Genital Herpes: A Review - American Family Physician
Oct 15, 2005 - Genital herpes simplex virus infection is a recurrent, lifelong disease with no cure. The strongest predictor for infection is a person's number of lifetime sex partners. The natural history includes first-episode mucocutaneous infection, establishment of latency in the dorsal root ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1015/p1527.html
Managing Hypertension Using Combination Therapy - American Family Physician
May 1, 2008 - Combination therapy of hypertension with separate agents or a fixed-dose combination pill offers the potential to lower blood pressure more quickly, obtain target blood pressure, and decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0501/p1279.html
Finding the Bright Spots in Value-Based Care -- FPM
Oct 1, 2017 - Taking one small step at a time, primary care practices can lead the way as the health care system begins to reward value.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0900/p21.html
Management of Syphilis in People with HIV Infection - Letters to the Editor - American ...
Oct 1, 2021 - ...infection. There is a difference in the management of syphilis in people with HIV infection that may be beneficial for readers to note. The number of primary and secondary syphilis cases reported in the United States has been increasing, reaching 35,063 cases (10.8 cases per 100,000...
American Family Physician : Letter
https://www.aafp.org/afp/2021/1000/p335.html
Complications of Body Piercing - American Family Physician
Nov 15, 2005 - The trend of body piercing at sites other than the earlobe has grown in popularity in the past decade. The tongue, lips, nose, eyebrows, nipples, navel, and genitals may be pierced. Complications of body piercing include local and systemic infections, poor cosmesis, and foreign body ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1115/p2029.html
Supplements and Sports - American Family Physician
Nov 1, 2008 - Use of performance-enhancing supplements occurs at all levels of sports, from professional athletes to junior high school students. Although some supplements do enhance athletic performance, many have no proven benefits and have serious adverse effects. Anabolic steroids and ephedrine ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1039.html
Urinary Tract Infections During Pregnancy - American Family Physician
Feb 1, 2000 - Urinary tract infections are common during pregnancy, and the most common causative organism is Escherichia coli. Asymptomatic bacteriuria can lead to the development of cystitis or pyelonephritis. All pregnant women should be screened for bacteriuria and subsequently treated with ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0201/p713.html
The Woman with Dysuria - American Family Physician
May 1, 1998 - Bacterial cystitis is the most common bacterial infection occurring in women. Thirty percent of women will experience at least one episode of cystitis during their lifetime. About one third of patients presenting with symptoms of cystitis have upper urinary tract infection. A careful ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0501/p2155.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
Technology Tools and Trends for Better Patient Care: Beyond the EHR -- FPM
Oct 1, 2017 - From remote monitoring of chronic diseases to virtual assistants in the exam room, technology will improve practice.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/0900/p28.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
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
Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician
Jun 15, 2003 - Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0615/p2527.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
Diverticular Disease: Diagnosis and Treatment - American Family Physician
Oct 1, 2005 - Diverticular disease refers to symptomatic and asymptomatic disease with an underlying pathology of colonic diverticula. Predisposing factors for the formation of diverticula include a low-fiber diet and physical inactivity. Approximately 85 percent of patients with diverticula are ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1001/p1229.html
Interventions to Facilitate Smoking Cessation - American Family Physician
Jul 15, 2006 - Tobacco use, primarily cigarette smoking, is the leading cause of preventable morbidity and mortality in the United States, and nearly one third of those who try a cigarette become addicted to nicotine. Family physicians, who see most of these patients in their offices every year, have ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0715/p262.html
Treatment of Irritable Bowel Syndrome - American Family Physician
Dec 15, 2005 - Irritable bowel syndrome affects 10 to 15 percent of the U.S. population to some degree. This condition is defined as abdominal pain and discomfort with altered bowel habits in the absence of any other mechanical, inflammatory, or biochemical explanation for these symptoms. Irritable ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1215/p2501.html
Promoting and Prescribing Exercise in the Elderly - American Family Physician
Feb 1, 2002 - Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age-related ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0201/p419.html
Bleeding and Bruising: A Diagnostic Work-up - American Family Physician
Apr 15, 2008 - Primary care physicians are often asked about easy bruising, excessive bleeding, or risk of bleeding before surgery. A thorough history, including a family history, will guide the appropriate work-up, and a physical examination may provide clues to diagnosis. A standardized bleeding ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0415/p1117.html
Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...
Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/1215/p751.html
A Practical Guide to Physician Disability Insurance -- FPM
Oct 1, 2021 - Insurance policies can keep you financially whole if a disability reduces your earning potential, but it’s important to choose the right combination of coverage
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0900/p10.html
Developing Standing Orders to Help Your Team Work to the Highest Level -- FPM
Jun 1, 2018 - Use this seven-step plan to create protocols that improve efficiency and reduce physician workloads.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0500/p13.html
Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...
Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2021/0615/od1.html
Recent Advances in Radiation Therapy - American Family Physician
Dec 1, 2008 - Recent advances have improved the effectiveness, decreased the complications, and expanded the implications of radiation therapy. These advances include three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic radiotherapy, brachytherapy, and ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1254.html
Coding & Documentation - May-Jun 2019 -- FPM
Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2019/0500/p31.html
Management of Hip Fracture: The Family Physician's Role - American Family Physician
Jun 15, 2006 - The incidence of hip fracture is expected to increase as the population ages. One in five persons dies in the first year after sustaining a hip fracture, and those who survive past one year may have significant functional limitation. Although surgery is the main treatment for hip ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0615/p2195.html
Alcoholism in the Elderly - American Family Physician
Mar 15, 2000 - Alcohol abuse and alcoholism are common but underrecognized problems among older adults. One third of older alcoholic persons develop a problem with alcohol in later life, while the other two thirds grow older with the medical and psychosocial sequelae of early-onset alcoholism. The ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0315/p1710.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
Urinary Tract Infection in Children - American Family Physician
Dec 15, 2005 - Up to 7 percent of girls and 2 percent of boys will have a symptomatic, culture-confirmed urinary tract infection by six years of age. Urinary tract infection may be suspected because of urinary symptoms in older children or because of fever, nonspecific symptoms, or failure to thrive ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1215/p2483.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
Diagnosis: Making the Best Use of Medical Data - American Family Physician
Mar 15, 2009 - To take the best possible care of patients, physicians must understand the basic principles of diagnostic test interpretation. Pretest probability is an important factor in interpreting test results. Some tests are useful for ruling in disease when positive or ruling out disease when ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0315/p478.html
Common Causes of Vision Loss in Elderly Patients - American Family Physician
Jul 1, 1999 - Vision loss among the elderly is a major health care problem. Approximately one person in three has some form of vision-reducing eye disease by the age of 65. The most common causes of vision loss among the elderly are age-related macular degeneration, glaucoma, cataract and diabetic ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0701/p99.html
Point-of-Care Ultrasound: A Practical Guide for Primary Care -- FPM
Dec 1, 2020 - Ultrasound has head-to-toe applications for primary care, and the newest machines are portable and affordable enough to fit into almost any practice.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p33.html
Using Pegylated Interferon and Ribavirin to Treat Patients with Chronic Hepatitis C - ...
Aug 15, 2005 - Hepatitis C virus is the most common chronic blood-borne infection in the United States. The advent of new treatment regimens using pegylated interferons in combination with ribavirin has led to improved sustained viral response rates for some genotypes in large multicenter trials. ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0815/p655.html
Medications for Migraine Prophylaxis - American Family Physician
Jan 1, 2006 - Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0101/p72.html
Outpatient Management of Anticoagulation Therapy - American Family Physician
Apr 1, 2007 - The Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy provides guidelines for outpatient management of anticoagulation therapy. The ACCP guidelines recommend short-term warfarin therapy, with the goal of maintaining an ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0401/p1031.html
Nausea and Vomiting in Pregnancy - American Family Physician
Jul 1, 2003 - Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and...
