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Jaundice in the Adult Patient - American Family Physician

Jan 15, 2004 - Jaundice in an adult patient can be caused by a wide variety of benign or life-threatening disorders. Organizing the differential diagnosis by prehepatic, intrahepatic, and posthepatic causes may help make the work-up more manageable. Prehepatic causes of jaundice include hemolysis and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p299.html

Managing Adverse Birth Outcomes: Helping Parents and Families Cope - American Family ...

May 1, 2012 - Unexpected adverse fetal and neonatal outcomes (e.g., stillbirth, birth trauma, congenital anomalies) present a crisis for the family and the medical care team. In cases of stillbirth, the family physician should be flexible in supporting the parents’ choices, validate the loss, and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0501/p900.html

Risk Stratification: A Two-Step Process for Identifying Your Sickest Patients -- FPM

Jun 1, 2019 - Assessing the health risk of your patients can yield improvements in efficiency and use of resources.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p21.html

Developing Your Professional Career Plan -- FPM Restricted content. Login required.

Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p21.html

Over-the-Counter Medications in Pregnancy - American Family Physician

Jun 15, 2003 - Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus. The safety profile of some medications may change according to the gestational age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2517.html

The Generalized Rash: Part II. Diagnostic Approach - American Family Physician

Mar 15, 2010 - Although it is important to begin the evaluation of generalized rash with an inclusive differential diagnosis, the possibilities must be narrowed down by taking a focused history and looking for key clinical features of the rash. Part I of this two-part article lists the common, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0315/p735.html

House Calls - American Family Physician

Apr 15, 2011 - House calls provide a unique perspective on patients’ environment and health problems. The demand for house calls is expected to increase considerably in future decades as the U.S. population ages. Although study results have been inconsistent, house calls involving multidisciplinary ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0415/p925.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ... Restricted content. Login required.

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Clinical Vignettes in Geriatric Depression - American Family Physician

Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1149.html

Management of Epistaxis - American Family Physician

Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p305.html

Diabetic Ketoacidosis - American Family Physician

May 1, 2005 - A diagnosis of diabetic ketoacidosis requires the patient's plasma glucose concentration to be above 250 mg per dL (although it usually is much higher), the pH level to be less than 7.30, and the bicarbonate level to be 18 mEq per L or less. Beta-hydroxybutyrate is a better measurement ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1705.html

Somatoform Disorders - American Family Physician

Nov 1, 2007 - The somatoform disorders are a group of psychiatric disorders that cause unexplained physical symptoms. They include somatization disorder (involving multisystem physical symptoms), undifferentiated somatoform disorder (fewer symptoms than somatization disorder), conversion disorder ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1333.html

Perioperative Cardiac Risk Reduction - American Family Physician

Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p239.html

Medications for Migraine Prophylaxis - American Family Physician

Jan 1, 2006 - Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p72.html

Nail Abnormalities: Clues to Systemic Disease - American Family Physician

Mar 15, 2004 - The visual appearance of the fingernails and toenails may suggest an underlying systemic disease. Clubbing of the nails often suggests pulmonary disease or inflammatory bowel disease. Koilonychia, or

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1417.html

Screening for Developmental Delay - American Family Physician

Sep 1, 2011 - According to the literature, 12 to 16 percent of children in the United States have at least one developmental delay, yet as many as one-half of affected children will not be identified by the time they enter kindergarten. If developmental delays are detected too late, opportunities for...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p544.html

Dietary Fatty Acids - American Family Physician

Aug 15, 2009 - Fatty acids can be divided into four general categories: saturated, monounsaturated, polyunsaturated, and trans fats. Saturated fatty acids and trans fats are associated with an increased risk of coronary heart disease. Monounsaturated fatty acids and polyunsaturated fatty acids are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0815/p345.html

Slipped Capital Femoral Epiphysis: Diagnosis and Management - American Family Physician

Aug 1, 2010 - Slipped capital femoral epiphysis is the most common hip disorder in adolescents, and it has a prevalence of 10.8 cases per 100,000 children. It usually occurs in children eight to 15 years of age, and it is one of the most commonly missed diagnoses in children. Slipped capital femoral ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p258.html

