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Physical Activity: Updated Recommendations from HHS - Practice Guidelines - American ...

Jul 1, 2019 - The U.S. Department of Health and Human Services recently published updated recommendations on physical activity based on a systematic review of the effect of physical activity on health. The committee addressed 38 questions and 104 subquestions and graded the evidence based on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0701/p58.html

Intertrigo and Common Secondary Skin Infections - American Family Physician

Sep 1, 2005 - Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. It is a common skin condition affecting opposing cutaneous or mucocutaneous surfaces. Intertrigo may present as diaper rash in children. The condition appears in natural and obesity-created body folds. The friction...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p833.html

Diagnosis and Management of Ectopic Pregnancy - American Family Physician

Nov 1, 2005 - Ectopic pregnancy is a high-risk condition that occurs in 1.9 percent of reported pregnancies. The condition is the leading cause of pregnancy-related death in the first trimester. If a woman of reproductive age presents with abdominal pain, vaginal bleeding, syncope, or hypotension, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1707.html

More Evidence Against Antibiotics for Acute Asthma Exacerbations - POEMs - American ...

Aug 1, 2019 - Antibiotics do not benefit patients hospitalized with an asthma exacerbation. Evidence from this study suggests worse outcomes with antibiotic use, including a longer hospital stay, higher costs, and greater risk of diarrhea.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0801/p185.html

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...

Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118a.html

Outdoor Air Pollutants and Patient Health - American Family Physician

Jan 15, 2010 - Almost 160 million persons live in areas of the United States that exceed federal health-based air pollution standards. The two air pollutants that most commonly exceed standards are ozone and particulate matter. Ozone and particulate matter can harm anyone if levels are sufficiently ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p175.html

Ankle Sprains, Counseling Strategies, Dysphonia, Acute Coronary Syndrome, Egg Allergy -...

Jul 15, 2019 - 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/2019/0715/p81.html

Social Determinants of Health: Family Physicians’ Leadership Role - Editorials - ...

Apr 15, 2019 - Family physicians can be early adopters of SDOH tools and models for practice, and they can advocate for use of these tools across systems of care.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0415/p476.html

Tongue Ulcer in a Young Child - Photo Quiz - American Family Physician

Mar 15, 2019 - A six-year-old boy presented with a painful ulcer on his tongue after receiving treatment at a dermatology clinic for foot lesions earlier in the day.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0315/p385.html

Introducing FPM’s New Medical Editor -- FPM

Aug 1, 2019 - We welcome Sarina Schrager, MD, MS, to the FPM editorial team.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0700/p4.html

Subcutaneous Nodules on the Chest, with Cough and Weight Loss - Photo Quiz - American ...

Apr 1, 2019 - A 60-year-old smoker presented with cough and hemoptysis. She had also developed several subcutaneous masses on her chest wall and left and right abdominal wall over the past several months.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0401/p451.html

Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines...

Jun 15, 2019 - The purpose of this guideline is to provide recommendations that are relevant to primary care for the screening and treatment of depression in patients following an acute coronary syndrome (ACS) event.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0615/od2.html

Deprescribing Benzodiazepine Receptor Agonists for Insomnia in Adults - Practice ...

Jan 1, 2019 - A multidisciplinary group of clinicians as part of the Deprescribing Guidelines in the Elderly project has developed evidence-based guidelines focused on deprescribing long-term Benzodiazepine receptor agonists (BZRAs) in patients taking them for insomnia, with the goal of helping ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0101/p57.html

Preventing Spontaneous Abortion with Progestin Therapy - Medicine by the Numbers - ...

Jul 1, 2019 - The use of progestin therapy in women with recurrent pregnancy loss appears to reduce the incidence of spontaneous abortion, preterm labor, and stillbirth, and increase the rate of live birth. However, due to issues with the studies the authors were hesitant to give progestin their full...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0701/od1.html

HIV Infection: The Role of Primary Care - American Family Physician

Nov 1, 2009 - Human immunodeficiency virus infection was first documented in the United States in 1981. Since that time, significant strides have been made in the prevention and treatment of the condition. Screening is paramount in identifying early infection and is now a routine component of primary...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p946.html