American Family Physician : Article
https://www.aafp.org/afp/2003/0701/p121.html
Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...
Nov 15, 2019 - ...women for other conditions, such as migraines and mood disorders. I expect that the absolute number of patients who are taking these drugs while taking OCPs is probably a lot less than the number who might be prescribed an antibiotic while taking warfarin (Coumadin), for example....
American Family Physician : Letter
https://www.aafp.org/afp/2019/1115/p599.html
Anticonvulsants, SNRIs, and Rubefacients Are Best Initial Choices for Chronic Pain ...
Nov 1, 2021 - Given the balance of benefits and harms, there is moderately good evidence for anticonvulsants (pregabalin [Lyrica] and gabapentin [Neurontin] were similarly effective and well tolerated) and serotonin-norepinephrine reuptake inhibitors (SNRIs; with duloxetine [Cymbalta] and venlafaxine...
American Family Physician : POEMs
https://www.aafp.org/afp/2021/1100/od6.html
Acupuncture for Pain - American Family Physician
Sep 1, 2009 - Acupuncture is increasingly used as an alternative or complementary therapy for the treatment of pain. It is well tolerated, with a low risk of serious adverse effects. Traditional and modern acupuncture techniques may result in reported improvement in pain patterns. Research on ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0901/p481.html
Diagnosing Rhinitis: Allergic vs. Nonallergic - American Family Physician
May 1, 2006 - Allergic rhinitis, the most common type of rhinitis, generally can be differentiated from the numerous types of nonallergic rhinitis through a thorough history and physical examination. Allergic rhinitis may be seasonal, perennial, or occupational. The most common cause of nonallergic ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0501/p1583.html
Ruling Out Pulmonary Embolism in the Primary Care Setting - Point-of-Care Guides - ...
Jun 1, 2018 - What is the best approach to evaluate patients with suspected pulmonary embolism in the outpatient, primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0601/p750.html
Screening for Osteoporosis to Prevent Fractures: Recommendation Statement - U.S. ...
Nov 15, 2018 - The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/1115/od1.html
Behavior Disorders of Dementia: Recognition and Treatment - American Family Physician
Feb 15, 2006 - Psychosis may pose a greater challenge than cognitive decline for patients with dementia and their caregivers. The nature and frequency of psychotic symptoms varies over the course of illness, but in most patients, these symptoms occur more often in the later stages of disease. ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0215/p647.html
Discharge Procedures for Healthy Newborns - American Family Physician
Mar 1, 2006 - Physicians should use a checklist to facilitate discussions with new parents before discharging their healthy newborn from the hospital. The checklist should include information on breastfeeding, warning signs of illness, and ways to keep the child healthy and safe. Physicians can ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0301/p849.html
Herbal and Dietary Supplements for Treatment of Anxiety Disorders - American Family ...
Aug 15, 2007 - Use of complementary and alternative medicine has increased over the past decade. A variety of studies have suggested that this use is greater in persons with symptoms or diagnoses of anxiety and depression. Data support the effectiveness of some popular herbal remedies and dietary ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0815/p549.html
Effectiveness and Safety of Celecoxib for the Treatment of Rheumatoid Arthritis - ...
May 1, 2018 - Compared with placebo, celecoxib improves pain (number needed to treat [NNT] = 4) and clinical symptoms (NNT = 7), but it has no effect on physical function in patients with RA.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0501/p573.html
Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...
Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1265.html
Poverty and Health - The Family Medicine Perspective (Position Paper)
Find out the ways in which the American Academy of Family Physicians transforms health care to achieve optimal health for everyone.
About AAFP |AAFP Policies and Recommendations : Policies
https://www.aafp.org/about/policies/all/poverty-health.html
Human Papillomavirus: Clinical Manifestations and Prevention - American Family Physician
Nov 15, 2010 - Human papillomaviruses cause the most common sexually trans- mitted infection in the world and are responsible for nearly all cases of cervical cancer. Genital human papillomavirus infection can be divided into low-risk infections (causing genital warts) and high-risk infections ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1115/p1209.html
Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ...