Health Effects of Garlic - American Family Physician

Jul 1, 2005 - Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p103.html

Management of Hyponatremia - American Family Physician

May 15, 2004 - Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Hyponatremia can be classified according to the volume status of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2387.html

Approach to the Adult Patient with Fever of Unknown Origin - American Family Physician

Dec 1, 2003 - Fever of unknown origin (FUO) in adults is defined as a temperature higher than 38.3 degrees C (100.9 degrees F) that lasts for more than three weeks with no obvious source despite appropriate investigation. The four categories of potential etiology of FUO are classic, nosocomial, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2223.html

A Clinical Approach to Diagnosing Wrist Pain - American Family Physician

Nov 1, 2005 - A detailed history alone may lead to a specific diagnosis in approximately 70 percent of patients who have wrist pain. Patients who present with spontaneous onset of wrist pain, who have a vague or distant history of trauma, or whose activities consist of repetitive loading could be ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1753.html

Disease Management: Asthma -- FPM Toolbox

Nov 16, 2009 - Download encounter forms, chart reminders, and patient self-assessments to help you manage asthma care.

Family Practice Management : FPM Toolbox : Disease Management: Asthma

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=9

Common Adverse Effects of Antiretroviral Therapy for HIV Disease - American Family ...

Jun 15, 2011 - Family physicians are treating patients infected with human immunodeficiency virus in their practices more often. Long-term complications of this disease are multifactorial and can be related to the virus itself or to adverse effects of antiretroviral therapy. Each drug class has side ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0615/p1443.html

Inflamed, Purulent Axillary Nodules - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 15, 2020 - A man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0715/p111.html

Preterm Premature Rupture of Membranes: Diagnosis and Management - American Family ...

Feb 15, 2006 - Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p659.html

Common Acute Hand Infections - American Family Physician

Dec 1, 2003 - Hand infections can result in significant morbidity if not appropriately diagnosed and treated. Host factors, location, and circumstances of the infection are important guides to initial treatment strategies. Many hand infections improve with early splinting, elevation, appropriate ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2167.html

Treatment of Knee Osteoarthritis - American Family Physician

Jun 1, 2011 - Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1287.html

Postpartum Major Depression - American Family Physician

Oct 15, 2010 - Postpartum major depression is a disorder that is often unrecognized and must be distinguished from baby blues. Antenatal depressive symptoms, a history of major depressive disorder, or previous postpartum major depression significantly increase the risk of postpartum major depression. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1015/p926.html

The Abnormal Fontanel - American Family Physician

Jun 15, 2003 - The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2547.html

Glycemic Control in Hospitalized Patients Not in Intensive Care: Beyond Sliding-Scale ...

May 1, 2010 - Glycemic control in hospitalized patients who are not in intensive care remains unsatisfactory. Despite persistent expert recommendations urging its abandonment, the use of sliding-scale insulin remains pervasive in U.S. hospitals. Evidence for the effectiveness of sliding-scale insulin...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1130.html

Osteoporosis in Men - American Family Physician

Sep 1, 2010 - Osteoporosis is an important and often overlooked problem in men. Although the lifetime risk of hip fracture is lower in men than in women, men are twice as likely to die after a hip fracture. Bone mineral density measurement with a T-score of -2.5 or less indicates osteoporosis. The ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p503.html

Human Papillomavirus: Clinical Manifestations and Prevention - American Family Physician

Nov 15, 2010 - Human papillomaviruses cause the most common sexually trans- mitted infection in the world and are responsible for nearly all cases of cervical cancer. Genital human papillomavirus infection can be divided into low-risk infections (causing genital warts) and high-risk infections ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1115/p1209.html

Practice Essentials -- FPM Topic Collection

Nov 8, 2011 - If you want a quick course on those aspects of practice that you didn't learn about in medical school and residency, or if you're new to practice and feeling overwhelmed, this Practice Essentials article collection will introduce you to the basics -- from coding to contracting to time ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=74

Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ... Restricted content. Login required.

Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0715/p115.html

Intimate Partner Violence - American Family Physician

May 15, 2011 - Intimate partner violence is a common source of physical, psychological, and emotional morbidity. In the United States, approximately 1.5 million women and 834,700 men annually are raped and/or physically assaulted by an intimate partner. Women are more likely than men to be injured, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0515/p1165.html

Diagnosis and Management of Benign Prostatic Hyperplasia - American Family Physician

May 15, 2008 - Benign prostatic hyperplasia is a common condition affecting older men. Typical presenting symptoms include urinary hesitancy, weak stream, nocturia, incontinence, and recurrent urinary tract infections. Acute urinary retention, which requires urgent bladder catheterization, is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1403.html

Dermatologic Emergencies - American Family Physician

Oct 1, 2010 - Life-threatening dermatologic conditions include Rocky Mountain spotted fever; necrotizing fasciitis; toxic epidermal necrolysis; and Stevens-Johnson syndrome. Rocky Mountain spotted fever is the most common rickettsial disease in the United States, with an overall mortality rate of 5 ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p773.html

Asymptomatic Bacteriuria in Adults - American Family Physician

Sep 15, 2006 - A common dilemma in clinical medicine is whether to treat asymptomatic patients who present with bacteria in their urine. There are few scenarios in which antibiotic treatment of asymptomatic bacteruria has been shown to improve patient outcomes. Because of increasing antimicrobial ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p985.html

Acute Onset of Elbow Swelling - Photo Quiz - American Family Physician

Aug 1, 2016 - A patient presented with spherical, fluctuant elbow swelling without redness or tenderness.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2016/0801/p243.html

Evening Primrose Oil - American Family Physician

Dec 15, 2009 - Evening primrose oil (Oenothera biennis) is a commonly used alternative therapy and a rich source of omega-6 essential fatty acids. It is best known for its use in the treatment of systemic diseases marked by chronic inflammation, such as atopic dermatitis and rheumatoid arthritis. It ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1405.html

Health Effects of Prenatal Radiation Exposure - American Family Physician

Sep 1, 2010 - Pregnant women are at risk of exposure to nonionizing and ionizing radiation resulting from necessary medical procedures, workplace exposure, and diagnostic or therapeutic interventions before the pregnancy is known. Nonionizing radiation includes microwave, ultrasound, radio frequency,...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p488.html

Managing the Adverse Effects of Radiation Therapy - American Family Physician

Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p381.html

Management of Genital Warts - American Family Physician

Dec 15, 2004 - Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed. Biopsy, viral typing, acetowhite staining, and other diagnostic measures are not routinely ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2335.html

Treatment of Vertigo - American Family Physician

Mar 15, 2005 - Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1115.html

Group Visits -- FPM Toolbox

Jul 31, 2009 - Download tools to help you facilitate group visits in your practice.

Family Practice Management : FPM Toolbox : Group Visits

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=15

Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD - Cochrane for ... Restricted content. Login required.

Jul 1, 2020 - Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p16.html

Recurrent Venous Thromboembolism - American Family Physician

Feb 1, 2011 - A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p293.html

Hepatitis C: Diagnosis and Treatment - American Family Physician

Jun 1, 2010 - Hepatitis C, a common chronic bloodborne infection, is found in approximately 2 percent of adults in the United States. Chronic infection is associated with serious morbidity and mortality (e.g., cirrhosis, hepatocellular carcinoma). Testing for hepatitis C is recommended for at-risk ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1351.html

Radiologic Evaluation of Incidentally Discovered Adrenal Masses - American Family ...

Jun 1, 2010 - The increasing use of cross-sectional imaging has led to an increase in the incidental discovery of adrenal masses (adrenal incidentalomas). Although most of these lesions are benign, they often present a diagnostic dilemma. Before creating a management plan, the physician should ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1361.html

Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American... Restricted content. Login required.

Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p17.html

Clavicle Fractures - American Family Physician

Jan 1, 2008 - Clavicle fractures are most common in children and young adults, typically occurring in persons younger than 25 years. Its superficial location, its thin midshaft, and the forces transmitted across it make the clavicle a common site for injury. The most common mechanism of injury is a ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p65.html

Update on Immunizations in Adults - American Family Physician

Nov 1, 2011 - Vaccine-preventable diseases contribute significantly to the morbidity and mortality of U.S. adults. The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention updates its recommended adult immunization schedule annually. The most recent updates ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1101/p1015.html

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

Aug 1, 2020 - << Previous article Next article >> Aug 1, 2020 Issue Letters to the Editor Race-Based Treatment Decisions Perpetuate Structural Racism Am Fam Physician. 2020 Aug 1;102(3):136-137. Original Article: Managing Hypertension Using Combination Therapy Issue Date: March 15, 2020 Available...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0801/p136.html

Acetaminophen for Pain Relief in Osteoarthritis - FPIN's Help Desk Answers - American ... Restricted content. Login required.

Jul 15, 2020 - Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0715/p113.html

Chronic Low Back Pain: Evaluation and Management - American Family Physician

Jun 15, 2009 - Chronic low back pain is a common problem in primary care. A history and physical examination should place patients into one of several categories: (1) nonspecific low back pain; (2) back pain associated with radiculopathy or spinal stenosis; (3) back pain referred from a nonspinal ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1067.html

Heat-Related Illness - American Family Physician

Jun 1, 2011 - Heat-related illness is a set of preventable conditions ranging from mild forms (e.g., heat exhaustion, heat cramps) to potentially fatal heat stroke. Hot and humid conditions challenge cardiovascular compensatory mechanisms. Once core temperature reaches 104°F (40°C), cellular damage ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1325.html

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0615/od1.html

Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...

Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0115/p127.html

Operationalizing Virtual Visits During a Public Health Emergency -- FPM Restricted content. Login required.

Jun 1, 2020 - Providing options for remote access to care can keep your practice running and your patients healthy when an infectious disease outbreak prevents you from seeing them in person.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p5.html

Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth - AFP Clinical Answers - ... Restricted content. Login required.

Jul 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0715/p83.html

Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis - STEPS - American Family ... Restricted content. Login required.

Nov 15, 2019 - Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1115/p643.html

Treatment of Adult Obesity with Bariatric Surgery - American Family Physician

Oct 1, 2011 - Bariatric surgery procedures, including laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass, result in an average weight loss of 50 percent of excess body weight. Remission of diabetes mellitus occurs in approximately 80 percent of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1001/p805.html

Encouraging Health Behavior Change: Eight Evidence-Based Strategies -- FPM

Apr 1, 2018 - Using these brief interventions, you can help your patients make healthy behavior changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p31.html

Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: ...

Jul 15, 2020 - The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0715/p105.html

Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...

Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1201/p672.html

Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...

Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p265.html

Knee Bruising and Swelling in a Teenager - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2020 - A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0701/p49.html

Nausea and Vomiting in Pregnancy - American Family Physician

Jul 1, 2003 - Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p121.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

Apr 1, 2005 - Muscle weakness is a common complaint among patients presenting to family physicians. Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. The pattern ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1327.html

Evaluation of Scrotal Masses - American Family Physician

Nov 15, 2008 - Scrotal masses can represent a wide range of medical issues, from benign congenital conditions to life-threatening malignancies and acute surgical emergencies. Having a clear understanding of scrotal anatomy allows the examiner to accurately identify most lesions. Benign lesions such as...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1165.html

Erythema Multiforme - American Family Physician

Dec 1, 2006 - Erythema multiforme is a skin condition considered to be a hypersensitivity reaction to infections or drugs. It consists of a polymorphous eruption of macules, papules, and characteristic

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1883.html

Complications of HIV Infection: A Systems-Based Approach - American Family Physician

Feb 15, 2011 - Patients with human immunodeficiency virus (HIV) infection often develop multiple complications and comorbidities. Opportunistic infections should always be considered in the evaluation of symptomatic patients with advanced HIV/AIDS, although the overall incidence of these infections ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p395.html

