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Medicine by the numbers

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Guanfacine (Intuniv) for Attention-Deficit/Hyperactivity Disorder - STEPS - American ...

Feb 15, 2011 - Guanfacine is an effective short-term treatment option for ADHD in children six to 12 years of age. Sedation is a marked problem in many children. Patients should take the medication daily to avoid adverse effects that occur with abrupt discontinuation or when the guanfacine is restarted.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0215/p468.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

Diagnosis of Urinary Tract Infections in Children - Point-of-Care Guides - American ...

Feb 15, 2018 - A recent observational study found that 2.2% of acutely ill children younger than five years met criteria for a UTI when their urine was cultured. However, in the same study, overall clinician impression that a UTI was present (fairly to very certain) identified only 28 out of 60 ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0215/p273.html

Evaluating Proteinuria in Children - American Family Physician

Oct 1, 1998 - Proteinuria is a common laboratory finding in children. It can be identified as either a transient or a persistent finding and can represent a benign condition or a serious disease. A rapid but qualitative assessment of proteinuria can be made using dipstick or sulfosalicylic acid ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1145.html

Risk of Preterm Birth with Vaginal Progesterone in Twin Pregnancies - FPIN's Help Desk ...

Nov 1, 2017 - Women with twin pregnancies should not routinely receive vaginal progesterone because it does not reduce the risk of preterm birth. Vaginal progesterone should be administered to reduce adverse neonatal outcomes in women with twin pregnancies and a short cervix (25 mm or less).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1101/od3.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

Removal of Unwanted Facial Hair - American Family Physician

Nov 15, 2002 - Unwanted facial hair is a common problem that is seldom discussed in the primary care setting. Although men occasionally request removal of unwanted facial hair, women most often seek help with this condition. Physicians generally neglect to address the problem if the patient does not ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1907.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

External Cephalic Version - American Family Physician

Sep 1, 1998 - External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of about 65 percent. Before the resurgence of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p731.html

Beta2 Agonists for Acute Cough or a Clinical Diagnosis of Acute Bronchitis - Cochrane ...

May 1, 2017 - There is insufficient evidence to determine whether beta2 agonists can improve symptoms for children with acute cough or bronchitis with wheeze. Beta2 agonists are not likely to benefit and may cause adverse effects in adults who do not have evidence of airflow restriction (number ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0501/p551.html

Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...

Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1429.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

Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ...

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

May 1, 2021 - American Family Physician

...Medicine by the Numbers: Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years Brit Long; Michael Gottlieb Patient Information Urethritis - Free Full Text Letters to the Editor Reader Services CME Course Information Evidence-Based Medicine...

American Family Physician

https://www.aafp.org/afp/2021/0501

May 1, 2021 - American Family Physician

...Medicine by the Numbers: Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years Brit Long; Michael Gottlieb Patient Information Urethritis - Free Full Text Letters to the Editor Reader Services CME Course Information Evidence-Based Medicine...

American Family Physician

https://www.aafp.org/afp/2021/0501/

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

Rural Opioid Use Disorder Treatment Depends on Family Physicians - Graham Center Policy...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.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

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

Jul 1, 2014 - Topiramate in a dosage of 100 mg per day is effective for decreasing the frequency of headaches in adults with episodic migraine.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p24.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

Flibanserin Ineffective for Hypoactive Sexual Desire Disorder in Women - POEMs - ...

Sep 1, 2016 - Flibanserin produces a minimal effect on sexual desire and minimally increases the number of satisfying sexual events in women (less than one-half an event per month increase). Many women will be unable to tolerate the adverse effects.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0901/p384a.html

Correction - Corrections - American Family Physician

Jan 1, 2019 - ...Incorrect vaccine recommendations. The Medicine by the Numbers Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease (April 1, 2018, p. 463) included inaccurate details regarding the recommendations for administering pneumococcal vaccinations in patients with chronic...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0101/p5a.html

Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ...

Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0415/p493.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

Warfarin Therapy: Evolving Strategies in Anticoagulation - American Family Physician

Feb 1, 1999 - Warfarin is the oral anticoagulant most frequently used to control and prevent thromboembolic disorders. Prescribing the dose that both avoids hemorrhagic complications and achieves sufficient suppression of thrombosis requires a thorough understanding of the drug's unique pharmacology....

