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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

Antidepressants: Update on New Agents and Indications - American Family Physician

Feb 1, 2003 - A number of antidepressants have emerged in the U.S. market in the past two decades. Selective serotonin reuptake inhibitors have become the drugs of choice in the treatment of depression, and they are also effective in the treatment of obsessive-compulsive disorder, panic disorder, and...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p547.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

Management of Chronic Pain and Opioid Misuse: A Position Paper from the AAFP - Practice...

Apr 1, 2017 - Overprescribing, misuse, diversion, and dependence on opioids have occurred as a result of external pressures, physician behavior, inadequate evidence, and pharmacologic development. Family physicians could play an important role in alleviating these problems; therefore, the American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0401/p458.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

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

Pharmacogenentics: Using DNA to Optimize Drug Therapy - American Family Physician

Oct 15, 2007 - Pharmacogenetics is a growing field of research that focuses on the interaction between genetics and drug therapy. Relationships between genetic variation and drug effect have been observed for a growing number of commonly used drugs. Validation studies may soon define the use of these ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1179.html

Bisphosphonates: Safety and Efficacy in the Treatment and Prevention of Osteoporosis - ...

May 1, 2000 - Osteoporosis affects more than 28 million Americans. With the advent of accessible and affordable diagnostic studies, awareness and recognition of this disease by patients and clinicians are growing. Osteoporotic fractures of the spine and hip are costly and associated with significant ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2731.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ... Restricted content. Login required.

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

Guillain-Barre Syndrome - American Family Physician

May 15, 2004 - Guillain-Barré syndrome (GBS) is a group of autoimmune syndromes consisting of demyelinating and acute axonal degenerating forms of the disease. Nerve conduction study helps differentiate the heterogeneous subtypes of GBS. Patients exhibit a progressive paralysis that reaches a plateau ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2405.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

Urinary Incontinence in Women: Evaluation and Management - American Family Physician

Dec 1, 2000 - Because the prevalence of urinary incontinence increases with age, a working knowledge of the diagnosis and treatment of the various types of urinary incontinence is fundamental to the care of women. As the population of the United States ages, primary care physicians can expect to see ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1201/p2433.html

Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician

Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1725.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

Screening Mammography: The Goal Is Changing - Editorials - American Family Physician

Feb 15, 2013 - Screening mammography is one of an increasing number of clinical issues that will require rethinking the clinical mission and restructuring clinical practice to help patients make informed choices.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0215/p246.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

Gout and Hyperuricemia - American Family Physician

Feb 15, 1999 - Gout is a condition characterized by the deposition of monosodium urate crystals in the joints or soft tissue. The four phases of gout include asymptomatic hyperuricemia, acute gouty arthritis, intercritical gout and chronic tophaceous gout. The peak incidence occurs in patients 30 to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p925.html

Nodules on the Knuckles - Photo Quiz - American Family Physician Restricted content. Login required.

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

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

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

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

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

Pertussis: A Disease Affecting All Ages - American Family Physician

Aug 1, 2006 - Bordetella pertussis is a highly contagious bacterium known to cause pertussis (whooping cough) and is transmitted via airborne droplets. Although childhood vaccination has dramatically reduced reported pertussis cases, the incidence of the disease has increased over the past 20 years, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p420.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

Dietary Interventions for Recurrent Abdominal Pain in Childhood - Cochrane for ...

Jan 1, 2018 - Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0101/p19.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

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

Low-Carbohydrate Diets - American Family Physician

Jun 1, 2006 - Americans spend dollar 33 billion annually on weight loss products and services, and a large portion of this money is spent on low-carbohydrate diets. Because of their higher protein and fat content and lower fiber and carbohydrate content, concerns have been raised about the potential ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1942.html

First-Line Treatment for Hypertension - Cochrane for Clinicians - American Family ...

