Aspirin, Eicosapentaenoic Acid, and Placebo Equally Effective in Preventing Colorectal ...
Jun 1, 2019 - After 12 months, neither aspirin nor EPA, alone or in combination, are any better than placebo at preventing colorectal adenomas in patients with high-risk neoplasia.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0601/p717.html
Glycopyrrolate (Lonhala Magnair) for Treatment of Chronic Obstructive Pulmonary Disease...
May 15, 2019 - Glycopyrrolate is a safe alternative to long-acting muscarinic antagonists delivered by metered-dose inhaler for patients with moderate to severe COPD.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0515/p643.html
Evaluation of Back Pain in Children and Adolescents - American Family Physician
Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1201/p1669.html
Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk,...
May 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/2019/0515/p606.html
Systemic Sclerosis/Scleroderma: A Treatable Multisystem Disease - American Family ...
Oct 15, 2008 - Systemic sclerosis (systemic scleroderma) is a chronic connective tissue disease of unknown etiology that causes widespread microvascular damage and excessive deposition of collagen in the skin and internal organs. Raynaud phenomenon and scleroderma (hardening of the skin) are hallmarks...
American Family Physician : Article
https://www.aafp.org/afp/2008/1015/p961.html
Cardiac Rehabilitation - American Family Physician
Nov 1, 2009 - An estimated 80 million (nearly one in three) Americans have cardiovascular disease, which is the leading cause of morbidity and mortality worldwide. In the United States alone, more than 850,000 deaths are attributed annually to cardiovascular disease, and more than 8 million Americans...
American Family Physician : Article
https://www.aafp.org/afp/2009/1101/p955.html
Papular Lesions on Bilateral Elbows and Knees - Photo Quiz - American Family Physician
Jan 1, 2019 - A man presented with new-onset foot pain, as well as long-standing red-yellow lesions on his elbows and knees.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0101/p47.html
New-Onset Full-Body Rash Following Sore Throat in a Child - Photo Quiz - American ...
May 1, 2019 - A five-year-old presented with numerous small erythematous plaques throughout her body but sparing the palms and soles. Treatment with topical antibiotic cream was unsuccessful.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0501/p575.html
Shoulder Dystocia - American Family Physician
Apr 1, 2004 - Shoulder dystocia can be one of the most frightening emergencies in the delivery room. Although many factors have been associated with shoulder dystocia, most cases occur with no warning. Calm and effective management of this emergency is possible with recognition of the impaction and ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0401/p1707.html
Saline Irrigation for Allergic Rhinitis - Cochrane for Clinicians - American Family ...
May 1, 2019 - asal saline irrigation reduces the severity of allergy symptoms for up to eight weeks vs. no treatment. It is uncertain if adding nasal saline to pharmacologic treatment further improves symptoms over pharmacologic treatment alone.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0501/p544.html
Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...
May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0515/od3.html
Limited Data: Deprescribing is Safe, But at the Risk of Symptom Recurrence - POEMs - ...
May 15, 2019 - The limited rigorous data on deprescribing suggest that many patients can safely stop unnecessary medication, but symptom relapse is significant.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0515/od2.html
Annular Skin Lesions on the Chest - Photo Quiz - American Family Physician
Apr 15, 2019 - A woman presented with multiple scaly plaques of varying size on her neck and chest.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0415/p517.html
Diagnostic Approach to Palpitations - American Family Physician
Feb 15, 2005 - Palpitations-sensations of a rapid or irregular heartbeat-are most often caused by cardiac arrhythmias or anxiety. Most patients with arrhythmias do not complain of palpitations. However, any arrhythmia, including sinus tachycardia, atrial fibrillation, premature ventricular ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0215/p743.html
What Makes a Good CV? -- FPM
Dec 1, 2016 - Whether for your first job after residency or a career change, here are some keys to getting your curriculum vitae noticed by employers.
Family Practice Management : Employed Practice
https://www.aafp.org/fpm/2016/1100/p7.html
Will a Feeding Tube Help? Deciding for a Father at the End of Life - Close-ups - ...