American Family Physician : Article

https://www.aafp.org/afp/1999/0201/p635.html

Evaluation and Treatment of Acute Low Back Pain - American Family Physician

Apr 15, 2007 - Acute low back pain with or without sciatica usually is self-limited and has no serious underlying pathology. For most patients, reassurance, pain medications, and advice to stay active are sufficient. A more thorough evaluation is required in selected patients with

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1181.html

Ensuring Primary Care Access in States with an Aging Family Physician Workforce - ...

Jun 15, 2019 - In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0615/p743.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

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

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

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

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

Evolocumab (Repatha) for the Treatment of Hyperlipidemia - STEPS - American Family ...

Nov 15, 2016 - Evolocumab is generally safe and effective at lowering serum LDL cholesterol levels for select patients who need marked cholesterol reduction and can tolerate injections. However, it remains unknown whether evolocumab prevents premature death from cardiovascular events.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/1115/p843.html

Recognition and Management of Bioterrorism Infections - American Family Physician

May 1, 2003 - Recent events have demonstrated that bioterrorists have the ability to disseminate biologic agents in the United States and cause widespread social panic. Family physicians would play a key role in the initial recognition of a potential bioterrorism attack. Familiarity with the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1927.html

Neurological Complications of Scuba Diving - American Family Physician

Jun 1, 2001 - Recreational scuba diving has become a popular sport in the United States, with almost 9 million certified divers. When severe diving injury occurs, the nervous system is frequently involved. In dive-related barotrauma, compressed or expanding gas within the ears, sinuses and lungs ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0601/p2211.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

Nonspecific Low Back Pain and Return to Work - American Family Physician

Nov 15, 2007 - As many as 90 percent of persons with occupational nonspecific low back pain are able to return to work in a relatively short period of time. As long as no

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1497.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

Treatment of Ethylene Glycol Poisoning - American Family Physician

Sep 1, 2002 - Ingestion of ethylene glycol may be an important contributor in patients with metabolic acidosis of unknown cause and subsequent renal failure. Expeditious diagnosis and treatment will limit metabolic toxicity and decrease morbidity and mortality. Ethylene glycol poisoning should be ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0901/p807.html

Lorcaserin Is Safe, But Only Modestly Effective for Weight Loss - POEMs - American ...

Mar 15, 2019 - Lorcaserin, 10 mg twice daily, helps some patients lose 10% or more of their body weight (number needed to treat [NNT] = 10) and appears to be safe in terms of cardiovascular events.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0315/od4.html

Oral Antihistamine/Decongestant/Analgesic Combinations for the Common Cold - Cochrane ...

Nov 1, 2012 - Combination cold medications, including antihistamine/decongestant/analgesic, antihistamine/decongestant, antihistamine/analgesic, and analgesic/decongestant formulations, provide modest symptom relief in adults and older children, but are not effective in young children. Only the ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1101/p812.html

Should Children with Acute Otitis Media Routinely be Treated with Antibiotics? No: Most...

Oct 1, 2013 - The evidence supports the use of antibiotics only in certain clinical situations and avoidance of antibiotics in certain children with AOM.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1001/od2.html

Gamma-Hydroxybutyrate (GHB): A Newer Drug of Abuse - American Family Physician

Dec 1, 2000 - Gamma-hydroxybutyrate (GHB) is an illicitly marketed substance that has recently gained popularity among body builders and party attendees as a drug of abuse. GHB is a depressant that acts on the central nervous system. It is purported as a strength enhancer, euphoriant and aphrodisiac ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1201/p2478.html

Diagnosis and Management of Malignant Melanoma - American Family Physician

Apr 1, 2001 - The incidence of malignant melanoma has increased in recent years more than that of any other cancer in the United States. About one in 70 people will develop melanoma during their lifetime. Family physicians should be aware that a patient with a changing mole, an atypical mole or ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1359.html

Behavioral Counseling to Prevent Skin Cancer - Putting Prevention into Practice - ...