Focusing on the Patient and Physician Experience -- FPM

Aug 1, 2019 - Let FPM help you take care of your patients and find the joy in practice.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0700/p5.html

Toilet Training - American Family Physician

Nov 1, 2008 - Toilet training is a developmental task that impacts families with small children. All healthy children are eventually toilet trained, and most complete the task without medical intervention. Most research on toilet training is descriptive, although some is evidence based. In the United...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1059.html

Ovarian Cancer: An Overview - American Family Physician

Sep 15, 2009 - Although ovarian cancer may occur at any age, it is more common in patients older than 50 years. Patients often present with nonspecific pelvic or abdominal symptoms. Initial diagnostic tests include transvaginal ultrasonography and serum cancer antigen 125 measurement; however, these ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0915/p609.html

Evaluation and Management of the Patient with Difficult-to-Control or Resistant ...

May 15, 2009 - High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p863.html

Ivermectin Use in Scabies - American Family Physician

Sep 15, 2003 - Oral ivermectin is an effective and cost-comparable alternative to topical agents in the treatment of scabies infection. It may be particularly useful in the treatment of severely crusted scabies lesions in immunocompromised patients or when topical therapy has failed. Oral dosing may ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1089.html

Why I Don’t Share Patients -- FPM

Aug 1, 2019 - Health care is fragmented enough, so why would we want to fragment it even more?

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/0700/p40.html

Noninvasive Diagnostic Tests for Helicobacter pylori Infection - Cochrane for ...

Jul 1, 2019 - When compared with serology or stool antigen tests, the urea breath test has the highest diagnostic accuracy to identify H. pylori infection in patients without a history of gastrectomy or recent use of antibiotics or proton pump inhibitors.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0701/p16.html

Gout: An Update - American Family Physician

Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p801.html

Unpleasant Foot Odor and Skin Changes - Photo Quiz - American Family Physician

May 15, 2019 - A woman presented with several months of increasingly problematic foot odor. Physical examination revealed small pits in the skin on her soles and a slight scale over the plantar surface of both feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0515/p651.html

Primary Brain Tumors in Adults - American Family Physician

May 15, 2008 - Primary malignant brain tumors account for 2 percent of all cancers in U.S. adults. The most common malignant brain tumor is glioblastoma multiforme, and patients with this type of tumor have a poor prognosis. Previous exposure to high-dose ionizing radiation is the only proven ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1423.html

Practice Pearls - Jul-Aug 2019 -- FPM

Aug 1, 2019 - Reduce time spent doing other physicians’ paperwork | Send preventive service reminders according to birth months | Help put patients at ease during visits | Identify patients’ unmet social needs to facilitate referrals

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0700/p35.html

A Different Look at Corticosteroids - American Family Physician

Aug 1, 1998 - Systemic corticosteroids have been used in the treatment of numerous medical conditions for approximately 50 years. Short-acting products such as hydrocortisone are the least potent. Prednisone and methylprednisolone, which are intermediate-acting products, are four to five times more ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p443.html

Preparing for Serious Illness: A Model for Better Conversations over the Continuum of ...

Mar 1, 2019 - How can we ensure that our seriously ill patients routinely get the right care without relying on individual sacrifice and luck?

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0301/p281.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0615/p771.html

Adolescent Vaccination: Protect Their Future -- FPM

Aug 1, 2019 - Strategies to improve your adolescent patients’ immunizations.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0700/p9.html

Painful Vesicular Eruption on the Index Finger of a Butcher - Photo Quiz - American ...

Jun 15, 2019 - A man who worked as a butcher presented with erythema, swelling, and painful lesions on his index finger that did not resolve with antibiotics. Plain radiography did not show bony abnormalities.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0615/p773.html

Antibiotics for Uncomplicated Skin Abscesses After Incision and Drainage: BMJ Rapid ...

Sep 1, 2018 - A collaboration between the BMJ and the MAGIC group led an international panel made up of a variety of health care professionals (e.g., family physicians, internists, dermatologists) and adults with experience treating and living with skin abscesses to create recommendations regarding ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0901/p323.html

Omega-3 Oil Does Not Reduce Serious Cardiovascular Events for Patients with Diabetes ...