Jun 1, 2010 - In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0601/p1333.html

Management of Active Tuberculosis - American Family Physician

Dec 1, 2005 - Although the overall incidence of tuberculosis has been declining in the United States, it remains an important public health concern, particularly among immigrants, homeless persons, and persons infected with human immunodeficiency virus. Patients who present with symptoms of active ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2225.html

Our Country Is Hungry for the Message of Family Medicine

After more than 200 days on the road, AAFP President Wanda Filer, M.D., M.B.A., reflects on a whirlwind of meetings with legislators, policymakers, payers, media and medical students.

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

https://www.aafp.org/news/blogs/leadervoices/entry/our_country_is_hungry_for.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

The Case for Medical Chaperones -- FPM

Oct 1, 2018 - It's time for more discussion about how best to incorporate chaperones in primary care.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2018/0900/p6.html

Aminoglycosides: A Practical Review - American Family Physician

Nov 15, 1998 - Aminoglycosides are potent bactericidal antibiotics that act by creating fissures in the outer membrane of the bacterial cell. They are particularly active against aerobic, gram-negative bacteria and act synergistically against certain gram-positive organisms. Gentamicin is the most ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1811.html

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

The Why and How of High-Value Prescribing - Editorials - American Family Physician

Feb 15, 2016 - Adopting high-value prescribing strategies can help family physicians increase the quality of care, decrease costs, and fulfill our professional obligation to provide health care that is based on the wise and cost-effective management of limited clinical resources.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0215/p262.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

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

Extended-Release Bupropion for Preventing Seasonal Affective Disorder in Adults - ...

Jan 1, 2017 - When started in the fall, extended-release bupropion, 300 mg once daily, is effective in preventing recurrent symptoms in high-risk adults with a history of SAD (number needed to treat [NNT] = 5), as well as those at lower risk (NNT = 8). Headaches, nausea, and insomnia may limit ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0101/p10.html

Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0501/p609.html

Seven Habits for Reducing Work After Clinic -- FPM

Jun 1, 2019 - Imagine shutting your office door at the end of the day and not having any work that you need to take home. These shifts in practice can help you reclaim your time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p10.html

Management of Newborns Exposed to Maternal HIV Infection - American Family Physician

May 15, 2002 - The management of infants whose mothers are infected with the human immunodeficiency virus (HIV) involves minimizing the risk of vertical transmission of HIV, recognizing neonatal HIV infection early, preventing opportunistic infections, and addressing psychosocial issues. Maternal ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2049.html

Influenza Vaccination for the Prevention of Cardiovascular Disease - Cochrane for ...

Mar 1, 2016 - Influenza vaccination may reduce cardiovascular mortality in patients with established cardiovascular disease. The effect of vaccination is unclear among patients in the general population without known cardiovascular disease.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0301/p357.html

Chronic Musculoskeletal Pain in Children: Part II. Rheumatic Causes - American Family ...

Jul 15, 2006 - Primary care physicians should have a working knowledge of rheumatic diseases of childhood that manifest primarily as musculoskeletal pain. Children with juvenile rheumatoid arthritis can present with painless joint inflammation and may have normal results on rheumatologic tests. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0715/p293.html

Postexercise Systolic Blood Pressure Response: Clinical Application to the Assessment ...

Oct 1, 1998 - Stress test parameters indicating the presence and extent of coronary artery disease have traditionally included such variables as exercise duration, and the blood pressure and ST-segment responses to exercise. The three-minute systolic blood pressure ratio, another important indicator ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1126.html

Childhood and Adolescent Sports-Related Overuse Injuries - American Family Physician

Mar 15, 2006 - Youth sports participation carries an inherent risk of injury, including overuse injuries. Little leaguer's shoulder, a stress fracture of the proximal humerus that presents as lateral shoulder pain, usually is self-limited. Little leaguer's elbow is a medial stress injury; treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0315/p1014.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

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

Treatment of Hypothyroidism - American Family Physician

Nov 15, 2001 - Thyroid disease affects up to 0.5 percent of the population of the United States. Its prevalence is higher in women and the elderly. The management of hypothyroidism focuses on ensuring that patients receive appropriate thyroid hormone replacement therapy and monitoring their response. ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1115/p1717.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

