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afp20180101p45.pdf

...January 1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 45 Point-of-Care Guides Young Febrile Infants: Step-by-Step Evaluation Joshua Steinberg, MD, United Health Services Family Medicine Residency, Binghamton, New York Clinical Question Can signs,...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p45.pdf

afp20180101p49.pdf

...1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 49 Curbside Consultation Female Genital Mutilation or Cutting Commentary by Ranit Mishori, MD, MHS, FAAFP, Department of Family Medicine, Georgetown University School of Medicine, Washington, District...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p49.pdf

afp20180101p53.pdf

...January 1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 53 POEMs Delayed Antibiotic Prescription for New- Onset Cough Associated with Decreased Reconsultation Clinical Question In adults with lower respiratory tract infection, what is the effect of...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p53.pdf

afp20180101p54.pdf

...January 1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 53 POEMs Delayed Antibiotic Prescription for New- Onset Cough Associated with Decreased Reconsultation Clinical Question In adults with lower respiratory tract infection, what is the effect of...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p54.pdf

afp20180101p55.pdf

...January 1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 53 POEMs Delayed Antibiotic Prescription for New- Onset Cough Associated with Decreased Reconsultation Clinical Question In adults with lower respiratory tract infection, what is the effect of...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p55.pdf

afp20180101p7.pdf

...January 1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 7 Letters to the Editor Discuss Oral Health with All Women of Child-Bearing Age Original Article: AAFP Releases Position Paper on Preconception Care [Practice Guidelines] Issue Date: September 15,...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p7.pdf

afp20180101p8.pdf

...January 1, 2018 ◆ Volume 97, Number 1 www.aafp.org/afp American Family Physician 7 Letters to the Editor Discuss Oral Health with All Women of Child-Bearing Age Original Article: AAFP Releases Position Paper on Preconception Care [Practice Guidelines] Issue Date: September 15,...

American Family Physician

https://www.aafp.org/afp/2018/0101/afp20180101p8.pdf

afp20180115p111.pdf

...January 15, 2018 ◆ Volume 97, Number 2 www.aafp.org/afp American Family Physician 111 Colorectal cancer (CRC) is the third most common can- cer diagnosis in the United States behind prostate and lung cancer for men and breast and lung cancer for women.1 Most organizations recommend...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p111.pdf

afp20180115p117.pdf

...January 15, 2018 ◆ Volume 97, Number 2 www.aafp.org/afp American Family Physician 117 Putting Prevention into Practice An Evidence-Based Approach Screening for Preeclampsia Iris Mabry-Hernandez, MD, MPH, Medical Officer, U.S. Preventive Services Task Force Program, Agency for...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p117.pdf

afp20180115p129.pdf

...January 15, 2018 ◆ Volume 97, Number 2 www.aafp.org/afp American Family Physician 129 Photo Quiz Abrupt Onset of a Tender Rash on the Upper and Lower Extremities Nguyet-Cam V. Lam, MD, and Emelia Perez, MD St. Luke’s Family Medicine Residency, Bethlehem, Pennsylvania A...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p129.pdf

afp20180115p83.pdf

...January 15, 2018 ◆ Volume 97, Number 2 www.aafp.org/afp American Family Physician 83 Editorials Thirty Years of AFP: Having Fun Painting the Fence Jay Siwek, MD, Georgetown University Medical Center, Washington, District of Columbia In 1988, when I became editor of American...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p83.pdf

afp20180115p86.pdf

...86 American Family Physician www.aafp.org/afp Volume 97, Number 2 ◆ January 15, 2018 Heel pain is a common presenting symptom to fam- ily physicians and has an extensive differential diagnosis (Table 1).1 Most diagnoses stem from a mechanical etiology (Table 2).1 A thorough patient...

American Family Physician

https://www.aafp.org/afp/2018/0115/afp20180115p86.pdf

afp20180201od1.pdf

...February 1, 2018 ◆ Volume 97, Number 3 www.aafp.org/afp American Family Physician 160A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension Edwin Choi, MD; Grace Pak, BA; and Jeffrey...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201od1.pdf

afp20180201od2.pdf

...1, 2018 ◆ Volume 97, Number 3 www.aafp.org/afp American Family Physician 192A FPIN’s Help Desk Answers Effectiveness of ACL Injury Prevention Programs Will Paulson, MD, and Andrew H. Slattengren, DO University of Minnesota Department of Family Medicine and Community Health,...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201od2.pdf

