Hepatitis B: Diagnosis and Treatment - American Family Physician
Apr 15, 2010 - Although an estimated 1 million persons in the United States are chronically infected with hepatitis B virus, the prevalence of hepatitis B has declined since the implementation of a national vaccination program. Hepatitis B virus is transmitted in blood and secretions. Acute infection ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p965.html
Update on Subclinical Hyperthyroidism - American Family Physician
Apr 15, 2011 - Subclinical hyperthyroidism is defined by low or undetectable serum thyroid-stimulating hormone levels, with normal free thyroxine and total or free triiodothyronine levels. It can be caused by increased endogenous production of thyroid hormone (as in Graves disease or toxic nodular ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0415/p933.html
Health Maintenance in School-aged Children: Part II. Counseling Recommendations - ...
Mar 15, 2011 - School-aged children (kindergarten through early adolescence) are establishing patterns of behavior that may last a lifetime; therefore, it is important to counsel these patients about healthy lifestyle practices during well-child examinations. Children and families should be advised to...
American Family Physician : Article
https://www.aafp.org/afp/2011/0315/p689.html
Ten Tips for Cultivating Patience During Uncertain Times -- FPM
Aug 1, 2020 - It’s easy to feel impatient with ourselves and others these days. But research suggests impatience can be bad for our health. Here’s a better way to respond.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0700/p43.html
Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption -...
Jun 1, 2020 - Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0601/p646.html
Coding for Hypertension: Painting a Picture of the Severity of Illness -- FPM
Apr 1, 2020 - As risk-adjustment scoring increases, the pressure is on to code hypertension correctly. Here’s an overview using common patient scenarios.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p23.html
Clinical Diagnosis of Acute Bacterial Rhinosinusitis - Point-of-Care Guides - American ...
Jun 15, 2020 - Which patients with symptoms of acute rhinosinusitis have bacterial infection?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/0615/p758.html
Preparticipation Physical Evaluation: AAFP and Others Update Recommendations - Practice...
Jun 1, 2020 - The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0601/p692.html
High-Dose vs. Standard-Dose Heparin for VTE Prophylaxis in Obese Patients - FPIN's Help...
Jun 1, 2018 - In most patients weighing more than 220 lb (100 kg), high-dose heparin prophylaxis (7,500 units subcutaneously three times per day) does not further reduce the risk of VTE compared with standard-dose heparin (5,000 units subcutaneously two or three times per day).
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0601/od2.html
Lead Poisoning in Children - American Family Physician
Mar 15, 2010 - The prevalence and severity of childhood lead poisoning have been greatly reduced since the removal of lead from paint and gasoline in the 1970s. Despite these efforts, approximately 310,000 U.S. children younger than five years have elevated blood lead levels. Health care professionals...
American Family Physician : Article
https://www.aafp.org/afp/2010/0315/p751.html
Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...
May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0515/od1.html
Slowing Global Warming: Benefits for Patients and the Planet - American Family Physician
Aug 1, 2011 - Global warming will cause significant harm to the health of persons and their communities by compromising food and water supplies; increasing risks of morbidity and mortality from infectious diseases and heat stress; changing social determinants of health resulting from extreme weather ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0801/p271.html
Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM
Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p19.html
COVID-19 and Remdesivir, Insulin Analogues, Opioid Use Disorder, Urinary Incontinence -...
Jul 1, 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/2020/0701/p14.html
Diagnosis and Management of Sjogren Syndrome - American Family Physician
Mar 15, 2009 - Sjogren syndrome is a systemic autoimmune disease characterized by dry eyes and dry mouth. Other organ systems are affected in many patients. Sjogren syndrome is classified as primary or secondary. In primary disease, Sjogren syndrome is a solitary process, whereas secondary disease ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0315/p465.html
Diastolic Heart Failure: The Challenges of Diagnosis and Treatment - American Family ...
Jun 1, 2004 - Diastolic heart failure, a major cause of morbidity and mortality, is defined as symptoms of heart failure in a patient with preserved left ventricular function. It is characterized by a stiff left ventricle with decreased compliance and impaired relaxation, which leads to increased end...
American Family Physician : Article
https://www.aafp.org/afp/2004/0601/p2609.html
Maintaining Patient Relationships in the Age of Hospitalists, Urgent Care, and a ...