Jul 15, 2018 - A 25-year-old Irish American woman presents for a wellness visit for herself and her two young children, a two-year-old boy and a seven-month-old girl. All three have fair skin, red hair, and freckles. She reports that she is looking forward to an upcoming family vacation to the ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0715/p105.html

Outpatient Treatment of Systolic Heart Failure - American Family Physician

Dec 1, 2004 - Optimal outpatient treatment of systolic heart failure has three goals that should be pursued simultaneously: (1) control of risk factors for the development and progression of heart failure, (2) treatment of heart failure, and (3) education of patients. Control of risk factors includes...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2157.html

Amyotrophic Lateral Sclerosis: Lou Gehrig's Disease - American Family Physician

Mar 15, 1999 - Amyotrophic lateral sclerosis (ALS), commonly called Lou Gehrig's disease, is a progressive neuromuscular condition characterized by weakness, muscle wasting, fasciculations and increased reflexes. Approximately 30,000 Americans currently have the disease. The annual incidence rate is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1489.html

Approach to Vaso-occlussive Crisis in Adults with Sickle Cell Disease - American Family...

Mar 1, 2000 - The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Acute episodes of severe pain (crises) are the primary reason that these patients seek medical care in hospital emergency departments. Frequently, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1349.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.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

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

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

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

Giant Cell Arteritis: Biopsy After Corticosteroid Initiation - FPIN's Clinical ...

Jan 15, 2017 - Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0115/p116.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

Is NIH Research Funding to Medical Schools Associated with More Family Physicians? - ...

Feb 1, 2013 - National Institutes of Health (NIH) funding to family medicine departments is very low and has an inverse association with the production of family physicians at these medical schools. Clinical and Translational Science Awards and other efforts to include primary care in NIH research ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0201/p214.html

Quinine for Leg Cramps - Cochrane for Clinicians - American Family Physician

Feb 1, 2016 - Quinine is moderately effective in decreasing the frequency and intensity of muscle cramps, but it is also associated with an increase in minor adverse effects. In addition, there is a risk of rare but serious adverse effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0201/p177.html

Head and Neck Manifestations of AIDS in Adults - American Family Physician

Apr 15, 1998 - Head and neck manifestations of acquired immunodeficiency syndrome (AIDS) are among the most common complications of this disease. Some of these manifestations are the initial signs of human immunodeficiency virus (HIV) infection, and others are associated with full-blown AIDS. Otologic...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1813.html

Common Dietary Supplements for Weight Loss - American Family Physician

Nov 1, 2004 - Over-the-counter dietary supplements to treat obesity appeal to many patients who desire a 'magic bullet' for weight loss. Asking overweight patients about their use of weight-loss supplements and understanding the evidence for the efficacy, safety, and quality of these supplements are ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1731.html

Asthma Update: Part II. Medical Management - American Family Physician

Sep 15, 2004 - The National Asthma Education and Prevention Program recently updated its guidelines for the management of asthma. An evidence-based approach was used to examine several key issues regarding appropriate medical therapy for patients with asthma. The updated guidelines have clarified ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1061.html

Rosacea: A Common Yet Commonly Overlooked Condition - American Family Physician

Aug 1, 2002 - Rosacea is a common, but often overlooked, skin condition of uncertain etiology that can lead to significant facial disfigurement, ocular complications, and severe emotional distress. The progression of rosacea is variable; however, typical stages include: (1) facial flushing, (2) ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0801/p435.html

Stinging Insect Allergy - American Family Physician

Jun 15, 2003 - Systemic allergic reactions to insect stings are estimated to occur in about 1 percent of children and 3 percent of adults. In children, these reactions usually are limited to cutaneous signs, with urticaria and angioedema; adults more commonly have airway obstruction or hypotension. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2541.html

Recognition of Alcohol and Substance Abuse - American Family Physician

Apr 1, 2003 - Ten percent of the population abuses drugs or alcohol, and 20 percent of patients seen by family physicians have substance-abuse problems, excluding tobacco use. These patients can be identified by relying on regular screening or a high index of suspicion based on

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1529.html

Exercise for Osteoarthritis of the Knee - Cochrane for Clinicians - American Family ...

