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Evaluation of Palpable Breast Masses - American Family Physician

May 1, 2005 - Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy. A thorough clinical breast examination, imaging, and tissue sampling are needed for a definitive diagnosis. Fine-needle aspiration is fast, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1731.html

Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician

Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0415/p554.html

Stuttering: An Overview - American Family Physician

May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1271.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Geriatric Screening and Preventive Care - American Family Physician

Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p206.html

Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? No: ...

May 15, 2017 - The AAFP will continue to evaluate different screening tests as more research becomes available, but currently can endorse only those options that have the strongest evidence that benefits exceed harms.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2017/0515/p618.html

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.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

The Role of Allergens in Asthma - American Family Physician

Sep 1, 2007 - The National Asthma Education and Prevention Program Expert Panel guidelines for the management of asthma recommend that patients who require daily asthma medications have allergy testing for perennial indoor allergens and that, when triggers are found, exposure to allergens and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p675.html

Vacuum-Assisted Vaginal Delivery - American Family Physician

Oct 15, 2008 - The second stage of labor is a dynamic event that may require assistance when maternal efforts fail to effect delivery or when there are nonreassuring fetal heart tones. Therefore, knowing how to perform an operative vaginal delivery with forceps or vacuum is vital for family physicians...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p953.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p676.html

Medications for Treatment-Resistant Depression in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Jan 1, 2021 - In patients with treatment-resistant depression, augmenting therapy with atypical antipsychotics can be effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p16.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.html

Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0701/p51.html

Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ...

Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0301/p302.html

Ectopic Pregnancy - American Family Physician

Feb 15, 2000 - Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester. Greater awareness of risk factors and improved technology (biochemical markers and ultrasonography) allow ectopic pregnancy to be ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1080.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

Diagnostic Approach to Polyarticular Joint Pain - American Family Physician

Sep 15, 2003 - Identifying the cause of polyarticular joint pain can be difficult because of the extensive differential diagnosis. A thorough history and a complete physical examination are essential. Six clinical factors are helpful in narrowing the possible causes: disease chronology, inflammation, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1151.html

Asbestos-Related Lung Disease - American Family Physician

Mar 1, 2007 - The inhalation of asbestos fibers may lead to a number of respiratory diseases, including lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma. Although exposure is now regulated, patients continue to present with these diseases because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p683.html

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375a.html

Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...

Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p801.html

Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician

Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1961.html

Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ... Restricted content. Login required.

May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p527.html

Senile Dementia of the Binswanger's Type - American Family Physician

Dec 1, 1998 - Senile dementia of the Binswanger's type is a term used to describe a dementia syndrome characterized by onset in the sixth or seventh decade of life, subcortical neurologic deficits, psychiatric disorders and evidence of hypertension or systemic vascular disease. The status of senile ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2068.html

The Female Athlete Triad: Recommendations for Management - Editorials - American Family...

Apr 15, 2018 - Family physicians should be familiar with recommendations regarding the female athlete triad, because prevention and early intervention can significantly reduce morbidity from this disorder.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0415/p499.html

Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...

Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0415/p529.html

Common Benign Skin Tumors - American Family Physician

Feb 15, 2003 - Benign skin tumors are commonly seen by family physicians. The ability to properly diagnose and treat common benign tumors and to distinguish them from malignant lesions is a vital skill for all family physicians. Any lesions for which the diagnosis is uncertain, based on the history ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p729.html

Infertility - American Family Physician

Mar 15, 2007 - Infertility is defined as failure to achieve pregnancy during one year of frequent, unprotected intercourse. Evaluation generally begins after 12 months, but it can be initiated earlier if infertility is suspected based on history or if the female partner is older than 35 years. Major ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p849.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

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

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

Evidence-Based Use of Opioids - Letters to the Editor - American Family Physician

Mar 15, 2021 - ...medicine. A systematic review included 15 randomized controlled trials and 6,266 patients with osteoarthritis who were followed for 10 days to 24 weeks. Overall, 47% of patients taking opioids reported meaningful pain relief compared with 43% of patients taking placebo (number...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p326.html

Dietary Supplements for Osteoarthritis - American Family Physician

Jan 15, 2008 - A large number of dietary supplements are promoted to patients with osteoarthritis and as many as one third of those patients have used a supplement to treat their condition. Glucosamine-containing supplements are among the most commonly used products for osteoarthritis. Although the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p177.html

Atypical Pathogens and Challenges in Community-Acquired Pneumonia - American Family ...