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

Evaluation of Poststreptococcal Illness - American Family Physician

May 15, 2005 - Group A beta-hemolytic streptococcal pharyngitis, scarlet fever, and rarely asymptomatic carrier states are associated with a number of poststreptococcal suppurative and nonsuppurative complications. As in streptococcal pharyngitis, acute rheumatic fever, pediatric autoimmune ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1949.html

Management of the Hyperosmolar Hyperglycemic Syndrome - American Family Physician

Oct 1, 1999 - Hyperglycemic hyperosmolarity is part of a clinical spectrum of severe hyperglycemic disorders ranging from pure hyperglycemic hyperosmolarity without ketosis to diabetic ketoacidosis, with significant overlap in the middle. From 50 to 75 percent of hospitalizable patients who have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1468.html

Management of Pregnancy Beyond 40 Weeks' Gestation - American Family Physician

May 15, 2005 - A post-term or prolonged pregnancy is one that reaches 42 weeks' gestation; approximately 5 to 10 percent of pregnancies are post-term. Studies have shown a reduction in the number of pregnancies considered post-term when early ultrasound dating is performed. Maternal and fetal risks ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1935.html

Update on the Prevention and Treatment of Sexually Transmitted Diseasess - American ...

Jan 15, 2000 - The Centers for Disease Control and Prevention updated its guidelines for the treatment of sexually transmitted diseases. The guidelines include the following information: recommendations for hepatitis A immunization and expanded indications for hepatitis B vaccination; updated ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p379.html

Diagnosing the Patient with Abdominal Pain and Altered Bowel Habits: Is it Irritable ...

May 15, 2003 - Diagnosing a patient who presents with abdominal pain and altered bowel habits can be challenging. Although serious organic illnesses can cause these symptoms, irritable bowel syndrome is commonly responsible. It can be difficult to properly evaluate these patients without overusing ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2157.html

Acute Ankle Sprain: An Update - American Family Physician

Nov 15, 2006 - Acute ankle injury, a common musculoskeletal injury, can cause ankle sprains. Some evidence suggests that previous injuries or limited joint flexibility may contribute to ankle sprains. The initial assessment of an acute ankle injury should include questions about the timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1714.html

Mass Psychogenic Illness: Role of the Individual Physician - American Family Physician

Dec 15, 2000 - Mass psychogenic illness is characterized by symptoms, occurring among a group of persons with shared beliefs regarding those symptoms, that suggest organic illness but have no identifiable environmental cause and little clinical or laboratory evidence of disease. Mass psychogenic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1215/p2649.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

Number of Women With OUD in Labor/Delivery Quadruples

The number of pregnant women with opioid use disorder who presented at hospital labor/delivery departments quadrupled between 1999 and 2014.

https://www.aafp.org/news/health-of-the-public/20180821oudlabor-delivery.html

Appropriate Use of the Intrauterine Device - American Family Physician

Dec 1, 1998 - The intrauterine device, a common form of birth control in the early 1970s, is now avoided by American physicians and women because of concern about complications. This concern is largely the result of the problems reported with use of an intrauterine device that is no longer ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2077.html

Counseling Issues in Tubal Sterilization - American Family Physician

Mar 15, 2003 - Female sterilization is the number one contraceptive choice among women in the United States. Counseling issues include ensuring that the woman understands the permanence of the procedure and knowing the factors that correlate with future regret. The clinician should be aware of the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1287.html

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

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

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

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

Cutaneous and Systemic Manifestations of Mastocytosis - American Family Physician

Jun 1, 1999 - Mastocytosis is characterized by an excessive number of apparently normal mast cells in the skin and, occasionally, in other organs. Characteristic skin lesions, called urticaria pigmentosa, are present in most patients, but clinical presentation can vary from a pruritic rash to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3047.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

High-Altitude Medicine - American Family Physician

Apr 15, 1998 - As more people enjoy the outdoors, high-altitude illness is increasingly becoming a problem that family physicians across the country must treat. High-altitude illness, which usually occurs at altitudes of over 1,500 m (4,921 ft), is caused primarily by hypoxia but is compounded by cold...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1907.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

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

The Case Against Routine Aspirin Use for Primary Prevention in Low-Risk Adults - ...