Oct 1, 2021 - Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2021/1000/p356.html
A Compassionate Communication Refresher for Clinicians Experiencing COVID Fatigue -- FPM
Aug 1, 2021 - If the stress of the pandemic has challenged your patient communication skills, here’s how you can reestablish rapport.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0700/oa1.html
Prophylactic Vaccination Against Human Papillomavirus to Prevent Cervical Cancer and ...
Jan 1, 2019 - HPV vaccination in women 15 to 26 years of age prevents the development of cervical intraepithelial neoplasia (CIN) 2 and CIN 3 in women regardless of previous HPV exposure (number needed to treat [NNT] = 39). No serious adverse effects are associated with administration of the HPV ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0101/p15.html
A Pedunculated Mass on the Thigh - Photo Quiz - American Family Physician
Dec 15, 2016 - A woman presented with a lesion on her thigh that had gradually increased in size over the previous five years.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2016/1215/p1003.html
Diagnosis and Treatment of the Acute Scrotum - American Family Physician
Feb 15, 1999 - Testicular torsion must be considered in any patient who complains of acute scrotal pain and swelling. Torsion of the testis is a surgical emergency because the likelihood of testicular salvage decreases as the duration of torsion increases. Conditions that may mimic testicular torsion,...
American Family Physician : Article
https://www.aafp.org/afp/1999/0215/p817.html
Management of Spontaneous Abortion - American Family Physician
Oct 1, 2005 - Spontaneous abortion, which is the loss of a pregnancy without outside intervention before 20 weeks' gestation, affects up to 20 percent of recognized pregnancies. Spontaneous abortion can be subdivided into threatened abortion, inevitable abortion, incomplete abortion, missed abortion,...
American Family Physician : Article
https://www.aafp.org/afp/2005/1001/p1243.html
Antibiotic Therapy Does Not Prevent Death or Acute Exacerbations in Adults with ...
Nov 1, 2021 - The study found an increased number of adverse events without any significant benefit from antimicrobial therapy compared with usual care alone for adults with IPF. The study was terminated earlier than planned because of futility and the possibility of significantly increased harm.
American Family Physician : POEMs
https://www.aafp.org/afp/2021/1100/od4.html
Beware of the Differing Definitions for the False-Positive Rate - Letters to the Editor...
Jan 1, 2021 - ...rates in antibody testing in their Letter to the Editor. We agree that testing in low-prevalence populations will result in a large number of false-positive test results. Because multiple definitions of the false-positive rate exist, it is important to state which definition is...
American Family Physician : Letter
https://www.aafp.org/afp/2021/0101/p7.html
Prevention of Meningococcal Disease - American Family Physician
Nov 15, 2005 - Invasive disease caused by Neisseria meningitidis has an average annual incidence of one case per 100,000 in the United States. The disease can be rapidly fatal or result in severe neurologic and vascular sequelae despite antibiotic therapy. Antibiotic chemoprophylaxis with rifampin, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1115/p2049.html
Adverse Reactions to Contrast Material. Recognition, Prevention and Treatment - ...
