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Diagnosis and Treatment of Acute Pyelonephritis in Women - American Family Physician

Sep 1, 2011 - Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p519.html

Diary from a Week in Practice - Apr 1, 1998 - American Family Physician

Apr 1, 1998 - ...If you are still using diphtheria, tetanus, whole cell pertussis vaccine (DTwP) instead of diphtheria, tetanus, acellular pertussis vaccine (DTaP), a recent poster presentation at the Pediatric Academic Society in Washington, D.C., will be of interest to you. This poster...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1998/0401/p1526.html

Diuretics for Treatment of Patients with Heart Failure? - Cochrane for Clinicians - ...

Aug 1, 2006 - Compared with other active medications, diuretics can improve exercise capacity in patients with heart failure by about 30 percent. Withdrawal of diuretic therapy from patients with heart failure may increase the risk of hospital readmission or death. About eight deaths are prevented ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0801/p411.html

Dog and Cat Bites - American Family Physician

Aug 15, 2014 - Animal bites account for 1% of all emergency department visits in the United States and more than $50 million in health care costs per year. Most animal bites are from a dog, usually one known to the victim. Most dog bite victims are children. Bite wounds should be cleaned, copiously ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0815/p239.html

Essentials of Skin Laceration Repair - American Family Physician

Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p945.html

Evaluation and Management of Apparent Life-Threatening Events in Children - American ...

Jun 15, 2005 - Apparent life-threatening event syndrome predominantly affects children younger than one year. This syndrome is characterized by a frightening constellation of symptoms in which the child exhibits some combination of apnea, change in color, change in muscle tone, coughing, or gagging. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2301.html

Evaluation and Management of Apparent Life-Threatening Events in Children - American ...

...Recommended diagnostic tests with high yield include complete blood count, serum bicarbonate and lactate, urinalysis, chest radiography, pertussis and respiratory syncytial virus samples, and gastroesophageal reflux disease investigations. C 4 Home monitoring is recommended...

American Family Physician

https://www.aafp.org/afp/2005/0615/afp20050615p2301.pdf

Evaluation of Apparent Life-threatening Events in Infants - FPIN's Clinical Inquiries -...

Jul 1, 2007 - A comprehensive, detailed history and physical examination with pulse oximetry and nondilated funduscopy (to look for traumatic retinal hemorrhage) helps to determine the underlying etiology of an ALTE in 70 percent of infants.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0701/p124.html

Evaluation of Patients with Leukocytosis

...per L]) can occur in patients with pertussis, syphilis, viral infections, hypersensitivity reactions, and certain subtypes of leukemia or lymphoma. Lymphocytosis is more likely to be benign in children than in adults.4 Epstein-Barr virus infection, tuberculosis or fungal disease,...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1004.pdf

Evaluation of Patients with Leukocytosis - American Family Physician

Dec 1, 2015 - An elevated white blood cell count has many potential etiologies, including malignant and nonmalignant causes. It is important to use age- and pregnancy-specific normal ranges for the white blood cell count. A repeat complete blood count with peripheral smear may provide helpful ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1201/p1004.html

Evaluation of the Patient with Chronic Cough

...that is accom- panied by an inspiratory whooping sound (in young children), coughing paroxysms, or post-tussive emesis.3 The incidence of pertussis has been increasing since 2007. Booster immunizations should be administered to persons 18 to 64 years of age and to those 65 years...

American Family Physician

https://www.aafp.org/afp/2011/1015/afp20111015p887.pdf

Evaluation of the Patient with Chronic Cough - American Family Physician

Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p887.html

Evaluation of the Patient with Chronic Cough - American Family Physician

May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2159.html

Evaluation of the Patient with Chronic Cough - American Family Physician

...after an infection (i.e., upper respiratory tract infec- tion not accompanied by pneumonia).2,3 Subacute cough resolves without treatment. Pertussis may be acute or subacute.2 Chronic cough can have many causes, but only a few diseases account for most cases2,4 (Table 1).1,2,5-7...

American Family Physician

https://www.aafp.org/afp/2004/0501/afp20040501p2159.pdf

Eye Emergencies - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments are eye emergencies that can result in permanent vision loss if not treated urgently. Family physicians should be able to recognize the signs and symptoms of each condition and be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p539.html

Family Physicians and Immunizations - Editorials - American Family Physician

Dec 15, 2006 - ...Substituting tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine for one dose of the 10-year Td booster through age 64. Using alternative vaccination strategies if needed to ensure that high-risk adults are immunized against hepatitis B. Given the...

