AFP: American Family Physician Podcast

Cancer screening in older adults (1:30), an app for obstructive sleep apnea (5:10), nonsteroidal anti-inflammatory–induced ulcers and dyspepsia (7:20), hemorrhoids (10:00), late pregnancy bleeding (11:30), intensive glucose control in older patients (16:00), and all new holiday ICD-10 codes (19:30).

Vaginitis (1:20), gaming disorders (5:00), injections or radiofrequency for chronic back pain (8:50), developmental dysplasia of the hip (11:30), resistance training for cancer-related fatigue (15:00), and peripheral artery disease (17:10).

Disorders of puberty (1:30), caregiver-targeted interventions for childhood caries (5:40), perfluorohexyloctane ophthalmic solution (8:00), iron deficiency anemia (12:50), amiloride vs spironolactone (18:00), and trauma-informed care (20:00).

Overuse of colorectal cancer screening (1:30), depression practice guideline (3:20), anticoagulation in hospitalized patients with COVID-19 (6:10), slipped capital femoral epiphysis (7:50), left atrial appendage closure in atrial fibrillation after ablation (11:30), and venous thromboembolism (14:00).

Uterine fibroids (1:30), community-based residency training (6:40), glucagon-like peptide-1 medications (9:00), heart failure with preserved ejection fraction (12:30), intravenous vs oral iron (15:40), nicotine e-cigarettes for smoking cessation (18:10), and spooky health trends—are they real or fake? (20:10; music: Tocatta and Fugue in D Minor, Kevin MacLeod, CC-BY-3.0).

Lymphadenopathy (1:30), galantamine for dementia (5:30), parenteral agents for migraines (7:30), EpiSwitch prostate cancer screening test (10:40), vitamin B12 deficiency (14:00), and fezolinetant for menopause (17:40).

Respiratory syncytial virus vaccination in pregnancy (1:30), vasectomy (3:40), donanemab in Alzheimer disease (7:20), multicancer early detection (12:20), autism spectrum disorder (13:50), and acute pancreatitis (17:10).

Contraception (1:30), delayed pushing in labor (6:10), bacterial vaginosis (8:50), outpatient care of the premature infant (11:10), nocturnal leg cramps (17:30), and AFP Clinical Answers (19:20).

Heart failure with reduced ejection fraction (1:30), lower gastrointestinal bleeding (5:10), venous leg ulcers (7:10), nonopioid pharmacologic management of chronic pain (10:30), resuscitation in burns (15:20), and breast ductal carcinoma in situ (17:10).

Intimate partner violence (1:40), top 20 research studies of 2024 for primary care physicians (5:20), treatments for carpal tunnel syndrome (11:20), benzgalantamine for Alzheimer disease (13:50), bright light therapy (17:50), assessment and management of patients at risk for suicide (20:10).

Foreign bodies in the ear, nose, and throat (1:30); topical anti-inflammatory drugs for eczema (7:20); intravenous antihypertensives (10:10); developmental screening (14:00); dialectical behavior therapy (17:10); and universal respiratory syncytial virus prophylaxis (20:10).

Nocturia (1:30), assessing the risk of atrial fibrillation (5:00), zoledronate reduces fracture risk (7:20), endometrial cancer (10:10), diabetes-related foot infections (13:50), and at-home gonorrhea and chlamydia testing (15:50).

Acute monoarthritis (1:30), improving adverse drug reaction reporting (6:30), inappropriate use of oral antiplatelet drugs (9:50), long-term opioid therapy (12:40), treating Clostridioides difficile infection (17:10), and lecanemab for Alzheimer disease (19:00).

Migraine headache prophylaxis (1:30), atrial fibrillation with stable coronary artery disease (6:10), health maintenance in postmenopausal women (8:50), topical testosterone (13:50), pain control in primary dysmenorrhea (17:50), and obstructive sleep apnea in children (20:00).

Trigeminal neuralgia (1:30), early medication abortion (4:30), sodium-glucose cotransporter-2 inhibitors (6:00), female sexual dysfunction (8:40), per- and polyfluoroalkyl substances (12:30), and methotrexate for juvenile idiopathic arthritis (17:20).