Aug 1, 2020 - It was already difficult to get enough face-to-face time with patients before COVID-19 hit. Bonding with them now takes even more effort.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0700/p4.html
Amenorrhea: Evaluation and Treatment - American Family Physician
Apr 15, 2006 - A thorough history and physical examination as well as laboratory testing can help narrow the differential diagnosis of amenorrhea. In patients with primary amenorrhea, the presence or absence of sexual development should direct the evaluation. Constitutional delay of growth and puberty...
American Family Physician : Article
https://www.aafp.org/afp/2006/0415/p1374.html
Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...
May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0515/od4.html
Shared Decision-Making for Administering PCV13 in Older Adults - Editorials - American ...
Feb 1, 2020 - In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0201/p134.html
Iron Deficiency Anemia - American Family Physician
Mar 1, 2007 - The prevalence of iron deficiency anemia is 2 percent in adult men, 9 to 12 percent in non-Hispanic white women, and nearly 20 percent in black and Mexican-American women. Nine percent of patients older than 65 years with iron deficiency anemia have a gastrointestinal cancer when ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p671.html
Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ...
Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0701/p51.html
Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...
Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0615/p753.html
Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2020/0615/p748.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.html
Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis - Editorials - ...
Jul 15, 2020 - Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0715/p78.html
Treatment of Menorrhagia - American Family Physician
Jun 15, 2007 - Menorrhagia is defined as excessive uterine bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. The classic definition of menorrhagia (i.e., greater than 80 mL of blood loss per cycle) is rarely used clinically. Women describe the loss or ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0615/p1813.html
Health Effects of Hawthorn - American Family Physician
Feb 15, 2010 - Hawthorn medicinal extract has long been a favored herbal remedy in Europe. The active components of this slow-acting cardiotonic agent are thought to be flavonoids and oligomeric procyanidins. The most studied hawthorn extracts are WS 1442 and LI 132. Reviews of placebo-controlled ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0215/p465.html
Management of Corneal Abrasions - American Family Physician
Jul 1, 2004 - Corneal abrasions result from cutting, scratching, or abrading the thin, protective, clear coat of the exposed anterior portion of the ocular epithelium. These injuries cause pain, tearing, photophobia, foreign body sensation, and a gritty feeling. Symptoms can be worsened by exposure ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0701/p123.html
The 2020 Medicare Documentation, Coding, and Payment Update -- FPM
Feb 1, 2020 - The Centers for Medicare and Medicaid Services is trying to make Medicare documentation less burdensome and planning more changes that should result in a pay raise for family physicians in the future.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p8.html
Cerumen Impaction - American Family Physician
May 15, 2007 - Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1523.html
Diagnosis and Initial Management of Acute HIV Infection - American Family Physician
May 15, 2010 - Recognition and diagnosis of acute human immunodeficiency virus (HIV) infection in the primary care setting presents an opportunity for patient education and health promotion. Symptoms of acute HIV infection are nonspecific (e.g., fever, malaise, myalgias, rash), making misdiagnosis ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0515/p1239.html
Coding -- FPM Topic Collection
Jul 23, 2010 - This article collection features popular FPM content on the subject of coding -- from getting all the 99214s you deserve to differentiating between new and established patient visits. This article collection features popular FPM content on the subject of coding -- from getting all the ...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=49
A Primary Care Approach to Adverse Childhood Experiences - Curbside Consultation - ...
Jul 1, 2020 - A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0701/p55.html
Chronic Anal Fissures - Clinical Evidence Handbook - American Family Physician
Mar 15, 2016 - What are the effects of surgical treatments for chronic anal fissure?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2016/0315/p498.html
Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations - Practice ...
May 15, 2020 - The American College of Obstetricians and Gynecologists (ACOG) has new recommendations and conclusions about menstrual bleeding disorders in adolescents.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0515/p633.html
The Promise and Challenge of Home Health Services During the COVID-19 Pandemic - ...