Apr 1, 2004 - Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia. Antibiotic treatment is empiric and includes coverage for both typical and atypical organisms. Doxycycline, a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1699.html

Updated Guidelines from AASM for the Treatment of Central Sleep Apnea Syndromes - ...

Nov 15, 2012 - The updated guidelines on central sleep apnea from the American Academy of Sleep Medicine (AASM) includes levels of recommendations (standard or option) based on the overall quality of evidence (high, moderate, low, or very low). Central sleep apnea syndromes are characterized by ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1115/p968.html

Hepatitis (and Other Liver Diseases) - American Family Physician

Apr 15, 2021 - This collection features AFP content on hepatitis and other liver disease, including cirrhosis, chronic liver failure, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, jaundice, and nonalcoholic fatty liver disease. This collection features AFP content on hepatitis and other ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=38

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

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

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

Chronic Vulvovaginal Candidiasis - American Family Physician

Feb 15, 2001 - Frequently ignored by the medical community, chronic vulvovaginal symptoms are relatively common and can frustrating for patients and physicians. Establishing a proper diagnosis will lay the foundation for an effective therapeutic therapeutic plan. Fungal cultures are an important ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p697.html

Pet-Related Infections - American Family Physician

Nov 1, 2007 - Human contact with cats, dogs, and other pets results in several million infections each year in the United States, ranging from self-limited skin conditions to life-threatening systemic illnesses. Toxoplasmosis is one of the most common pet-related parasitic infections. Although ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1314.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

Glucose Control in Hospitalized Patients - American Family Physician

May 1, 2010 - Evidence indicates that hospitalized patients with hyperglycemia do not benefit from tight blood glucose control. Maintaining a blood glucose level of less than 180 mg per dL (9.99 mmol per L) will minimize symptoms of hyperglycemia and hypoglycemia without adversely affecting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0501/p1121.html

Diagnosis and Treatment of Female Sexual Dysfunction - American Family Physician

Mar 1, 2008 - Female sexual complaints are common, occurring in approximately 40 percent of women. Decreased desire is the most common complaint. Normal versus abnormal sexual functioning in women is poorly understood, although the concept of normal female sexual function continues to develop. A ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p635.html

Oral Analgesics for Acute Nonspecific Pain - American Family Physician

Mar 1, 2005 - Physicians most often recommend or prescribe oral medication for relief of acute pain. This review of the available evidence supports the use of acetaminophen in doses up to 1,000 mg as the initial choice for mild to moderate acute pain. In some cases, modest improvements in analgesic ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0301/p913.html

Nodules on the Knuckles - Photo Quiz - American Family Physician

Jan 1, 2020 - ...MICAH PIPPIN, MD, Louisiana State University Health Sciences Center, Family Medicine Residency, Alexandria, Louisiana Am Fam Physician. 2020 Jan 1;101(1):47-48. A 55-year-old man presented with nonpainful, red masses on his knuckles that had been recurring for years. The lesions...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0101/p47.html

What to do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder...

Oct 15, 2002 - Selective serotonin reuptake inhibitors (SSRIs) are the drug of choice for treatment of patients with panic disorder. Most patients have a favorable response to SSRI therapy; however, 30 percent will not be able to tolerate these drugs or will have an unfavorable or incomplete response....

