Articles
Arthropod Bites and Stings
Joel Herness, Matthew J. Snyder, Raquelle Suzanne
Newman
Insect and arachnid bites and stings account for up to
1 million emergency department visits annually in the United States.
Arthropods' most significant effects on humans are as vectors for infectious
diseases, and direct effects of their bites and stings are typically only a...
Diverticular Disease: Rapid Evidence Review
Justin Bailey, Sheev Dattani, Ann Jennings
This rapid evidence review briefly summarizes signs
and symptoms of and tests and clinical prediction rules for diagnosing acute
diverticulitis. Management is guided by symptom severity, development of
complicated disease, and patient response to treatment.
Generalized Anxiety Disorder and Panic Disorder in Adults
Katharine C. DeGeorge, Molly Grover, Gregory S.
Streeter
Generalized anxiety disorder and panic disorder are
common mental health conditions often seen in primary care. Evaluation should
be considered in patients who express recurrent, pervasive worry or present
with multiple somatic symptoms not attributed to underlying medical...
Abdominal Aortic Aneurysm
Kabiul Haque, Peeyush Bhargava
A history of smoking is the greatest risk factor for
abdominal aortic aneurysm (AAA). Most aneurysms are asymptomatic until they
rupture. This article discusses which populations should be screened for AAA,
recommendations for aneurysm surveillance, and medical and surgical...
·
Multiple Sclerosis: A Primary Care Perspective
Aaron Saguil, Edwin A. Farnell, IV, Teneisha S. Jordan
Multiple sclerosis is the most common cause of
nontraumatic neurologic disability in young adults. Multiple sclerosis has a
relatively high prevalence and patients have a long life span after diagnosis.
Disease-modifying therapy has been shown to slow disease progression and...
·
Scrotal Masses
Robert C. Langan, Manuel E. Puente
Scrotal masses can be broadly categorized into painful
vs. painless masses. Painful masses include testicular torsion, torsion of the
testicular appendage, and epididymitis. Painless masses can include hydrocele,
varicocele, and testicular cancer. This article presents...
Urologic Disorders, Testicular
Editorials
Neurosyphilis, Ocular Syphilis, and Otosyphilis:
Detection and Treatment
Jennifer G. Jones-Vanderleest
Syphilis rates in the United States are rapidly
increasing. Treponema pallidum can infect the visual, auditory, and central
nervous systems leading to serious clinical consequences if not diagnosed and
treated in a timely manner.
Sexually Transmitted
Infections | Neurologic
Countering Medical Misinformation Online and in the
Clinic
Asha Shajahan, Irene V. Pasquetto
Countering medical misinformation requires addressing
longstanding challenges within social, psychological, economic, technological,
and political dynamics.
AFP Clinical Answers
Smoking Cessation, Stomatitis, Parathyroidectomy,
Antibiotics for COVID-19, Heart Murmurs, Fractures
Key clinical questions and their evidence-based
answers directly from the journal’s content, written by and for family
physicians.
Medicine by the Numbers
Awake Prone Positioning for Nonintubated Patients With
COVID-19 and Acute Hypoxemic Respiratory Failure
Brit Long, Michael Gottlieb
Learn more about awake prone positioning for
noninubated patients with COVID-19 and acute hypoxemic respiratory failure.
Graham Center Policy One-Pager
Increased Physician Awareness Is Needed to Implement
Universal Hepatitis B Vaccination
Rita K. Kuwahara, Yalda Jabbarpour, John M. Westfall
To counter a rising incidence of acute hepatitis B,
the Advisory Committee on Immunization Practices (ACIP) now recommends
universal hepatitis B vaccination for adults 19 to 59 years of age. A national
survey found that most family physicians are not aware of or have not...
Cochrane for Clinicians
·
CME
Can Patient-Reported Outcome Measures Improve Clinical
Management and Patient Care?
Ariel L. Hoffman, Zachary P. Thompson, Tyler S. Rogers
PROMs (e.g., CAGE questionnaire, Generalized Anxiety
Disorder 7-item questionnaire) completed by patients (or other individuals
pertinent to the patient) improve diagnosis and documentation of relevant
health information in the patient’s chart, such as accurate coding,...