Initial Evaluation of Vertigo - American Family Physician

Jan 15, 2006 - Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Meniere's disease cause most cases of vertigo; however, family physicians must consider other causes including cerebrovascular disease, migraine, psychological disease, perilymphatic fistulas, multiple sclerosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p244.html

Evaluation and Treatment of Severe Asymptomatic Hypertension - American Family Physician

Feb 15, 2010 - Poorly controlled hypertension is a common finding in the outpatient setting. When patients present with severely elevated blood pressure (i.e., systolic blood pressure of 180 mm Hg or greater, or diastolic blood pressure of 110 mm Hg or greater), physicians need to differentiate ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p470.html

Update on the Evaluation and Management of Functional Dyspepsia - American Family ...

Mar 1, 2011 - Dyspepsia affects up to 40 percent of adults each year and is often diagnosed as functional (nonulcer) dyspepsia. The defining symptoms are postprandial fullness, early satiation, or epigastric pain or burning in the absence of causative structural disease. These symptoms may coexist ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0301/p547.html

Infant Formula - American Family Physician

Apr 1, 2009 - Although the American Academy of Pediatrics and the American Academy of Family Physicians recommend breast milk for optimal infant nutrition, many parents still choose formula as an acceptable alternative. The wide variety of available formulas is confusing to parents and physicians, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p565.html

Non-Neoplastic Epithelial Disorders of the Vulva - American Family Physician

Feb 1, 2008 - Lichen sclerosus, lichen planus, and lichen simplex chronicus are three of the most common non-neoplastic epithelial disorders of the vulva. Lichen sclerosus is characterized by intense vulvar itching and can affect men and women of all ages, but it manifests most commonly in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0201/p321.html

Umbilical Cord Blood: A Guide for Primary Care Physicians - American Family Physician

Sep 15, 2011 - Umbilical cord blood stem cell transplants are used to treat a variety of oncologic, genetic, hematologic, and immunodeficiency disorders. Physicians have an important role in educating, counseling, and offering umbilical cord blood donation and storage options to patients. Parents may ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p661.html

Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer ... Restricted content. Login required.

Jul 15, 2020 - Mailed outreach significantly increases rates of colorectal cancer screening, with four tests needing to be mailed to screen one person.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117.html

A Practical Approach to Hypercalcemia - American Family Physician

May 1, 2003 - Hypercalcemia is a disorder commonly encountered by primary care physicians. The diagnosis often is made incidentally in asymptomatic patients. Clinical manifestations affect the neuromuscular, gastrointestinal, renal, skeletal, and cardiovascular systems. The most common causes of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1959.html

ACC/AHA Hypertension Guideline: What Is New? What Do We Do? - Editorials - American ...

Mar 15, 2018 - Choosing a threshold and target for treatment should be based on the science supporting CVD risk reduction, while considering the benefits and harms in individual patient circumstances and respecting patient choice.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0315/p372.html

No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies - POEMs ... Restricted content. Login required.

Jul 15, 2020 - In infants at increased risk of atopy, restricting cow's milk supplementation for the first three days of life is associated with a significantly lower risk of developing a cow's milk allergy or food allergies by 24 months of age.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p118.html

Caregiver Care - American Family Physician

Jun 1, 2011 - In 2009, nearly 66 million Americans (three in 10 U.S. households) reported at least one person providing unpaid care as a family caregiver. More adults with chronic conditions and disabilities are living at home than ever before, and family caregivers have an even higher level of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1309.html

Understanding Value-Based Payment: A Primer for Family Physicians -- FPM Restricted content. Login required.