Jul 15, 2019 - In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p120.html

Treatment of Nursing Home-Acquired Pneumonia - American Family Physician

Jun 1, 2009 - Pneumonia is an important cause of morbidity and mortality in nursing home residents, with 30-day mortality rates ranging from 10 to 30 percent. Streptococcus pneumoniae is the most common cause of nursing home-acquired pneumonia, although Staphylococcus aureus and gram-negative ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p976.html

Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...

Apr 15, 2019 - A.C., a 32-year-old woman, presents for her annual wellness visit. She recently had blood work completed that showed normal glucose and lipid levels. Her blood pressure is 124/76 mm Hg, weight is 221.8 lb (100.6 kg), height is 5 feet 6 inches (172 cm), and body mass index (BMI) is 34 kg...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0415/p515.html

Evaluating Diagnostic Tests: Introducing a New Feature in AFP - Editorials - American ...

Jul 1, 2019 - This new feature cuts through the hype and provides independent, objective assessments of new diagnostic tests that readers are considering incorporating into their practices.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0701/p8.html

NPH Insulin: Fewer Episodes of Severe Hypoglycemia Than Analogs and Less Than One-Half ...

Jan 1, 2019 - This study found that compared with expensive long-acting insulin analogs costing two to 10 times as much, NPH insulin results in a similar number of episodes of severe hypoglycemia (if not fewer) that result in emergency department visits and hospitalizations.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p53a.html

Radiologic Evaluation of Suspected Renovascular Hypertension - American Family Physician

Aug 1, 2009 - More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p273.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p676.html

Vitamin D is Equal to Placebo for Preventing Cognitive Decline in African-American ...

Jul 15, 2019 - Is vitamin D more effective than placebo in preventing cognitive decline in African American women older than 65 years who have low serum vitamin D levels at baseline?

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118.html

Registered Dietitian Nutritionists Should Be Included in Patient Health Care Teams - ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p142.html

Alternative Interventions for Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men -...

Jun 1, 2019 - In men with chronic pelvic pain and urinary dysfunction who have not responded to standard medical management, extracorporeal shock wave therapy reduces symptoms and increases quality of life. Acupuncture may also provide benefit to some patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p677.html

Therapeutic Home Adaptations for Older Adults with Disabilities - American Family ...

Nov 1, 2009 - Family physicians commonly care for older patients with disabilities. Many of these patients need help maintaining a therapeutic home environment to preserve their comfort and independence. Patients often have little time to decide how to address the limitations of newly-acquired ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p963.html

Catheter Ablation of Supraventricular Arrhythmias and Atrial Fibrilation - American ...

Nov 15, 2009 - Supraventricular arrhythmias are relatively common, often persistent, and rarely life-threatening cardiac rhythm disturbances that arise from the sinus node, atrial tissue, or junctional sites between the atria and ventricles. The term

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1089.html

Special Considerations in Interpreting Liver Function Tests - American Family Physician

Apr 15, 1999 - A number of pitfalls can be encountered in the interpretation of common blood liver function tests. These tests can be normal in patients with chronic hepatitis or cirrhosis. The normal range for aminotransferase levels is slightly higher in males, nonwhites and obese persons. Severe ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2223.html

Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...

Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0601/od1.html

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults - ...

May 15, 2019 - A.F., a 32-year-old woman, presents for a health maintenance visit. It has been more than a year since she was last seen. She has no significant medical history and has never used tobacco, alcohol, or any other substances.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0515/p649.html

A Practical Approach to Reducing Patients' Prescription Costs -- FPM

Jun 1, 2019 - A single screening question and an arsenal of cost-reducing strategies can help you help your patients afford their medications.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p5.html

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...

Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p718.html

Preventing or Delaying Type 2 Diabetes Mellitus with Diet and Exercise - Cochrane for ...

Dec 1, 2018 - There is moderate-quality evidence that in patients with impaired glucose tolerance (IGT) defined by an abnormal 75-g two-hour glucose tolerance test, implementing changes in diet and adding physical activity together can prevent or delay the development of type 2 diabetes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1201/p643.html

Migraine Headache, Hypertension in Children, CVD Risk, Acupuncture, Incarcerated ...

Jul 1, 2019 - 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/2019/0701/p12.html

Helping Patients Who Drink Too Much: An Evidence-Based Guide for Primary Care ...