Jul 1, 2020 - The COVID-19 pandemic presents family physicians with unique opportunities to work with home health providers to combat the pandemic, provide quality care, and ease the burden of fear among patients.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0701/p8.html
Specialized Nutrition Support - American Family Physician
Jan 15, 2011 - Specialized nutrition support should be offered to patients who are malnourished or at risk of becoming malnour- ished when it would benefit patient outcomes or quality of life. Improving the nutritional value of ingested food and tailoring intake to the patient’s preferences, ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0115/p173.html
Increasing Pneumococcal Immunization Rates -- FPM
Aug 1, 2020 - This supplement from the American Academy of Family Physicians shares learnings from state chapter quality improvement initiatives designed to increase adult pneumococcal vaccination rates. The project was supported by a grant from Pfizer Independent Grants for Learning and Change.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p17.html
Nonalcoholic Fatty Liver Disease - American Family Physician
Jun 1, 2006 - Nonalcoholic fatty liver disease is a common condition associated with metabolic syndrome. It is the most common cause of elevated liver enzymes in U.S. adults, and is diagnosed after ruling out other causes of steatosis (fatty infiltration of liver), particularly infectious hepatitis ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1961.html
Practice Pearls - Jul-Aug 2020 -- FPM
Aug 1, 2020 - Use EHR sticky notes to connect with patients personally | Talking your team through a crisis | Get credit for pre- and post-exam work
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0700/p38.html
How to Identify, Understand, and Unlearn Implicit Bias in Patient Care -- FPM
Aug 1, 2019 - Taking steps to recognize and correct unconscious assumptions toward groups can promote health equity.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0700/p29.html
Documentation Guidelines -- FPM Topic Collection
Jul 23, 2010 - This collection of articles from FPM will help you comply with Medicare's E/M documentation guidelines. This collection of articles from FPM will help you comply with Medicare's E/M documentation guidelines.
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=52
Pilonidal Disease Management: Guidelines from the ASCRS - Practice Guidelines - ...
Nov 1, 2019 - The American Society of Colon and Rectal Surgeons (ASCRS) has released a clinical practice guideline to provide physicians with diagnosis and treatment options of pilonidal disease.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1101/p582.html
Managing a Telephone Encounter: Five Tips for Effective Communication -- FPM
Jun 1, 2020 - Doctoring by phone is a skill I never thought I’d have to learn.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0500/p4.html
Hyperbilirubinemia in the Term Newborn - American Family Physician
Feb 15, 2002 - Hyperbilirubinemia is one of the most common problems encountered in term newborns. Historically, management guidelines were derived from studies on bilirubin toxicity in infants with hemolytic disease. More recent recommendations support the use of less intensive therapy in healthy ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0215/p599.html
Common Bacterial Skin Infections - American Family Physician
Jul 1, 2002 - Family physicians frequently treat bacterial skin infections in the office and in the hospital. Common skin infections include cellulitis, erysipelas, impetigo, folliculitis, and furuncles and carbuncles. Cellulitis is an infection of the dermis and subcutaneous tissue that has poorly ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0701/p119.html
U.S. Policies and Their Effects on Immigrant Children’s Health - Editorials - American ...
Feb 15, 2020 - Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0215/p202.html
PAULA’s Test for Lung Cancer Screening - Diagnostic Tests: What Physicians Need to Know...
Jul 1, 2020 - Because of insufficient evidence of benefit, no recommendations can be made regarding PAULA's test. Prospective cohort studies of a screening population and randomized controlled trials comparing cancer mortality outcomes using PAULA's test vs. low-dose CT and no screening are needed ...
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0701/p53.html
Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...
Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p785.html
Preventive Care -- FPM Topic Collection
Mar 21, 2011 - This collection of articles and tools from FPM can help you provide preventive care efficiently and get paid fairly for it. This collection of articles and tools from FPM can help you provide preventive care efficiently and get paid fairly for it.
- Strategies for Improving Preventive Care
- Coding and Payment for Preventive Services
- Medicare Preventive Services
- Screening
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=65
Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain - ...
Jul 15, 2020 - Using mindfulness, meditation, hypnosis, therapeutic suggestion, and cognitive behavior therapy, in addition to opioid treatment of acute or chronic pain, provides an additional benefit to patients by reducing pain scores.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0715/p119.html
AFP's Approach to COVID-19 - Editorials - American Family Physician
May 1, 2020 - AFP is adapting to meet reader needs and has developed a new COVID-19 resource page. We are also continuing to cover a variety of topics to meet the needs of the specialty of family medicine.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0501/p518.html
Treating Diabetic Peripheral Neuropathic Pain - American Family Physician
Jul 15, 2010 - Diabetic peripheral neuropathic pain affects the functionality, mood, and sleep patterns of approximately 10 to 20 percent of patients with diabetes mellitus. Treatment goals include restoring function and improving pain control. Patients can realistically expect a 30 to 50 percent ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0715/p151.html
Burning on the Tip of the Tongue - Photo Quiz - American Family Physician
Jan 1, 2018 - A woman presented with lesions on her tongue, as well as bare patches with raised erythematous borders.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0101/p47.html
Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ...
Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0315/p339.html
Sex-Based Differences in Drug Activity - American Family Physician
Dec 1, 2009 - Physiologic differences between men and women affect drug activity, including pharmacokinetics and pharmacodynamics. Pharmacokinetics in women is affected by lower body weight, slower gastrointestinal motility, less intestinal enzymatic activity, and slower glomerular filtration rate. ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1201/p1254.html
Fetal Alcohol Spectrum Disorders - American Family Physician
Jul 15, 2005 - To complement the 2005 Annual Clinical Focus on medical genomics, AFP will be publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0715/p279.html
Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician
Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0615/p755.html
N-Acetylcysteine: Multiple Clinical Applications - American Family Physician
Aug 1, 2009 - N-acetylcysteine is the acetylated variant of the amino acid L-cysteine and is widely used as the specific antidote for acetaminophen overdose. Other applications for N-acetylcysteine supplementation supported by scientific evidence include prevention of chronic obstructive pulmonary ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p265.html
When Is It Right to Code 99215? -- FPM
Dec 1, 2014 - Knowing the rules will give you the confidence to submit this seldom-used code.
Family Practice Management : Articles
https://www.aafp.org/fpm/2014/1100/p12.html
Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ...
Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/0215/p230.html
Hyperthyroidism: Diagnosis and Treatment - American Family Physician
Aug 15, 2005 - The proper treatment of hyperthyroidism depends on recognition of the signs and symptoms of the disease and determination of the etiology. The most common cause of hyperthyroidism is Graves' disease. Other common causes include thyroiditis, toxic multinodular goiter, toxic adenomas, and...
American Family Physician : Article
https://www.aafp.org/afp/2005/0815/p623.html
Family Physicians Play Key Role in Bridging the Gap in Access to Opioid Use Disorder ...
Jul 1, 2020 - Buprenorphine prescribing in primary care is a key bottleneck in the access to medications for opioid use disorder (OUD). In a Medicare claims study including family medicine, internal medicine, general practice, and psychiatry, the largest share of buprenorphine prescribers were family...
American Family Physician : Graham Center Policy One-Pagers
https://www.aafp.org/afp/2020/0701/p10.html
ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD...
Aug 15, 2014 - The Blood Cholesterol Expert Panel from the American College of Cardiology (ACC) and the American Heart Association (AHA) issued an updated evidence-based guideline in 2013 that addresses the use of fixed doses of cholesterol-lowering drugs (statins) to reduce the risk of ASCVD in ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2014/0815/p260.html
Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness...
Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0415/p505.html
Evaluation and Management of Toe Fractures - American Family Physician
Dec 15, 2003 - Fractures of the toe are one of the most common lower extremity fractures diagnosed by family physicians. Toe fractures most frequently are caused by a crushing injury or axial force such as stubbing a toe. Joint hyperextension and stress fractures are less common. Most patients have ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1215/p2413.html
Short Courses of Oral Corticosteroids: Lack of Benefit and Potential Harms for Common ...
Jul 1, 2018 - A short course of oral corticosteroids is appropriate for many patients with specific conditions. However, widespread use of corticosteroids in patients with non-pneumonia lower respiratory tract infection, nonsevere sore throat, or low back pain is inappropriate and not worth the risk ...
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0701/p12.html
Migraines in Children: Recommendations for Acute and Preventive Treatment - Practice ...
May 1, 2020 - Updated recommendations for the prevention and treatment of migraines in children and adolescents were recently published by the American Academy of Neurology and the American Headache Society, and they are based on a systematic review of new evidence published between January 2003 and ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0501/p569.html
Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ...
Jun 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/2020/0615/p718.html
Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...
Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0215/p233.html
Emergency Contraception: Safety and Effectiveness - Cochrane for Clinicians - American ...
Jun 1, 2020 - Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0601/p651.html
Coding & Documentation - May-Jun 2020 -- FPM
Jun 1, 2020 - Mental health screenings | Reporting multiple management services | Transferring paper notes to the medical record
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2020/0500/p31.html
Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ...
Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0401/od1.html
Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ...