Buprenorphine for opioid use disorder (1:30), triptans for acute migraine (5:30), premenstrual syndrome (6:50), pain management for IUD insertion (11:00), liver fibrosis stage in chronic hepatitis C infection (12:30), and cold water immersion for muscle soreness (14:30).

Labor management (1:30), acute migraine headache (4:00), tirzepatide for sleep apnea (8:20), options for unintended pregnancy (11:20), artificial intelligence scribes (15:00), and testosterone replacement in men with sexual dysfunction (16:50).

Down syndrome (1:30), zuranolone for postpartum depression (7:50), muscle relaxants for chronic pain (10:20), temporal artery ultrasound (12:00), pretravel consultation (15:40), and high-flow nasal cannula for bronchiolitis (19:20).

Nicotine electronic cigarettes (1:30), acute bronchitis (4:10), berdazimer (6:40), cardiac rehabilitation (11:40), chronic pelvic pain (13:50), and mineralocorticoid receptor antagonists in heart failure (22:10).

Fatigue in kidney failure (1:30), gastric cancer (3:50), carpal tunnel injections (6:50), sudden infant death syndrome (9:30), plantar fasciitis (13:20), and measuring ceramide to predict cardiovascular events (15:10).

Cardiovascular risk prediction (1:30), topical steroids for phimosis (3:20), genital warts (7:10), psilocybin for depression (12:00), lower extremity abnormalities in children (13:30), and atrial fibrillation (22:10).

Early childhood concerns (1:30), probiotics to prevent urinary tract infections (7:00), triple therapy for chronic obstructive pulmonary disease (8:50), sudden vision loss (11:20), macular degeneration (15:30), and an AFP Clinical Answers lightening round (19:00).

Jaundice in adults (1:30), gepirone for depression (8:20), steroid injections for degenerative joint disease of the hip (12:20), dysuria (14:50), hip osteoarthritis (19:00), and diabetic kidney disease (21:00).

Mildly elevated liver transaminase levels (1:30), overdiagnosis of myocardial infarction (6:00), predicting bleeding risk in atrial fibrillation (8:30), management of keloids and hypertrophic scars (12:10), weight loss and knee osteoarthritis (15:30), and vitamin D (18:20).

Noninvasive cardiac testing (1:30), SGLT-2 inhibitors (5:30), opioid prescribing (8:10), children with hypertension (10:20), anemia in infants and children (12:00), premenstrual disorders (15:20), and holiday ICD-10 codes (18:00).

Common tongue conditions (1:30), esketamine to reduce postpartum depression (5:50), testosterone replacement (7:40), artificial intelligence in mammography (10:50), rheumatoid arthritis (14:50), and brexpiprazole for agitation in Alzheimer disease (23:00).

Vitamin B12 in pregnancy (1:30), genital herpes (4:40), dequalinium in bacterial vaginosis (8:40), prostate cancer (11:50), fruit and vegetable intake and depression (17:10), and AFP Clinical Answers lightning round (19:30).

Management of late- and postterm pregnancy (1:30), pet therapy for anxiety (5:20), high-sensitivity troponin (7:10), injections of the hand and wrist (10:00), atopic dermatitis (15:10), pediatric umbilical hernias (17:40), and rapid-fire AFP Clinical Answers (19:40).

Melanoma (1:30), doxcycline for sexually transmitted infection postexposure prophylaxis (5:00), uncontrolled asthma (6:30), injections of the hand and wrist (part 1) (9:00), older patients with depression (12:40), meniscal tears (14:20), and spooky season ICD-10 codes (17:40).

Palpitations (1:40), carpal tunnel syndrome (7:10), coronary computed tomography angiography (10:40), Alzheimer disease (14:50), acute diverticulitis (21:00), and decision aids (22:10)

AFP Podcast co-creator and editor Steven R. Brown, MD, speaks with Ali Block, MD, family physician, abortion provider, and host of the Nocturnists: Post-Roe America podcast series. Steve and Ali talk about abortion care in family medicine and changes since the 2022 Supreme Court Dobbs v Jackson Women's Health Organization decision. Dr. Block shares ways in which reproductive health care has changed in different areas of the United States since the Dobbs decision, how her team created the Nocturnists: Post-Roe America podcast, her journey to communicate her own story, the culture of silence around abortion care, advocacy for abortion care...