Jul 1, 2009 - Excessive alcohol consumption is a leading cause of preventable morbidity and mortality, but few heavy drinkers receive treatment. Primary care physicians are in a position to address heavy drinking and alcohol use disorders with patients, and can do so quickly and effectively. The ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p44.html

Eosinophilic Esophagitis: A Mimic of Gastroesophageal Reflux Disease - Editorials - ...

May 15, 2018 - Pathologic diseases, besides GERD, are becoming more prevalent and should be considered in the differential diagnosis of patients presenting with symptoms of esophageal dysfunction.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0515/p628.html

Metformin for Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis - ...

Feb 15, 2019 - Metformin does not seem to be an effective treatment for nonalcoholic steatohepatitis. There are no studies evaluating whether metformin improves long-term patient-oriented outcomes such as progression from NAFLD to nonalcoholic steatohepatitis, cirrhosis, hepatocellular carcinoma, or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0215/p262.html

H. pylori Screening Before Initiation of Long-term NSAIDs - FPIN's Clinical Inquiries -...

Jun 15, 2019 - Physicians should perform laboratory screening for and eradicate H. pylori before initiating long-term NSAID therapy in NSAID-naive patients to reduce the risk of peptic ulcer disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0615/p783.html

Gastrointestinal Complications of Diabetes - American Family Physician

Jun 15, 2008 - Gastrointestinal complications of diabetes include gastroparesis, intestinal enteropathy (which can cause diarrhea, constipation, and fecal incontinence), and nonalcoholic fatty liver disease. Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0615/p1697.html

Management of Uterine Fibroids - Implementing AHRQ Effective Health Care Reviews - ...

Mar 1, 2019 - What are the comparative effectiveness and harms of treatments for uterine fibroids, and what is the risk of finding unexpected leiomyosarcoma in women with fibroids?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/0301/p330.html

Pharmacologic Management of Adult Depression - American Family Physician

Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p785.html

Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors: ...

Jan 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adding the ankle-brachial index (ABI), high-sensitivity C-reactive protein (hsCRP) level, or coronary artery calcium score to traditional risk assessment for cardiovascular ...

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

https://www.aafp.org/afp/2019/0115/od1.html

Denosumab for Reducing Risk of Fractures in Postmenopausal Women - Medicine by the ...

May 1, 2019 - Denosumab appears to be effective in reducing the risk of vertebral and nonvertebral fractures in postmenopausal women with osteoporosis. Treatment with denosumab does not increase the risk of cancer or death but might increase the risk of infection. However, more studies are required.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0501/od1.html

Infectious Diarrhea: IDSA Updates Guidelines for Diagnosis and Management - Practice ...

May 15, 2018 - The Infectious Diseases Society of America (IDSA) has updated its 2001 guidelines for the management of children and adults with suspected or confirmed infectious diarrhea. Infectious diarrhea is usually self-limited, but diagnostic testing and treatment are indicated in some cases.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0515/p676.html

Teach-Back: A Simple Technique to Enhance Patients’ Understanding -- FPM

Aug 1, 2018 - Half of patients leave their visit without understanding what their physician told them, but this simple technique can help.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p20.html

Applying HIV Testing Guidelines in Clinical Practice - American Family Physician

Dec 15, 2009 - An estimated one fourth of persons with human immunodeficiency virus (HIV) are not aware they are infected. Early diagnosis of HIV has the potential to ensure optimal outcomes for infected persons and to limit the spread of the virus. Important barriers to testing among physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1441.html

Ulcerative Colitis: Diagnosis and Treatment - American Family Physician

Nov 1, 2007 - Ulcerative colitis is a chronic disease with recurrent symptoms and significant morbidity. The precise etiology is still unknown. As many as 25 percent of patients with ulcerative colitis have extraintestinal manifestations. The diagnosis is made endoscopically. Tests such as ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1323.html

Screening for Cervical Cancer - Putting Prevention into Practice - American Family ...