Apr 1, 2019 - Making caring, difficult choices on behalf of loved ones at the end of life.
American Family Physician : Close-ups
https://www.aafp.org/afp/2019/0401/p420.html
Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...
Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0315/p354.html
Management of Insomnia Disorder in Adults - Implementing AHRQ Effective Health Care ...
Sep 1, 2018 - What are the effectiveness, comparative effectiveness, and adverse effects of interventions for insomnia disorder in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2018/0901/p319.html
Unlocking Clues to Current Health in Past History: Childhood Trauma and Healing -- FPM
Apr 1, 2019 - Adverse childhood events can have enduring effects on patients’ health, but these four steps can help promote healing.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0300/p5.html
Screening for Atrial Fibrillation with Electrocardiography - Putting Prevention into ...
Mar 15, 2019 - M.T. is a 67-year-old woman who presents to your office requesting electrocardiography (ECG). Her brother was recently diagnosed with atrial fibrillation after screening with ECG, and she is concerned that she may have the same condition.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0315/p383.html
Mild TBI in Children: Guidance from the CDC for Diagnosis and Treatment - Practice ...
Apr 1, 2019 - Mild traumatic brain injury in children is a major problem in the United States. Based on a systematic literature review, the Centers for Disease Control and Prevention (CDC) released recommendations specific to children with Glasgow Coma Scale scores of 13 to 15.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0401/p462.html
The Case for Medical Chaperones -- FPM
Oct 1, 2018 - It's time for more discussion about how best to incorporate chaperones in primary care.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2018/0900/p6.html
Cardiomyopathy: An Overview - American Family Physician
May 1, 2009 - Cardiomyopathy is an anatomic and pathologic diagnosis associated with muscle or electrical dysfunction of the heart. Cardiomyopathies represent a heterogeneous group of diseases that often lead to progressive heart failure with significant morbidity and mortality. Cardiomyopathies may ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0501/p778.html
Risks Associated with Long-Term Benzodiazepine Use - Editorials - American Family ...
Aug 15, 2013 - Many patients underestimate the degree of impairment caused by benzodiazepines. Benzodiazepines increase the risk of addiction, withdrawal, cognitive decline, motor vehicle crashes, and hip fracture. The risk of overdose is particularly great when combined with sedative drugs such as ...
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0815/p224.html
ICD-10 Simplifies Preventive Care Coding, Sort Of -- FPM
Aug 1, 2014 - FPM's ICD-10 coding series continues with a look at how to code immunizations, routine health exams, and common preventive screenings.
Family Practice Management : Articles
https://www.aafp.org/fpm/2014/0700/oa1.html
HPV Vaccine for Prevention of High-Grade Precancerous Cervical Lesions - Medicine by ...
Apr 1, 2019 - Data suggest the benefits of HPV vaccination for reducing precancerous lesions outweigh the potential harms. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0401/od1.html
Maternal Pertussis Vaccination During Pregnancy - FPIN's Help Desk Answers - American ...
Apr 1, 2019 - Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0401/p454.html
AFP 2019: New Fellow, New Features, Top 20 Articles of 2018, and AFP Statistics - ...
May 1, 2019 - An overview of the past year and announcement of new features.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0501/p538.html
Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician
Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0415/p1961.html
Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns - Cochrane ...
Apr 1, 2019 - Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects is low, and ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0401/p421.html
Point-of-Care Ultrasonography in Family Medicine - Editorials - American Family Physician
Aug 15, 2018 - There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0815/p200.html
Vaginitis, Coronary Artery Disease, Hypertension in Children, COPD, Alzheimer Disease -...
May 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/2019/0501/p543.html
Aspirin’s Benefits and Harms Are Less Clear for Primary Prevention in Moderate-Risk ...
Apr 1, 2019 - In this study, after five years of treatment, patients at a moderate risk of heart disease who took low-dose aspirin did not show a decrease in coronary events and all-cause mortality and had slightly more gastrointestinal bleeding.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p459a.html
Radiologic Evaluation of Hematuria: Guidelines from the American College of Radiology's...