afp20180201od3.pdf

...192B American Family Physician www.aafp.org/afp Volume 97, Number 3 ◆ February 1, 2018 FPIN’s Help Desk Answers OnabotulinumtoxinA Injections for Urge Incontinence Alexander J. Hubb, MD; Anne M. Stachowicz, MD; and Sara C. Wood, MD, MHPE Mercy Hospital St. Louis, St. Louis,...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201od3.pdf

afp20180201p152.pdf

...152 American Family Physician www.aafp.org/afp Volume 97, Number 3 ◆ February 1, 2018 AAFP’s Alternative Payment Model Wins Testing Recommendation A congressional committee reviewing new Medicare pay- ment initiatives gave the green light to initial testing of a primary care payment...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p152.pdf

afp20180201p155.pdf

...February 1, 2018 ◆ Volume 97, Number 3 www.aafp.org/afp American Family Physician 155 Editorials AFP: What’s Ahead Sumi Makkar Sexton, MD Georgetown University Medical Center Washington, District of Columbia Having the opportunity to serve as editor-in- chief has been a...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p155.pdf

afp20180201p172.pdf

...172 American Family Physician www.aafp.org/afp Volume 97, Number 3 ◆ February 1, 2018 Hemorrhoids develop when the venous drainage of the anus is altered, causing the venous plexus and connecting tissue to dilate, creating an outgrowth of anal mucosa from the rectal wall. However,...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p172.pdf

afp20180201p180.pdf

...180 American Family Physician www.aafp.org/afp Volume 97, Number 3 ◆ February 1, 2018 Tremor is an involuntary, rhythmic, oscillatory move- ment of a body part and is the most common movement disorder encountered in primary care practices.1-3 Aside from careful clinical examination...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p180.pdf

afp20180201p203.pdf

...February 1, 2018 ◆ Volume 97, Number 3 www.aafp.org/afp American Family Physician 203 Close-ups Opioids for Acute Pain: Proceed with Caution It was chilly but still a nice day for a dog walk. Having forgotten gloves, I had my hands in my coat pockets, and the leash was wrapped...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p203.pdf

afp20180215od1.pdf

...February 15, 2018 ◆ Volume 97, Number 4 www.aafp.org/afp American Family Physician 275A POEMs Patient-Oriented Evidence That Matters Single-Dose Oral Dexamethasone Decreases Sore Throat Pain Clinical Question Do oral corticosteroids relieve pain in patients with acute sore...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215od1.pdf

afp20180215od2.pdf

...February 15, 2018 ◆ Volume 97, Number 4 www.aafp.org/afp American Family Physician 275A POEMs Patient-Oriented Evidence That Matters Single-Dose Oral Dexamethasone Decreases Sore Throat Pain Clinical Question Do oral corticosteroids relieve pain in patients with acute sore...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215od2.pdf

afp20180215od4.pdf

...February 15, 2018 ◆ Volume 97, Number 4 www.aafp.org/afp American Family Physician 275A POEMs Patient-Oriented Evidence That Matters Single-Dose Oral Dexamethasone Decreases Sore Throat Pain Clinical Question Do oral corticosteroids relieve pain in patients with acute sore...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215od4.pdf

afp20180215p226.pdf

...226 American Family Physician www.aafp.org/afp Volume 97, Number 4 ◆ February 15, 2018 Editorials Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm Kenneth W. Lin, MD, MPH, Georgetown University Medical Center, Washington, District of Columbia...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p226.pdf

afp20180215p232.pdf

...232 American Family Physician www.aafp.org/afp Volume 97, Number 4 ◆ February 15, 2018 MedPAC Recommends Replacing MIPS The Medicare Payment Advisory Commission (MedPAC) recently recommended that the Merit-based Incentive Pay- ment System (MIPS) be replaced with a proposed program...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p232.pdf

afp20180215p243.pdf

...February 15, 2018 ◆ Volume 97, Number 4 www.aafp.org/afp American Family Physician 243 Migraine is a primary headache disorder characterized by recurrent attacks. Approxi- mately 44.5 million U.S. adults (18% to 26% of women and 6% to 9% of men) have experienced a migraine, according...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p243.pdf

afp20180215p254.pdf

...254 American Family Physician www.aafp.org/afp Volume 97, Number 4 ◆ February 15, 2018 Measurement of vitamin D levels and supplemen- tation with oral vitamin D have become commonplace in clinical practice.1,2 In 2014, vitamin D levels were the fifth most common laboratory test...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p254.pdf