Feb 15, 2019 - P.J., a 48-year-old woman, presents to your office for a well-woman examination. She has been married for eight years, has no history of sexually transmitted diseases, and has nothing remarkable in her medical history.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0215/p253.html

Abaloparatide (Tymlos) for Osteoporosis - STEPS - American Family Physician

Feb 15, 2019 - Abaloparatide is a safe and effective medication used to reduce the likelihood of vertebral and nonvertebral fractures in women at high risk. However, it is expensive and requires daily injections. It has not been evaluated for its effect on decreasing hip fractures.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0215/p260.html

Depression After ACS Events: AAFP Releases Updated Guidelines - Practice Guidelines - ...

Jun 15, 2019 - The American Academy of Family Physicians has released a guideline focusing on depression in adults within three months of an ACS event (unstable angina or myocardial infarction). The guideline is based on a systematic review of randomized controlled trials and observational studies and...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0615/p785.html

Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP - Practice ...

May 15, 2019 - To address the high prevalence of bronchiolitis, the effects of chronic cough on patients' quality of life, and adverse effects from inappropriate use of medications, an expert panel from the American College of Chest Physicians performed systematic reviews to develop several ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0515/p654.html

Risks of Elective Labor Induction vs. Expectant Management - FPIN's Help Desk Answers -...

May 1, 2019 - Elective labor induction at 39 weeks’ gestation leads to a mean 145-g (5.1-oz) lower birth weight compared with expectant management, but there is conflicting evidence about the effects on rates of cesarean delivery, perinatal mortality, operative vaginal birth, and admission to the ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0501/p587.html

Vacuum-Assisted Vaginal Delivery - American Family Physician

Oct 15, 2008 - The second stage of labor is a dynamic event that may require assistance when maternal efforts fail to effect delivery or when there are nonreassuring fetal heart tones. Therefore, knowing how to perform an operative vaginal delivery with forceps or vacuum is vital for family physicians...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p953.html

What to do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder...

Oct 15, 2002 - Selective serotonin reuptake inhibitors (SSRIs) are the drug of choice for treatment of patients with panic disorder. Most patients have a favorable response to SSRI therapy; however, 30 percent will not be able to tolerate these drugs or will have an unfavorable or incomplete response....

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1477.html

Diagnostic Approach to Polyarticular Joint Pain - American Family Physician

Sep 15, 2003 - Identifying the cause of polyarticular joint pain can be difficult because of the extensive differential diagnosis. A thorough history and a complete physical examination are essential. Six clinical factors are helpful in narrowing the possible causes: disease chronology, inflammation, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1151.html

Coronary Syndrome, HPV Vaccination, Acute Sore Throat, Food Allergies, Breastfeeding - ...

Jun 15, 2019 - 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/2019/0615/p737.html

Head and Neck Manifestations of Gastroesophageal Reflux Disease - American Family ...

Sep 1, 1999 - Gastroesophageal reflux disease (GERD) is the most common esophageal disease. Besides the typical presentation of heartburn and acid regurgitation, either alone or in combination, GERD can cause atypical symptoms. An estimated 20 to 60 percent of patients with GERD have head and neck ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p873.html

Antibiotic Prophylaxis for UTIs in Patients with Neurogenic Bladder - FPIN's Help Desk ...

Feb 1, 2019 - Daily antibiotic prophylaxis should not be used in patients with acute and nonacute spinal cord injuries.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0201/p186.html

Practice Pearls - May-Jun 2019 -- FPM

Jun 1, 2019 - Create annual visit plans for your patients | Use your EHR to close care gaps | Use passwords to practice mindfulness

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0500/p32.html

Oral Contraceptives and Antiandrogens Most Effective for Hirsutism Pharmacotherapy - ...

Jan 1, 2019 - Combination oral contraceptive pills (OCPs) are an excellent treatment option for women desiring medical therapy for hirsutism. Based on this meta-analysis, an accompanying practice guideline recommends adding an antiandrogen, such as finasteride (Propecia), if there is an inadequate ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p55.html

Measles Vaccine, Acute Appendicitis, Screening for Heart Disease, Abdominal Pain, ...

Jun 1, 2019 - 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/2019/0601/p675.html

Ensuring Primary Care Access in States with an Aging Family Physician Workforce - ...

Jun 15, 2019 - In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0615/p743.html

Understanding the High Cost of Insulin: What Family Physicians Can Do to Help Our ...

