Reducing Tobacco Use in Adolescents - American Family Physician
Feb 15, 2008 - After steadily decreasing since the late 1990s, adolescent smoking rates have stabilized at levels well above national goals. Experts recommend screening for tobacco use and exposure at every patient visit, although evidence of improved outcomes in adolescents is lacking. Counseling ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0215/p483.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
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
Rifaximin (Xifaxan) for Irritable Bowel Syndrome - STEPS - American Family Physician
Feb 15, 2017 - Rifaximin has good overall tolerability. A relatively short course of treatment results in sustained clinical benefit for at least 10 weeks, eliminating the need for continued therapy, with an NNT of 10. However, it is expensive and should be reserved for patients who cannot tolerate or...
American Family Physician : STEPS
https://www.aafp.org/afp/2017/0215/p258.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
Acupuncture Is Ineffective for Treatment of Low Back Pain - Letters to the Editor - ...
Dec 15, 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/2017/1215/ol2.html
Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician
Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0415/p1725.html
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
Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...
Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/1101/p530.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
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
Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM
Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p19.html
Pityriasis Rosea - American Family Physician
Jan 1, 2004 - Pityriasis rosea is a common, acute exanthem of uncertain etiology. Viral and bacterial causes have been sought, but convincing answers have not yet been found. Pityriasis rosea typically affects children and young adults. It is characterized by an initial herald patch, followed by the ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0101/p87.html
Office Management of Bartholin Gland Cysts and Abscesses - American Family Physician
Apr 1, 1998 - Bartholin gland cysts and abscesses are common problems in women of reproductive age. Although the cysts are usually asymptomatic, they may become enlarged or infected and cause significant pain. Often the clinician is tempted simply to lance the cyst or abscess, since this technique ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0401/p1611.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
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
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
Taking a Nutrition History: A Practical Approach for Family Physicians - American ...
Mar 15, 1999 - The association between nutrition and health has been clearly documented. Primary care physicians are expected to address nutrition and dietary behavior issues with their patients in the context of a brief clinical encounter. This article proposes the use of a short interview form, with...
American Family Physician : Article
https://www.aafp.org/afp/1999/0315/p1521.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
Choosing Drug Therapy for Patients with Hyperlipidemia - American Family Physician
Jun 1, 2000 - Almost 13 million American adults require drug therapy to meet the low-density lipoprotein goals set by the National Cholesterol Education Program. Attempts to achieve these goals through diet and exercise are often unsuccessful. Major studies in recent years have demonstrated that ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0601/p3371.html
Prevention and Treatment of Sexually Transmitted Diseases: An Update - American Family ...
Dec 15, 2007 - The Centers for Disease Control and Prevention recently published revised guidelines for the prevention and treatment of sexually transmitted diseases. One new treatment strategy is the use of azithromycin as a primary, rather than alternative, medication for pregnant women with ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1215/p1827.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
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
The Nature and Management of Labor Pain: Part I. Nonpharmacologic Pain Relief - ...
Sep 15, 2003 - Pain in labor is a nearly universal experience for childbearing women. A recent evidence-based symposium on the nature and management of labor pain brought together family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators to discuss a series of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0915/p1109.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
Atypical Presentations of Gastroesophageal Reflux Disease - American Family Physician
Aug 15, 2008 - Gastroesophageal reflux disease typically manifests as heartburn and regurgitation, but it may also present with atypical or extraesophageal symptoms, including asthma, chronic cough, laryngitis, hoarseness, chronic sore throat, dental erosions, and noncardiac chest pain. Diagnosing ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0815/p483.html
ACC/AHA Hypertension Guideline: What Is New? What Do We Do? - Editorials - American ...
Mar 15, 2018 - Choosing a threshold and target for treatment should be based on the science supporting CVD risk reduction, while considering the benefits and harms in individual patient circumstances and respecting patient choice.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0315/p372.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
Acute Ankle Sprain: An Update - American Family Physician
Nov 15, 2006 - Acute ankle injury, a common musculoskeletal injury, can cause ankle sprains. Some evidence suggests that previous injuries or limited joint flexibility may contribute to ankle sprains. The initial assessment of an acute ankle injury should include questions about the timing and ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1115/p1714.html
Joint and Soft Tissue Injection - American Family Physician
Jul 15, 2002 - Injection techniques are helpful for diagnosis and therapy in a wide variety of musculoskeletal conditions. Diagnostic indications include the aspiration of fluid for analysis and the assessment of pain relief and increased range of motion as a diagnostic tool. Therapeutic indications ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0715/p283.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
Physical Activity Counseling - American Family Physician
Apr 15, 2008 - Every year in the United States, at least 250,000 deaths are attributed to lack of physical activity. Because of the health benefits of physical activity, national guidelines recommend participation in 30 minutes of accumulated moderate-intensity physical activity such as walking fast ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0415/p1129.html
Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice...
