Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis - FPIN's ...
Apr 1, 2020 - Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0401/p432.html
Treatments for Postmenopausal Hypoactive Sexual Desire Disorder - FPIN's Clinical ...
Feb 1, 2020 - Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0201/p182.html
Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ...
Apr 1, 2020 - Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434.html
Pruritic Rash on the Hands and Feet - Photo Quiz - American Family Physician
Dec 1, 2018 - A woman presents with a pruritic rash that is associated with peeling and cracking of the palmar and plantar surfaces of her hands and feet.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/1201/p685.html
Results of Fecal Immunochemical Tests for Colorectal Cancer Screening Not Affected by ...
Apr 1, 2020 - The use of aspirin, NSAIDs, and oral anticoagulants has no clinically important effects on the positive predictive value of FIT in a screening population.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p435.html
Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...
Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0315/p330.html
Diagnosing Night Sweats - American Family Physician
Mar 1, 2003 - Night sweats are a common outpatient complaint, yet literature on the subject is scarce. Tuberculosis and lymphoma are diseases in which night sweats are a dominant symptom, but these are infrequently found to be the cause of night sweats in modern practice. While these diseases remain ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p1019.html
Common Dental Infections in the Primary Care Setting - American Family Physician
Mar 15, 2008 - Family physicians commonly encounter patients with dental infections, such as dental caries and periodontal disease. Dental caries is caused by bacteria that destroy the enamel and dentin; it can be detected by an oral examination that shows stained pits or fissures on the tooth ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0315/p797.html
Trigeminal Neuralgia - American Family Physician
May 1, 2008 - Trigeminal neuralgia is an uncommon disorder characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0501/p1291.html
Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants - ...
Apr 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/2020/0415/p460.html
Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer - ...
Feb 15, 2020 - A 31-year-old woman presents to your office for a well-woman examination. She is sexually active in a monogamous relationship and has never been pregnant. She tells you that her mother was diagnosed with tubal cancer at age 40 and that her sister, who is 42 years of age, was recently ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0215/p239.html
Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician
Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0101/p49.html
Neuropsychological Evaluation in Primary Care - American Family Physician
Sep 1, 2010 - Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient’s medical history, laboratory tests, and imaging studies; an ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0901/p495.html
Obsessive Compulsive Disorder: Diagnosis and Management - American Family Physician
Aug 1, 2009 - Obsessive-compulsive disorder is an illness that can cause marked distress and disability. It often goes unrecognized and is undertreated. Primary care physicians should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p239.html
Career Options -- FPM Topic Collection
Jul 22, 2010 - Family medicine may be a single specialty, but it comes in almost as many Family medicine may be a single specialty, but it comes in almost as many flavors as there are family physicians. This collection of articles is designed to display a variety of flavors of practice and give you a ...
- Alternative Practice Options
- Direct Primary Care
- Employed Practice
- Independent and Solo Practice
- Innovative Practice Models
- Job Hunting
- Leaving Practice
- Scope of Practice
- Other Resources
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=46
Coding & Documentation - Mar-Apr 2020 -- FPM
Apr 1, 2020 - New code for vaping-related illness | Ultrasound services in the office | Autism screening | Does your documentation need codes or modifiers?
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2020/0300/p31.html
Practice Pearls - Mar-Apr 2020 -- FPM
Apr 1, 2020 - Make office redesign a collaborative project | Designate a vaccine update expert | Handle disability exams with empathy and practicality
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0300/p32.html
Evidence-Based Medicine -- FPM Topic Collection
Jul 16, 2010 - This article collection features popular FPM content on the subject of evidence-based medicine -- from evaluating the literature to finding clinical information at the point of care. This article collection features popular FPM content on the subject of evidence-based medicine -- from ...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=40
Tense Bullae and Pruritus - Photo Quiz - American Family Physician
Mar 1, 2020 - A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0301/p305.html
Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults - ...
Feb 1, 2020 - The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0201/p145.html
Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ...
Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2020/0115/p119.html
HCC Coding, Risk Adjustment, and Physician Income: What You Need to Know -- FPM
Oct 1, 2016 - Accurate coding drives accurate risk adjustment, which will increasingly affect your bottom line.
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0900/p24.html
Music Therapy for Depression - Cochrane for Clinicians - American Family Physician
Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0301/p273.html
Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - STEPS - American ...
Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...
American Family Physician : STEPS
https://www.aafp.org/afp/2014/0415/p672.html
The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and ...
Dec 1, 2019 - Do you have the right number of patients on your panel? Here’s a process and a spreadsheet for calculating and adjusting your panel based on actual patient behavior.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p23.html
No Benefit to Routine Antipsychotic Use for Treatment or Prevention of Delirium in ...
Apr 1, 2020 - Evidence does not support the routine use of haloperidol or second-generation antipsychotics for the treatment or prevention of delirium in hospitalized patients. Although second-generation antipsychotics may reduce the incidence of delirium in the postoperative setting, more research ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p435a.html
Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...
Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0701/p49.html
Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ...
Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0315/p373.html
Diagnosis and Treatment of Neisseria gonorrhoeae Infections - American Family Physician
May 15, 2006 - The most common site of Neisseria gonorrhoeae infection is the urogenital tract. Men with this infection may experience dysuria with penile discharge, and women may have mild vaginal mucopurulent discharge, severe pelvic pain, or no symptoms. Other N. gonorrhoeae infections include ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0515/p1779.html
Treating Onychomycosis - American Family Physician
Feb 15, 2001 - Onychomycosis accounts for one third of fungal skin infections. Because only about one half of nail dystrophies are caused by fungus, the diagnosis should be confirmed by potassium hydroxide preparation, culture or histology before treatment is started. Newer, more effective antifungal ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0215/p663.html
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.html
Care Team & Staffing -- FPM Topic Collection
Jul 16, 2010 - This article collection features popular FPM content on the subjects of teamwork and staffing -- from implementing team This article collection features popular FPM content on the subjects of teamwork and staffing -- from implementing team huddles to retaining good employees.
- Creating a Successful Team
- Optimizing Nurses, MAs, and Other Staff
- Hiring, Firing, & Retention
- Effective Meetings
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=37
On Baby Pictures and Empty Nests -- FPM
Apr 1, 2020 - Sharing life transitions is both a challenge and a joy of long-standing patient relationships.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0300/p5.html
Acute Pancreatitis: Diagnosis, Prognosis, and Treatment - American Family Physician
May 15, 2007 - Mild acute pancreatitis has a low mortality rate, but patients with severe acute pancreatitis are more likely to develop complications and have a much higher death rate. Although serum amylase and lipase levels remain the most widely used diagnostic assays for acute pancreatitis, other ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1513.html
Fewer Severe Exacerbations in Patients with Mild to Moderate Asthma Treated with ...
Mar 1, 2020 - Patients with mild to moderate asthma only need relief treatment. In this study, patients taking the combination of budesonide/formoterol (Symbicort) as needed had slightly fewer severe exacerbations than patients treated with twice daily budesonide (Pulmicort).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p310.html
Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride ...
Feb 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/2020/0215/p205.html
70 Years of American Family Physician - Editorials - American Family Physician
Apr 1, 2020 - The mission of providing practical and clinically relevant information to busy physicians has been the force behind AFP's impressive improvements during the past 70 years.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0401/p389.html
HIV Status, Preexposure Prophylaxis, Sexual Health, and the Critical Role of Family ...
Mar 1, 2020 - Family physicians play a key role in expanding HIV testing and treatment, as well as providing sexual health services in areas where specialty sexual health services are not readily available.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0301/p262.html
Diagnosis and Management of Preeclampsia - American Family Physician
Dec 15, 2004 - Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1215/p2317.html
Electronic Health Records -- FPM Topic Collection
Jul 15, 2010 - This article collection features popular FPM content on the subject of electronic health records -- from selecting an EHR system to optimizing an EHR in your practice. This article collection features popular FPM content on the subject of electronic health records -- from selecting an ...
- EHR Incentives & Meaningful Use
- Optimizing Your EHR
- Patient Portals
- Selecting an EHR
- Other EHR Resources
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=34
Celiac Disease - American Family Physician
Dec 15, 2007 - As many as one in every 100 to 200 persons in the United States has celiac disease, a condition resulting from an inappropriate immune response to the dietary protein gluten. The manifestations of celiac disease range from no symptoms to overt malabsorption with involvement of multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1215/p1795.html
Thromboembolism Recurrence Likely; Consider It a Chronic Disease - POEMs - American ...