The PREVENT calculator (1:30), hair loss (5:20), resmetirom (9:50), continuous vs. intermittent glucose monitoring (15:10), Cushing's syndrome (17:10), and screening for lipid disorders in children and adolescents (23:10).

Management of obesity (1:45), diagnosing dementia (6:10), mastitis (9:10), the G2211 code (13:30), alcohol use in adolescents (16:10), and imaging guidelines for mild traumatic brain injury (18:20).

Conjunctivitis (1:40), measles (6:10), perioperative glycemic control (8:20), chronic cough (11:20), HPV vaccine preventing cervical cancer (15:10), and tirzepatide for treatment of obesity (18:10).

Cognitive enhancers and Mini-Mental State Examination (1:40), primary care of adult cancer survivors (4:00), bupropion for depression in adolescents (8:50), acute and chronic prostatitis (10:50), antibiotics in uncomplicated but febrile urinary tract infections (14:10), and top 20 research studies of 2023 (15:30).

Obstructive sleep apnea in adults (1:40), e-cigarettes (5:30), breastfeeding support for healthy mothers and infants (7:40), hematologic emergencies (10:20), midodrine for recurrent vasovagal syncope (15:30), and cranberry products for preventing urinary tract infections (17:20).

Testosterone therapy for male hypogonadism (1:40), avoiding judgmental clinical documentation (5:50), bipolar disorder (8:10), gallstone disease (11:40), bempedoic acid (15:50), and stable chronic obstructive pulmonary disease (18:40).

Lifelong care for patients after gender-affirming surgery (1:30), lipid management (6:10), carpal tunnel syndrome (11:10), spontaneous vaginal delivery (14:00), oseltamivir (17:20), and new medicines for RSV prevention (19:40).

Atrial fibrillation (1:30), sFlt-1/PlGF ratio in preeclampsia (4:50), hyaluronic acid for wounds (6:40), substance misuse (9:00), nirsevimab (12:50), and AFP Clinical Answers (14:10).

Acute pericarditis (1:30), saw palmetto for benign prostatic hyperplasia (5:30), baclofen for alcohol use disorder (8:00), nausea and vomiting (10:30), fecal microbiota spores for Clostridioides difficile (15:20), and monoclonal antibody therapy for Alzheimer disease (18:20).

Noninsulin therapy for type 2 diabetes mellitus (1:50), high-dose flu vaccine (4:40), remote psychotherapy for chronic pain (6:20), lumbar spinal stenosis (8:30), primary care access in areas with aging populations (12:40), and herbal medicines for functional dyspepsia (14:10).

Preventive care for men who have sex with men (1:30), inactivated polio vaccine (5:30), Beers criteria (7:20), streptococcal pharyngitis (12:20), peanut ball in labor (17:00), and watching and waiting for symptomatic gallstones (18:30).

Ten concepts of information mastery that every family physician should know.

Diabetic peripheral neuropathy (1:30), melatonin for delirium (5:00), fezolinetant (6:30), remote psychological therapies for chronic pain (9:30), hypertensive disorders in pregnancy (12:30), and cognitive behavior therapy for long COVID (18:50).

Thiazide diuretics (2:20), pancreatic cancer (4:40), DermTech pigmented lesion assay (8:30), chronic low back pain (17:00), hearing aids (23:40), and blood pressure cuff size (27:50).

Urinary tract infections in adults (2:00), brexpiprazole as adjunctive therapy for depression (5:30), chronic conditions in hospitalized patients (8:30), postpartum hypertension (13:40), inequities in kidney transplant (15:50), and exercise for depression in older adults (17:40).

Abnormal uterine bleeding (2:00), eating disorders (7:00), osteopathic schools and family medicine residencies (9:10), chronic insomnia (11:10), an insomnia editorial (15:10), and plaque psoriasis (16:40).

Injections of the hip and knee (1:30), carpal tunnel syndrome (6:20), Opill for contraception (8:10), acute coronary syndrome (12:20), oral isotretinoin (16:50), and screening for syphilis (19:20).

Sarcoidosis (1:30), compression therapy in venous ulcers (4:30), FilmArray GI panel (6:30), medications for alcohol use disorder (10:00), removing erroneous penicillin allergy labels (14:50), and tadalafil for benign prostatic hyperplasia (16:50).