Jun 1, 2003 - Although the percentage of patients who are treated for hypertension has increased, the percentage of those who demonstrate control of blood pressure has declined. As a result of this trend, clinicians may increasingly rely on ambulatory blood pressure monitoring to improve the ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0601/p2343.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
The Osteopathic Approach: FMX Preconference | AAFP
This one-day course on Sept 20 in Washington, DC offers osteopathic-focused CME on common musculoskeletal and sports-related injuries.
CME : All CME Products
https://www.aafp.org/cme/all/the-osteopathic-approach-workshop.html
Topical Nitroglycerin for Lower Extremity Tendinopathy - FPIN's Clinical Inquiries - ...
Feb 1, 2022 - In non-insertional Achilles tendinopathy, topical NTG patches are minimally better than placebo at 24 weeks. Topical NTG plus physical therapy is not superior for pain relief or functional improvement compared with placebo patches plus physical therapy. In chronic patellar tendinopathy,...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2022/0200/p196.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
Written Action Plans for Self-Management of COPD Exacerbations - Cochrane for ...
Mar 1, 2018 - Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0301/p310.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
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
Cutaneous Warts: An Evidence-Based Approach to Therapy - American Family Physician
Aug 15, 2005 - Cutaneous warts are a common presenting complaint in children and adolescents. Common, plantar, or flat warts are cutaneous manifestations of the human papillomavirus. The treatment of warts poses a therapeutic challenge for physicians. No single therapy has been proven effective at ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0815/p647.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
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
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
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
Family Medicine National Resident Matching Program (NRMP) Results Analysis
Review a brief analysis on National Resident Matching Program results impacting family medicine.
Students and Residents : Residency Program Directors
https://www.aafp.org/students-residents/residency-program-directors/national-resident-matching-program-results.html
Medical Aid in Dying - Curbside Consultation - American Family Physician
Mar 1, 2018 - Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at the ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0301/p339.html
Meet the Doctors
Learn more about the physicians who contributed their stories to our series, "In Their Own Words: A QandA with Family Physicians."
Students and Residents : Medical Students
https://www.aafp.org/students-residents/medical-students/explore-career-in-family-medicine/day-as-family-doctor/bios.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
Colchicine Reduces MI and Revascularization in Patients with Established Coronary ...
May 15, 2021 - Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0515/p631a.html
Diagnosis and Management of Acute Low Back Pain - American Family Physician
Mar 15, 2000 - Acute low back pain is commonly encountered in primary care practice but the specific cause often cannot be identified. This ailment has a benign course in 90 percent of patients. Recurrences and functional limitations can be minimized with appropriate conservative management, including...
American Family Physician : Article
https://www.aafp.org/afp/2000/0315/p1779.html
Vaccinations in Pregnancy - American Family Physician
Jul 15, 2003 - Adult immunization rates have fallen short of national goals partly because of misconceptions about the safety and benefits of current vaccines. The danger of these misconceptions is magnified during pregnancy, when concerned physicians are hesitant to administer vaccines and patients ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0715/p299.html
Leadership Development and Diversity in Academic Family Medicine: An Emphasis on Women ...
Leadership Development and Diversity in Academic Family Medicine: An Emphasis on Women and Underrepresented in Medicine
Family Physician : Patient Care
https://www.aafp.org/family-physician/patient-care/the-everyone-project/cafm-tool.html
Failure to Pass Meconium: Diagnosing Neonatal Intestinal Obstruction - American Family ...
Nov 1, 1999 - Timely passage of the first stool is a hallmark of the well-being of the newborn infant. Failure of a full-term newborn to pass meconium in the first 24 hours may signal intestinal obstruction. Lower intestinal obstruction may be associated with disorders such as Hirschsprung's disease,...
American Family Physician : Article
https://www.aafp.org/afp/1999/1101/p2043.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
New Research Examines Diversity in Family Medicine
New research shows that although the family physician workforce has diversified over the past 30 years, some racial and ethnic minorities remain underrepresented.