Mar 1, 2020 - Perhaps it is time to start thinking about VTE as a chronic disease. Approximately one in 10 patients that have a VTE will have a second VTE over the next 12 months and almost four in 10 will have a second VTE over 10 years.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309.html
Nursing Home Care: Part I. Principles and Pitfalls of Practice - American Family Physician
May 15, 2010 - Approximately 1.5 million Americans reside in nursing homes. A family physician often leads the interdisciplinary team that provides for the medical, functional, emotional, nutritional, social, and environmental needs of these patients. The treatment of nursing home residents is a ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0515/p1219.html
Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ...
Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1201/p716.html
Proteinuria in Adults: A Diagnostic Approach - American Family Physician
Sep 15, 2000 - Proteinuria is a common finding in adults in primary care practice. An algorithmic approach can be used to differentiate benign causes of proteinuria from rarer, more serious disorders. Benign causes include fever, intense activity or exercise, dehydration, emotional stress and acute ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0915/p1333.html
No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria - POEMs - ...
Feb 15, 2020 - Inappropriate treatment of asymptomatic bacteriuria is common in hospitalized patients. Older patients, those with dementia or acutely altered mental status, and those with abnormal urinalysis results are more likely to be treated with antibiotics.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248.html
Screening for Syphilis In Pregnant Women: Recommendation Statement - U.S. Preventive ...
Apr 15, 2019 - The USPSTF recommends early screening for syphilis infection in all pregnant women.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0415/od2.html
Common Cold, IV Fluids for Children, e-Cigarettes, Postpartum Depression, Actinic ...
Mar 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/2020/0315/p332.html
Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician
Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0215/p244.html
Colorectal Cancer Screening, Breastfeeding, Miscarriage, Eczema, Routine Screening for ...
Mar 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/2020/0301/p270.html
Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ...
Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309a.html
Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level ...
Feb 1, 2020 - Some of the top family physicians on social media share their best practices for building a following and avoiding common pitfalls.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p19.html
Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...
Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0815/p246.html
An Anatomical Cause of Dysphagia - Photo Quiz - American Family Physician
Feb 15, 2020 - A man presented with worsening dysphagia, with sore throat, dyspnea, cough, heartburn, and wheezing.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0215/p241.html
General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ...
Dec 1, 2019 - General health check visits have no benefit on cardiovascular morbidity or on total, cardiovascular, or cancer-related mortality. There is also no evidence that they cause patient harm.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1201/p676.html
Billing & Claims -- FPM Topic Collection
Jul 23, 2010 - This article collection features popular FPM content on the subjects of billing, claims, collections, and other ways to maximize revenue -- from reducing denials to implementing patient payment policies. This article collection features popular FPM content on the subjects of billing, ...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=50
Screening for HIV Infection: Recommendation Statement - U.S. Preventive Services Task ...
Nov 15, 2019 - The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1115/od2.html
Tai Chi for Fibromyalgia - FPIN's Clinical Inquiries - American Family Physician
Mar 1, 2020 - The practice of Yang-style tai chi for one hour twice weekly for 12 to 24 weeks is moderately effective in improving quality of life in patients with fibromyalgia.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0301/od1.html
One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ...
Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od5.html
The Commercial Motor Vehicle Driver Medical Examination: Practical Issues - American ...
Apr 15, 2010 - The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p975.html
Recognizing Occupational Illnesses and Injuries - American Family Physician
Jul 15, 2010 - Given the burden of occupational illnesses and injuries in the United States, family physicians should understand the role workplace exposures may play in patients' chief concerns. Incorporating employment screening questions into patients' intake questionnaires is an efficient means of...
American Family Physician : Article
https://www.aafp.org/afp/2010/0715/p169.html
Evaluation of the Solitary Pulmonary Nodule - American Family Physician
Oct 15, 2009 - Solitary pulmonary nodules are common radiologic findings, typically discovered incidentally through chest radiography or computed tomography of the neck, chest, and abdomen. Primary care physicians must decide how to pursue an evaluation of a nodule once it has been identified. The ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1015/p827.html
Do Not Change Antidepressant Treatment Early Based on a Lack of Response - POEMs - ...