Preventing cardiovascular disease in women (1:40), initial evaluation of dementia (4:50), adjunctive corticosteroids for community-acquired pneumonia (8:10), magnesium for leg cramps (10:40), childhood sports-related overuse injuries (12:00), and terbinafine for onychomycosis (16:50).

Preconception counseling (1:30), research in family medicine (5:30), pre-exposure prophylaxis to prevent acquisition of HIV (6:40), psoriasis (9:50), transgender care (12:20), and overuse of antireflux medicines in infants (17:20).

Syncope (1:40), testosterone therapy and adverse effects (7:40), baricitinib for alopecia areata (9:30), intestinal parasites (13:10), antiarrhythmics in atrial fibrillation (19:20), and AFP Clinical Answers (21:40).

Dog and cat bites (1:40), inappropriate medication use in older adults (5:50), pleural effusions (8:10), poststroke depression (12:20), and pro/con editorials about bone turnover markers in osteoporosis therapy (15:00).

The ill returning traveler (1:30), the Community Preventive Services Task Force (5:30), thiazide diuretics (7:50), over-the-counter medications in pregnancy (10:00), RSV vaccination (13:40), mild chronic hypertension in pregnancy (15:10), childhood obesity (17:30), and Halloween ICD-10 codes (19:50).

Hypertension in adults (1:30), magnesium in COPD (5:50), medications to promote weight loss (7:50), cryptorchidism (11:00), early return to activity in concussion (13:30), and RSV vaccination (15:00).

Nicotine receptor partial agonists for smoking cessation (1:30), primary aldosteronism (2:50), dual- vs. triple-combination inhalers for asthma (5:30), smell and taste disorders (9:40), finerenone (14:30), and diagnostic overshadowing (17:30).

Gestational diabetes mellitus (1:40), steroid injections and blood glucose (5:40), heart failure management (8:10), BD Max vaginal panel (13:20), benzodiazepine use disorder (15:20), chlorthalidone vs. hydrochlorothiazide (19:10).

Pressure injuries (1:40), perioperative management of antithrombotic medications (5:00), irritable bowel syndrome (6:20), speech and language delay in children (9:30), family medicine residency applications and abortion (13:00), ischemic heart disease (14:20), and the number needed to treat game (16:30).

Prenatal care (1:40), treatment of mild hypertension (4:30), food allergies (7:30), discharge against medical advice (12:50), inspiratory muscle training for COPD (14:40), and oral anticholinergics for overactive bladder (17:00).

Mpox (1:40), trigger point injections for low back pain (8:00), conservative interventions for urinary incontinence (9:30), torsemide versus furosemide (12:10), childhood eye exam (14:20), and headache during pregnancy and breastfeeding (18:50).

The Society of Teachers of Family Medicine President's Address from Dr. Renée Crichlow is featured. Dr. Crichlow is Vice Chair of Health Equity, Boston University Medical School Department of Family Medicine, and Chief Medical Officer of Codman Square Health Center. She also serves as Medical Editor for Diversity, Equity, and Inclusion for the American Family Physician journal.

Menopausal symptoms (1:40), inflammatory markers in acute respiratory illnesses (5:50), nebulized hypertonic saline (8:30), fatigue (11:30), behavior therapy for insomnia (14:40), and phosphatidylethanol testing (16:30).

Benign prostatic hyperplasia (1:30), antidepressants in osteoarthritis (6:10), overdiagnosis of chronic kidney disease (8:00), infertility (10:20), Guardant Health Shield (14:50), and morning vs. bedtime medications for hypertension (17:50).

Growth faltering and failure to thrive in children (1:30), integrated behavioral health (6:30), colon cancer screening (8:20), COVID risk stratification (11:10), COPD (14:00), and a hyperbilirubinemia guideline (19:50).

Disability evaluations (1:40), screening for genital herpes infection (5:30), management of type 2 diabetes (7:00), music for insomnia therapy (9:10), evaluating the child with a limp (10:40), and nonalcoholic fatty liver disease (15:00).

Neonatal hyperbilirubinemia (2:50), Lumipulse G β-Amyloid Ratio test for Alzheimer disease (7:50), cabotegravir for pre-exposure prophylaxis (10:10), dizziness (14:20), baclofen for alcohol use disorder (19:40), and AFP clinical answers (22:20).