afp20180215p261.pdf

...February 15, 2018 ◆ Volume 97, Number 4 www.aafp.org/afp American Family Physician 261 Testicular cancer is the most common solid tumor among males 15 to 34 years of age. The age-adjusted annual incidence in the United States is 5.6 cases per 100,000 persons, with a peak of 14.6...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p261.pdf

afp20180215p269.pdf

...15, 2018 ◆ Volume 97, Number 4 www.aafp.org/afp American Family Physician 269 FPIN’s Clinical Inquiries Diabetes Education and Glycemic Control Corey Lyon, DO; Hannah Fields, MD, MSPH; and Shannon Langner, MD University of Colorado Family Medicine Residency, Denver,...

American Family Physician

https://www.aafp.org/afp/2018/0215/afp20180215p269.pdf

afp20180301od2.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 348A FPIN’s Help Desk Answers Life Expectancy with Hospice Care Todd Eichelberger, DO, and Anthony Shadiack, DO, Ocala Health, Ocala, Florida Clinical Question Does admittance to hospice care...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301od2.pdf

afp20180301od3.pdf

...www.aafp.org/afp Volume 97, Number 5 ◆ March 1, 2018 FPIN’s Help Desk Answers Intercontraction Intervals for Predicting Timing of Labor Evaluation Richard Brown, DO, and Diane J. Madlon-Kay, MD, MS University of Minnesota Medical Center Family Medicine Residency,...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301od3.pdf

afp20180301p301.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 301 AAFP to FCC: Rural Telehealth Services Should Support Primary Care As the Federal Communications Commission (FCC) con- siders how to support telehealth in rural areas, the American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p301.pdf

afp20180301p302.pdf

...Volume 97, Number 5 ◆ March 1, 2018 Editorials Treating Opioid Use Disorder as a Family Physician: Taking the Next Step Elizabeth Salisbury-Afshar, MD, MPH, FAAFP, FASAM, FACPM, Chicago Department of Public Health; Rush University Department of Family Medicine, Chicago,...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p302.pdf

afp20180301p310.pdf

...Family Physician www.aafp.org/afp Volume 97, Number 5 ◆ March 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Written Action Plans for Self- Management of COPD Exacerbations Corey Fogleman, MD Family and Community Medicine Residency Program, Lancaster,...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p310.pdf

afp20180301p311.pdf

...Family Physician www.aafp.org/afp Volume 97, Number 5 ◆ March 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Written Action Plans for Self- Management of COPD Exacerbations Corey Fogleman, MD Family and Community Medicine Residency Program, Lancaster,...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p311.pdf

afp20180301p313.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 313 Opioid misuse is an epidemic in the United States. In 2016, approximately 11.5 million Americans 12 years and older misused opioid pain medications, and 1.8 million had a substance use disorder...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p313.pdf

afp20180301p321.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 321 Vaginitis is characterized by vaginal symptoms, includ- ing discharge, odor, itching, irritation, or burning.1 Most women have at least one episode of vaginitis during their lives,2 making it the most...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p321.pdf

afp20180301p331.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 331 Colorectal cancer is the fourth most com- monly diagnosed cancer in the United States.1 In 2014, the prevalence was estimated at 0.3%, representing nearly 1.2 million Americans.1 Because successful...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p331.pdf

afp20180301p337.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 337 Photo Quiz A Lesion on the Eye Helen Cann, MD, and Eric Luehrs, MD, Naval Medical Center, Portsmouth, Virginia A 33-year-old woman presented with a growth on her eye that had been present for...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p337.pdf

afp20180301p339.pdf

...March 1, 2018 ◆ Volume 97, Number 5 www.aafp.org/afp American Family Physician 339 Curbside Consultation Medical Aid in Dying Commentary by David Nowels, MD, MPH, Department of Family Medicine, University of Colorado-Denver, Aurora, Colorado Gregg VandeKieft, MD, MA, Providence...

