Editor's Message

Caring for the Whole Patient, Every Day

The articles in this spring issue highlight the incredible breadth of family medicine. In these pages you will find discussions ranging from altitude sickness and preoperative optimization to osteopathic approaches to mastitis, febrile seizures, pediatric asthma management, and multidisciplinary ca...

From the President's Desk

Presidential Address

This address was delivered at a plenary session at ACOFP ’26 in Orlando on April 16, 2026.  Good afternoon, honored friends, family, and of course all of you, my osteopathic family.   I am honored, grateful, excited, and humbled to be given the opportunity to serve you this year ...

Review Articles

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12-16
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Altitude Sickness

Altitude sickness encompasses conditions such as acute mountain sickness (AMS), high-altitude pulmonary edema (HAPE), and high-altitude cerebral edema (HACE), affecting individuals ascending to high altitudes without proper acclimatization....
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17-20
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Managing Pediatric Asthma in Primary Care

Asthma is the most common chronic lung disease of childhood, affecting approximately 6 million children in the United States. Its pathophysiology involves airway hyperresponsiveness and inflammation, which can lead to intermittent or persistent respiratory symptoms such as coughing, wheezing, shortn...
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21-25
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Febrile Seizures

Clinical Manifestations and Management
Febrile seizures are a common age-dependent phenomenon that affects up to 5% of children in the United States, typically between 6 months and 5 years of age. These seizures are triggered by a rapid increase in body temperature, most often due to an underlying viral illness. Febrile seizures typ...
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26-28
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An Osteopathic Perspective on the Mastitis Spectrum

 Mastitis spectrum disorders include a variety of presentations, including engorgement, plugged ducts, mastitis, and abscess formation. Lactational mastitis is a common occurrence in lactation, affecting up to 10% of patients. Common risk factors include oversupply, nipple trauma, and ineffective la...
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29-35
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Preoperative Optimization in Surgical Patients

 Preoperative optimization is a critical component in enhancing surgical outcomes and reducing postoperative complications. This review provides a comprehensive approach to managing preoperative care in a primary care setting, emphasizing the importance of risk assessment, patient education, and mul...
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36-40
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Multidisciplinary Care Models for Managing Fibromyalgia

Fibromyalgia (FM) is a prevalent syndrome characterized by widespread chronic pain, fatigue, sleep disturbances, and cognitive difficulties. Diagnosis is primarily clinical, often involving exclusion of other conditions. Effective management of FM requires a multidisciplinary approach that utilizes ...

Clinical Images

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41-42
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Corneal Abrasion With a Twist

CASE PRESENTATION  Sixty-one-year-old male presents to urgent care for right eye pain that has been worsening over the last 4 days. Patient is now having photophobia and pain with opening his eye, which concerned him. He also states he sees a “big glob” in his visual field. This has...

Patient Education Handout(s)

Febrile Seizures: Patient Education Handout

What Is a Febrile Seizure? Febrile seizures are convulsions triggered by a rapid rise in body temperature, usually as a result of an infection. 1  This disrupts brain activity, leading to loss of consciousness, irregular breathing, and jerking movements...

Childhood Asthma Management in Primary Care

WHAT IS ASTHMA?  Asthma is a lung condition that makes it hard to breathe because the small airways in the lungs get swollen and narrow. Children with asthma may wheeze, cough, have trouble breathing, or say their chest feels tight. Asthma often starts in kids. It can run in ...