Systemic lupus erythematosus (1:40), Bell palsy (6:30), outpatient management of COVID-19 (10:20), metformin or lifestyle changes to prevent diabetes (13:50), acetazolamide for acute heart failure (18:00), low back pain (20:20), and a brand new game (22:20).

Chronic asthma management (1:40), conflict of interest in asthma guidelines (6:50), top 20 research studies of 2022 (9:40), legal challenges for family physicians and abortion care (16:30), management of postpartum hemorrhage (20:10), and liraglutide for Type 2 diabetes (22:30).

Corticosteroids for low back pain (1:40), glaucoma (4:20), screening for obstructive sleep apnea (10:10), polycystic ovary syndrome (13:20), diabetic peripheral neuropathy (17:50), and antiplatelet agents for deep venous thrombosis (20:10).

Posttraumatic stress disorder (1:30), risk for ovarian cancer (5:40), viloxazine for attention-deficit/hyperactivity disorder (9:30), foot orthoses for flat feet (12:50), diagnosing appendicitis (14:40), and pulmonary nodules (17:50).

Acute otitis externa (1:30), trazodone for insomnia (4:40), long COVID (7:10), common skin conditions during pregnancy (9:20), chronic disease management during Ramadan (14:50), statins for primary prevention (16:50), and an evidence-based medicine minute (19:30).

Introduction of the newly available Spanish-language AFP podcast (0.30), fibromyalgia (7:00), bee stinger removal (11:30), eczema (13:20), televisits for prenatal care (15:10), peptic ulcer disease and Helicobacter pylori infection (17:30), and AFP clinical answers (21:20).

Pharmacogenomic testing for antidepressant selection (2:40), lung cancer screening (4:00), temporomandibular disorders (8:50), SGLT-2 inhibitors for heart failure (13:00), analgesics in soft tissue injury (15:00), and tonsillitis (17:30).

Infectious mononucleosis (1:10), polyarticular joint pain (5:10), first-trimester abortion (9:20), corticosteroids for Kawasaki disease (12:00), scaphoid wrist fractures (14:40), and semaglutide for obesity (16:40).

Overdiagnosis of nonalcoholic fatty liver disease (1:50), galactorrhea (5:20), testicular torsion (9:40), medication abortion (12:40), anxiety disorders in children and adolescents (14:40), platelet-rich plasma injections (19:50), and a new feature, hot takes in family medicine (22:50).

Noninvasive prenatal screening (1:40), antibiotics in upper respiratory infections (3:50), posttraumatic stress disorder (10:30), people experiencing homelessness (13:20), deprescribing proton pump inhibitors (17:30), a new practice guideline for adults with hypertension (20:10), and our favorite holiday and winter ICD 10 codes (22:50).

Long COVID (1:40), management of head and neck injuries by the sideline physician (4:50), enuresis in children (10:30), surviving sepsis (16:10), vericiguat for heart failure (18:20), and magnesium sulfate in chronic obstructive pulmonary disease (23:10).

Smoking cessation (1:40), Binx IO for chlamydia (8:30), nonsteroidal anti-inflammatory use and bone healing (10:30), peripheral edema (13:50), anal dysplasia (19:00), and vitamin supplementation (21:10).

Endometriosis (1:40), substance use disorders (5:20), the spiritual assessment (9:50), aducanumab (16:00), hypertension in children (18:00), and early exercise after concussion (19:50).

Schizophrenia (2:00), obstetric care in maternity deserts (6:10), exercise for low back pain (9:30), duty to report incompetent physicians (12:20), albumin infusion for spontaneous bacterial peritonitis (14:40), and polymyalgia rheumatica (17:10).

Ibrexafungerp for vulvovaginal candidiasis (1:30), acute headache (4:10), risk of infection with intravenous iron (10:00), thrombocytopenia (12:20), and influenza vaccine after myocardial infarction (15:50).

Medications for the common cold (1:40), evidence-based contraception (4:20), procalcitonin for respiratory tract infections (8:40), Achilles tendon rupture (12:00), chronic constipation (14:30), and management of rheumatoid arthritis (18:10).

Countering medical misinformation (1:30), arthropod bites and stings (3:30), overuse of screening colonoscopies (8:40), abdominal aortic aneurysm (11:10), oral vs. intravenous iron (14:10), shared decision-making (15:40), and rapid-fire AFP clinical answers (18:50).