American Family Physician

https://www.aafp.org/afp/2018/0301/afp20180301p339.pdf

afp20180315od2.pdf

...March 15, 2018 ◆ Volume 97, Number 6 www.aafp.org/afp American Family Physician 410A FPIN’s Help Desk Answers Probiotics for Symptoms of Depression and Anxiety Erin Westfall, DO, University of Minnesota Department of Family Medicine and Community Health, Mankato, Minnesota...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315od2.pdf

afp20180315p368.pdf

...368 American Family Physician www.aafp.org/afp Volume 97, Number 6 ◆ March 15, 2018 Study: Underutilization of Team-Based Care Linked to Burnout in Primary Care Physicians The challenges that come with undergoing significant prac- tice change, such as transitioning to a team-based...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p368.pdf

afp20180315p372.pdf

...372 American Family Physician www.aafp.org/afp Volume 97, Number 6 ◆ March 15, 2018 Editorials ACC/AHA Hypertension Guideline: What Is New? What Do We Do? Michael LeFevre, MD, MSPH, University of Missouri School of Medicine, Columbia, Missouri See related Practice Guideline on...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p372.pdf

afp20180315p398.pdf

...Number 6 ◆ March 15, 2018 Dementia is the fifth leading cause of death in Amer- icans older than 65 years. The United States population is aging, with 46 million persons older than 65 years-a number that is expected to double by 2060.1 Consequently, by 2050, the estimated number...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p398.pdf

afp20180315p408.pdf

...408 American Family Physician www.aafp.org/afp Volume 97, Number 6 ◆ March 15, 2018 POEMs Patient-Oriented Evidence That Matters Minimal Effect of ERT on Sexual Function in Menopausal Women Clinical Question Does estrogen replacement therapy (ERT) affect sexual function in...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p408.pdf

afp20180315p408a.pdf

...408 American Family Physician www.aafp.org/afp Volume 97, Number 6 ◆ March 15, 2018 POEMs Patient-Oriented Evidence That Matters Minimal Effect of ERT on Sexual Function in Menopausal Women Clinical Question Does estrogen replacement therapy (ERT) affect sexual function in...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p408a.pdf

afp20180315p410.pdf

...408 American Family Physician www.aafp.org/afp Volume 97, Number 6 ◆ March 15, 2018 POEMs Patient-Oriented Evidence That Matters Minimal Effect of ERT on Sexual Function in Menopausal Women Clinical Question Does estrogen replacement therapy (ERT) affect sexual function in...

American Family Physician

https://www.aafp.org/afp/2018/0315/afp20180315p410.pdf

afp20180401od1.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 466A FPIN’s Help Desk Answers Duration of Bisphosphonate Therapy Helen C. Lam, MD; Christie M. Thomas, MD; and Julia M. Shaver, MD Kaiser Permanente Medical Group, Vallejo, California Clinical...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401od1.pdf

afp20180401od2.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 466C FPIN’s Help Desk Answers Short-Term Antipsychotics for Alzheimer Disease Alice Zhang, MD, and Robert Martin, DO Advocate Illinois Masonic Family Medicine Residency, Chicago, Illinois Clinical...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401od2.pdf

afp20180401p441.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 441 Cervical cancer is responsible for more than 7% of all cancer-related deaths in women world- wide.1 Most cases of cervical cancer (85%) occur in developing countries that have ineffective screening...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p441.pdf

afp20180401p449.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 449 Every year, nearly 13,000 cases of cervical can- cer are diagnosed, with more than 4,000 deaths.1 Although the highest incidence of cervical cancer is among women 40 to 49 years of age (14 cases per...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p449.pdf

afp20180401p455.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 455 Rheumatoid arthritis (RA) is the most common autoim- mune inflammatory arthritis, with a lifetime prevalence of up to 1% worldwide.1 It has a significant impact on occu- pational and daily activities,...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p455.pdf

afp20180401p463.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 463 Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease Zachariah Clark, MD, and Douglas Maurer, DO, MPH, FAAFP Details...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p463.pdf

afp20180401p465.pdf

...April 1, 2018 ◆ Volume 97, Number 7 www.aafp.org/afp American Family Physician 465 Photo Quiz Digital Clues Rob Danoff, DO, MS, and Julia Todd, DO, Jefferson Health Northeast Family Medicine/Emergency Medicine Residency, Philadelphia, Pennsylvania A 90-year-old man presented...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p465.pdf

afp20180401p474a.pdf

...474 American Family Physician www.aafp.org/afp Volume 97, Number 7 ◆ April 1, 2018 POEMs Patient-Oriented Evidence That Matters Clinical Diagnosis of Lyme Disease Frequently Misses the Bull’s Eye Clinical Question In children, how accurate is the clinical suspicion for Lyme...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p474a.pdf

afp20180401p475.pdf

...474 American Family Physician www.aafp.org/afp Volume 97, Number 7 ◆ April 1, 2018 POEMs Patient-Oriented Evidence That Matters Clinical Diagnosis of Lyme Disease Frequently Misses the Bull’s Eye Clinical Question In children, how accurate is the clinical suspicion for Lyme...

