Evaluating the Child with Purpura - American Family Physician
Aug 1, 2001 - Purpura is the result of hemorrhage into the skin or mucosal membrane. It may represent a relatively benign condition or herald the presence of a serious underlying disorder. Purpura may be secondary to thrombocytopenia, platelet dysfunction, coagulation factor deficiency or vascular ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0801/p419.html
Prophylactic Antibiotics for the Prevention of COPD Exacerbation - Cochrane for ...
Jun 1, 2014 - Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2014/0601/p870.html
Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - STEPS - American ...
Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...
American Family Physician : STEPS
https://www.aafp.org/afp/2014/0415/p672.html
Selecting POEMs Studies from the Larger Body of Evidence - Letters to the Editor - ...
Nov 1, 2017 - ...applaud the main intent of this article: using current evidence to critically assess testing and treatments for common conditions in family medicine. I am a fan of the daily POEMs (patient-oriented evidence that matters) series, and I regularly distribute them to my residents. I...
American Family Physician : Letter
https://www.aafp.org/afp/2017/1101/p565.html
The CDC’s STEADI Initiative: Promoting Older Adult Health and Independence Through Fall...
Aug 15, 2017 - ...influenza season, there were an estimated 8.3 million cases of influenza among persons 65 years and older,2 which is about one-fourth of the number of falls that occurred in the older population in 2014. When not fatal, falls often result in brain injury, hip fracture, and loss of...
American Family Physician : Editorials
https://www.aafp.org/afp/2017/0815/p220.html
Getting an Infant to Sleep: Graduated Extinction and Sleep Fading are Effective - POEMs...
Nov 1, 2016 - This study found that graduated extinction (increasing intervals between comforting the infant) and sleep fading (putting the child to bed progressively later until the parent finds the sweet spot) are both effective at decreasing sleep latency and the number of awakenings and ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/1101/p750.html
Down Syndrome: Prenatal Risk Assessment and Diagnosis - American Family Physician
Aug 15, 2000 - Down syndrome (trisomy 21) is the most commonly recognized genetic cause of mental retardation. The risk of trisomy 21 is directly related to maternal age. All forms of prenatal testing for Down syndrome must be voluntary. A nondirective approach should be used when presenting patients ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0815/p825.html
Appropriate Use of Antibiotics for URIs in Children: Part I. Otitis Media and Acute ...
Oct 1, 1998 - Five conditions--otitis media, acute sinusitis, cough, pharyngitis and the common cold--account for most of the outpatient use of antibiotics in the United States. The first part of this two-part article presents guidelines that encourage physicians to make an appropriate distinction ...
American Family Physician : Article
https://www.aafp.org/afp/1998/1001/p1113.html
Medicine by the Numbers
...November 1, 2015 ◆ Volume 92, Number 9 www.aafp.org/afp American Family Physician 772A ➤ Effectiveness of Selective Serotonin Reuptake Inhibitors for Irritable Bowel Syndrome THAD WILKINS, MD; EDWARD AGABIN, MD; and LINDSAY BLAKE, MLIS Details for This Review Study Population:...
American Family Physician
https://www.aafp.org/afp/2015/1101/afp20151101od1.pdf
Poliovirus Vaccine Options - American Family Physician
Jan 1, 1999 - As a result of the success of immunization, indigenous wild poliomyelitis has disappeared from the United States. Of 142 confirmed cases of paralytic poliomyelitis reported in the United States from 1980 to 1996, 134 were classified as vaccine-associated paralytic poliomyelitis (VAPP). ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0101/p113.html
Managing the Patient with Hard-to-Control Hypertension - American Family Physician
Mar 1, 1998 - Less than 25 percent of patients with hypertension in the United States have their blood pressure under control, mainly because of inadequate or inappropriate therapy and noncompliance. Approximately one half of these treatment failures are related to factors such as cost and adverse ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0301/p1007.html
Skin and Wound Infections: An Overview - American Family Physician
May 15, 1998 - Skin infections are common and may be caused by bacteria, fungi or viruses. Breaks in the skin integrity, particularly those that inoculate pathogens into the dermis, frequently cause or exacerbate skin infections. Bacterial skin infections caused by corynebacteria include erythrasma, ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0515/p2424.html
Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis - STEPS - American Family ...