Aug 1, 2008 - Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0801/p347.html
Pleurisy - American Family Physician
May 1, 2007 - Pleuritic chest pain is a common presenting symptom and has many causes, which range from life-threatening to benign, self-limited conditions. Pulmonary embolism is the most common potentially life-threatening cause, found in 5 to 20 percent of patients who present to the emergency ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0501/p1357.html
Subclinical Hypothyroidism: Deciding When to Treat - American Family Physician
Feb 15, 1998 - While screening patients for thyroid disease, physicians often find increased thyrotropin-stimulating hormone (TSH) levels in patients whose free thyroxine (T4) levels are not below normal. This state, termed
American Family Physician : Article
https://www.aafp.org/afp/1998/0215/p776.html
Management of Status Epilepticus - American Family Physician
Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0801/p469.html
Smell and Taste Disorders: A Primary Care Approach - American Family Physician
Jan 15, 2000 - Smell and taste disorders are common in the general population, with loss of smell occurring more frequently. Although these disorders can have a substantial impact on quality of life and may represent significant underlying disease, they are often overlooked by the medical community. ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0115/p427.html
Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...
Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0401/p422.html
Five Mobile Apps to Help You Organize Your Work and Your Life -- FPM
Apr 1, 2019 - The demands on physicians’ time have never been greater. These apps can help you keep up.
Family Practice Management : SPPACES: App Reviews
https://www.aafp.org/fpm/2019/0300/p11.html
Tools for Better Dementia Care -- FPM
Feb 1, 2019 - Quality measures and clinical tools can bring focus and clarity to caring for patients with cognitive impairment and supporting their caregivers.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0100/p11.html
Diagnosis of Chronic Obstructive Pulmonary Disease - American Family Physician
Jul 1, 2008 - Chronic obstructive pulmonary disease affects more than 26 million adults in the United States. Family physicians provide care for most of these patients. Cigarette smoking is the leading risk factor for chronic obstructive pulmonary disease, although other risk factors, including ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0701/p87.html
Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...
Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0315/od1.html
The 2019 Medicare Documentation, Coding, and Payment Update -- FPM
Feb 1, 2019 - This year’s changes include some welcome documentation relief, new codes for portal and telephone encounters, and much more.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0100/p23.html
Peripheral Vascular Disease: Diagnosis and Treatment - American Family Physician
Jun 1, 2006 - Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. The most common symptom of peripheral vascular disease is intermittent claudication. At other times, peripheral vascular disease ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1971.html
Colorectal Cancer, Osteoporosis, Knee Osteoarthritis, Suspected Dementia, Pacifier Use ...
Apr 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/2019/0415/p478.html
Posterior Earlobe Mass - Photo Quiz - American Family Physician
Nov 15, 2018 - A man presented with a painless mass behind his earlobe that had been gradually enlarging for one year.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/1115/p603.html
Diagnosis and Treatment of Osteoporosis - American Family Physician
Feb 1, 2009 - Osteoporosis affects approximately 8 million women and 2 million men in the United States. The associated fractures are a common and preventable cause of morbidity and mortality in up to 50 percent of older women. The U.S. Preventive Services Task Force recommends using dual energy ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0201/p193.html
Evaluation of Palpable Breast Masses - American Family Physician
May 1, 2005 - Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy. A thorough clinical breast examination, imaging, and tissue sampling are needed for a definitive diagnosis. Fine-needle aspiration is fast, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0501/p1731.html
Acupuncture for Pain - American Family Physician
Sep 1, 2009 - Acupuncture is increasingly used as an alternative or complementary therapy for the treatment of pain. It is well tolerated, with a low risk of serious adverse effects. Traditional and modern acupuncture techniques may result in reported improvement in pain patterns. Research on ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0901/p481.html
Crohn's Disease: ACG Releases Updated Management Guidelines - Practice Guidelines - ...