Exercise Training for Adults Undergoing Maintenance
Dialysis
William E. Cayley, Jr.
Regular exercise probably improves functional capacity
for adults undergoing maintenance dialysis and might be associated with small
improvements in pain, depression, and quality of life; it is uncertain whether
any effect on risk of death or cardiovascular outcomes occurs.
U.S. Preventive Services Task Force
Screening for Impaired Visual Acuity
The USPSTF concludes that the current evidence is
insufficient to assess the balance of benefits and harms of screening for
impaired visual acuity in older adults.
Diary of a Family Physician
Diary of a Family Physician
Jonisha R. Brown, Roshni Kakaiya
First-person accounts from the front lines of family
medicine.
FPIN's Clinical Inquiries
Intravenous Iron vs. Oral Iron in Iron Deficiency Anemia
Anne Mounsey, Emily Peacock, Leif Magnusson
Intravenous iron administration does not reduce the
need for blood transfusion compared with oral iron supplementation. Compared
with oral iron, intravenous iron has no effect on mortality. Intravenous iron
may increase the risk of infection compared with oral iron.
Photo Quiz
Rapidly Spreading Erythematous Rash
Anna Nelson, Suchitra Nair, Ian Thomas, Matthew Hogan
A patient presented with a diffuse, pruritic,
erythematous, maculopapular rash in a reticulated pattern.
Proximal Femoral Pain in an Adolescent
Julie Creech, Jeffrey Leggit
A teenager presented with pain, limited range of
motion, and a palpable firm, tender mass over the lateral quadriceps.
Implementing AHRQ Effective Health Care
Reviews
·
CME
Cannabis for Treatment of Chronic Pain
Dean A. Seehusen, Kaitlin Kehoe
What are the benefits and harms of cannabis and
cannabis-related products for treatment of chronic pain?
POEMs
Large Increases in the Risk of Cardiovascular Events
Following COVID-19 Infection That Required Hospitalization
Mark H. Ebell
Screening Colonoscopies Are Overused
Allen F. Shaughnessy
Cancer
Screening | Colorectal Cancer
Updated American College of Chest Physicians Guideline on
Antithrombotic Therapy for Venous Thromboembolism
Mark H. Ebell
Pulmonary Embolism
High-Efficiency Air Cleaners Decrease Exacerbations and
the Use of Rescue Medication in Former Smokers With COPD
Henry C. Barry
Practice Guidelines
·
CME
Shared Decision-Making: Guidelines From the National
Institute for Health and Care Excellence
Meghan F. Raleigh, Madalyn D. Nelson, Dana R. Nguyen
The National Institute for Health and Care Excellence
(NICE) published guidelines to offer practical advice for incorporating shared
decision-making into everyday encounters.
Doctor-Patient Relationships
·
CME
Medical Cannabis or Cannabinoids for Chronic Pain: BMJ
Rapid Recommendation
Pamela R. Hughes, Jennifer Nwokocha
The BMJ/MAGIC Group performed a systematic review to
determine the benefits of noninhaled medical cannabis or cannabinoids in
chronic cancer and noncancer pain.
Pain
Management | Cancer Care
Letters to the Editor
Remove Race as an Initial Identifier From Clinical
Presentations
Additional Information on the Management of Infants Born
to Mothers With HIV Infection
Case Report: Moyamoya Disease in a 47-Year-Old Woman
Fazal Dalal, Garrett Frazier, Sanjay Reuben Dass
Information from Your Family Doctor
Ticks: How to Protect Yourself
Avoiding ticks and places
where ticks could be is the best way to keep from getting sick from a tick
bite. After being outside in places with ticks, carefully check yourself and
family members for ticks (Figure 1). Children should be checked with extra
care. Removing ticks...
Help for Anxiety and Panic Disorders
Generalized anxiety disorder
(GAD) and panic disorder (PD) are mental health disorders that cause anxiety or
worry. All of us worry or panic sometimes, but you might have GAD or PD if
these feelings often affect your life.