Sep 15, 2019 - Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0915/p372.html
Medicine by the Numbers
October 1, 2016:
American Family Physician
https://www.aafp.org/afp/2016/1001/afp20161001od1.pdf
Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...
Oct 1, 2013 - The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed a guideline...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/1001/p469.html
Cytomegalovirus - American Family Physician
Feb 1, 2003 - Cytomegalovirus (CMV) is a prevalent viral pathogen. The majority of persons with acute CMV will experience an inapparent infection. Primary CMV infection will cause up to 7 percent of cases of mononucleosis syndrome and will manifest symptoms almost indistinguishable from those of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0201/p519.html
Study Shows Antibiotic Prescribing Lowest in Medical Offices
Research recently published online in JAMA Internal Medicine found that clinicians in medical offices wrote the fewest antibiotic prescriptions per total number of visits compared with those in other clinical settings.
https://www.aafp.org/news/health-of-the-public/20180802antibxprescribe.html
The 2001 Bethesda System Terminology - American Family Physician
Nov 15, 2003 - The 2001 Bethesda System for reporting cervical or vaginal cytologic diagnoses is an incremental change in the uniform terminology introduced in 1988 and revised in 1991. The 2001 Bethesda System includes specific statements about specimen adequacy, general categorization, and ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1115/p1992.html
Management of Seizures and Epilepsy - American Family Physician
Apr 1, 1998 - While the evaluation and treatment of patients with seizures or epilepsy is often challenging, modern therapy provides many patients with complete seizure control. After a first seizure, evaluation should focus on excluding an underlying neurologic or medical condition, assessing the ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0401/p1589.html
Preoperative Care of Patients with Kidney Disease - American Family Physician
Oct 15, 2002 - Patients with chronic kidney disease often require surgical interventions for vascular access and for medical problems related to comorbid conditions. Perioperative morbidity and mortality rates are increased in these patients. Preoperative attention to common medical problems that ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1015/p1471.html
Early Detection and Treatment of Skin Cancer - American Family Physician
Jul 15, 2000 - The incidence of skin cancer is increasing by epidemic proportions. Basal cell cancer remains the most common skin neoplasm, and simple excision is generally curative. Squamous cell cancers may be preceded by actinic keratoses-premalignant lesions that are treated with cryotherapy, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0715/p357.html
Breast Cyst Aspiration - American Family Physician
Nov 15, 2003 - The breast mass is a clinical problem commonly encountered by family physicians. Fine-needle and core biopsy techniques require training and cytopathologist support. In contrast, breast cyst aspiration using a 21- or 22-gauge needle is a simple, cost-effective, minimally invasive ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1115/p1983.html
Cutaneous Leishmaniasis Recognition and Treatment - American Family Physician
Mar 15, 2004 - Cutaneous leishmaniasis is a parasitic disease occurring throughout the Americas from Texas to Argentina, and in the Old World, particularly the Middle East and North Africa. It is spread by the female sandfly. The condition is diagnosed every year in travelers, immigrants, and military...
American Family Physician : Article
https://www.aafp.org/afp/2004/0315/p1455.html
Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American...
May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0515/p630a.html
Pneumonia in Older Residents of Long-Term Care Facilities - American Family Physician
Oct 15, 2004 - Compared with community-dwelling persons, residents in long-term care facilities have more functional disabilities and underlying medical illnesses and are at increased risk of acquiring infectious diseases. Pneumonia is the leading cause of morbidity and mortality in this group. Risk ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1015/p1495.html
The Expanding Scope of Medical Travel - Editorials - American Family Physician
Oct 15, 2011 - The face of medical travel is changing. In recent years, medical travel has expanded to include middle-class patients seeking more affordable care. In 2007, approximately 750,000 Americans traveled to other countries for medical care; this number is predicted to exceed 1.6 million in 2012.
American Family Physician : Editorials
https://www.aafp.org/afp/2011/1015/p863.html
Management of Herpes Zoster (Shingles) and Postherpetic Neuralgia - American Family ...
Apr 15, 2000 - Herpes zoster (commonly referred to as
American Family Physician : Article
https://www.aafp.org/afp/2000/0415/p2437.html
Conduct Disorder: Diagnosis and Treatment In Primary Care - American Family Physician
Apr 15, 2001 - Conduct disorder is a common childhood psychiatric problem that has an increased incidence in adolescence. The primary diagnostic features of conduct disorder include aggression, theft, vandalism, violations of rules and/or lying. For a diagnosis, these behaviors must occur for at least...