Dec 15, 2018 - Options for managing Crohn’s disease continue to increase, as does the prevalence of the disease. The American College of Gastroenterology (ACG) has released an updated clinical practice guideline outlining features of the disease, as well as diagnosis and treatment options.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/1215/p756.html
Geometric Rash on the Leg - Photo Quiz - American Family Physician
Apr 15, 2018 - A healthy 62-year-old woman presented with a pruritic rash on her ankle three days after applying a lidocaine patch.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0415/p531.html
Rediscovering the Secret of Quality -- FPM
Apr 1, 2019 - It’s probably not what you think.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2019/0300/p4.html
Documenting and Coding Preventive Visits: A Physician's Perspective -- FPM
Aug 1, 2012 - It’s not hard, once you get the hang of it, but the differences from E/M coding can be confusing.
Family Practice Management : Articles
https://www.aafp.org/fpm/2012/0700/p12.html
Vision Loss in Older Persons - American Family Physician
Jun 1, 2009 - Family physicians have an essential role in assessing, identifying, treating, and preventing or delaying vision loss in the aging population. Approximately one in 28 U.S. adults older than 40 years is visually impaired. Vision loss is associated with depression, social isolation, falls,...
American Family Physician : Article
https://www.aafp.org/afp/2009/0601/p963.html
Radiologic Evaluation of Suspected Congenital Heart Disease in Adults - American Family...
Sep 15, 2009 - The population of adults with congenital heart disease is increasing in North America. Radiologic imaging is critical for the initial assessment and for surveillance in this population. Chest radiography and echocardiography are valuable first-line tools for evaluation. However, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0915/p597.html
Differential Diagnosis of Annular Lesions - American Family Physician
Jul 15, 2001 - Although most annular lesions will be typical of a dermatophytosis, physicians must consider other possible diagnoses. Tinea corporis can often be diagnosed on the basis of a positive potassium hydroxide examination. Topical and systemic antifungals are usually curative. Pityriasis ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0715/p289.html
Creating a Culture of Intrinsic Motivation -- FPM
Apr 1, 2019 - External motivators don’t work for long.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2019/0300/p36.html
No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...
Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p460.html
The Doorknob Phenomenon in Clinical Practice - Curbside Consultation - American Family ...
Jul 1, 2018 - By definition, the doorknob phenomenon or doorknob statement occurs when patients wait until the last moment in the clinical encounter—often while the physician is grasping the doorknob to exit the examination room—to utter something that, not uncommonly, provides crucial information. ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0701/p52.html
Trigger Points: Diagnosis and Management - American Family Physician
Feb 15, 2002 - Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive microtrauma may lead to the development of stress on ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0215/p653.html
Identification and Management of Latent Tuberculosis Infection - American Family Physician
May 15, 2009 - Latent tuberculosis infection (LTBI) is a condition in which a person is infected with Mycobacterium tuberculosis, but does not currently have active tuberculosis disease. An estimated 10 to 15 million persons in the United States have LTBI. Because 5 to 10 percent of persons with LTBI ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0515/p879.html
Coding & Documentation - Mar-Apr 2019 -- FPM
Apr 1, 2019 - Coding for immunization counseling | How to report after-hours clinic services | Who is eligible for chronic care management?
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2019/0300/p31.html
Practical Strategies to Achieve Your Health Policy Goals -- FPM
Apr 1, 2019 - As a physician, you can have a powerful voice in bringing about change in your community. Here’s how to go about it.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0300/p20.html
Guideline, with No Evidence, Suggests Annual Screening for Urinary Incontinence in ...
Apr 1, 2019 - The goal of screening is to identify a disorder before it becomes symptomatic if early treatment has the potential for greater benefit than waiting until symptoms are reported. Despite the failure to meet this definition, this guideline suggests annual screening of women for urinary ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p459.html
Increased Water Intake Decreases UTI Recurrence in Women - POEMs - American Family ...
Mar 15, 2019 - Drinking an additional 1.5 liters per day of water halved the recurrence of UTI in women with a history of at least three episodes per year.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0315/od3.html
Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...
Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0201/od1.html
Effective Advocacy for Patients and Communities - Curbside Consultation - American ...