Apr 1, 2019 - Through clinical and system-level interventions, family physicians can push back against the high cost of insulin and help patients with type 2 diabetes afford these essential medications.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0401/p416.html

Lofexidine (Lucemyra) for Treatment of Opioid Withdrawal Symptoms - STEPS - American ...

Mar 15, 2019 - Lofexidine has been shown to be as effective as clonidine at controlling some of the symptoms of withdrawal from opioid use. It may have a small additional benefit for maintaining abstinence in patients switched to buprenorphine or methadone for long-term maintenance.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0315/p392.html

Osteopathic Manipulative Treatment: A Primary Care Approach - Editorials - American ...

Feb 15, 2019 - Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0215/p214.html

Acute Lumbar Disk Pain: Navigating Evaluation and Treatment Choices - American Family ...

Oct 1, 2008 - Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p835.html

Treatment-Resistant Depression - American Family Physician

Jul 15, 2009 - Up to two thirds of patients with major unipolar depression will not respond to the first medication prescribed. Depression may be considered resistant to treatment when at least two trials with antidepressants from different pharmacologic classes (adequate in dose, duration, and ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p167.html

Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician

Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0401/p456.html

Sialorrhea--A Management Challenge - American Family Physician

Jun 1, 2004 - Sialorrhea (drooling or excessive salivation) is a common problem in neurologically impaired children (i.e., those with mental retardation or cerebral palsy) and in adults who have Parkinson's disease or have had a stroke. It is most commonly caused by poor oral and facial muscle ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2628.html

Coaching Patients About Successful Blood Pressure Management - Lown Right Care: ...

Mar 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2019/0315/p357.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

A New Lexicon for Physicians: A Poem for Physicians Who Care -- FPM

Jun 1, 2019 - What if EHRs, MIPS, and MACRA all stood for something else--something truly meaningful?

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/0500/p36.html

My Kidney Donation: Unexpected Twists - Close-ups - American Family Physician

Jun 1, 2019 - An altruistic kidney donation and an unexpected nephrectomy.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0601/p672.html

An Unhappily Married Patient - Curbside Consultation - American Family Physician

Jun 1, 2019 - Overall, marriage enhances health. Men gain greater health benefits from marriage than their wives. Conversely, wives are more negatively affected by a bad marriage than their husbands. In general, the health benefit of marriage is maximized in a good marriage but negated in a bad ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0601/p708.html

FIT Has Similar Yield as Colonoscopy for Colorectal Cancer and Advanced Adenoma Over 10...

May 15, 2019 - Over a 10-year period, the rates of detection of colorectal cancer (CRC) and advanced adenomas using FIT are similar to those seen in studies of screening colonoscopy. This does not prove that FIT reduces morbidity and mortality due to CRC as effectively as colonoscopy.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od5.html

Spontaneous Vaginal Delivery - American Family Physician

Aug 1, 2008 - Vaginal delivery is a natural process that usually does not require significant medical intervention. Management guided by current knowledge of the relevant screening tests and normal labor process can greatly increase the probability of an uncomplicated delivery and postpartum course. ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p336.html

Geriatric Screening and Preventive Care - American Family Physician

Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p206.html

HIV Prevention and Treatment with ART: International Antiviral Society Updates ...

Mar 15, 2019 - Antiretroviral therapy is the key to preventing and managing human immunodeficiency virus infection. Based on the availability of new medications and treatment options, the USA Panel of the International Antiviral Society has updated its 2016 recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0315/p395.html

Improving Vaccination Rates for the 2018-2019 Influenza Season -- FPM

Jun 1, 2019 - This organizational supplement summarizes information and resources the American Academy of Family Physicians (AAFP) develops, utilizes, and disseminates to family physicians and their health care teams to increase influenza vaccination rates.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p17.html

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

Multiple Myeloma: Diagnosis and Treatment - American Family Physician

Oct 1, 2008 - Multiple myeloma, the most common bone malignancy, is occurring with increasing frequency in older persons. Typical symptoms are bone pain, malaise, anemia, renal insufficiency, and hypercalcemia. Incidental discovery on comprehensive laboratory panels is common. The disease is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p853.html

Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...

Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p295.html

Rethinking Roles: Your Colleagues’ and Your Own -- FPM

Jun 1, 2019 - How can you foster teamwork when you aren’t the boss?

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0500/p4.html

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