Nov 1, 2015 - Land-based exercise programs reduce knee pain and improve quality of life and physical function following treatment in patients with knee osteoarthritis.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1101/p774.html

Vilazodone (Viibryd) for the Treatment of Depression - STEPS - American Family Physician

Aug 15, 2013 - The available evidence does not support the routine use of vilazodone in the treatment of depression. It is significantly more expensive than generic alternatives and is no more effective for moderate to severe depression than selective serotonin reuptake inhibitors or tricyclic ...

American Family Physician : STEPS

https://www.aafp.org/afp/2013/0815/p263.html

Allergen Immunotherapy - American Family Physician

Aug 15, 2004 - Allergen immunotherapy (also called allergy vaccine therapy) involves the administration of gradually increasing quantities of specific allergens to patients with IgE-mediated conditions until a dose is reached that is effective in reducing disease severity from natural exposure. The ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p689.html

Gastroesophageal Reflux in Infants and Children - American Family Physician

Dec 1, 2001 - Gastroesophageal reflux is a common, self-limited process in infants that usually resolves by six to 12 months of age. Effective, conservative management involves thickened feedings, positional treatment, and parental reassurance. Gastroesophageal reflux disease (GERD) is a less common,...

American Family Physician : Article

https://www.aafp.org/afp/2001/1201/p1853.html

Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ...

Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0115/p119.html

AHRQ's Tools for Better Practice: Helping Family Physicians Manage Today's Challenges -...

Nov 1, 2017 - The AHRQ invests in innovative primary care research to generate new knowledge, synthesize existing evidence that is applicable to the primary care setting, and create tools for improving primary care practice. They would like your feedback on the tools included in this article.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/1101/p569.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

In High-Risk Older Patients with Atrial Fibrillation, Rhythm Control Reduces ... Restricted content. Login required.

Apr 1, 2021 - In high-risk older patients with recent-onset atrial fibrillation, a strategy of rhythm control results in fewer cardiovascular deaths and fewer strokes.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p440.html

Assessment and Treatment of Bulimia Nervosa - American Family Physician

Jun 1, 1998 - Bulimia nervosa is characterized by binge eating and inappropriate compensatory behaviors, such as vomiting, fasting, excessive exercise and the misuse of diuretics, laxatives or enemas. Although the etiology of this disorder is unknown, genetic and neurochemical factors have been ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2743.html

Adhesive Capsulitis: A Sticky Issue - American Family Physician

Apr 1, 1999 - The shoulder is a very complex joint that is crucial to many activities of daily living. Decreased shoulder mobility is a serious clinical finding. A global decrease in shoulder range of motion is called adhesive capsulitis, referring to the actual adherence of the shoulder capsule to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1843.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

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

Steroids for the Treatment of Otitis Media with Effusion in Children - Cochrane for ...

Feb 1, 2012 - Oral steroid use, alone or in combination with antibiotics, speeds the resolution of otitis media with effusion. However, there is no evidence that oral steroids improve symptoms or affect long-term outcomes, such as hearing loss. Topical nasal steroids have no effect on otitis media ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0201/p235.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Duration of Bisphosphonate Therapy - FPIN's Help Desk Answers - American Family Physician

Apr 1, 2018 - Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od1.html

Increased Alignment in Preventive Services Recommendations for Children - Editorials - ...

Aug 15, 2016 - Increased alignment between preventive services recommendations from the two major physician specialty groups who care for children.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0815/p272.html

Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...

Sep 1, 2012 - Yes: Screening Improves CAD Risk Management in Selected Patients. Sudden death is often the first manifestation of atherosclerotic coronary artery disease (CAD). One-third of deaths from CAD in the Atherosclerosis Risk in Communities study occurred without warning signs, and there was ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0901/p398.html

Membrane Sweeping to Decrease Rates of Postdate Induction - FPIN's Help Desk Answers - ...

Jan 1, 2017 - In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0101/p35.html

Deep Venous Thrombosis: Home vs. Inpatient Treatment - Cochrane for Clinicians - ...

Dec 1, 2018 - Patients treated at home with low-molecular-weight heparin (LMWH) have lower rates of recurrent VTE than those treated in a hospital.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/1201/p642.html

The AAP Practice Parameter on Urinary Tract Infections in Febrile Infants and Young ...