American Family Physician : Article
https://www.aafp.org/afp/2001/0415/p1579.html
Childhood and Adolescent Depression - American Family Physician
Jan 1, 2007 - Major depression affects 3 to 5 percent of children and adolescents. Depression negatively impacts growth and development, school performance, and peer or family relationships and may lead to suicide. Biomedical and psychosocial risk factors include a family history of depression, ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0101/p73.html
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...
Jun 15, 2019 - A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0615/p771.html
Management of Acute Gastroenteritis in Children - American Family Physician
Dec 1, 1999 - Acute gastroenteritis is a common and costly clinical problem in children. It is a largely self-limited disease with many etiologies. The evaluation of the child with acute gastroenteritis requires a careful history and a complete physical examination to uncover other illnesses with ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1201/p2555.html
Seizure Disorders in the Elderly - American Family Physician
Jan 15, 2003 - Seizure disorders become increasingly common after the age of 60 years and can have a significant impact on functional status. The goal of antiepileptic drug therapy is to control seizures but preserve quality of life. If possible, seizure control should be achieved with one agent given...
American Family Physician : Article
https://www.aafp.org/afp/2003/0115/p325.html
Back to Basics: Five Steps to Better Influenza Vaccination Rates -- FPM
Dec 1, 2017 - Getting more patients immunized against the flu does not require complicated strategies.
Family Practice Management : Articles
https://www.aafp.org/fpm/2017/1100/p30.html
Panel: Buprenorphine 'Can Give Patients Their Lives Back'
During a Family Medicine Experience main-stage presentation on opioids, an HHS representative said family physicians can help curb the crisis by prescribing buprenorphine. A panel of family physicians agreed.
https://www.aafp.org/news/2018-congress-fmx/20181016fmx-opioids.html
Guidance Steers 2021 Match Around COVID-19 Obstacles
New recommendations aim to ensure a successful 2021 family medicine residency match process that overcomes hurdles thrown up by the pandemic.
https://www.aafp.org/news/education-professional-development/20200604covidmatch.html
Choosing Wisely: Don’t transfuse more than the minimum number of red blood cell (RBC) ...
Don’t transfuse more than the minimum number of red blood cell (RBC) units necessary to relieve symptoms of anemia or to return a patient to a safe hemoglobin range (7 to 8 g/dL in stable, noncardiac inpatients).
American Family Physician : Choosing Wisely Recommendations
https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=168
Prasterone (Intrarosa) for Dyspareunia - STEPS - American Family Physician
Jan 15, 2019 - Prasterone is similarly effective to nonprescription options for treating vaginal dryness and itching associated with menopause and may offer a small benefit in the treatment of dyspareunia.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0115/p117.html
Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms ...
Aug 15, 2016 - In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to treat to harm ...
American Family Physician : POEMs
https://www.aafp.org/afp/2016/0815/p319.html
The Home Visit - American Family Physician
Oct 1, 1999 - With the advent of effective home health programs, an increasing proportion of medical care is being delivered in patients' homes. Since the time before World War II, direct physician involvement in home health care has been minimal. However, patient preferences and key changes in the ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1481.html
Minimizing Adverse Drug Events in Older Patients - American Family Physician
Dec 15, 2007 - Adverse drug events are common in older patients, particularly in those taking at least five medications, but such events are predictable and often preventable. A rational approach to prescribing in older adults integrates physiologic changes of aging with knowledge of pharmacology. ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1215/p1837.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
How to Prepare for and Survive a Violent Patient Encounter -- FPM
Dec 1, 2018 - When the unthinkable happens, having a plan that you have practiced regularly can make all the difference.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/1100/p5.html
Preterm Labor: Diagnosis and Treatment - American Family Physician
May 15, 1998 - Preterm labor and delivery are among the most challenging obstetric complications encountered by the family physician. In the United States, preterm delivery affects approximately one in 10 births and is the cause of at least 75 percent of neonatal deaths, excluding those related to ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0515/p2457.html
Failure to Thrive - American Family Physician
Sep 1, 2003 - Failure to thrive is a condition commonly seen by primary care physicians. Prompt diagnosis and intervention are important for preventing malnutrition and developmental sequelae. Medical and social factors often contribute to failure to thrive. Either extreme of parental attention ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0901/p879.html
Treatment Guidelines for Primary Nonretentive Encopresis and Stool Toileting Refusal - ...
