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Plantar Fasciitis: Evidence-Based Review of Diagnosis and Therapy - American Family ...

Dec 1, 2005 - Plantar fasciitis causes heel pain in active as well as sedentary adults of all ages. The condition is more likely to occur in persons who are obese or in those who are on their feet most of the day. A diagnosis of plantar fasciitis is based on the patient's history and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2237.html

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

Primary Immunodeficiencies - American Family Physician

Nov 15, 2003 - Primary immunodeficiencies include a variety of disorders that render patients more susceptible to infections. If left untreated, these infections may be fatal. The disorders constitute a spectrum of more than 80 innate defects in the body's immune system. Primary immunodeficiencies ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p2001.html

Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture - Letters to ...

Sep 1, 2018 - ...hospital, family physicians take obstetric calls alongside obstetricians, midwives, anesthesiologists, and teams of obstetric and family medicine residents. We present a case that demonstrates how this collaborative, multidisciplinary model provides effective care in obstetric...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0901/p272.html

Neurotic Excoriations - American Family Physician

Dec 15, 2001 - Neurotic excoriations are self-inflicted skin lesions produced by repetitive scratching. Because there is no known physical problem of the skin, this is a physical manifestation of an emotional problem. The classic lesions are characterized by clean, linear erosions, scabs and scars ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1215/p1981.html

Family Physicians Are Well Suited to Prescribe Isotretinoin - Editorials - American ...

Sep 1, 2016 - A few minutes (and a few clicks on the computer) can open up rewarding therapeutic opportunities when registering with iPledge to prescribe isotretinoin.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0901/p342.html

Low-Carb Diets May Produce Short-Term Diabetes Remission - POEMs - American Family ... Restricted content. Login required.

Jul 1, 2021 - Patients with type 2 diabetes can try cutting out bread and pasta, leaving the skin on chicken, or eating nuts and avocados to lower their blood glucose levels. Six months of a low-carbohydrate diet (less than 26% of calories from carbohydrates) was more likely than other diets or usual...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p95.html

Pharmacologic Management of Agitation in Patients with Dementia - FPIN's Clinical ... Restricted content. Login required.

Jul 1, 2021 - Selective serotonin reuptake inhibitors and risperidone are moderately effective at decreasing agitation in all types of dementia. Olanzapine and risperidone reduce dementia-related agitation much longer than placebo. Dextromethorphan/quinidine may be effective at reducing agitation in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0700/p91.html

Evaluation and Treatment of Galactorrhea - American Family Physician

May 1, 2001 - Galactorrhea, or inappropriate lactation, is a relatively common problem that occurs in approximately 20 to 25 percent of women. Lactation requires the presence of estrogen, progesterone and, most importantly, prolactin. Stress, suckling, sleep, sexual intercourse and medications may ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0501/p1763.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

AFP Online: We're on a Mission - Editorials - American Family Physician

Dec 15, 2016 - An overview of the many features and recent improvements of AFP Online.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1215/p966.html

Management of Grapefruit-Drug Interactions - American Family Physician

Aug 15, 2006 - Grapefruit is a healthy addition to a well-balanced diet. However, the fruit has been shown to affect the metabolism of many medications, increasing the risk of toxicity and adverse effects. Characteristics of oral medications that may interact with grapefruit include extensive ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p605.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

Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.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

Update on Exercise Stress Testing - American Family Physician

Nov 15, 2006 - Exercise stress testing is an important diagnostic tool for the evaluation of suspected or known cardiac disease. In 2002, the American College of Cardiology (ACC) and the American Heart Association (AHA) revised their guidelines for exercise testing. Ten categories from the ACC/ AHA ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1749.html

Carcinoid Tumors - American Family Physician

Aug 1, 2006 - Carcinoid tumors are rare, slow-growing neuroendocrine neoplasms that often are indolent and may not become clinically apparent until there has been metastatic spread or evidence of carcinoid syndrome. Recent evidence has revealed that the overall incidence of carcinoid tumors has been ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p429.html

Care of the Premature Infant: Part I. Monitoring Growth and Development - American ...