Jun 15, 2011 - A policy of generalized aspirin use in adults for the primary prevention of CVD is probably not warranted. Instead, the benefits and risks of aspirin therapy for primary prevention need to be considered on an individual basis, and should be reserved for persons at highest long-term risk...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1387.html

Responses to Questions About the Specialty of Family Practice as a Career - American ...

Jul 1, 1999 - This article provides answers to many of the questions medical students ask about the specialty of family practice. It is the fourth update of a previous article and was developed in response to feedback from medical students at the 1997 National Congress of Student Members held by the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p167.html

Chasteberry - American Family Physician

Sep 1, 2005 - For centuries, chasteberry has been used to treat many hormone-related gynecologic conditions. The current literature supports the use of chasteberry for cyclical breast discomfort and premenstrual syndrome; data on its use for menstrual irregularities and fertility disorders are weak. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p821.html

Improving Quality by Doing Less: Overtreatment - Editorials - American Family Physician

Mar 1, 2015 - The third in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overtreatment is an important harm that commonly follows overscreening and overdiagnosis.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0301/p289.html

Echinococosis-An Emerging Parasite in the Immigrant Population - American Family Physician

Sep 1, 2002 - Echinococcus tapeworms are parasites that infect dog species worldwide and occasionally are transmitted to humans. Infection occurs most commonly in persons who raise sheep or cattle, and who have contact with dogs. The tapeworm eggs are typically ingested during play with dogs or ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0901/p817.html

Advances in the Treatment of Epilepsy - American Family Physician

Jul 1, 2001 - Significant advances have been made in the diagnosis and treatment of epilepsy over the past decade. With the advent of electroencephalographic video monitoring, physicians are now able to reliably differentiate epilepsy from other conditions that can mimic it, such as pseudoseizures. ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0701/p91.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

Treatment Options for Prostate Cancer: Evaluating the Evidence - American Family Physician

May 15, 2005 - Controversy surrounds the management options for localized prostate cancer-conservative management, prostatectomy, and radiation. Choosing among these options is difficult because of long-term side effects that include sexual, urinary, and bowel dysfunction. Some recent studies suggest ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1915.html

Protecting the Health and Safety of Working Teenagers - American Family Physician

Aug 1, 1999 - More than one third of high school students work during the school year, and many more are employed during the summer months. Teenage workers face a variety of health and safety hazards. Occupational injury and illness are largely preventable, and family physicians can play a crucial ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p575.html

Family Medicine Reaches New High in 2018 NRMP Match

Results from the 2018 National Resident Matching Program show family medicine residency programs gained ground for the ninth straight year.

https://www.aafp.org/news/education-professional-development/20180316match.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

A Physician’s Guide to Navigating a Bureaucracy -- FPM Restricted content. Login required.

Jun 1, 2020 - To get what you need to create a more ideal practice, you must learn to navigate the bureaucracy of your organization. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p26.html

Reclaiming Family Medicine's Broad Scope Benefits Everyone

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the debate about family medicine scope of practice shouldn't focus just on midlevel providers, but also on subspecialists.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20181009itt-scope.html

Hemolytic Uremic Syndrome: An Emerging Health Risk - American Family Physician

Sep 15, 2006 - Hemolytic uremic syndrome is caused primarily by Shiga toxin-producing Escherichia coli O157:H7. The most common cause of acute renal failure in children, hemolytic uremic syndrome also can occur in adults. Characteristic features of the syndrome are microangiopathic anemia, thrombotic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p991.html

Music Therapy for Depression - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

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

For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else - ...