Oct 1, 2002 - Adverse reactions to contrast agents range from a mild inconvenience, such as itching associated with hives, to a life-threatening emergency. Renal toxicity is a well known adverse reaction associated with the use of intravenous contrast material. Other forms of adverse reactions ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1001/p1229.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
Making Decisions with Families at the End of Life - American Family Physician
Aug 15, 2004 - Because advance directives are not yet the norm, end-of-life decisions for patients without medical decision-making capacity are made regularly within discussions between the patient's physician and family. Communication and decision making in these situations require a complex ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0815/p719.html
Update on Immunizations in Children and Adolescents - American Family Physician
Jun 1, 2008 - Over the past few years, there have been many changes to the recommendations for children and adolescents by the Advisory Committee on Immunization Practices. These include dividing the immunization schedule into two parts (i.e., ages birth to six years and seven to 18 years, with ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0601/p1561.html
Fever in the Returned Traveler - American Family Physician
Oct 1, 2003 - With the rising popularity of international travel to exotic locations, family physicians are encountering more febrile patients who recently have visited tropical countries. In the majority of cases, the fever is caused by a common illness such as tracheobronchitis, pneumonia, or ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1001/p1343.html
Pharmacologic Pearls for End-of-Life Care - American Family Physician
Jun 15, 2009 - As death approaches, a gradual shift in emphasis from curative and life prolonging therapies toward palliative therapies can relieve significant medical burdens and maintain a patient's dignity and comfort. Pain and dyspnea are treated based on severity, with stepped interventions, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0615/p1059.html
Lactose Intolerance - American Family Physician
May 1, 2002 - Persons with lactose intolerance are unable to digest significant amounts of lactose because of a genetically inadequate amount of the enzyme lactase. Common symptoms include abdominal pain and bloating, excessive flatus, and watery stool following the ingestion of foods containing ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0501/p1845.html
Acute Pericarditis - American Family Physician
Nov 15, 2007 - Although acute pericarditis is most often associated with viral infection, it may also be caused by many diseases, drugs, invasive cardiothoracic procedures, and chest trauma. Diagnosing acute pericarditis is often a process of exclusion. A history of abrupt-onset chest pain, the ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1115/p1509.html
Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...
Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2019/0201/p143.html
Treating Acute Bronchiolitis Associated with RSV - American Family Physician
Jan 15, 2004 - Treatment for infants with bronchiolitis caused by respiratory syncytial virus (RSV) includes supplemental oxygen, nasal suctioning, fluids to prevent dehydration, and other supportive therapies. High-risk children who should be hospitalized include those younger than three months and ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0115/p325.html
Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...
Jan 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/2020/0115/p75.html
Preventing or Delaying Type 2 Diabetes Mellitus with Diet and Exercise - Cochrane for ...
Dec 1, 2018 - There is moderate-quality evidence that in patients with impaired glucose tolerance (IGT) defined by an abnormal 75-g two-hour glucose tolerance test, implementing changes in diet and adding physical activity together can prevent or delay the development of type 2 diabetes.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/1201/p643.html
Liver Disease in Pregnancy - American Family Physician
Feb 15, 1999 - Acute viral hepatitis is the most common cause of jaundice in pregnancy. The course of acute hepatitis is unaffected by pregnancy, except in patients with hepatitis E and disseminated herpes simplex infections, in which maternal and fetal mortality rates are significantly increased. ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0215/p829.html
Polycythemia Vera - American Family Physician
May 1, 2004 - Polycythemia vera is a chronic myeloproliferative disorder characterized by increased red blood cell mass. The resultant hyperviscosity of the blood predisposes such patients to thrombosis. Polycythemia vera should be suspected in patients with elevated hemoglobin or hematocrit levels, ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0501/p2139.html
Mini-Mental State Examination for the Detection of Dementia in Older Patients - ...
Dec 1, 2016 - When scores are adjusted based on a patient's education level, the MMSE may be useful to rule out a diagnosis of dementia in clinically unevaluated patients 65 years and older (sensitivity = 97%; specificity = 70%). Scores of less than 24 may also be useful to rule in dementia in ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2016/1201/p880.html
Alopecia in Women - American Family Physician
Mar 1, 2003 - Alopecia can be divided into disorders in which the hair follicle is normal but the cycling of hair growth is abnormal and disorders in which the hair follicle is damaged. Androgenetic alopecia is the most common cause of hair loss in women. Other disorders include alopecia areata, ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p1007.html
Ginger: An Overview - American Family Physician
Jun 1, 2007 - Ginger (Zingiber officinale) is one of the more commonly used herbal supplements. Although often consumed for culinary purposes, it is taken by many patients to treat a variety of conditions. Ginger has been shown to be effective for pregnancy-induced and postoperative nausea and ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0601/p1689.html
Poor Physician-Patient Communication and Medical Error - Lown Right Care: Reducing ...