Apr 15, 1999 - Nonretentive encopresis refers to inappropriate soiling without evidence of fecal constipation and retention. This form of encopresis accounts for up to 20 percent of all cases. Characteristics include soiling accompanied by daily bowel movements that are normal in size and consistency....
American Family Physician : Article
https://www.aafp.org/afp/1999/0415/p2171.html
Omega-3 Fatty Acids and Cardiovascular Disease - Implementing AHRQ Effective Health ...
May 1, 2018 - What is the effect of omega-3 fatty acid supplementation on cardiovascular outcomes?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2018/0501/p562.html
What Makes a Good CV? -- FPM
Dec 1, 2016 - Whether for your first job after residency or a career change, here are some keys to getting your curriculum vitae noticed by employers.
Family Practice Management : Employed Practice
https://www.aafp.org/fpm/2016/1100/p7.html
Nocturnal Enuresis - American Family Physician
Apr 1, 2003 - Nocturnal enuresis is a common problem that can be troubling for children and their families. Recent studies indicate that nocturnal enuresis is best regarded as a group of conditions with different etiologies. A genetic component is likely in many affected children. Research also ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0401/p1499.html
Cranberry for Prevention of Urinary Tract Infections - American Family Physician
Dec 1, 2004 - Traditionally, cranberry has been used for the treatment and prophylaxis of urinary tract infections. Research suggests that its mechanism of action is preventing bacterial adherence to host cell surface membranes. Systematic reviews have concluded that no reliable evidence supports the...
American Family Physician : Article
https://www.aafp.org/afp/2004/1201/p2175.html
Indications and Recommendations for Pacemaker Therapy - American Family Physician
Apr 15, 2005 - Each year, pacemaker therapy is prescribed to approximately 900,000 persons worldwide. Current pacemaker devices treat bradyarrhythmias and tachyarrhythmias and, in some cases, are combined with implantable defibrillators. In older patients, devices that maintain synchrony between atria...
American Family Physician : Article
https://www.aafp.org/afp/2005/0415/p1563.html
An Approach to Diagnosis and Initial Management of Systemic Vasculitis - American ...
Oct 1, 1999 - Systemic vasculitis occurs in a heterogeneous group of primary disorders or can be a manifestation of infection, an adverse drug reaction, malignancy or a connective tissue disease. A vasculitic process should be suspected in patients with unexplained ischemia or multiple organ ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1421.html
Nutrition in Toddlers - American Family Physician
Nov 1, 2006 - Toddlers make a transition from dependent milk-fed infancy to independent feeding and a typical omnivorous diet. This stage is an important time for physicians to monitor growth using growth charts and body mass index and to make recommendations for healthy eating. Fat and cholesterol ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1101/p1527.html
Research, Family Medicine Journals
Read AAFP's position on the availability of publications for original family medicine research.
About AAFP |AAFP Policies and Recommendations
https://www.aafp.org/about/policies/all/research-journals.html
Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell...
Aug 1, 2004 - Type 2 diabetes is characterized by progressive beta-cell failure. Indications for exogenous insulin therapy in patients with this condition include acute illness or surgery, pregnancy, glucose toxicity, contraindications to or failure to achieve goals with oral antidiabetic ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0801/p489.html
Evaluation of the Subfertile Man - American Family Physician
May 15, 2003 - Infertility affects 15 percent of couples, and 50 percent of male infertility is potentially correctable. Evaluation of the subfertile man requires a complete medical history, physical examination, and laboratory studies. The main purpose of the male evaluation is to identify and treat ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0515/p2165.html
Child Safety Seat Counseling: Three Keys to Safety - American Family Physician
Aug 1, 2005 - The number one cause of death for children younger than 14 years is vehicular injury. Child safety seats and automobile safety belts protect children in a crash if they are used correctly, but if a child does not fit in the restraint correctly, it can lead to injury. A child safety seat...
American Family Physician : Article
https://www.aafp.org/afp/2005/0801/p473.html
High-Dose vs. Standard-Dose Heparin for VTE Prophylaxis in Obese Patients - FPIN's Help...
Jun 1, 2018 - In most patients weighing more than 220 lb (100 kg), high-dose heparin prophylaxis (7,500 units subcutaneously three times per day) does not further reduce the risk of VTE compared with standard-dose heparin (5,000 units subcutaneously two or three times per day).