Nov 1, 2010 - Only statins have patient-oriented evidence supporting their role in reducing all-cause mortality. The NCEP–ATP III guidelines offer a nine-step approach for reaching target lipid levels, but the application to everyday practice is far simpler: If a patient with hyperlipidemia has ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1063.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

Practical Considerations in the Early Treatment of Ischemic Stroke - American Family ...

Jan 1, 1998 - Successful treatment of patients with ischemic stroke depends on the ability to treat within three hours of onset, because tissue plasminogen activator has not yet been proved effective beyond this time frame. The two major causes of delay in treatment are failure, on the part of the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p73.html

No Reduction in Delirium with the Use of Haloperidol or Ziprasidone in Critically Ill ...

Apr 1, 2019 - For patients with acute respiratory failure or shock who develop delirium in the intensive care unit (ICU), the use of haloperidol or ziprasidone (Geodon) does not reduce the duration of delirium. This trial was powered to detect at least a two-day difference in the duration of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0401/p460.html

Successful Management of the Obese Patient - American Family Physician

Jun 15, 2000 - Obesity is a chronic disease that affects a substantial number of Americans. Obesity significantly increases a person's risk of cardiovascular diseases and morbidity. Modification of lifestyle behaviors that contribute to obesity (e.g., inappropriate diet and inactivity) is the ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3615.html

21st Century Medicine, 20th Century People -- FPM

Apr 1, 2015 - Sometimes technology isn't the problem.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2015/0300/p40.html

Travel Medicine: Helping Patients Prepare for Trips Abroad - American Family Physician

Aug 1, 1998 - One third of persons who travel abroad experience a travel-related illness, usually diarrhea or an upper respiratory infection. The risk of travelers' diarrhea can be reduced by eating only freshly prepared, hot foods. Combination therapy with a single dose of ofloxacin plus loperamide ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p383.html

The Gomco Circumcision: Common Problems and Solutions - American Family Physician

Sep 15, 1998 - Circumcision performed using the Gomco clamp is usually quick and effective, and results in very little bleeding. However, every clinician performing circumcision occasionally has concerns or questions regarding the procedure. Some of the more common concerns regarding the use of the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p891.html

Methadone Treatment for Pain States - American Family Physician

Apr 1, 2005 - Methadone is a synthetic opioid with potent analgesic effects. Although it is associated commonly with the treatment of opioid addiction, it may be prescribed by licensed family physicians for analgesia. Methadone's unique pharmacokinetics and pharmacodynamics make it a valuable option ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1353.html

Diagnosis of Lyme Disease - American Family Physician

Jul 15, 2005 - The use of serologic testing and its value in the diagnosis of Lyme disease remain confusing and controversial for physicians, especially concerning persons who are at low risk for the disease. The approach to diagnosing Lyme disease varies depending on the probability of disease (based...

American Family Physician : Article

https://www.aafp.org/afp/2005/0715/p297.html

Family Medicine Facts

Family medicine is the most versatile of all physician specialties and family physicians are just as diverse as their patients.

About AAFP

https://www.aafp.org/about/dive-into-family-medicine/family-medicine-facts.html

Peritonsillar Abscess - American Family Physician

Jan 15, 2008 - Peritonsillar abscess remains the most common deep infection of the head and neck. The condition occurs primarily in young adults, most often during November to December and April to May, coinciding with the highest incidence of streptococcal pharyngitis and exudative tonsillitis. A ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p199.html

Diagnosis and Management of Gout - American Family Physician

Apr 1, 1999 - Gout is a disease resulting from the deposition of urate crystals caused by the overproduction or underexcretion of uric acid. The disease is often, but not always, associated with elevated serum uric acid levels. Clinical manifestations include acute and chronic arthritis, tophi, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1799.html

The Child With ADHD: Using the AAP Clinical Practice Guideline - American Family Physician

May 1, 2001 - The American Academy of Pediatrics developed an evidence-based clinical practice guideline that provides recommendations for the assessment and diagnosis of school-aged children with attention-deficit/hyperactivity disorder (ADHD). This guideline, the first of two guidelines to provide ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0501/p1803.html

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