May 1, 1998 - When monitoring growth and development in the premature infant, physicians should make adjustments for the estimated due date. With minor exceptions, administration of immunizations is based on the chronologic age. Administration of hepatitis B vaccine should be delayed until the infant...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2123.html

Klinefelter Syndrome - American Family Physician

Dec 1, 2005 - To complement the 2005 Annual Clinical Focus on medical genomics, AFP is publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders and ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2259.html

Use of Atypical Antipsychotics in Patients with Dementia - American Family Physician

Jun 1, 2003 - Increasingly, atypical antipsychotic drugs are prescribed for elderly patients with symptoms of psychosis and behavioral disturbances. These symptoms often occur in patients with Alzheimer's disease, other dementias, or Parkinson's disease. As the average age of Americans increases, the...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2335.html

Graham Center Policy One-Pagers Department Collection - American Family Physician

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=3&page=0

Graham Center Policy One-Pagers Department Collection - American Family Physician

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=3

Foods Containing Saturated Fat: Dietary Limits Are Still Essential - Letters to the ...

Mar 15, 2016 - ...to the editor: Lesser and colleagues should be commended for addressing nutrition, an often neglected subject in family medicine. However, I question the assertion that consuming whole foods containing saturated fat is inversely associated with incident cardiovascular disease and...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0315/p438.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

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

Tight Control of Type 1 Diabetes: Recommendations for Patients - American Family Physician

Sep 15, 2006 - Tight control of blood glucose levels and risk factors for cardiovascular disease (e.g., hypertension, hypercholesterolemia) can substantially reduce the incidence of microvascular and macrovascular complications from type 1 diabetes. Physicians play an important role in helping ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p971.html

Spinal Epidural Abscess: A Diagnostic Challenge - American Family Physician

Apr 1, 2002 - Epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. Risk factors for epidural abscess include immunocompromised states such as diabetes mellitus, alcoholism, cancer, and acquired immunodeficiency syndrome, as well as spinal procedures including...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1341.html

Dysmenorrhea - American Family Physician

Jan 15, 2005 - Dysmenorrhea is the leading cause of recurrent short-term school absence in adolescent girls and a common problem in women of reproductive age. Risk factors for dysmenorrhea include nulliparity, heavy menstrual flow, smoking, and depression. Empiric therapy can be initiated based on a ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p285.html

Prescription to Over-the-Counter Drug Reclassification - American Family Physician

May 1, 1998 - Self-care is becoming increasingly popular among health care consumers. The availability of over-the-counter medications makes it possible for consumers to treat numerous ailments without the supervision of a health care professional. Many of the medications now available without a ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2209.html

Intra-articular Hyaluronic Acid Injections for Knee Osteoarthritis - American Family ...

Aug 1, 2000 - Knee osteoarthritis is a common but often difficult problem to manage in primary care. Traditional nonsurgical management, consisting of lifestyle modification, physical therapy and pharmacologic therapy (e.g., analgesics, anti-inflammatory medications), is often ineffective or leaves ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0801/p565.html

Potential Benefits of L-Carnitine as Dietary Supplement - Letters to the Editor - ...

Dec 1, 2017 - ...to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for...

American Family Physician : Letter

https://www.aafp.org/afp/2017/1201/ol1.html

USPSTF Recommendations: New and Updated in 2016 - Editorials - American Family Physician

Dec 1, 2017 - In 2016, the USPSTF updated 14 previous recommendation statements and added a new recommendation on screening for autism spectrum disorder. Several updated recommendations are notable for having significant changes.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1201/p697.html

New Contraceptive Options - American Family Physician

Feb 15, 2004 - Almost one half of pregnancies in the United States are unintended. Primary reasons for the high rate of unplanned pregnancy include dissatisfaction with or underuse of effective contraceptive methods and poor compliance with contraceptive methods that require daily adherence. Several ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p853.html

Travel Immunizations - American Family Physician

Jul 1, 2004 - Advising travelers on vaccine-preventable illnesses is increasingly becoming the responsibility of primary care physicians. The approach to vaccine recommendations should be based on a thorough assessment of the risks for travel-related diseases, the time available before trip ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p89.html

Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome - POEMs - American ... Restricted content. Login required.