AAFP News : Practice and Career
https://www.aafp.org/news/practice-professional-issues/20190102jabfmdiversity.html
Gastric Cancer: Diagnosis and Treatment Options - American Family Physician
Mar 1, 2004 - Although the overall incidence of gastric cancer has steadily declined in the United States, it is estimated that more than 12,000 persons died from gastric cancer in 2003. The incidence of distal stomach tumors has greatly declined, but reported cases of proximal gastric carcinomas, ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0301/p1133.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
Meet our Leadership
The AAFP is governed by a Congress of Delegates, a Board of Directors, and a number of commissions and committees.
About AAFP : Meet our Leadership
https://www.aafp.org/about/meet-our-leadership.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
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.
Publications : American Family Physician
https://www.aafp.org/pubs/afp/content/top-poems/2018-cw.html
Common Hyperpigmentation Disorders in Adults: Part II. Melanoma, Seborrheic Keratoses, ...
Nov 15, 2003 - Nevi, or moles, are localized nevocytic tumors. The American Cancer Society's ABCD rules are useful for differentiating a benign nevus from malignant melanoma. While acanthosis nigricans may signal an underlying malignancy (e.g., gastrointestinal tumor), it more often is associated with...
American Family Physician : Article
https://www.aafp.org/afp/2003/1115/p1963.html
AAFP Sustains Fight to Reduce Administrative Complexity for Family Medicine
AAFP Sustains Fight to Reduce Administrative Burden for Family Medicine
AAFP News : Media Center
https://www.aafp.org/news/media-center/kits/aafp-sustains-fight-to-reduce-administrative-burden-for-family-medicine.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
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
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
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
Bacterial Vaginosis: An Update - American Family Physician
Mar 15, 1998 - Bacterial vaginosis is the most common cause of vaginal discharge. Recent studies have confirmed its association with pelvic inflammatory disease and adverse pregnancy outcomes. Bacterial vaginosis is treated with oral metronidazole (given either as a single dose or a seven-day course) ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0315/p1285.html
Relapse of Depression More Likely After Discontinuation of Medication - POEMs - ...
Apr 1, 2022 - Primary care patients who discontinued antidepressant medications were more likely to experience relapse of their depression than those who continued to take their antidepressants. The interpretation is that 44% of patients with depression who discontinue their antidepressant medication...
American Family Physician : POEMs
https://www.aafp.org/afp/2022/0400/od3.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
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
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
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
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
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
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
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
Practical Ways to Manage Your EHR Inbox -- FPM
Aug 1, 2021 - These 10 tips can help reduce your workload during and after clinic, so you can focus on what matters most.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0700/p27.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
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
Obesity Education in Family Medicine Clerkships Falls Short
New research on obesity education in family medicine clerkships shows gaps that may leave future family physicians inadequately prepared to treat patients with this condition.
AAFP News : CME
https://www.aafp.org/news/education-professional-development/20190625obesityeduc.html
Management of Acute Renal Failure - American Family Physician
Nov 1, 2005 - Acute renal failure is present in 1 to 5 percent of patients at hospital admission and affects up to 20 percent of patients in intensive care units. The condition has prerenal, intrarenal, and postrenal causes, with prerenal conditions accounting for 60 to 70 percent of cases. The cause...
American Family Physician : Article
https://www.aafp.org/afp/2005/1101/p1739.html
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
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
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
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
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
Herbal Remedies: Adverse Effects and Drug Interactions - American Family Physician
Mar 1, 1999 - A growing number of Americans are using herbal products for preventive and therapeutic purposes. The manufacturers of these products are not required to submit proof of safety and efficacy to the U.S. Food and Drug Administration before marketing. For this reason, the adverse effects ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0301/p1239.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
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
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
What Factors Hook Medical Students on Family Medicine?
In 2015, the AAFP conducted a national survey of all graduating AAFP student members to learn what influenced their specialty choices.
AAFP News : CME
https://www.aafp.org/news/education-professional-development/2019026choicesurvey.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
Safety of Radiographic Imaging During Pregnancy - American Family Physician
Apr 1, 1999 - Maternal illness during pregnancy is not uncommon and sometimes requires radiographic imaging for proper diagnosis and treatment. The patient and her physician may be concerned about potential harm to the fetus from radiation exposure. In reality, however, the risks to the developing ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0401/p1813.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
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
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
Compression Stockings for Preventing Deep Venous Thrombosis in Airline Passengers - ...
Jan 1, 2022 - Compression stockings are effective at reducing asymptomatic deep venous thrombosis in airline passengers taking flights longer than five hours in both high-risk and low-risk populations.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2022/0100/p23.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