American Family Physician

https://www.aafp.org/afp/2018/0401/afp20180401p475.pdf

afp20180415p492.pdf

...Volume 97, Number 8 ◆ April 15, 2018 2018 Match Is New High for Family Medicine The results for the 2018 National Resident Matching Pro- gram highlight some significant accomplishments for fam- ily medicine. This year, 3,654 positions were offered in family medicine, 276 more...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p492.pdf

afp20180415p499.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 499 Editorials The Female Athlete Triad: Recommendations for Management Rachel Chamberlain, MD, CAQSM University of Texas Southwestern Medical Center, Dallas, Texas The female athlete triad was...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p499.pdf

afp20180415p502.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 499 Editorials The Female Athlete Triad: Recommendations for Management Rachel Chamberlain, MD, CAQSM University of Texas Southwestern Medical Center, Dallas, Texas The female athlete triad was...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p502.pdf

afp20180415p510.pdf

...510 American Family Physician www.aafp.org/afp Volume 97, Number 8 ◆ April 15, 2018 Approximately 1% of Americans run on an average day, nearly twice as many as those who golf or cycle.1 Running is an excellent form of exercise; even at a slow pace, it is matched in metabolic...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p510.pdf

afp20180415p517.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 517 Streptococcus pyogenes (group A beta-hemolytic streptococcus [GABHS]) is an anaerobic gram-positive coc- cus whose only reservoir is humans. It causes more than 700 million illnesses and more than...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p517.pdf

afp20180415p523.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 523 Osteoarthritis (OA) is a condition commonly encountered in primary care. This article pro- vides a brief summary and review of the best available patient-oriented evidence for OA. Epidemiology The...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p523.pdf

afp20180415p527.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 527 FPIN’s Clinical Inquiries Antibiotic Prophylaxis for COPD Exacerbations Corey Lyon, DO, and Henry Colangelo, MD, MPH University of Colorado Family Medicine Residency, Denver, Colorado Kristen...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p527.pdf

afp20180415p533.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 533 POEMs Patient-Oriented Evidence That Matters Routine Oxygen Supplementation After Acute Stroke Does Not Improve Functional Outcomes Clinical Question Does routine low-dose oxygen therapy...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p533.pdf

afp20180415p538.pdf

...538 American Family Physician www.aafp.org/afp Volume 97, Number 8 ◆ April 15, 2018 Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Qvar for Treatment of Chronic Asthma Aditi Jayanth, MD Details for This Review Study Population: Children and adults with a...

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p538.pdf

afp20180415p541.pdf

...April 15, 2018 ◆ Volume 97, Number 8 www.aafp.org/afp American Family Physician 541 Putting Prevention into Practice An Evidence-Based Approach Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women Howard Tracer, MD, Medical Officer, U.S....

American Family Physician

https://www.aafp.org/afp/2018/0415/afp20180415p541.pdf

afp20180501od1.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 564A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Pregabalin (Lyrica) for Acute Fibromyalgia Pain Luke Donnelly, MD; Jaime Moran, MD; and Mathew Foley, MD Details for This Review...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501od1.pdf

afp20180501od3.pdf

...American Family Physician www.aafp.org/afp Volume 97, Number 9 ◆ May 1, 2018 FPIN’s Help Desk Answers Effectiveness of Pneumococcal Vaccines Marvin Sineath Jr., MD, and Kristin McPhillips, MD Memorial Health Family Medicine Residency, Savannah, Georgia Clinical Question...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501od3.pdf

afp20180501p558.pdf

...558 American Family Physician www.aafp.org/afp Volume 97, Number 9 ◆ May 1, 2018 Residency Leaders Encourage Training in Opioid Prescribing The American Academy of Family Physicians’ (AAFP’s) recent Residency Program Solutions conference included a session focused on an issue that...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p558.pdf

afp20180501p559.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 559 Editorials Obesity in Pregnancy: Risks and Management Lyrad Riley, MD, MPH; Maggie Wertz, MD; and Ian McDowell, DO Eglin Family Medicine Residency Program Eglin Air Force Base, Florida As...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p559.pdf