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0601/od2.html
Regional Anesthesia For Office Procedures: Part I. Head and Neck Surgeries - American ...
Feb 1, 2004 - Although local anesthesia usually is used in surgical procedures, field or nerve blocks can provide more effective anesthesia in some situations. In a field block, local anesthetic is infiltrated around the border of the surgical field, leaving the operative area undisturbed. In field ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0201/p585.html
Use of Systemic Agents in the Treatment of Acne Vulgaris - American Family Physician
Oct 15, 2000 - Effective treatment of acne vulgaris can prevent emotional and physical scarring. Therapy varies according to the severity of the disease. Topical medication is generally adequate in clearing comedonal acne, while inflammatory acne usually requires the addition of oral medication. ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1015/p1823.html
Management of Gastroesophageal Reflux Disease - American Family Physician
Oct 1, 2003 - The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1001/p1311.html
Cysticercosis: An Emerging Parasitic Disease - American Family Physician
Jul 1, 2007 - Cysticercosis (i.e., tapeworm infection) is an increasingly common medical problem in the United States, especially in the Southwest and other areas of heavy emigration from endemic areas or in populations with significant travel to these areas. The larval stage of the pork tape-worm, ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0701/p91.html
Why Are We So Slow to Adopt Some Evidence-Based Practices? - Editorials - American ...
Dec 15, 2018 - Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/1215/p709.html
HIV Counseling, Testing, and Referral - American Family Physician
Jul 15, 2004 - Over the past decade, the annual number of new cases of human immunodeficiency virus (HIV) infection has been relatively stable but remains unacceptably high (an estimated 40,000 new cases per year). Furthermore, the demographics for HIV infection are changing. Rates of new infections ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0715/p295.html
Preventing Bacterial Endocarditis: American Heart Association Guidelines - American ...
Feb 1, 1998 - The American Heart Association recently revised its guidelines for the prevention of bacterial endocarditis. These guidelines are meant to aid physicians, dentists and other health care providers, but they are not intended to define the standard of care or to serve as a substitute for ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0201/p457.html
Capsaicin for Nonallergic Rhinitis - Cochrane for Clinicians - American Family Physician
Aug 1, 2016 - Intranasal capsaicin is safe and effective for reducing symptoms of nonallergic rhinitis (number needed to treat = 4; 95% confidence interval [CI], 1 to 22). There is insufficient evidence to compare the effectiveness of capsaicin to other topical or systemic medications.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2016/0801/p217.html
Burning Mouth Syndrome - American Family Physician
Feb 15, 2002 - Burning mouth syndrome is characterized by a burning sensation in the tongue or other oral sites, usually in the absence of clinical and laboratory findings. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. Burning mouth ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0215/p615.html
Patient Attribution: Why It Matters More Than Ever -- FPM
Dec 1, 2016 - How payers assign patients to you will affect how your practice is evaluated and paid for value in the future.
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/1100/p25.html
Patient Advisory Councils: Giving Patients a Seat at the Table -- FPM
Aug 1, 2015 - This model can make patients true partners in improving their care and that of others.
Family Practice Management : Articles
https://www.aafp.org/fpm/2015/0700/p22.html
The Match and the Future of Family Medicine -- FPM
Apr 1, 2005 - Argues that the depressing Match results suggest the future of family medicine unless all of family medicine can get behind the FFM initiative.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2005/0400/p8.html
How to Document and Code Medicare Preventive Services -- FPM
Aug 1, 2016 - Think of this as your field guide to the rules surrounding Medicare preventive services.
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0700/p9.html
Management of Binge-Eating Disorder in Adults - Implementing AHRQ Effective Health Care...
Mar 1, 2017 - What are the benefits and harms of treatments for adults with binge-eating disorder?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2017/0301/p324.html
Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice --...
Apr 1, 2019 - Providing Medicare wellness visits can be challenging but can improve quality and practice revenue.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0300/p25.html
Female Genital Mutilation or Cutting - Curbside Consultation - American Family Physician
Jan 1, 2018 - FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0101/p49.html
Current Status of Cardiac Rehabilitation - American Family Physician
Nov 15, 1998 - Cardiac rehabilitation is an important management strategy in patients with coronary artery disease. Substantial data from both mortality and morbidity studies support the benefits. Recent studies of patients with coronary artery disease have shown that exercise confers greater benefit ...