Aug 1, 2020 - Public and private payers are transitioning away from fee-for-service and emphasizing value-based payment models. This supplement from the American Academy of Family Physicians describes what you need to know about the transition and how it may affect you and your practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p25.html

Management of Bartholin's Duct Cyst and Gland Abscess - American Family Physician

Jul 1, 2003 - Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. Bartholin's glands are located bilaterally at the posterior introitus and drain through ducts that empty into the vestibule at approximately the 4 o'clock and 8 o'clock positions. These normally...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p135.html

Treatment Options for Localized Prostate Cancer - American Family Physician

Aug 15, 2011 - In the United States, more than 90 percent of prostate cancers are detected by serum prostate-specific antigen testing. Most patients are found to have localized prostate cancer, and most of these patients undergo surgery or radiotherapy. However, many patients have low-risk cancer and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p413.html

Respiratory Syncytial Virus Infection in Children - American Family Physician

Jan 15, 2011 - Respiratory syncytial virus (RSV) is an RNA virus that causes respiratory tract infections in children. In the North- ern Hemisphere, the peak infection season is November through April. By two years of age, most children will have had an RSV infection. Bronchiolitis, a lower ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p141.html

Increasing the D-dimer Threshold for Patients with Low Clinical Pretest Probability ... Restricted content. Login required.

Jul 15, 2020 - The Pulmonary Embolism Graduated d-Dimer strategy increases the number of patients in the emergency department and outpatient setting who have PE ruled out via d-dimer testing, thus decreasing the need for chest imaging.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117a.html

Update on ASCCP Consensus Guidelines for Abnormal Cervical Screening Tests and Cervical...

Jul 15, 2009 - New data have emerged since publication of the American Society for Colposcopy and Cervical Pathology's 2001 consensus guidelines for management of abnormal cervical cytology and histology. The 2006 guidelines include recommendations for special populations (i.e., adolescents and ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p147.html

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0115/od1.html

Insertion and Removal of Intrauterine Devices - American Family Physician

Jan 1, 2005 - The intrauterine device (IUD) is an effective contraceptive for many women. The copper-releasing IUD can be used for 10 years before replacement and is a good choice for women who cannot, or choose not to, use hormone-releasing contraceptives. However, some women experience an increase ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p95.html

Caring for Pregnant Women and Newborns with Hepatitis B or C - American Family Physician

Nov 15, 2010 - Family physicians encounter diagnostic and treatment issues when caring for pregnant women with hepatitis B or C and their newborns. When hepatitis B virus is perinatally acquired, an infant has approximately a 90 percent chance of becoming a chronic carrier and, when chronically ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1115/p1225.html

Vocal Cord Dysfunction - American Family Physician

Jan 15, 2010 - Vocal cord dysfunction involves inappropriate vocal cord motion that produces partial airway obstruction. Patients may present with respiratory distress that is often mistakenly diagnosed as asthma. Exercise, psychological conditions, airborne irritants, rhinosinusitis, gastroesophageal...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p156.html

Practical Selection of Antiemetics - American Family Physician

Mar 1, 2004 - An understanding of the pathophysiology of nausea and the mechanisms of antiemetics can help family physicians improve the cost-effectiveness and efficacy of therapy. Nausea and vomiting are mediated primarily by visceral stimulation through dopamine and serotonin, by vestibular and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1169.html

Breast Cancer Screening: ACP Releases Guidance Statements - Practice Guidelines - ... Restricted content. Login required.

Feb 1, 2020 - The American College of Physicians reviewed guidelines from other organizations and developed four statements to provide advice to clinicians about breast cancer screening for women who are at average risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0201/p184.html

Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at...

May 1, 2016 - The Adult Preventive Health Care Schedule provides a concise and informative visual representation of USPSTF recommendations.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0501/p738.html

Coding & Documentation - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0700/p36.html

Altitude Illness: Risk Factors, Prevention, Presentation, and Treatment - American ...

Nov 1, 2010 - Altitude illness affects 25 to 85 percent of travelers to high altitudes, depending on their rate of ascent, home altitude, individual susceptibility, and other risk factors. Acute mountain sickness is the most common presentation of altitude illness and typically causes headache and ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1101/p1103.html

A Practical Approach to Neonatal Jaundice - American Family Physician

May 1, 2008 - Kernicterus and neurologic sequelae caused by severe neonatal hyperbilirubinemia are preventable conditions. A structured and practical approach to the identification and care of infants with jaundice can facilitate prevention, thus decreasing rates of morbidity and mortality. Primary ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1255.html

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