Jan 1, 2019 - Family physicians play diverse roles in society, often bridging individual and community perspectives. Family physicians' ethics require providing care to all persons regardless of their geographic, economic, political, racial, religious, or sexual orientation status.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/0101/p44.html
Testicular Cancer, Onset of Labor, Respiratory Tract Infection, Thyroid Cancer, Running...
Apr 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/2019/0401/p424.html
Practice Pearls - Mar-Apr 2019 -- FPM
Apr 1, 2019 - Pave a trail for sedentary patients | Identify what matters to older patients | Reduce the time you spend on email
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2019/0300/p32.html
Using Empowered CMAs and Nursing Staff to Improve Team-based Care -- FPM
Feb 1, 2019 - Highly trained workers can perform more visit-related tasks, boosting care quality and reducing physician burnout.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0100/p17.html
Chronic Nonmalignant Pain in Primary Care - American Family Physician
Nov 15, 2008 - A systematic approach to chronic nonmalignant pain includes a comprehensive evaluation; a treatment plan determined by the diagnosis and mechanisms underlying the pain; patient education; and realistic goal setting. The main goal of treatment is to improve quality of life while ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1115/p1155.html
Myocardial Infarction: Expert Consensus Group Provides Updated Definition - Practice ...
Mar 1, 2019 - An expert consensus group of the European Society of Cardiology, American College of Cardiology Foundation, American Heart Association, and World Heart Federation has provided an updated universal definition of myocardial infarction.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0301/p334.html
Hemorrhoids, Tremor, C. difficile Infection, Migraine, Vitamin D Screening - AFP ...
Mar 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/2019/0301/p285.html
Repair of Obstetric Perineal Lacerations - American Family Physician
Oct 15, 2003 - Family physicians who deliver babies must frequently repair perineal lacerations after episiotomy or spontaneous obstetric tears. Effective repair requires a knowledge of perineal anatomy and surgical technique. Perineal lacerations are classified according to their depth. Sequelae of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1015/p1585.html
To Prepare Patients Better: Reimagining Advance Care Planning - Editorials - American ...
Mar 1, 2019 - Forty-five million Americans live with one or more serious illnesses, many of which are life-limiting and marked by functional decline. Family physicians play a pivotal role in the care of these patients through their deep, longitudinal relationships.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0301/p278.html
Smectite for Acute Infectious Diarrhea in Children - Cochrane for Clinicians - American...
Mar 1, 2019 - When compared with placebo, smectite decreases the duration of diarrhea by about a day, with a mean difference of 24.4 fewer hours of diarrhea (95% confidence interval [CI], 17.9 to 30.9 hours). Smectite also decreases stool output by 11.4 g per kg (95% CI, 0.8 to 22 g per kg).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0301/p294.html
Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...
Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0301/od1.html
Management of Acute Nasal Fractures - American Family Physician
Oct 1, 2004 - In cases of facial trauma, nasal fractures account for approximately 40 percent of bone injuries. Treatment in the primary care setting begins with evaluating the injury, taking an accurate history of the situation in which the injury occurred, and ascertaining how the face and nose ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1001/p1315.html
The Pretravel Consultation - American Family Physician
Sep 15, 2009 - The increase in travel and travel medicine knowledge over the past 30 years makes pretravel counseling an essential part of comprehensive family medicine. Effective counseling begins with assessment of individual and itinerary-based risks, using a growing body of evidence-based ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0915/p583.html
Screening for Cardiovascular Disease Risk with Electrocardiography: Recommendation ...
Sep 15, 2018 - The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0915/od1.html
Screening for Adolescent Idiopathic Scoliosis: Recommendation Statement - U.S. ...
May 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0515/od1.html
Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis - ...
Sep 1, 2003 - Knee pain is a common presenting complaint with many possible causes. An awareness of certain patterns can help the family physician identify the underlying cause more efficiently. Teenage girls and young women are more likely to have patellar tracking problems such as patellar ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0901/p917.html
Lorcaserin Is Safe, But Only Modestly Effective for Weight Loss - POEMs - American ...
Mar 15, 2019 - Lorcaserin, 10 mg twice daily, helps some patients lose 10% or more of their body weight (number needed to treat [NNT] = 10) and appears to be safe in terms of cardiovascular events.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0315/od4.html
Aspirin Plus a High-Dose PPI Prevents Death and Progression in Patients with Barrett ...