American Family Physician : Editorials

https://www.aafp.org/afp/2006/1215/p2027.html

Family Practice International - Feb 15, 1998 - American Family Physician

Feb 15, 1998 - ...immunodeficiency syndrome, malaria, schistosomiasis and dengue fever. Quadrivalent infant vaccines with diphtheria, tetanus, pertussis and hepatitis B are under development, as are vaccines that incorporate injectable polio components. Combined hepatitis A and B vaccines are...

American Family Physician : Family Practice International

https://www.aafp.org/afp/1998/0215/p860.html

Febrile Seizures: Risks, Evaluation, and Prognosis

...toxoids and whole-cell pertussis (DTP); and measles, mumps, and rubella (MMR).13-15 A Cochrane review and a review of 530,000 chil- dren receiving the MMR vaccine showed that the risk of febrile seizures increased only dur- ing the first two weeks after vaccination, was small (an...

American Family Physician

https://www.aafp.org/afp/2012/0115/afp20120115p149.pdf

Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician

Apr 1, 2019 - A febrile seizure is a seizure occurring in a child six months to five years of age that is accompanied by a fever (100.4°F or greater) without central nervous system infection. Febrile seizures are classified as simple or complex. A complex seizure lasts 15 minutes or more, is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0401/p445.html

Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician

Jan 15, 2012 - Febrile seizures are common in the first five years of life, and many factors that increase seizure risk have been identified. Initial evaluation should determine whether features of a complex seizure are present and identify the source of fever. Routine blood tests, neuroimaging, and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0115/p149.html

Foreign Bodies in the Skin: Evaluation and Management - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p740.html

GERD Treatment for Chronic Nonspecific Cough in Children and Adults

...Cochrane Briefs Acellular Vaccines for Preventing Pertussis in Children Clinical Question Are acellular vaccines as safe and effective as whole-cell vaccines for preventing pertussis (whooping cough) in children? Evidence-Based Answer Multicomponent (i.e., three or more) acel-...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p502.pdf

GERD Treatment for Chronic Nonspecific Cough in Children and Adults

...Cochrane Briefs Acellular Vaccines for Preventing Pertussis in Children Clinical Question Are acellular vaccines as safe and effective as whole-cell vaccines for preventing pertussis (whooping cough) in children? Evidence-Based Answer Multicomponent (i.e., three or more) acel-...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p504.pdf

GERD Treatment for Chronic Nonspecific Cough in Children and Adults - Cochrane for ...

Sep 1, 2011 - Acid suppressants or prokinetic agents should not be used to treat chronic nonspecific cough in infants or children. There is insufficient evidence to support or discourage use of these agents to treat chronic non-specific cough in adults, even in those with a history of GERD.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0901/p502.html

Geriatric Assessment: An Office-Based Approach - American Family Physician

Jun 15, 2018 - Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Geriatric assessment evaluates medical, social, and environmental factors that influence overall well-being, and addresses ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p776.html

Guidelines for the Use of Antibiotics in Acute Upper Respiratory Infections - American ...

Sep 15, 2006 - To help physicians with the appropriate use of antibiotics in children and adults with upper respiratory tract infection, a multidisciplinary team evaluated existing guidelines and summarized key practice points. Acute otitis media in children should be diagnosed only if there is abrupt...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p956.html

Guidelines for Treating Adults with Acute Cough - Editorials - American Family Physician

Feb 15, 2007 - ...are likely to be effective for conditions such as pneumonia, upper airway cough syndrome from bacterial sinusitis, and Bordetella pertussis infection in the lower respiratory tract (whooping cough), if given early in the illness, and for exacerbations of bronchiectasis and severe...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0215/p476.html

Hand and Wrist Injuries: Part II. Emergent Evaluation - American Family Physician

Apr 15, 2004 - Primary care physicians must be able to recognize wrist and hand injuries that require immediate attention. A complete history and physical examination, including assessment of distal limb function, are essential. Hemorrhage control is necessary in patients with vessel lacerations and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1949.html

Hand and Wrist Injuries: Part II. Emergent Evaluation - American Family Physician

...Adapted from Centers for Disease Control and Prevention. Diph- theria, tetanus, and pertussis: recommendations for vaccine use and other preventive measures: recommendations of the Immu- nization Practices Advisory Committee (ACIP). Accessed online on March 29, 2004, at:...

American Family Physician

https://www.aafp.org/afp/2004/0415/afp20040415p1949.pdf

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Health Maintenance in Postmenopausal Women

May 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501p561.pdf

Health Maintenance in Postmenopausal Women - American Family Physician

May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0501/p561.html

Health Maintenance in School-aged Children: Part I. History, Physical Examination, ...