Oct 15, 2000 - The Committee on Quality Improvement of the American Academy of Pediatrics developed an evidence-based practice parameter on the diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children, two months to two years of age. The practice...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1815.html

Management of Carpal Tunnel Syndrome - American Family Physician

Jul 15, 2003 - Carpal tunnel syndrome affects approximately 3 percent of adults in the United States. Pain and paresthesias in the distribution of the median nerve are the classic symptoms. While Tinel's sign and a positive Phalen's maneuver are classic clinical signs of the syndrome, hypalgesia and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p265.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

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ... Restricted content. Login required.

Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od2.html

Treating Fibromyalgia - American Family Physician

Oct 1, 2000 - Fibromyalgia is an extremely common chronic condition that can be challenging to manage. Although the etiology remains unclear, characteristic alterations in the pattern of sleep and changes in neuroendocrine transmitters such as serotonin, substance P, growth hormone and cortisol ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1575.html

Colorectal Cancer: Risk Factors and Recommendations for Early Detection - American ...

Jun 1, 1999 - Spurred by mounting evidence that the detection and treatment of early-stage colorectal cancers and adenomatous polyps can reduce mortality, Medicare and some other payors recently authorized reimbursement for colorectal cancer screening in persons at average risk for this malignancy. A...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3083.html

Female Sexual Dysfunction: Evaluation and Treatment - American Family Physician

Jul 1, 2000 - Sexual dysfunction includes desire, arousal, orgasmic and sex pain disorders (dyspareunia and vaginismus). Primary care physicians must assume a proactive role in the diagnosis and treatment of these disorders. Long-term medical diseases, minor ailments, medications and psychosocial ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p127.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

Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...

Sep 1, 2012 - No: Screening is Unproven, Expensive, and Potentially Harmful. Coronary artery calcium (CAC) scores have been recommended as a way to screen for coronary artery disease (CAD). Before we get too enthusiastic about this expensive new test, remember that a good screening test must perform ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/0901/p405.html

Phentermine/Topiramate (Qsymia) for Chronic Weight Management - STEPS - American Family...

Oct 15, 2014 - Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use ...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/1015/p576.html

Therapist-Guided, Internet-Delivered Cognitive Behavior Therapy for Anxiety - FPIN's ...

Oct 1, 2018 - Therapist-guided, Internet-delivered CBT can be used as an effective treatment for anxiety in adults and is similar in effectiveness to face-to-face CBT.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/1001/p459.html

Interstitial Cystitis: Urgency and Frequency Syndrome - American Family Physician

Oct 1, 2001 - Interstitial cystitis is a chronic, severely debilitating disease of the urinary bladder. Excessive urgency and frequency of urination, suprapubic pain, dyspareunia, chronic pelvic pain and negative urine cultures are characteristic of interstitial cystitis. The course of the disease is...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1199.html

ACS/ASCCP/ASCP Guidelines for the Early Detection of Cervical Cancer - Editorials - ...

Sep 15, 2012 - The American Cancer Society (ACS), the American Society for Colposcopy and Cervical Pathology (ASCCP), and the American Society for Clinical Pathology (ASCP) recently published updated recommendations for the early detection of cervical cancer. The guidelines are based on a systematic ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0915/p501.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

West Nile Virus in the United States: An Update on an Emerging Infectious Disease - ...

Aug 15, 2003 - West Nile virus is a mosquito-borne flavivirus and human neuropathogen. Since the virus was recognized in New York City in 1999, it has spread rapidly across the United States, with human disease documented in 39 states and the District of Columbia. West Nile virus can cause a broad ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p653.html

Top POEMs of 2019 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 that are consistent with the Choosing Wisely Campaign..

American Family Physician

https://www.aafp.org/journals/afp/content/top-poems/2019-cw.html

Impact of Exercise-Based Cardiac Rehabilitation - Cochrane for Clinicians - American ...

Dec 1, 2016 - Exercise-based cardiac rehabilitation reduces cardiovascular mortality and hospitalization. There is no evidence that it reduces the rates of total mortality, myocardial infarctions, coronary artery bypass grafts, or percutaneous coronary interventions.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/1201/p881.html

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