May 15, 2020 - A 65-year-old man with no significant medical history presents to your clinic for a wellness visit. His social history includes smoking periodically in his 20s, and his family history includes a father who died from an abdominal aortic aneurysm (AAA) in his 60s. The patient wants to ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0515/p621.html
IDx-DR for Diabetic Retinopathy Screening - Diagnostic Tests: What Physicians Need to ...
Mar 1, 2020 - IDx-DR is a reliable screening tool used to diagnose diabetic retinopathy in the primary care office and may reduce barriers to screening and improve gaps in eye care for those with diabetes.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0301/p307.html
No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ...
Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p695.html
Primary Care for Refugees - American Family Physician
Feb 15, 2011 - Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0215/p429.html
Frontotemporal Dementia: A Review for Primary Care Physicians - American Family Physician
Dec 1, 2010 - Frontotemporal dementia (FTD) is one of the most common forms of dementia in persons younger than 65 years. Variants include behavioral variant FTD, semantic dementia, and progressive nonfluent aphasia. Behavioral and language manifestations are core features of FTD, and patients have ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1372.html
Ozenoxacin (Xepi) for the Treatment of Impetigo - STEPS - American Family Physician
Jun 15, 2020 - Ozenoxacin is an effective and safe topical quinolone treatment for bullous and nonbullous impetigo in patients as young as two months. However, it is expensive and some patients may have limited access because it is only available through a physician or hospital.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0615/p760.html
Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ...
May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p527.html
Hyperpigmentation of the Tongue and Systemic Symptoms - Photo Quiz - American Family ...
Apr 15, 2020 - A woman presents with darkening of her skin, tongue, and lips.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0415/p499.html
Probiotics - American Family Physician
Nov 1, 2008 - Probiotics are microorganisms with potential health benefits. They may be used to prevent and treat antibiotic-associated diarrhea and acute infectious diarrhea. They may also be effective in relieving symptoms of irritable bowel syndrome, and in treating atopic dermatitis in children. ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1073.html
Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis - Photo...
Jun 1, 2020 - A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0601/p689.html
Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...
Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1215/p782.html
Equivalent Pain Relief with Different Doses of Ibuprofen - POEMs - American Family ...
May 15, 2020 - Higher doses of ibuprofen for acute pain relief offer no more benefit at 60 minutes than a single 400-mg dose. The same has been shown for chronic treatment of osteoarthritis. A higher, anti-inflammatory dose is not needed.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p631.html
Screening for Asymptomatic Bacteriuria in Adults: Recommendation Statement - U.S. ...
Apr 15, 2020 - The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons. The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0415/p489.html
Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome - ...
Jun 1, 2020 - No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0601/p687.html
ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...
Feb 15, 2020 - The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0215/p251.html
A Physician’s Guide to Navigating a Bureaucracy -- FPM
Jun 1, 2020 - To get what you need to create a more ideal practice, you must learn to navigate the bureaucracy of your organization. Here’s how.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p26.html
Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician
May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p528.html
Medical Therapy for Asthma: Updates from the NAEPP Guidelines - American Family Physician
Nov 15, 2010 - Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1115/p1242.html
Welcoming AFP's Patient Partners - Editorials - American Family Physician
Jun 15, 2020 - We would like to welcome Helen Haskell and John James in their new roles on American Family Physician’s (AFP’s) Editorial Advisory Board, in which they will serve as AFP’s first-ever official patient partners.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0615/p713.html
Facial Rash with Oral Lesions - Photo Quiz - American Family Physician
Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0815/p243.html
Radiologic Evaluation of Chronic Neck Pain - American Family Physician
Oct 15, 2010 - For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1015/p959.html
Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...
Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p279.html
Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Mar 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2020/0315/p370.html
Tuberculosis Screening, Testing, and Treatment in U.S. Health Care Professionals: CDC ...
Mar 1, 2020 - According to 1995–2007 surveillance data reported to the Centers for Disease Control and Prevention and National Tuberculosis Controllers Association work group, tuberculosis incidence rates in health care professionals were similar to those in the general population.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0301/p312.html
Treatment of Breast Cancer - American Family Physician
Jun 1, 2010 - Understanding breast cancer treatment options can help family physicians care for their patients during and after cancer treatment. This article reviews typical treatments based on stage, histology, and biomarkers. Lobular carcinoma in situ does not require treatment. Ductal carcinoma ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0601/p1339.html
Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician
May 1, 2020 - A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0501/p567.html