Sep 15, 2020 - This is the largest and best study to date of fecal microbiota transplant for irritable bowel syndrome —with impressive results.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p377.html

Diagnosis and Managment of Acute Pancreatitis - American Family Physician

Jul 1, 2000 - Acute pancreatitis usually occurs as a result of alcohol abuse or bile duct obstruction. A careful review of the patient's history and appropriate laboratory studies can help the physician identify the etiology of the condition and guide management. Serum amylase and lipase levels are ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p164.html

Avian Influenza: Preparing for a Pandemic - American Family Physician

Sep 1, 2006 - Avian influenza A (H5N1) first emerged as a global public health threat in 1997 when it caused a major human outbreak in Hong Kong. Endemic in waterfowl and highly virulent in poultry, H5N1 is capable of incidentally infecting humans and other mammals. Although H5N1 is not yet capable ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p783.html

Subclinical Thyroid Disease - American Family Physician

Oct 15, 2005 - Subclinical thyroid dysfunction is defined as an abnormal serum thyroid-stimulating hormone level (reference range: 0.45 to 4.50 microU per mL) and free thyroxine and triiodothyronine levels within their reference ranges. The management of subclinical thyroid dysfunction is ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1517.html

Nerve Blocks for Pancreatic Cancer Pain - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Apr 15, 2021 - Celiac plexus blocks can be used for pain associated with pancreatic cancer. They slightly reduce pain while decreasing opioid consumption, with fewer adverse effects compared with standard analgesic therapy.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0415/p502.html

Tension-Type Headache - American Family Physician

Sep 1, 2002 - Tension-type headache typically causes pain that radiates in a band-like fashion bilaterally from the forehead to the occiput. Pain often radiates to the neck muscles and is described as tightness, pressure, or dull ache. Migraine-type features (unilateral, throbbing pain, nausea, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0901/p797.html

Radiologic Bone Assessment in the Evaluation of Osteoporosis - American Family Physician

Apr 1, 2002 - Osteoporosis affects nearly 28 million elderly Americans. Its major clinical manifestation is fragility fractures of the spine, hip, and distal radius. Low bone mass is the most important risk factor for a fragility fracture. In 1994, the World Health Organization defined osteoporosis ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1357.html

Gabapentin for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

May 1, 2014 - Gabapentin does not decrease the frequency of migraine headaches and is not recommended for prophylactic therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0501/p714.html

Diagnosis of Gastrointestinal Bleeding in Adults - American Family Physician

Apr 1, 2005 - The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding. Patients presenting with upper gastrointestinal or massive lower gastrointestinal bleeding, postural hypotension, or hemodynamic instability ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1339.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

Primary Care of Infants and Young Children with Down Syndrome - American Family Physician

Jan 15, 1999 - Down syndrome is caused by triplicate material of chromosome 21. The syndrome has a variable physical expression, but congenital cardiac defects, transient myelodysplasia of the newborn and duodenal atresia are highly specific for this chromosomal disorder. Routine health maintenance is...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p381.html

NSAIDs for Postpartum Perineal Pain - FPIN's Help Desk Answers - American Family Physician

Jun 1, 2018 - Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od3.html

Cardiovascular Effects of NSAIDs - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2014 - Aspirin does not elevate blood pressure. Among nonselective NSAIDs, ibuprofen increases the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0815/od2.html

September 2021 - American Family Physician

...Medicine by the Numbers: Comparison of Treatment Regimens for Helicobacter pylori Infection Brit Long; Michael Gottlieb Patient Information Checking Your Blood Pressure at Home - Free Full Text POEMs Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit...

American Family Physician

https://www.aafp.org/afp/2021/0900

September 2021 - American Family Physician

...Medicine by the Numbers: Comparison of Treatment Regimens for Helicobacter pylori Infection Brit Long; Michael Gottlieb Patient Information Checking Your Blood Pressure at Home - Free Full Text POEMs Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit...

American Family Physician

https://www.aafp.org/afp/2021/0900/

Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ... Restricted content. Login required.

Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0401/p434a.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

Craniosynostosis - American Family Physician

Jun 15, 2004 - Skull deformity in infants continues to be a diagnostic and therapeutic challenge. Deformational plagiocephaly is a common and somewhat benign cause of skull deformity in infants that must be distinguished from the more serious craniosynostosis, which occurs alone or as a syndrome. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2863.html

Poisoning, Envenomation, and Trauma from Marine Creatures - American Family Physician

Feb 15, 2004 - In the course of their clinical work or during leisure activity, family physicians occasionally may encounter patients with injuries from marine creatures. Poisoning, envenomation, and direct trauma are all possible in the marine environment. Ciguatera poisoning can result from ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p885.html

Pharmacologic Treatment of Alzheimer's Disease: An Update - American Family Physician

Oct 1, 2003 - Alzheimer's disease is characterized by the development of senile plaques and neurofibrillary tangles, which are associated with neuronal destruction, particularly in cholinergic neurons. Drugs that inhibit the degradation of acetylcholine within synapses are the mainstay of therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1365.html

Elagolix (Orilissa) for Endometriosis Pain - STEPS - American Family Physician

Oct 15, 2019 - Elagolix can decrease pain in women with endometriosis, but it is expensive and has adverse effects similar to those of other medications that decrease estrogen levels.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/1015/p502.html

e-Cigarettes More Effective Than Nicotine Replacement for Cessation of Tobacco Use in ...

Oct 1, 2019 - Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p442.html

Self-Monitoring and Self-Management of Oral Anticoagulation - Cochrane for Clinicians -...

Jun 1, 2017 - In patients taking warfarin (Coumadin) for anticoagulation, there is moderate-quality evidence that both self-monitoring (number needed to treat [NNT] = 100) and self-management (NNT = 53) reduce thromboembolic events, and that self-management reduces all-cause mortality (NNT = 67).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0601/p700.html

Obstructive Sleep Apnea in Children - American Family Physician

Mar 1, 2004 - Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1147.html

Increased Readmissions and Adverse Events with Intensification of Antihypertensive ... Restricted content. Login required.

Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248a.html

Diagnosis and Management of Osteomyelitis - American Family Physician

Jun 15, 2001 - Acute osteomyelitis is the clinical term for a new infection in bone. This infection occurs predominantly in children and is often seeded hematogenously. In adults, osteomyelitis is usually a subacute or chronic infection that develops secondary to an open injury to bone and surrounding...

American Family Physician : Article

https://www.aafp.org/afp/2001/0615/p2413.html

Combination Antiretroviral Therapy for HIV Infection - American Family Physician

Jun 1, 1998 - The primary goal of antiretroviral therapy for human immunodeficiency virus (HIV) infection is suppression of viral replication. Evidence indicates that the optimal way to achieve this goal is by initiating combination therapy with two or more antiretroviral agents. The agents now ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2789.html

Using Progestins in Clinical Practice - American Family Physician

Oct 15, 2000 - Progestational agents have many important functions, including regulation of the menstrual cycle, treatment of dysfunctional uterine bleeding, prevention of endometrial cancer and hyperplastic precursor lesions, and contraception. Because of the reported side effects of synthetic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1839.html

Thrombolysis for DVT: Has the Time Arrived? - AFP Journal Club - American Family Physician

Apr 1, 2015 - Catheter-directed thrombolysis for proximal DVT is experimental but may be considered in a patient with phlegmasia and resulting compartment syndrome.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2015/0401/p430.html

Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues - ...

Apr 1, 2005 - Effective prenatal care should integrate the best available evidence into a model of shared decision making. Pregnant women should be counseled about the risks of smoking and alcohol and drug use. Structured educational programs to promote breastfeeding are effective. Routine fetal ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1307.html

Update on Digoxin Therapy in Congestive Heart Failure - American Family Physician

Jul 15, 2000 - Congestive heart failure is a progressive disease with significant morbidity and mortality. Despite advances in the prevention and treatment of cardiovascular diseases, the incidence and prevalence of congestive heart failure have increased in recent years. Contributing factors include ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0715/p409.html

CDC Develops Guideline for Opioid Prescribing - Practice Guidelines - American Family ...

Jun 15, 2016 - A recently released guideline aims to establish patient-centered approaches to initiating, managing, and discontinuing opioid use. The recommendations from the Centers for Disease Control and Prevention (CDC) emphasize the serious risks and harms associated with opioids.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0615/p1042.html

Congenital Toxoplasmosis - American Family Physician

May 15, 2003 - Approximately 85 percent of women of childbearing age in the United States are susceptible to acute infection with the protozoan parasite Toxoplasma gondii. Transmission of T. gondii to the fetus can result in serious health problems, including mental retardation, seizures, blindness, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2131.html

Returning to Work While Breastfeeding - American Family Physician

Dec 1, 2003 - Mothers who work outside the home initiate breastfeeding at the same rate as mothers who stay at home. However, the breastfeeding continuance rate declines sharply in mothers who return to work. While the work environment may be less than ideal for the breastfeeding mother, obstacles ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2201.html

Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1101/od2.html

How to Recognize and Treat Acute HIV Syndrome - American Family Physician

Aug 1, 1999 - The diagnosis of acute human immunodeficiency virus (HIV) syndrome requires a high index of suspicion and proper laboratory testing. Patients with the syndrome may have fever, fatigue, rash, pharyngitis or other symptoms. Primary HIV infection should be considered in any patient with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p535.html

Vaginal Bleeding Decreases over Time with a Levonorgestrel Intrauterine System - POEMs ... Restricted content. Login required.

Dec 1, 2020 - Bleeding decreased over time for most women after the insertion of a levonorgestrel-releasing intrauterine system.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p693.html

The Use of Coronary Computed Tomography Angiography to Rule Out CAD in the ED - AFP ...

Nov 15, 2012 - Is coronary CTA good enough to allow for the safe discharge of low- to intermediate-risk patients with chest pain? Coronary CTA and standard care were equally effective at identifying a low-risk population. The test saved seven hospital hours, but at the expense of radiation exposure, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/1115/p900.html

Which Probiotics Should I Take? A Practical Guide for Family Physicians - Editorials - ...

Aug 1, 2017 - Find out what requirements should be met to know that you are offering your patients the highest quality probiotics to help prevent and treat disease.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0801/p156.html

Prevention of Iron Deficiency in Infants and Toddlers - American Family Physician

Oct 1, 2002 - The prevalence of nutritional iron deficiency anemia in infants and toddlers has declined dramatically since 1960. However, satisfaction with this achievement must be tempered because iron deficiency anemia in infants and toddlers is associated with long-lasting diminished mental, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1001/p1217.html

Benefits and Harms for Low-Dose Aspirin in Patients with Diabetes Mellitus - POEMs - ...

Jun 1, 2019 - The 7,740 patients who took low-dose aspirin experienced 51 fewer vascular deaths, nonfatal myocardial infarctions, or nonfatal ischemic strokes; 29 fewer transient ischemic attacks; and 44 fewer revascularizations than patients who took placebo over a mean of 7.4 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p718.html

Coenzyme Q10 - American Family Physician

Sep 15, 2005 - Coenzyme Q10 is a vitamin-like substance used in the treatment of a variety of disorders primarily related to suboptimal cellular energy metabolism and oxidative injury. Studies supporting the efficacy of coenzyme Q10 appear most promising for neurodegenerative disorders such as ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0915/p1065.html

Teaching Health Center GME Funding Instability Threatens Program Viability - Graham ...

Feb 1, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program, funded since 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care for under-served populations nationwide. Without continued federal funding, most of ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0201/p168.html

Impact of Anorexia, Bulimia, and Obesity on the Gynecologic Health of Adolescents - ...

Aug 1, 2001 - Dieting behaviors and nutrition can have an enormous impact on the gynecologic health of adolescents. Teenaged patients with anorexia nervosa can have hypothalamic suppression and amenorrhea. In addition, these adolescents are at high risk of osteoporosis and fractures. Unfortunately, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p445.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the...

Dec 15, 2014 - J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1215/p859.html

Management of Common Symptoms in Terminally Ill Patients: Part I. Fatigue, Anorexia, ...

Sep 1, 2001 - Physical symptoms other than pain often contribute to suffering near the end of life. In addition to pain, the most common symptoms in the terminal stages of an illness such as cancer or acquired immunodeficiency syndrome are fatigue, anorexia, cachexia, nausea, vomiting, constipation, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p807.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults - Putting ... Restricted content. Login required.

Sep 15, 2020 - M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0915/p367.html

Diagnosis and Management of Common Tinea Infections - American Family Physician

Jul 1, 1998 - The estimated lifetime risk of acquiring a dermatophyte infection is between 10 and 20 percent. Recognition and appropriate treatment of these infections reduces both morbidity and discomfort and lessens the possibility of transmission. Dermatophyte infections are classified according ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p163.html

Recognition and Management of Acute Pesticide Poisoning - American Family Physician

Apr 15, 2002 - Most poisonings from pesticides do not have a specific antidote, making decontamination the most important intervention. For maximal benefit to the patient, skin, eye, and gastric decontamination should be undertaken while specifics of the poisoning are being determined. As in most ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1599.html

Adolescent Idiopathic Scoliosis: Radiologic Decision-Making - American Family Physician

May 1, 2002 - Adolescent onset of severe idiopathic scoliosis has traditionally been evaluated using standing posteroanterior radiographs of the full spine to assess lateral curvature with the Cobb method. The most tilted vertebral bodies above and below the apex of the spinal curve are used to ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0501/p1817.html

Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician

Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0715/p116.html

Gluten-Sensitive Enteropathy (Celiac Disease): More Common than You Think - American ...