Feb 15, 2020 - Do not be in a hurry to change treatment in patients with severe depression who do not respond to treatment within the first two weeks. Early response to treatment predicts eventual response or remission, but a lack of early response does not predict treatment failure.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p250.html
Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...
Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1015/od1.html
Venous Thromboembolism During Pregnancy - American Family Physician
Jun 15, 2008 - Venous thromboembolism is the leading cause of maternal death in the United States. Pregnancy is a risk factor for deep venous thrombosis, and risk is further increased with a personal or family history of thrombosis or thrombophilia. Screening for thrombophilia is not recommended for ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0615/p1709.html
Quality & Safety -- FPM Topic Collection
Jul 16, 2010 - This article collection features popular FPM content on the subjects of quality and safety -- from improving asthma care to reducing risks for patients receiving warfarin. This article collection features popular FPM content on the subjects of quality and safety -- from improving asthma...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=39
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
Screening for Cervical Cancer: Recommendation Statement - U.S. Preventive Services Task...
Feb 15, 2019 - The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus ...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0215/od1.html
Improving the Waiting Room Experience -- FPM
Feb 1, 2020 - Adding a touch of tech, a dose of education, and plenty of creature comforts to your waiting room can make it more palatable for patients.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p14.html
Severe Male Breast Enlargement - Photo Quiz - American Family Physician
May 1, 2017 - An 11-year-old boy presents with grade 3 gynecomastia, with sagging breasts and darkened areolas.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2017/0501/p583.html
Gadolinium-Associated Nephrogenic Systemic Fibrosis - American Family Physician
Oct 1, 2009 - Nephrogenic systemic fibrosis is a progressive, potentially fatal multiorgan system fibrosing disease related to exposure of patients with renal failure to the gadolinium-based contrast agents used in magnetic resonance imaging. Because of this relationship between nephrogenic systemic ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1001/p711.html
Use of Amphetamines for Attention Deficit/Hyperactivity Disorder in Adults - Cochrane ...
Sep 1, 2019 - Amphetamines provide a clinician-rated 30% or greater reduction in ADHD symptoms when compared with placebo (number needed to treat = 5).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p278.html
Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ...
Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p249.html
A Persistent Rash on the Back, Chest, and Abdomen - Photo Quiz - American Family Physician
Sep 15, 2017 - A 62-year-old breast cancer survivor presented with an erythematous, pruritic, expanding rash on her back, chest, and left lower abdomen.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2017/0915/p390.html
Rash on the Ankle - Photo Quiz - American Family Physician
Dec 15, 2019 - A man presented with a vesicular rash on his ankle in a serpentine-like pattern.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/1215/p773.html
Ibuprofen Plus Acetaminophen Equals Opioid Plus Acetaminophen for Acute Severe ...
Mar 1, 2018 - In adults presenting to the emergency department with acute extremity pain severe enough to warrant radiologic investigation, ibuprofen plus acetaminophen was equally effective in reducing pain intensity at two hours compared with three different opioid and acetaminophen combination ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0301/p348.html
Why Family Physicians Should Not Just Be Family Physicians: Rethinking Roles in ...
Feb 1, 2020 - In some settings, the cause of burnout isn’t having too much work - it’s having the wrong type of work.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2020/0100/p5.html
Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...
Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0115/p112.html
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53.html
Advance Care Planning: How to Have the Conversation You Want With Your Patients -- FPM
Dec 1, 2019 - More patients are receiving intensive care in their last days of life, even though studies show that most don’t want it. Family physicians are uniquely positioned to make sure patients’ wishes are recorded and respected.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p18.html
Skin and Soft Tissue Infections in Immunocompetent Patients - American Family Physician
Apr 1, 2010 - The increasing incidence of skin and soft tissue infections requires family physicians to be familiar with the management of these conditions. Evidence of systemic infection, such as fever, tachycardia, and hypotension, is an indication for inpatient management. Urgent surgical referral...
American Family Physician : Article
https://www.aafp.org/afp/2010/0401/p893.html
H. pylori, Heart Failure, Acupuncture, Injections for Tendinopathy, Hirsutism - AFP ...
Feb 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/2020/0201/p143.html
Screening for Hepatitis B Virus in Pregnant Women - Putting Prevention into Practice - ...
Jan 15, 2020 - A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0115/p115.html
Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ...
Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0101/p42.html
Breast Implant—Associated Anaplastic Large Cell Lymphoma - Editorials - American Family...
Jan 1, 2020 - In October 2019, the FDA released draft guidance offering numerous recommendations to help ensure women have access to breast implant benefit and risk information, including that manufacturers incorporate a boxed warning and patient decision checklist in the device’s labeling, and ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0101/p8.html
Screening for Pancreatic Cancer: Recommendation Statement - U.S. Preventive Services ...
Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1215/od1.html
Primary Care for Children with Autism - American Family Physician
Feb 15, 2010 - The earliest sign of autism in children is the delayed attainment of social skill milestones, including joint attention, social orienting, and pretend play. Language impairment is a common, but less specific, sign of autism. Repetitive behaviors and restricted interests may not be noted...
American Family Physician : Article
https://www.aafp.org/afp/2010/0215/p453.html
The Adult Neck Mass - American Family Physician
Sep 1, 2002 - Family physicians frequently encounter neck masses in adult patients. A careful medical history should be obtained, and a thorough physical examination should be performed. The patient's age and the location, size, and duration of the mass are important pieces of information. ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0901/p831.html
Practice Pearls - Jan-Feb 2020 -- FPM
Feb 1, 2020 - Navigate patients’ anxiety about pelvic exams | Ask older patients these questions to assess dementia risk | Tell patients up front how much time you have
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0100/p34.html
Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ...
Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p17.html
Management of Herpes Zoster (Shingles) and Postherpetic Neuralgia - American Family ...
Apr 15, 2000 - Herpes zoster (commonly referred to as
American Family Physician : Article
https://www.aafp.org/afp/2000/0415/p2437.html
Second Trimester Pregnancy Loss - American Family Physician
Nov 1, 2007 - Second trimester pregnancy loss is uncommon, but it should be regarded as an important event in a woman's obstetric history. Fetal abnormalities, including chromosomal problems, and maternal anatomic factors, immunologic factors, infection, and thrombophilia should be considered; ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1101/p1341.html
Treatment of Edema - American Family Physician
Jun 1, 2005 - Edema is the result of an imbalance in the filtration system between the capillary and interstitial spaces. The kidneys play a key role in regulating extracellular fluid volume by adjusting sodium and water excretion. Major causes of edema include venous obstruction, increased capillary...
American Family Physician : Article
https://www.aafp.org/afp/2005/0601/p2111.html
Primary Care First: Practice Assessment Checklist -- FPM
Feb 1, 2020 - Starting in 2021, PCF will be open to primary care clinicians practicing in 26 participating states and regions. Use this checklist to assess your practice’s readiness to participate in PCF, including care delivery capabilities, data infrastructure, and potential financial impact.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p25.html
Empiric Treatment for Acute Pharyngitis - Photo Quiz - American Family Physician
Dec 1, 2019 - A woman presented with fever and throat pain, with vesicular lesions over the soft palate and uvula.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/1201/p713.html
Patient-Centered Care -- FPM Topic Collection
Jul 16, 2010 - This article collection features popular FPM content on the subject of patient-centered care -- from setting the agenda for a visit to optimizing patient satisfaction. This article collection features popular FPM content on the subject of patient-centered care -- from setting the agenda...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=36
Goal-Setting Theory for the New Year -- FPM
Feb 1, 2020 - Research points to four factors that will help make your goals more effective.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0100/p3.html
Listening to the Little Voice Inside -- FPM
Feb 1, 2020 - That nagging little voice can sometimes save you from a medical mistake, so don’t ignore it.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0100/p38.html
Office-Based Strategies for the Management of Obesity - American Family Physician
Jun 15, 2010 - Roughly two thirds of U.S. adults are overweight or obese. Obesity increases the risk of hypertension, type 2 diabetes mellitus, hyperlipidemia, heart disease, pulmonary disease, hepatobiliary disease, cancer, and a number of psychosocial complications. Physicians often feel unprepared ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0615/p1449.html
Drug Treatment of Common STDs: Part I. Herpes, Syphilis, Urethritis, Chlamydia and ...
Oct 1, 1999 - In 1998, the Centers for Disease Control and Prevention released guidelines for the treatment of sexually transmitted diseases. Several treatment advances have been made since the previous guidelines were published. Part I of this two-part article describes current recommendations for ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1387.html