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1477.html

Universal Newborn Hearing Screening - American Family Physician

May 1, 2007 - Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1349.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

Diagnosis and Management of Rheumatoid Arthritis - American Family Physician

Sep 15, 2005 - Rheumatoid arthritis is a chronic inflammatory disease characterized by uncontrolled proliferation of synovial tissue and a wide array of multisystem comorbidities. Prevalence is estimated to be 0.8 percent worldwide, with women twice as likely to develop the disease as men. Untreated, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0915/p1037.html

Positive Chest Radiograph Findings Are Not Enough to Warrant Antibiotics in Patients ...

Jan 1, 2020 - ...Editor’s Note: Dr. Ebell is Deputy Editor for Evidence-Based Medicine for AFP. References 1. Ebell MH, Radke T. Antibiotic use for viral acute respiratory tract infections remains common. Am J Manag Care. 2015;21(10):e567–e575. 2. Van Vugt S, Broekhuizen BD, Lammens C, et al. Use of...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p5.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

A Practical Guide to Infant Oral Health - American Family Physician

Dec 1, 2004 - Early childhood caries is the most common chronic disease in young children and may develop as soon as teeth erupt. Bacteria, predominately mutans streptococci, metabolize simple sugars to produce acid that demineralizes teeth, resulting in cavities. Physicians should examine children's...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2113.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

Braces and Splints for Musculoskeletal Conditions - American Family Physician

Feb 1, 2007 - Braces and splints can be useful for acute injuries, chronic conditions, and the prevention of injury. There is good evidence to support the use of some braces and splints; others are used because of subjective reports from patients, relatively low cost, and few adverse effects, despite...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p342.html

Drug-Eluting Coronary Artery Stents - American Family Physician

Dec 1, 2009 - Many advances have been made in the percutaneous treatment of coronary artery disease during the past 30 years. Although balloon angioplasty alone is still performed, the use of coronary artery stents is much more common. Approximately 40 percent of patients treated with balloon ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1245.html

Treatment of Nursing Home-Acquired Pneumonia - American Family Physician

Jun 1, 2009 - Pneumonia is an important cause of morbidity and mortality in nursing home residents, with 30-day mortality rates ranging from 10 to 30 percent. Streptococcus pneumoniae is the most common cause of nursing home-acquired pneumonia, although Staphylococcus aureus and gram-negative ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p976.html

Common Hyperpigmentation Disorders in Adults: Part I. Diagnostic Approach, Cafe au Lait...

Nov 15, 2003 - The cause of hyperpigmentation usually is traced to the activity and presence of melanocytes. Cafe au lait macules may be solitary benign findings or may indicate the presence of neurofibromatosis with its associated complications. Diffuse hyperpigmentation should prompt a search for ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1955.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

Lumbar Spine Stenosis: A Common Cause of Back and Leg Pain - American Family Physician

Apr 15, 1998 - Lumbar spine stenosis most commonly affects the middle-aged and elderly population. Entrapment of the cauda equina roots by hypertrophy of the osseous and soft tissue structures surrounding the lumbar spinal canal is often associated with incapacitating pain in the back and lower ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1825.html

Management of Acute Renal Failure - American Family Physician

Nov 1, 2005 - Acute renal failure is present in 1 to 5 percent of patients at hospital admission and affects up to 20 percent of patients in intensive care units. The condition has prerenal, intrarenal, and postrenal causes, with prerenal conditions accounting for 60 to 70 percent of cases. The cause...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1739.html

Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...

Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0615/p768.html

Detection and Evaluation of Chronic Kidney Disease - American Family Physician

Nov 1, 2005 - Chronic kidney disease affects approximately 19 million adult Americans, and its incidence is increasing rapidly. Diabetes and hypertension are the underlying causes in most cases of chronic kidney disease. Evidence suggests that progression to kidney failure can be delayed or prevented...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1723.html

C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...

Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p54.html

Cancer - American Family Physician

Apr 15, 2021 - This collection features AFP content on cancer and related issues, including various types (breast, cervical, childhood, colorectal, lung, oral, ovarian, prostate, skin, testicular, and other types of cancer). This collection features AFP content on cancer and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=31

Chronic Musculoskeletal Pain in Children: Part I. Initial Evaluation - American Family ...

Jul 1, 2006 - Musculoskeletal pain can be difficult for children to characterize. Primary care physicians must determine whether the pain may be caused by a systemic disease. Change in activity, constitutional symptoms such as fevers and fatigue, or abnormal examination findings without obvious ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0701/p115.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

Skin-to-Skin Contact for Improved Duration of Breastfeeding - FPIN's Help Desk Answers ...

Aug 1, 2019 - Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0801/od2.html

ACP Provides Guidance on Nonsurgical Treatment of Urinary Incontinence in Women - ...

Jun 1, 2015 - The American College of Physicians (ACP) has provided recommendations for nonsurgical treatment of UI in women. Treatment of UI is aimed at achieving, or at least improving, symptoms. It is deemed effective if it reduces the number of episodes by at least one-half.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0601/p801.html

Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...

Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0101/p45.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

Diagnosis of Systemic Lupus Erythematossus - American Family Physician

Dec 1, 2003 - Systemic lupus erythematosus is a multisystem inflammatory disease that is often difficult to diagnose. Before the diagnosis can be established, four of 11 clinical and laboratory criteria must be met. Antinuclear antibody titer is the primary laboratory test used to diagnose systemic ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2179.html

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Therapeutic Home Adaptations for Older Adults with Disabilities - American Family ...

Nov 1, 2009 - Family physicians commonly care for older patients with disabilities. Many of these patients need help maintaining a therapeutic home environment to preserve their comfort and independence. Patients often have little time to decide how to address the limitations of newly-acquired ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p963.html

Lipoma Excision - American Family Physician

Mar 1, 2002 - Lipomas are adipose tumors that are often located in the subcutaneous tissues of the head, neck, shoulders, and back. Lipomas have been identified in all age groups but usually first appear between 40 and 60 years of age. These slow-growing, nearly always benign, tumors usually present ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p901.html

How Family Physicians Can Combat the Opioid Epidemic - Editorials - American Family ...

Sep 15, 2017 - Family physicians must commit to responsible prescribing of opioid medications. The decision to initiate opioid therapy should be a careful and deliberate one, especially in patients who are at risk of addiction.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0915/p357.html

Evaluating Fever of Unidentifiable Source in Young Children - American Family Physician

Jun 15, 2007 - Most children will have been evaluated for a febrile illness by 36 months of age. Although the majority will have a self-limited viral illness, studies done before the use of Haemophilus influenzae type b and Streptococcus pneumoniae vaccines showed that approximately 10 percent of ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0615/p1805.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.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

HELLP Syndrome: Recognition and Perinatal Management - American Family Physician

Sep 1, 1999 - HELLP, a syndrome characterized by hemolysis, elevated liver enzyme levels and a low platelet count, is an obstetric complication that is frequently misdiagnosed at initial presentation. Many investigators consider the syndrome to be a variant of preeclampsia, but it may be a separate ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p829.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

Pancreatic Cancer: Diagnosis and Management - American Family Physician

Feb 1, 2006 - Although only 32,000 new cases of adenocarcinoma of the pancreas occur in the United States each year, it is the fourth leading cause of cancer deaths in this country. The overall five-year survival rate is 4 percent, and localized, resectable disease has only a 17 percent survival ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p485.html

Interventions for Preventing Falls Among Older Adults Living in the Community - ...

Feb 1, 2017 - Structured exercise programs and home safety interventions reduce both the rate and the risk of falling among community-dwelling adults 65 years and older, whereas multifactorial assessment and intervention programs reduce the rate of falls but not the risk of falling. Vitamin D ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0201/p152.html

Social Media Use and Mood Disorders: When Is It Time to Unplug? - Curbside Consultation...