...are significantly less, with approximately 40 percent of patients receiving the tetanus toxoid, reduced diph- theria toxoid, and acellular pertussis (Tdap) vaccine and meningococcal vaccine, and less than 20 percent completing the human papillomavirus vaccine series.39 There is...

American Family Physician

https://www.aafp.org/afp/2011/0315/afp20110315p683.pdf

Health Maintenance in School-Aged Children: Part I. History, Physical Examination, ...

Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p213.html

Health Maintenance in School-aged Children: Part I. History, Physical Examination, ...

Mar 15, 2011 - The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p683.html

Helping Physicians Make Evidence-Based Decisions - Editorials - American Family Physician

Jun 1, 2001 - ...on perinatal care, the Cochrane Library has grown rapidly and now contains more than 850 reviews on a wide variety of topics from acellular pertussis vaccines to zinc for the comXmon cold. Primary care physicians have played an important role in the Cochrane Collaboration since its...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0601/p2130.html

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

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

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

American Family Physician : Article

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

HPV Vaccine: A Cornerstone of Female Health - Editorials - American Family Physician

Jan 1, 2007 - ...vaccines (i.e., tetravalent meningococcal conjugate vaccine [MCV4; Menactra] and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis booster [Tdap; Boostrix, Adacel]). Together, these three vaccines provide the opportunity for important anticipatory guidance during...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0101/p28.html

IDSA Releases Guidelines on Travel Medicine - Practice Guidelines - American Family ...

Jun 1, 2007 - The Infectious Diseases Society of America (IDSA) has released recommendations on travel medicine standards based on evidence, expert opinion, and clinical experience.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0601/p1712.html

Immunizations (excluding Influenza) - American Family Physician

Aug 15, 2020 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Immunizations in Pregnancy

...Tetanus toxoid, reduced diphtheria toxoid, and acel- lular pertussis (Tdap) vaccine should be provided during each pregnancy, preferably between 27 and 36 weeks of gestation.5 This timing recommendation is based on the maternal immune response, which peaks two weeks after...

American Family Physician

https://www.aafp.org/afp/2013/0615/afp20130615p828.pdf

Immunizations in Pregnancy - Editorials - American Family Physician

Jun 15, 2013 - Family physicians, even if not providing prenatal care, can play a critical role in maintaining current vaccinations in pregnant women. Learn which vaccinations to consider and which to avoid.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0615/p828.html

Immunizations in Pregnancy: Updated Recommendations - Editorials - American Family ...

Aug 15, 2020 - Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p205.html

Importance of Vaccinations for Close Contacts and Caregivers - Letters to the Editor - ...

Jun 15, 2008 - ...acellular pertussis vaccine as part of a tetanus toxoid, reduced diphtheria toxoids, and acellular pertussis vaccine (Tdap; Adacel) is recommended for all close contacts and caregivers of children younger than one year.1 As with influenza, infected parents can transmit pertussis to...

American Family Physician : Letter

https://www.aafp.org/afp/2008/0615/p1664.html

Infant with a Morbilliform Rash - Photo Quiz - American Family Physician

Feb 1, 2010 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2010/0201/p327.html

Influenza Vaccination Coverage of Children in the United States - Practice Guidelines -...

Jul 15, 2006 - The Centers for Disease Control and Prevention (CDC) has released a report on influenza vaccination coverage of children younger than two years during the 2003 to 2004 influenza season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0715/p336.html

Initial Management of Patients with HIV Infection - American Family Physician

Nov 1, 2016 - Human immunodeficiency virus (HIV) infection has become a treatable chronic disease with near-normal life expectancy when patients receive antiretroviral therapy (ART). Family physicians and other primary care clinicians commonly provide long-term comprehensive care for persons with HIV...

American Family Physician : Article

https://www.aafp.org/afp/2016/1101/p708.html

Insulin Detemir (Levmir) for Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2006 - Insulin detemir is suitable as basal insulin in a basal-bolus regimen. In limited research, it has been shown to cause slightly fewer episodes of minor hypoglycemia and no weight gain in patients with type 1 and 2 diabetes, which is a benefit that must be balanced against its higher ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0715/p323.html

Interventions Aimed at Increasing Childhood Vaccination Rates - Cochrane for Clinicians...

Nov 1, 2015 - Community discussions, community meetings, and information campaigns may increase immunization uptake in areas with only moderate vaccine use. There is no clear evidence to guide face-to-face educational interventions, and the impact of face-to-face interventions is uncertain in areas ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1101/p775.html

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