American Family Physician : Article
https://www.aafp.org/afp/1998/1115/p1778.html
Curious About the ABFM Pilot? Here's My Experience So Far
Family physicians have long clamored for an alternative to the high-stakes continuing certification exam. In this Leader Voices Blog post, Tochi Iroku-Malize, M.D., M.P.H., M.B.A., offers her perspective on the Family Medicine Certification Longitudinal Assessment pilot.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20190304lv-fmcla.html
Pharmacologic Prevention of Osteoporotic Fractures - American Family Physician
Oct 1, 2004 - Osteoporosis is characterized by low bone mineral density and a deterioration in the microarchitecture of bone that increases its susceptibility to fracture. The World Health Organization defines osteoporosis as a bone mineral density that is 2.5 standard deviations or more below the ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1001/p1293.html
Seborrheic Dermatitis: An Overview - American Family Physician
Jul 1, 2006 - Seborrheic dermatitis affects the scalp, central face, and anterior chest. In adolescents and adults, it often presents as scalp scaling (dandruff). Seborrheic dermatitis also may cause mild to marked erythema of the nasolabial fold, often with scaling. Stress can cause flare-ups. The ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0701/p125.html
How to Find Answers to Clinical Questions - American Family Physician
Feb 15, 2009 - Many barriers exist to finding answers to physicians' clinical questions. Lack of time, resources, and computer skills, as well as physicians' environment and attitudes about problem solving, all contribute to unanswered questions. Making use of computer-based information resources can ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0215/p293.html
Diagnosis and Treatment of Testicular Cancer - American Family Physician
Feb 15, 2008 - Testicular cancer is the most common malignancy in men 20 to 35 years of age and has an annual incidence of four per 100,000. If diagnosed early, the cure rate is nearly 99 percent. Risk factors for testicular cancer include cryptorchidism (i.e., undescended testicles), family history, ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0215/p469.html
Treatment of Common Cutaneous Herpes Simplex Virus Infections - American Family Physician
Mar 15, 2000 - Herpes simplex virus infection is increasingly common in the United States. New antiviral medications have expanded treatment options for the two most common cutaneous manifestations, orolabial and genital herpes. Acyclovir therapy remains an effective and often less expensive option. ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0315/p1697.html
Prevention of Recurrent Ischemic Stroke - American Family Physician
Aug 1, 2007 - Recurrent ischemic stroke and transient ischemic attack are common problems in primary care, with stroke survivors averaging 10 outpatient visits per year. Risk factors such as hypertension, diabetes, and hypercholesterolemia should be evaluated during each office visit. Attention ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0801/p382.html
The Relief of Getting a Diagnosis - Close-ups - American Family Physician
Dec 1, 2009 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.
American Family Physician : Close-ups
https://www.aafp.org/afp/2009/1201/p1223.html
ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria - FPIN's ...
Oct 15, 2016 - ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2016/1015/p652.html
Advance Directives: Navigating Conflicts Between Expressed Wishes and Best Interests - ...
Apr 1, 2015 - Clinicians and surrogates can be faced with challenging decisions when a patient loses the capacity to participate in medical decision making. A significant number of hospitalized and critically ill adults lose decision-making capacity during hospital stays and cannot make treatment ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2015/0401/p480.html
Delirium - American Family Physician
Mar 1, 2003 - Delirium is characterized by an acute change in cognition and a disturbance of consciousness, usually resulting from an underlying medical condition or from medication or drug withdrawal. Delirium affects 10 to 30 percent of hospitalized patients with medical illness; more than 50 ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p1027.html
Corticosteroids for the Treatment of Sore Throat - Cochrane for Clinicians - American ...
Jan 1, 2014 - In adults with suspected bacterial pharyngitis who require antibiotic therapy, adding a corticosteroid may increase the likelihood of complete pain resolution at 24 hours. Further study is needed to assess the safety of corticosteroids and whether they can be recommended for presumed ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2014/0101/p14.html
The Injured Ankle - American Family Physician
Feb 1, 1998 - Ankle injuries are common presenting complaints in both emergency departments and family physicians' offices. Approximately 1 million ankle injuries occur annually in the United States; most of them are sprains resulting from inversion injuries. Treatment options differ according to the...
