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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

Expert Lists Ways to Boost Adolescent Immunization Rates

AAFP Vaccine Science Fellowship alumnus John Merrill-Steskal, M.D., of Ellensburg, Wash., recently took time to speak with AAFP News about strategies he uses to keep adolescent immunization rates high in his practice.

https://www.aafp.org/news/health-of-the-public/20190424vaccineq-a.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

Family Practice Management

...Code 90696 has been established to report an FDA- approved, combination vaccine to protect against diph- theria, tetanus, pertussis and poliomyelitis (DTaP-IPV) in a single injection (Kinrix). This vaccine is intended to be administered as a booster dose to healthy children four...

Family Practice Management

https://www.aafp.org/fpm/2009/0100/fpm20090100p7.pdf

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

Fewer, Not More, Vaccine Exemptions Needed

Fewer, Not More, Vaccine Exemptions Needed

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/fewer_not_more_vaccine_exemptions.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

FPM Past Issues 2005

FPM issues 2005

Family Practice Management

https://www.aafp.org/journals/fpm/issues/2005.html

fpm20060100p28-rt1.pdf

...90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), for use in individuals 7 years or older, for intramuscular use Medicine: Special Services 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the...

Family Practice Management

https://www.aafp.org/fpm/2006/0100/fpm20060100p28-rt1.pdf

fpm20060900p63.pdf

...Pertussis exposure PDF Pulmonary embolism* PDF Sore throat* PDF Upper respiratory infection PDF, Word Forms appropriate to various visit types common skin procedures** PDF evaluation and management services** PDF Home visit PDF, Word Nursing home group visit...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p63.pdf

fpm20070300p48.pdf

...a wider range of immunizations, not only for our youngest patients but also for adolescents and adults (e.g., human papilloma virus, pertussis, meningococcus and herpes zos- ter vaccines). While patients can receive vaccinations from a variety of sources, offering them within the...

Family Practice Management

https://www.aafp.org/fpm/2007/0300/fpm20070300p48.pdf

fpm20071000p35.pdf

...• 90715 tetanus, diphtheria toxoids and acellular pertussis vaccine (tdap), age ≥ 7 years, for intramuscular use. diagnosis codes linked to these services would be v04.81 for the influenza vaccination and v06.1 for the tdap vaccination. alone. The ICD-9 code for pneumococcus...

Family Practice Management

https://www.aafp.org/fpm/2007/1000/fpm20071000p35.pdf

fpm20080100p16-rt1.pdf

...90696 Diphtheria, tetanus toxoids, acellular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered to children 4 years through 6 years of age, for intramuscular use Other Medicine Services and Procedures 99174 Ocular photoscreening with...

Family Practice Management

https://www.aafp.org/fpm/2008/0100/fpm20080100p16-rt1.pdf

fpm20080100p16.pdf

...• 90696 Diphtheria, tetanus toxoids, acel- lular pertussis vaccine and poliovirus vaccine, inactivated (DTaP-IPV), when administered Two codes were added to report tobacco cessation counseling. Time-based billing is now an option for some nursing home visits....

Family Practice Management

https://www.aafp.org/fpm/2008/0100/fpm20080100p16.pdf

fpm20080100p22.pdf

...needs the new tetanus/ pertussis combo booster, you might describe the importance of protecting adolescents from waning immunity. But if the patient also has a newborn sibling at home, you can make your spiel more effective by pointing out that pertussis in a newborn would be a...

Family Practice Management

https://www.aafp.org/fpm/2008/0100/fpm20080100p22.pdf

fpm20120700p21.pdf

...DPT diphtheria-pertussis-tetanus Demerol-Phenergan-Thorazine HCT hydrocortisone hydrochlorothiazide MgS04 magnesium sulfate morphine sulfate 5-ASA 5-aminosalicylic acid five tablets of aspirin Dosing o.d. or od once daily right eye t.i.w. or tiw three times a week...

Family Practice Management

https://www.aafp.org/fpm/2012/0700/fpm20120700p21.pdf

fpm20130700p32.pdf

...to administer tetanus boosters. It is the rare patient who remembers when he or she last had a tetanus booster, let alone if it included pertussis. Nearly everyone has a cell phone if not a smartphone, though, and is accustomed to using it to remember appointments, con- tacts,...

Family Practice Management

https://www.aafp.org/fpm/2013/0700/fpm20130700p32.pdf

fpm20140300p22.pdf

...Clergy and other respected members of society are often influential. While discussing whooping cough and the Tdap (tetanus, diphtheria, and pertussis) vaccine with a minister of a large church in Chicago, Dr. Brown asked him if he was often near young children. He shared that...

Family Practice Management

https://www.aafp.org/fpm/2014/0300/fpm20140300p22.pdf

fpm20150300p24.pdf

...mumps, and rubella). If you administer a DTaP/IPV vac- cine (Kinrix) you may bill for four components (diphthe- ria, tetanus, pertussis, and polio). Let’s see how this works in real life. In my practice, our largest payer reimburses around $50 for administer- ing the first...

Family Practice Management

https://www.aafp.org/fpm/2015/0300/fpm20150300p24.pdf

fpm20160100p14.pdf

...• 90697, Diphtheria, tetanus toxoids, acel- lular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intra- muscular use. Both of these vaccines are pending approval by the...

Family Practice Management

https://www.aafp.org/fpm/2016/0100/fpm20160100p14.pdf

FPs Are 'Soldiers in Field' Against Outbreaks

FPs Are 'Soldiers in Field' Against Outbreaks

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/fps_soldiers_in_field_against.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

GSK to Compensate for Merck's Pediatric HepB Vaccine Shortage

In the face of a continuing shortage of Merck's pediatric hepatitis B vaccines, the CDC says GlaxoSmithKline will fill in with sufficient supply to meet full U.S. demand.

https://www.aafp.org/news/health-of-the-public/20180411hepbshortage.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 - 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

Help Kids Catch Up After Delays in Care

As schools begin to reopen, Margot Savoy, M.D., M.P.H., offers tips on how to catch kids up on vaccines after potential delays in preventive care from the COVID-19 pandemic.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200826lv-backtoschool.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

How to Answer Your Clinical Questions More Efficiently -- FPM

Aug 1, 2005 - Asking focused questions and knowing where to look can lead to quicker answers.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0700/p37.html

How to Manage a Pertussis Outbreak in Your Practice -- Family Practice Management

...How to Manage a Pertussis Outbreak in Your Practice A physician shares the lessons he learned after unknowingly exposing patients and staff to whooping cough. Dr. Flanagan practices in State College, Pa., and is an associate professor of family and community medicine with the...

Family Practice Management

https://www.aafp.org/fpm/2005/0700/fpm20050700p31.pdf

How to Manage a Pertussis Outbreak in Your Practice -- FPM

Aug 1, 2005 - A physician shares the lessons he learned after unknowingly exposing patients and staff to whooping cough.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0700/p31.html

How to Reduce Your Malpractice Risk -- FPM

Aug 1, 2012 - Recognizing warning signs and documenting with care are two keys.

Family Practice Management : Articles

https://www.aafp.org/fpm/2012/0700/p21.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

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