotherapy for the treatment of type 2 diabetes mellitus should consider costs, benefits beyond glucose control, and adverse events. Metformin is first-line therapy due to cost and effectiveness. Newer agents also provide benefits...

    Streptococcal Pharyngitis: Rapid Evidence Review

    Jennifer L. Hamilton, Leon McCrea, II

    Group A beta-hemolytic streptococcal pharyngitis is a common infection; fever, tonsillar exudate, cervical lymphadenitis, and age younger than 15 years increase clinical suspicion. Diagnosis involves the use of validated clinical decision rules and rapid antigen testing....

    Lumbar Spinal Stenosis: Diagnosis and Management

    Charles W. Webb, Kenneth Aguirre, Peter H. Seidenberg

    Up to 90% of the U.S. population experiences significant low back pain. Lumbar spinal stenosis is a common cause of chronic low back pain, particularly in people older than 50 years. Initial management includes conservative methods such as physical therapy, exercise programs,...


    Management of Sore Throat: Time to Update

    Mark H. Ebell, Henry C. Barry

    Sore throat is among the most common infections that we manage in primary care. Doing it right is important, and that means avoiding overtesting, overtreatment, and overmedicalization of the patient with sore throat.

    Practice Alert: ACIP Recommends IPV for Unvaccinated or Incompletely Vaccinated Adults

    Doug Campos-Outcalt

    Before introduction of the polio vaccine, thousands of paralytic polio cases occurred each year in the United States. Until recently, the CDC recommended routine polio vaccination in children and only in adults with increased risk of exposure to poliovirus.

    Graham Center Policy One-Pager

    Primary Care Access in Areas of the United States With Aging Populations

    Alison Huffstetler, Michael Topmiller

    Although life expectancy fell between 2020 and 2021, the proportion of U.S. residents older than 65 years continues to increase. This age group often has more medical comorbidities and prescription medications, increasing the demand for primary care access.

    Medicine by the Numbers

    Hormone Therapy for Sexual Function in Peri- and Postmenopausal Women

    Lilian White

    Despite some benefits, intervention heterogeneity and lack of reporting of potential harms lead to some uncertainty of the evidence. We have assigned a color recommendation of yellow for the use of hormone therapy to treat sexual dysfunction in peri- and postmenopausal women.

    AFP Clinical Answers

    Low Back Pain in Children, CVD and Obstetric History, Sarcoidosis, Penicillin Allergies, Myocardial Infarction, Venous Ulcers

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

    Cochrane for Clinicians

    Herbal Medicines for Functional Dyspepsia

    Juan Qiu, Jennifer Grana

    STW 5 (Iberogast), peppermint plus caraway oil, and turmeric may be effective in improving symptoms of functional dyspepsia without significant adverse events. Peppermint plus caraway oil and turmeric may also improve quality of life in patients with functional dyspepsia.

    Remotely Delivered Psychotherapy for Treating Chronic Pain

    John Laird, Brandon Joa

    Remotely delivered cognitive behavior therapy reduces pain intensity and improves functional ability compared with treatment as usual.

    U.S. Preventive Services Task Force

    Screening for Speech and Language Delay and Disorders in Children

    The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children 5 years or younger.

    Photo Quiz

    Neonatal Facial Lesion

    Nikola Conrad, Cassandra Robertson, Tanya Sagherian

    A 4-day-old infant presented with a purple-red facial lesion on his face.

    Rapidly Enlarging Skin Lesion

    Allison Coy

    A 64-year-old woman presented with a rapidly enlarging lesion.

    FPIN's Clinical Inquiries

    Does Use of a Peanut Ball Improve Labor Outcomes in Patients With an Epidural?

    Brian Ostler, Soumya Choudhury, Amanda Kim, Jon O. Neher, Sarah Safranek

    In pregnant patients laboring with epidural anesthesia, the use of a peanut ball with regular position changes decreases the duration of first-stage labor by 87 minutes compared with usual care.

    FPIN's Help Desk Answers

    Adolescent Cannabis Use and Suicidality

    Katherine Bergs, Christina Nicole Davis, Silvio D. Martinez, John Stillson, Madelaine Wade

    Adolescents with a history of cannabis use have at least a 50% increase in the odds of developing suicidality in adulthood.

    Diary of a Family Physician

    Diary of a Family Physician

    Elizabeth Philippe, Jennifer Nielsen Fan

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


    High-Dose Recombinant Influenza Vaccine: NNT = 3,000 to Prevent One More Infection, No Impact on Hospitalization

    Mark H. Ebell

    Positive, Rather Than Negative, Messaging of Weight Loss Might Motivate Patients to Try to Lose Weight

    Allen F. Shaughnessy

    Brexpiprazole Improves Agitation Scores in Adults With Alzheimer Disease and Agitated Behaviors

    Henry C. Barry

    Wait-and-Watch Is an Option for Patients With Symptomatic but Uncomplicated Gallstones

    Allen F. Shaughnessy

    Practice Guidelines

    Beers Criteria for Inappropriate Medication Use in Older Adults: Update From the American Geriatrics Society

    Michael J. Arnold

    The American Geriatrics Society updated the Beers Criteria for potentially inappropriate medication use in older adults. The criteria suggest medications that should be avoided in most older patients and in certain situations and combinations.

    Pain Management After Orthopedic Trauma: Guidelines From the Eastern Association for the Surgery of Trauma and the Orthopaedic Trauma Association

    Pamela R. Hughes, Gregorio Climaco

    The Eastern Association for the Surgery of Trauma and the Orthopaedic Trauma Association conducted systematic reviews to publish guidelines for the use of NSAIDs after traumatic orthopedic fractures in adults with regard to acute pain control and risk of nonunion.

    Letters to the Editor

    Considerations for Implementing Cabotegravir (Apretude) as PrEP for HIV Infection

    Hannah Zimmerman, Allison Vogl

    Longer Menstrual Cycle and Infertility Evaluation

    Anne Keenan

    Reply: Kiwita Phillips, Raimot Olanrewaju, Folashade Omole

    Airflow Reversibility in Patients With Asthma

    Neil Skolnik, Donald A. Mahler, Barbara P. Yawn

    Reply: T. Aaron Zeller, Kati Beben, Stephanie Walker


    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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