Dec 15, 2002 - Gluten-sensitive enteropathy or, as it is more commonly called, celiac disease, is an autoimmune inflammatory disease of the small intestine that is precipitated by the ingestion of gluten, a component of wheat protein, in genetically susceptible persons. Exclusion of dietary gluten ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1215/p2259.html

Plasma Viral Load Testing in the Management of HIV Infection - American Family Physician

Feb 1, 2001 - The polymerase chain reaction assay, branched DNA assay and nucleic acid sequence-based amplification assay quantitate human immunodeficiency virus (HIV) RNA levels. Plasma viral load (PVL) testing has become a cornerstone of HIV disease management. Initiation of antiretroviral drug ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p483.html

Nasopharyngeal Cancer and the Southeast Asian Patient - American Family Physician

May 1, 2001 - Because of a documented increased incidence, nasopharyngeal cancer should be considered when signs or symptoms of ear, nose and throat disease are present in patients from southern China (in particular, Hong Kong and the province of Guangdong) or Southeast Asia. Environmental factors, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0501/p1776.html

Are Cranberry Products Effective for the Prevention of Urinary Tract Infections? - ...

Dec 1, 2013 - Cranberry products are not effective and should not be recommended for the prevention of UTIs.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1201/p745.html

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Dec 1, 2002 - Vaccines have turned many childhood diseases into distant memories in industrialized countries. However, questions have been raised about the safety of some vaccines because of rare but serious adverse effects that have been attributed to them. Pain, swelling, and redness at the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2113.html

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ... Restricted content. Login required.

Jun 1, 2020 - Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per-protocol ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695a.html

Top POEMs of 2018 Consistent with the Principles of the Choosing Wisely Campaign

American Family Physician's annual collection of the top 20 research studies for primary care addresses a variety of topics with the potential to change practice.

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/content/top-poems/2018-cw.html

Refugee Mental Health: A Primary Care Approach - Editorials - American Family Physician

Jul 15, 2017 - A review of the refugee resettlement process and the clinical aspects of caring for patients who have experienced war, conflict, violence, and threats.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0715/p81.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

Advances in the Treatment of Arrhythmias: Implantable Cardioverter-Defibrillators - ...

Jan 15, 1998 - Implantable cardioverter-defibrillators are commonly used in patients who have life-threatening ventricular arrhythmias. With these implanted electronic devices, bradyarrhythmias and tachyarrhythmias can be recognized promptly and treated with electrical pacing, cardioversion or ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p297.html

Spironolactone in Left-Sided Heart Failure: How Does It Fit In? - American Family ...

Oct 15, 2001 - The familiar diuretic spironolactone has taken on new life as a treatment for left-sided congestive heart failure. Spironolactone has been shown to decrease mortality in such patients who are New York Heart Association class IV. It can be used in addition to agents such as ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1015/p1393.html

Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm - ...

Feb 15, 2018 - Evidence for vitamin D screening and supplementation in adults shows that these commonplace practices have virtually no established health benefits.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0215/p226.html

Vasectomy Techniques - American Family Physician

Jul 1, 1999 - Vasectomy can be performed by means of various techniques, although each vasectomy technique requires isolation and division of the vas and operative management of the vasal ends. Removal of at least 15 mm of vas is recommended, although division of the vas without removal of a segment ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p137.html

Antibiotics for Sore Throat - Cochrane for Clinicians - American Family Physician

Jul 1, 2014 - Compared with placebo, antibiotics can shorten the duration of sore throat symptoms by about 16 hours and can reduce complications. In countries where the absolute rates of complications are higher, antibiotic therapy is more likely to be effective. The effectiveness of antibiotic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p23.html

Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ... Restricted content. Login required.

Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od2.html

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