American Family Physician : Article
https://www.aafp.org/afp/1998/0201/p474.html
Pediatric Vision Screening for the Family Physician - American Family Physician
Sep 1, 1998 - ...Snellen letters, Snellen numbers, tumbling E chart Picture tests, Allen figures <4 out of 6 correct on 20-ft line with either eye tested at 10 ft (3 m) monocularly (i.e., <10/20 or 20/40) or Two-line difference between eyes, even within the passing range (i.e., 10/12.5 and 10/20...
American Family Physician : Article
https://www.aafp.org/afp/1998/0901/p691.html
Ten EHR Strategies for Efficient Documentation -- FPM
Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p5.html
Common Problems in Endurance Athletes - American Family Physician
Jul 15, 2007 - Endurance athletes alternate periods of intensive physical training with periods of rest and recovery to improve performance. An imbalance caused by overly intensive training and inadequate recovery leads to a breakdown in tissue reparative mechanisms and eventually to overuse injuries....
American Family Physician : Article
https://www.aafp.org/afp/2007/0715/p237.html
Sleep Problems in the Elderly - American Family Physician
May 1, 1999 - Refreshing sleep requires both sufficient total sleep time as well as sleep that is in synchrony with the individual's circadian rhythm. Problems with sleep organization in elderly patients typically include difficulty falling asleep, less time spent in the deeper stages of sleep, ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0501/p2551.html
Veteran FP Expanding His State's Physician Pipeline
Under the direction of John Mitchell, M.D., the number of family medicine residency positions in Mississippi has more than doubled in eight years, and more new programs are in development.
https://www.aafp.org/news/family-doc-focus/20200608fdf-mitchell.html
Evaluation of Dysuria in Adults - American Family Physician
Apr 15, 2002 - Dysuria, defined as pain, burning, or discomfort on urination, is more common in women than in men. Although urinary tract infection is the most frequent cause of dysuria, empiric treatment with antibiotics is not always appropriate. Dysuria occurs more often in younger women, probably ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0415/p1589.html
Evaluation and Management of Dyspepsia - American Family Physician
Oct 15, 1999 - Dyspepsia, often defined as chronic or recurrent discomfort centered in the upper abdomen, can be caused by a variety of conditions. Common etiologies include peptic ulcers and gastroesophageal reflux. Serious causes, such as gastric and pancreatic cancers, are rare but must also be ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1015/p1773.html
Treatment of Psoriasis: An Algorithm-Based Approach for Primary Care Physicians - ...
Feb 1, 2000 - Psoriasis is characterized by red, thickened plaques with a silvery scale. The lesions vary in size and degree of inflammation. Psoriasis is categorized as localized or generalized, based on the severity of the disease and its overall impact on the patient's quality of life and ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0201/p725.html
Uterine Fibroid Tumors: Diagnosis and Treatment - American Family Physician
May 15, 2007 - The incidence of uterine fibroid tumors increases as women grow older, and they may occur in more than 30 percent of women 40 to 60 years of age. Risk factors include nulliparity, obesity, family history, black race, and hypertension. Many tumors are asymptomatic and may be diagnosed ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1503.html
PPIs, Childhood Asthma, and the Problem of Therapeutic Creep - AFP Journal Club - ...
Mar 15, 2014 - The use of a therapy in patients one would intuitively think might benefit, but in whom no benefit has been documented, is called therapeutic creep. The use of proton pump inhibitors for poorly controlled asthma is an example of this phenomenon.
American Family Physician : AFP Journal Club
https://www.aafp.org/afp/2014/0315/p476.html
Maternal Pertussis Vaccination During Pregnancy - FPIN's Help Desk Answers - American ...
Apr 1, 2019 - Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0401/p454.html
Evaluation of Overuse Elbow Injuries - American Family Physician
Feb 1, 2000 - The evaluation of elbow pain can be challenging because of the complexity of the joint and its central location in the upper extremity. Diagnosing the injury correctly requires an understanding of the anatomy of the elbow, which includes three articulations, two ligament complexes, four...
American Family Physician : Article
https://www.aafp.org/afp/2000/0201/p691.html
Antibiotic Prophylaxis for COPD Exacerbations - FPIN's Clinical Inquiries - American ...
Apr 15, 2018 - Prophylactic antibiotics may be used to reduce the overall rate of COPD exacerbations and delay their onset. However, the appropriate antibiotic regimen and target population are unclear.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2018/0415/p527.html