Race as an identifier in clinical presentations (1:30), diverticular disease (2:50), medical cannabis (8:00), air cleaners for chronic obstructive pulmonary disease (10:20), scrotal masses (11:50), and prone positioning in COVID-19 (17:20).

Celiac disease (1:50), top research studies of 2021 for primary care physicians (5:00), membrane sweeping (11:00), exercise during pregnancy (15:40), and screening for gonorrhea and chlamydia (17:40).

Acute pancreatitis (2:30), proton pump inhibitors (7:10), palliative care interventions (9:10), coronary artery calcium scoring (11:50), acute diarrhea (17:00), and weight loss medications (20:40).

Preoperative evaluation in children (1:50), oral vs. intramuscular vitamin B12 (6:10), overuse of interventional procedures for low back pain (7:30), acute stroke diagnosis (9:40), antibiotics for sore throat (13:50), and topical treatment for mild to moderate acne (17:00).

Metabolic surgery for adult obesity (1:40), predicting dementia (5:30), distribution of Spanish-speaking family physicians (8:00), community-acquired pneumonia in adults (9:50), screening for atrial fibrillation (16:00), and SGLT-2 inhibitors and GLP-1 receptor agonists in type 2 diabetes (17:50).

Constipation in children (1:30), nonsteroidal anti-inflammatory drugs for low back pain (5:10), psoriasis (7:10), evaluation after first seizure (9:50), and kinesiology taping (14:50).

Supervised injection sites (1:30), MyProstateScore (4:40), sexually transmitted infections (9:10), Paxlovid (15:10), salt intake for patients with chronic kidney disease (17:20), and child maltreatment (20:20).

Chlamydial and gonococcal infections (1:30), relapse of depression (6:50), where clinical practice guidelines go wrong (8:50), ulcerative colitis (11:10), vasomotor symptoms of menopause (17:00), and the number needed to treat game (19:30).

Recurrent venous thromboembolism (1:30), antifungals for vulvovaginal candidiasis (4:30), common sleep disorders in adults (6:50), why physicians should not prescribe aducanumab for Alzheimer disease (14:40), medical care for adults with Down Syndrome (17:10), and alcoholic hepatitis (19:10).

The AFP Podcast welcomes Will Flanary, MD, aka Dr. Glaucomflecken, for some bonus laughs and bonus eye content.

Thalassemia (1:30), casts for scaphoid fractures (6:40), abdominal pain (10:30), bacterial meningitis in children (12:40), parathyroid disorders (15:50), and AFP clinical answers (20:50).

Appropriate use of electrocardiography in preparticipation physical evaluations (1:30), curbing cascades of care (4:20), sacroiliac joint dysfunction (6:10), health care–associated infections (10:50), preventing dental caries (15:00), and caring for patients who are Muslim who fast during Ramadan (17:50).

Topical nitroglycerin for lower-extremity tendinopathy (1:30), maturity-onset diabetes of the young (3:30), remdesivir for COVID-19 (9:50), pulmonary rehabilitation (13:00), borderline personality disorder (15:20), and Cologuard for colorectal cancer screening (19:00).

Common sleep disorders in children (1:40), colorectal cancer screening (6:50), hemoptysis (13:00), and POEMs: Valentine's edition (17:10).

Platelet-rich plasma for alopecia (2:10), cluster headaches (4:20), PrecivityAD for Alzheimer disease (8:20), muscle relaxants for low back pain (10:50), pruritus (12:20), and compression stockings to prevent deep vein thrombosis (16:20).

Transient global amnesia (1:40), paliforzia for peanut allergy (4:50), walking for hypertension (10:00), adenomyosis (11:40), saturated fat (15:10), and treatments for type 2 diabetes mellitus (19:40).

The advocacy episode: How can family physicians, students, and residents best advocate for our specialty, our patients, and our communities? Special guests are AAFP Board Member, Dr. Sarah Nosal; AAFP Senior Vice President, Stephanie Quinn; state legislator Representative, Kelli Butler; former state legislator, Senator Heather Carter; and former Director of State Department of Health Services, Will Humble. Topics include the first steps for becoming an advocate, using your voice, the five types of advocacy, engaging with your legislators, AAFP advocacy priorities, the role of professional associations, and the most important issues decided on a state level.