Jun 15, 2021 - 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/2021/0615/p757.html
Nonhormonal Therapies for Hot Flashes in Menopause - American Family Physician
Feb 1, 2006 - Numerous reports in the medical literature and popular media have discussed the effectiveness of various nonhormonal agents in reducing menopausal hot flash symptoms. Data for these therapies are limited, and most of the studies have been conducted in women with a history of breast ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0201/p457.html
Treatment of Recurrent Vulvovaginal Candidiasis - American Family Physician
Jun 1, 2000 - Vulvovaginal candidiasis is considered recurrent when at least four specific episodes occur in one year or at least three episodes unrelated to antibiotic therapy occur within one year. Although greater than 50 percent of women more than 25 years of age develop vulvovaginal candidiasis ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0601/p3306.html
Medical Emergency Preparedness in Office Practice - American Family Physician
Jun 1, 2007 - Most primary care physicians report at least one emergency presenting to their office per year. Asthma, anaphylaxis, shock, seizures, and cardiac arrest are among the most common adult and childhood emergencies in the office setting. Most offices are not fully prepared for these medical...
American Family Physician : Article
https://www.aafp.org/afp/2007/0601/p1679.html
The Challenge of Pelvic Inflammatory Disease - American Family Physician
Mar 1, 2006 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract in women that can include endometritis, parametritis, salpingitis, oophoritis, tubo-ovarian abscess, and peritonitis. The spectrum of disease ranges from subclinical, asymptomatic infection to severe, ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0301/p859.html
Welcome to Family Medicine; the AAFP Is Here to Help
Third-year residents are wrapping up their training. Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., the new physician member of the AAFP Board of Directors, offers advice on how the Academy can be an invaluable resource at this critical career stage in the Leader Voices Blog.
AAFP News : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20200602lv-newphysicians.html
The Importance of Keeping Patients with Post-Acute Sequelae of SARS-CoV-2 Infection ...
Jun 15, 2021 - ...of persistent PASC symptoms may lead people to leave their jobs temporarily. The American College of Occupational and Environmental Medicine advises that prolonged absence from the workplace is detrimental to a person's mental, physical, and social well-being.4 A 2006 British...
American Family Physician : Letter
https://www.aafp.org/afp/2021/0615/p710.html
Essentials of the Diagnosis of Heart Failure - American Family Physician
Mar 1, 2000 - Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0301/p1319.html
Incorporating Alcohol Screening and Brief Intervention Into Practice -- FPM
Dec 1, 2020 - Incorporating alcohol screening and brief intervention benefits your patients and family medicine practice. Follow these steps to reduce risky alcohol use by choosing a screening test, establishing a practice workflow, and appropriately coding and billing.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p41.html
Perioperative Cardiac Risk Reduction - American Family Physician
Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0201/p239.html
The Importance of Beta Blockers in the Treatment of Heart Failure - American Family ...
Dec 1, 2000 - Heart failure, the only cardiovascular disease with an increasing incidence, is associated with significant mortality and poses a considerable economic burden. Traditionally, beta blockers have been considered to be contraindicated in patients with heart failure. Recently, however, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1201/p2453.html
Burnout by Numbers
Recent surveys and studies paint a bleak landscape regarding physician burnout. AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin writes in this In The Trenches blog post that the continued shortcomings of electronic health records are the prime driver.
AAFP News : Blogs
https://www.aafp.org/news/blogs/inthetrenches/entry/20200121itt-ehr.html
Depression Following Acute Coronary Syndrome Events: Screening and Treatment Guidelines...