afp20180501p572.pdf

...Number 9 ◆ May 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Antiepileptic Drug Monotherapy for Epilepsy John P. Barrett, MD, MPH, MS, FAAFP, and Aaron Saguil, MD, MPH, FAAFP Uniformed Services University of the Health Sciences, F. Edward Hébert School of...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p572.pdf

afp20180501p573.pdf

...Number 9 ◆ May 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Antiepileptic Drug Monotherapy for Epilepsy John P. Barrett, MD, MPH, MS, FAAFP, and Aaron Saguil, MD, MPH, FAAFP Uniformed Services University of the Health Sciences, F. Edward Hébert School of...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p573.pdf

afp20180501p575.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 575 Croup is a common respiratory illness of the larynx, trachea, and bronchi that leads to inspi- ratory stridor and a barking cough. Laryngotra- cheitis, laryngotracheobronchitis, and laryngo-...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p575.pdf

afp20180501p581.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 581 The volume of studies published annually has expanded greatly in recent decades. For example, 6,762 studies were indexed as randomized controlled trials in PubMed in 1990, compared with 24,434 in 2015....

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p581.pdf

afp20180501p594.pdf

...594 American Family Physician www.aafp.org/afp Volume 97, Number 9 ◆ May 1, 2018 Charcot neuroarthropathy of the foot and ankle is an inflammatory condition affecting the periarticular soft tissues and bone in persons with peripheral neuropathy, resulting in osse- ous subluxation,...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p594.pdf

afp20180501p600.pdf

...Volume 97, Number 9 ◆ May 1, 2018 Curbside Consultation Clinical and Personal Utility of Genetic Risk Testing Commentary by Sean P. David, MD, SM, DPhil, and Latha Palaniappan, MD, SM Division of Primary Care and Population Health, Department of Medicine, Stanford...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p600.pdf

afp20180501p603.pdf

...Number 9 www.aafp.org/afp American Family Physician 603 Photo Quiz Hyperpigmented Patches on the Dorsal Hands Steven Feldman, MD, PhD, Wake Forest School of Medicine, Winston-Salem, North Carolina Taylor Edwards, MS, Ohio University Heritage College of Osteopathic Medicine,...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p603.pdf

afp20180501p605.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 605 POEMs Patient-Oriented Evidence That Matters One-Third of Patients with Anxiety Disorder Will Relapse When Antidepressant Treatment Stops Clinical Question How common is relapse in patients with...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p605.pdf

afp20180501p606.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 605 POEMs Patient-Oriented Evidence That Matters One-Third of Patients with Anxiety Disorder Will Relapse When Antidepressant Treatment Stops Clinical Question How common is relapse in patients with...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p606.pdf

afp20180501p607.pdf

...May 1, 2018 ◆ Volume 97, Number 9 www.aafp.org/afp American Family Physician 605 POEMs Patient-Oriented Evidence That Matters One-Third of Patients with Anxiety Disorder Will Relapse When Antidepressant Treatment Stops Clinical Question How common is relapse in patients with...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p607.pdf

afp20180515od2.pdf

...May 15, 2018 ◆ Volume 97, Number 10 www.aafp.org/afp American Family Physician 635A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Hyperpronation Method for Reduction of Nursemaid's Elbow Rory Spiegel, MD, and Sarah Kleist, MD Details for This Review Study...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515od2.pdf

afp20180515p628.pdf

...Volume 97, Number 10 ◆ May 15, 2018 Editorials Eosinophilic Esophagitis: A Mimic of Gastroesophageal Reflux Disease Steven Clayton, MD, FAAFP, FACP; and John F. Emerson, MD, Greenville Health System, University of South Carolina School of Medicine, Greenville, South Carolina...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p628.pdf

afp20180515p642.pdf

...642 American Family Physician www.aafp.org/afp Volume 97, Number 10 ◆ May 15, 2018 Parents often seek guidance from physicians on child behavior problems. Questions may range from general parenting strat- egies to managing specific child behaviors. Physicians and their staff can...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p642.pdf

afp20180515p649.pdf

...May 15, 2018 ◆ Volume 97, Number 10 www.aafp.org/afp American Family Physician 649 Developmental disabilities are attributable to a cogni- tive impairment, physical impairment, or both. They man- ifest during the developmental period from birth to early adulthood, and are likely to...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p649.pdf