Mar 15, 2019 - In this study, patients with Barrett esophagus were less likely to die or develop esophageal cancer or high-grade dysplasia if they took high-dose esomeprazole (Nexium) alone or in combination with aspirin.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0315/od5.html
Recombinant Zoster Vaccine (Shingrix) for the Prevention of Shingles - STEPS - American...
Oct 15, 2018 - Recombinant zoster vaccine is a relatively new shingles vaccine that has been shown to have greater effectiveness and protection than the existing live vaccine. Local and systemic adverse effects may occur after administration, but have been shown to resolve within one to three days.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/1015/p539.html
Urinary Incontinence: Screening Recommendation from the WPSI - Practice Guidelines - ...
Feb 1, 2019 - Urinary incontinence adversely affects health, quality of life, and function for most women at some point in their lives. However, it is underreported because of embarrassment, stigma, or acceptance as normal. Early intervention may reduce progression, improve quality of life, and limit...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0201/p194.html
Osteoporosis, Childhood Bullying, Rheumatoid Arthritis, Diabetes Counseling, Inhaled ...
Mar 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/2019/0315/p356.html
Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...
Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0201/p188a.html
Morning vs. Evening Administration of Levothyroxine - FPIN's Clinical Inquiries - ...
Oct 15, 2018 - The effectiveness of levothyroxine for reducing TSH levels is most dependent on the timing of meals in relation to drug administration. There is conflicting evidence. In two studies, levothyroxine taken at least two hours after eating in the evening maintained or improved TSH levels ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2018/1015/p532.html
Coding & Documentation - Jan-Feb 2019 -- FPM
Feb 1, 2019 - Prescription drug management and E/M code selection | Review of systems: How many systems are too many? | Documenting exams by medical students | Coding for removal of skin lesions: biopsy or no?
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2019/0100/p30.html
Stuttering: An Overview - American Family Physician
May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0501/p1271.html
Vitamin B12 Deficiency - American Family Physician
Mar 1, 2003 - Vitamin B12 (cobalamin) deficiency is a common cause of macrocytic anemia and has been implicated in a spectrum of neuropsychiatric disorders. The role of B12 deficiency in hyperhomocysteinemia and the promotion of atherosclerosis is only now being explored. Diagnosis of vitamin B12 ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p979.html
Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...
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/p143.html
Green Tea: Potential Health Benefits - American Family Physician
Apr 1, 2009 - Green tea has been used widely and in high doses for centuries as a health tonic in many societies. Evidence suggests that green tea is effective for treating genital warts. There is some supportive evidence for the use of green tea in cancer prevention. Drinking green tea is associated...
American Family Physician : Article
https://www.aafp.org/afp/2009/0401/p591.html
Splinter Removal - American Family Physician
Jun 15, 2003 - Splinter injuries are common, but larger and deeper splinters are often difficult and painful to remove at home. These splinters often present as a foreign body embedded in the superficial or subcutaneous soft tissues. Whenever possible, reactive objects like wood, thorns, spines, and ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0615/p2557.html
Identification and Evaluation of Mental Retardation - American Family Physician
Feb 15, 2000 - Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0215/p1059.html
Complementary and Integrative Treatments for Pain Management in Labor - Cochrane for ...
Feb 1, 2019 - There is evidence that all of the studied interventions have some benefit in labor, but the evidence is of low to very low quality. Massage, thermal interventions (warm and cold packs), relaxation techniques, yoga, and music reduce pain during latent labor, but not during active labor.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0201/p154.html
Otalgia, Preeclampsia, Latent Tuberculosis, Pityriasis Rosea, Extremity Pain - AFP ...
Feb 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/2019/0215/p226.html
Counseling Patients About Prostate Cancer Screening - Editorials - American Family ...
Oct 15, 2018 - The AAFP finds that the net benefit of population screening for prostate cancer is small at best, and it does not recommend routinely discussing PSA-based screening if the patient does not request it.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/1015/p478.html