Jun 15, 2019 - ...CRAIG W. ROBBINS, MD, MPH, FAAFP, Kaiser Permanente School of Medicine, Pasadena, California JAMES J. STEVERMER, MD, MSPH, FAAFP, University of Missouri Health Care, Columbia, Missouri ROBERT T. CHOW, MD, MBA, MACP, University of Maryland Medical Center Midtown Campus, Baltimore,...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0615/od2.html
Preparation of the Cardiac Patient for Noncardiac Surgery - American Family Physician
Mar 1, 2007 - Approximately 20 to 40 percent of patients at high risk of cardiac-related morbidity develop myocardial ischemia perioperatively. The preferred approach to diagnostic evaluation depends on the interactions of patient-specific risk factors, surgery-specific risk factors, and exercise ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p656.html
Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis - Letters to the ...
May 15, 2021 - ...Editor's Note: Dr. Ebell is deputy editor for evidence-based medicine for AFP. Mark H. Ebell, MD, MS Athens, Ga. Email: ebell@uga.edu Roland Grad, MDCM, MSc, FCFP Montreal, Quebec Author disclosure: No relevant financial affiliations. References 1. Hróbjartsson A, Gøtzsche PC....
American Family Physician : Letter
https://www.aafp.org/afp/2021/0515/p580.html
Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...
Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p275.html
Mirtazapine: A Newer Antidepressant - American Family Physician
Jan 1, 1999 - Mirtazapine is a newer antidepressant that exhibits both noradrenergic and serotonergic activity. It is at least as effective as the older antidepressants for treating mild to severe depression. Sedation is the most common side effect. Although agranulocytosis is the most serious side ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0101/p159.html
Chronic Critical Limb Ischemia: Diagnosis, Treatment and Prognosis - American Family ...
Apr 1, 1999 - Chronic critical limb ischemia is manifested by pain at rest, nonhealing wounds and gangrene. Ischemic rest pain is typically described as a burning pain in the arch or distal foot that occurs while the patient is recumbent but is relieved when the patient returns to a position in which...
American Family Physician : Article
https://www.aafp.org/afp/1999/0401/p1899.html
Topical Therapy for Acne - American Family Physician
Jan 15, 2000 - Acne is a common problem in adolescents and young adults. The disorder is caused by abnormal desquamation of follicular epithelium that results in obstruction of the pilosebaceous canal. This obstruction leads to the formation of comedones, which can become inflamed because of ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0115/p357.html
Six Tips to Effectively Treat Opioid Use Disorder in Rural Areas -- FPM
Jun 1, 2021 - Overcome barriers to care by using telehealth, supporting home-based treatment, and partnering with local and state services.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0500/p23.html
Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis - Letters to...
Apr 1, 2021 - Prolotherapy: An Evidence-Based Adjunctive Therapy for Knee Osteoarthritis
American Family Physician : Letter
https://www.aafp.org/afp/2021/0401/p395.html
Generalized Anxiety Disorder - American Family Physician
Oct 1, 2000 - Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms. The disorder is frequently difficult to diagnose because of the variety of presentations and the common occurrence of comorbid medical or psychiatric conditions. The...
American Family Physician : Article
https://www.aafp.org/afp/2000/1001/p1591.html
Childhood Obesity: Highlights of AMA Expert Committee Recommendations - American Family...
Jul 1, 2008 - Childhood obesity is an increasingly serious problem; 13.9 percent of children two to five years of age, 18.8 percent of children six to 11 years of age, and 17.4 percent of adolescents 12 to 19 years of age in America are obese. Practical strategies that primary care physicians can use...
American Family Physician : Article
https://www.aafp.org/afp/2008/0701/p56.html
Evaluating Dysphagia - American Family Physician
Jun 15, 2000 - Dysphagia is a problem that commonly affects patients cared for by family physicians in the office, as hospital inpatients and as nursing home residents. Familiar medical problems, including cerebrovascular accidents, gastroesophageal reflux disease and medication-related side effects, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0615/p3639.html