Robert L. Gauer, Adam Rifaat, Ashley M. Foulkrod
Treatments shown to reduce morbidity and mortality risk in patients with heart failure with reduced ejection fraction include renin-angiotensin system inhibitors/neprilysin inhibitors, beta blockers, mineralocorticoid receptor antagonists, and sodium-glucose cotransporter-2...
Anne Mounsey, Ryan Paulus, Wesley Roten
Hyperthyroidism is an overproduction of thyroid hormone in the thyroid gland. Thyrotoxicosis, a thyroid hormone excess, can be caused by hyperthyroidism, thyroiditis, or exogenous administration. Graves disease can be diagnosed by thyroid eye disease or thyrotropin receptor...
Michael Bybel, Catherine A. Delaney, Katie Coble
In 2023, approximately 10% of all births in the United States were preterm (occurring at less than 37 weeks’ gestation). Various medical and neurodevelopmental morbidities are possible across the spectrum of prematurity, which may profoundly affect the newborn and family....
Nicholas M. LeFevre, Kara Braudis, Lawrence S. Feigenbaum
Seborrheic dermatitis clinically presents as symmetric, poorly defined erythematous patches with yellow, oily scales and fine, superficial desquamation (flaking). It responds favorably to over-the-counter and prescription antifungal, keratolytic, and anti-inflammatory agents.
David A. Klein, Chloe E. Forlini, Patsy Kremsreiter
In 2024, the Centers for Disease Control and Prevention and the US Department of Health and Human Services Office of Population Affairs updated national guidelines on provision of quality contraceptive services and sexual and reproductive health care.
Randi Sokol, Ellie Grossman, Rebecca Bourgery
Management of chronic pain should be individualized and based on shared decision-making. General principles include assessing and documenting the pain; focusing on functional goals and quality of life; setting reasonable expectations; promoting self-management strategies;...
Doug Campos-Outcalt
This editorial discusses the use of meningococcal vaccines in adolescents and young adults at average risk of meningococcal infection.
Michael R. Kolber, Adrienne J. Lindblad, Christina Korownyk
Patients Experience Evidence Research (PEER) is a trailblazing team that bridges the gap between research and practice in primary care. PEER blends medical evidence, clinical expertise, and cutting-edge research in the delivery of trustworthy scholarly products and medical...
David Gregory, John W. Epling
Compression stockings can reduce the recurrence of venous leg ulcers, based on limited evidence. Higher-grade compression is more effective, but patients are more likely to be noncompliant with therapy.
Dongsheng Jiang, Juan Qiu
Fluoridating water may result in a small reduction in tooth decay in children’s primary teeth, but its impact on permanent teeth remains unclear. Community water fluoridation may slightly decrease the proportion of children with “decayed, missing, or filled” primary and...
Lee Dresang, Leslie Christensen
Clinicians should use shared decision-making with the pregnant patient to decide whether to delay pushing in the second stage of labor. Delayed pushing in the second stage among nulliparous pregnant patients with an epidural is associated with increased risks of postpartum...
Samuel Lichtman Evans, Karen Xiao, Elias Youssef
We have assigned a color of yellow (unclear benefits) for using the Oakland score for predicting safe discharge and major risks after lower GI bleeding. The Oakland score could be used to predict risk for major bleeding, need for blood transfusion, and need for hemostasis;...
Courtney Humphrey, Michael Scholl
A 12-year-old premenarchal girl presented with abdominal pain.
Monica Kalra, Erinn Pemberton
A 35-year-old woman reported feeling pressure in her lower neck and chest.
Ramona Sharma, Stephen Dudley
First-person accounts from the front lines of family medicine.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency and iron deficiency anemia in pregnant persons to prevent adverse maternal and infant health outcomes. The USPSTF concludes that the...
Sheena Harris, Joseph Merfeld, Stephen Kane
This PPIP quiz is based on the recommendations of the USPSTF.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
David C. Slawson
Mark H. Ebell
Mark H. Ebell
Allen F. Shaughnessy
Michelle Nelson
Providing intravenous fluids to prevent burn shock is challenging in the first 48 hours following an acute burn injury in adults with burns covering 20% or more of their total body surface area (TBSA). Intravascular fluid depletion from insufficient resuscitation can lead to...
Kathleen Castellanos
Reply: Christina Valerio
Kevin C. Kelleher
Reply: Kenneth W. Lin
Carl R. Pullen, Arturo Bravo Nuevo, Brian Heist
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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