Oct 15, 2017 - Americans spend more time on Facebook, the world's largest online social network, than any other website. On the surface, social media networks provide an invaluable resource for fulfilling the basic human need for social connection. However, rather than enhancing well-being by ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/1015/p537.html

Evaluation of Back Pain in Children and Adolescents - American Family Physician

Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1669.html

Developing and Communicating a Long-Term Treatment Plan for Asthma - American Family ...

Apr 15, 2000 - The treatment of asthma, according to current guidelines, requires complex treatment regimens that change as clinical conditions improve or deteriorate. We have developed a practical way to communicate long-term treatment plans in chart form in the primary care setting that is easy for ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2419.html

Identifying Patients with Newly Diagnosed Acute Pulmonary Embolism Who Are at Low Risk ...

Jun 15, 2018 - Standard management of acute PE includes five days of inpatient treatment with parenteral anticoagulation, followed by long-term oral anticoagulation as an outpatient. However, guidelines from the American College of Chest Physicians state that early discharge before five days can be ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0615/p811.html

Primary Care for Lesbians and Bisexual Women - American Family Physician

Jul 15, 2006 - For the most part, lesbians and bisexual women face the same health issues as heterosexual women, but they often have difficulty accessing appropriate care. Physicians can improve care for lesbians and bisexual women by acknowledging the potential barriers to care (e.g., hesitancy of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p279.html

Management of Heatstroke and Heat Exhaustion - American Family Physician

Jun 1, 2005 - Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. Recent research has identified a cascade of inflammatory pathologic events that begins with mild heat exhaustion and, if uninterrupted, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2133.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Vaccinations in Pregnancy - American Family Physician

Jul 15, 2003 - Adult immunization rates have fallen short of national goals partly because of misconceptions about the safety and benefits of current vaccines. The danger of these misconceptions is magnified during pregnancy, when concerned physicians are hesitant to administer vaccines and patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p299.html

Management of the Difficult Patient - American Family Physician

Nov 15, 2005 - All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Difficulties may be traced to patient, physician, or health care system factors. Patient factors include psychiatric disorders, personality ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2063.html

Primary Brain Tumors in Adults - American Family Physician

May 15, 2008 - Primary malignant brain tumors account for 2 percent of all cancers in U.S. adults. The most common malignant brain tumor is glioblastoma multiforme, and patients with this type of tumor have a poor prognosis. Previous exposure to high-dose ionizing radiation is the only proven ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1423.html

DVT and Pulmonary Embolism: Part II. Treatment and Prevention - American Family Physician

Jun 15, 2004 - Treatment goals for deep venous thrombosis include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2841.html

Thirty Years of AFP: Having Fun Painting the Fence - Editorials - American Family ...

Jan 15, 2018 - Read Dr. Siwek's summary of his 29 years as Editor of AFP.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0115/p83.html

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ... Restricted content. Login required.

Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695.html

Vision Loss in Older Persons - American Family Physician

Jun 1, 2009 - Family physicians have an essential role in assessing, identifying, treating, and preventing or delaying vision loss in the aging population. Approximately one in 28 U.S. adults older than 40 years is visually impaired. Vision loss is associated with depression, social isolation, falls,...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p963.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

Childhood Asthma: Treatment Update - American Family Physician

May 15, 2005 - The prevalence of childhood asthma has risen significantly over the past four decades. A family history of atopic disease is associated with an increased likelihood of developing asthma, and environmental triggers such as tobacco smoke significantly increase the severity of daily asthma...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1959.html

Abnormal Uterine Bleeding - American Family Physician

Oct 1, 1999 - The most probable etiology of abnormal uterine bleeding relates to the patient's reproductive age, as does the likelihood of serious endometrial pathology. The specific diagnostic approach depends on whether the patient is premenopausal, perimenopausal or postmenopausal. In ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1371.html

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