afp20180515p666.pdf

...666 American Family Physician www.aafp.org/afp Volume 97, Number 10 ◆ May 15, 2018 Putting Prevention into Practice An Evidence-Based Approach Screening for Adolescent Idiopathic Scoliosis Iris Mabry-Hernandez, MD, MPH, Medical Officer, U.S. Preventive Services Task Force Program,...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p666.pdf

afp20180515p668.pdf

...668 American Family Physician www.aafp.org/afp Volume 97, Number 10 ◆ May 15, 2018 STEPS New Drug Reviews Implantable Buprenorphine (Probuphine) for Maintenance Treatment of Opioid Use Disorder Nancy Hope Goodbar, PharmD, BCPS, and Katherine E. Hanlon, PhD Presbyterian...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p668.pdf

afp20180515p671.pdf

...May 15, 2018 ◆ Volume 97, Number 10 www.aafp.org/afp American Family Physician 671 FPIN’s Help Desk Answers Maternal Obesity and Labor Induction Timothy Myrick, MD; R. Stephen Griffith, MD; and Kevin Sisk, DO University of Missouri-Kansas City, Kansas City, Missouri Clinical...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p671.pdf

afp20180601od1.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 708A Medicine by the Numbers A Collaboration of TheNNT.com and AFP ➤ Combined Inhaled Short-Acting Beta2 Agonist and Anticholinergic Agents for Asthma Daniel Runde, MD, and Margaret Rallo, MD...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601od1.pdf

afp20180601od3.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 754C FPIN’s Help Desk Answers NSAIDs for Postpartum Perineal Pain Mark Rosekelly, DO, and Vernon Wheeler, MD Carl R. Darnall Army Medical Center Family Medicine Residency Program, Fort Hood, Texas...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601od3.pdf

afp20180601p696.pdf

...696 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Editorials How the FDA Ensures High-Quality Generic Drugs Kathleen Uhl, MD, and John R. Peters, MD U.S. Food and Drug Administration, Silver Spring, Maryland Physician acceptance of generic...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p696.pdf

afp20180601p698.pdf

...698 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Study Finds Decrease in Opioid Prescriptions Opioid prescriptions in the United States decreased 22% between 2013 and 2017, according to a new study from the IQVIA Institute for Human Data Science....

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p698.pdf

afp20180601p700.pdf

...700 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Letters to the Editor Prescribing Cholinesterase Inhibitors for Alzheimer Disease: Timing Matters Original Article: Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p700.pdf

afp20180601p702a.pdf

...700 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Letters to the Editor Prescribing Cholinesterase Inhibitors for Alzheimer Disease: Timing Matters Original Article: Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p702a.pdf

afp20180601p703.pdf

...700 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Letters to the Editor Prescribing Cholinesterase Inhibitors for Alzheimer Disease: Timing Matters Original Article: Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p703.pdf

afp20180601p714.pdf

...714 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Cerebrospinal Fluid Biomarkers for Detection of Alzheimer Disease in Patients with Mild Cognitive Impairment Anne L. Mounsey, MD, and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p714.pdf

afp20180601p715.pdf

...714 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Cochrane for Clinicians Putting Evidence into Practice Cerebrospinal Fluid Biomarkers for Detection of Alzheimer Disease in Patients with Mild Cognitive Impairment Anne L. Mounsey, MD, and...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p715.pdf

afp20180601p721.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 721 Although diet is the single most significant risk factor for disability and premature death,1 most Americans do not adhere to U.S. dietary recommendations,2 and nutrition is minimally addressed in...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p721.pdf

afp20180601p729.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 729 Hyperhidrosis is excessive sweating beyond what is physiologically required for thermoregu- lation, often causing social, emotional, and work impairment. This condition can be primary or secondary....

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p729.pdf

afp20180601p741.pdf

...June 1, 2018 ◆ Volume 97, Number 11 www.aafp.org/afp American Family Physician 741 The National Cancer Institute estimates that 14.5 mil- lion persons in the United States have cancer, and that number could reach 19 million by 2024.1 Family physicians should be familiar with the most...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p741.pdf

afp20180601p750.pdf

...750 American Family Physician www.aafp.org/afp Volume 97, Number 11 ◆ June 1, 2018 Point-of-Care Guides Ruling Out Pulmonary Embolism in the Primary Care Setting Pete Yunyongying, MD, Augusta University/University of Georgia Medical Partnership, Athens, Georgia Clinical...

American Family Physician

https://www.aafp.org/afp/2018/0601/afp20180601p750.pdf

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