Caregiver Care - American Family Physician
Jun 1, 2019 - Eighty percent of adults requiring long-term care currently live at home in the community, and unpaid family caregivers provide 90% of their care. Family caregivers serve as a critical extension of the U.S. health care system, and the demand for family caregivers is expected to increase...
American Family Physician : Article
https://www.aafp.org/afp/2019/0601/p699.html
Atypical Moles: Diagnosis and Management - American Family Physician
Jun 1, 2015 - Atypical moles are benign pigmented lesions. Although they are benign, they exhibit some of the clinical and histologic features of malignant melanoma. They are more common in fair-skinned individuals and in those with high sun exposure. Atypical moles are characterized by size of 6 mm ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0601/p762.html
Vitamin E in Pregnancy - Medicine by the Numbers - American Family Physician
Apr 1, 2017 - Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0401/od1.html
Responses to Medical Students' Frequently Asked Questions About Family Medicine - ...
Feb 1, 2016 - This article provides answers to many of the common questions that medical students ask about the specialty of family medicine. It describes the crucial role that family physicians have in the evolving health care environment, the scope of practice, the diverse career opportunities ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0201/od1.html
Primary Care for Persons Who Inject Drugs - American Family Physician
Jan 15, 2019 - More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0115/p109.html
Common Questions About Developmental Dysplasia of the Hip - American Family Physician
Dec 15, 2014 - Developmental dysplasia of the hip is a common musculoskeletal condition in newborns. Infants with developmental dysplasia of the hip, whether treated or untreated, have a higher incidence of early-onset hip osteoarthritis in adulthood. Evidence to support universal screening by ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1215/p843.html
Diagnosis and Treatment of Acute Pyelonephritis in Women - American Family Physician
Sep 1, 2011 - Acute pyelonephritis is a common bacterial infection of the renal pelvis and kidney most often seen in young adult women. History and physical examination are the most useful tools for diagnosis. Most patients have fever, although it may be absent early in the illness. Flank pain is ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0901/p519.html
Evaluation and Management of Orthostatic Hypotension - American Family Physician
Sep 1, 2011 - Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic...
American Family Physician : Article
https://www.aafp.org/afp/2011/0901/p527.html
Diagnosis and Treatment of Gastroesophageal Reflux in Infants and Children - American ...
Oct 15, 2015 - Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation (spitting up) and vomiting. It is a normal physiologic process that occurs throughout the day in infants and less often in children and adolescents. ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1015/p705.html
Buprenorphine Maintenance vs. Placebo for Opioid Dependence - Medicine by the Numbers -...
Mar 1, 2017 - Buprenorphine causes lower physical dependence, milder withdrawal symptoms, and is less likely to cause an overdose than methadone in the treatment of opioid dependence.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0301/od1.html
Diagnosis and Treatment of Atrial Fibrillation - American Family Physician
Sep 15, 2016 - Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. It is the most common arrhythmia and a major source of morbidity and mortality; its prevalence increases with age. Pulse rate is sensitive, but not specific, ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0915/p442.html
Alpha-adrenergic Agonists for the Management of Opioid Withdrawal - Medicine by the ...
Jan 1, 2017 - Alpha-adrenergic agonists were more efficacious than placebo in the management of opioid withdrawal, but are best reserved as an alternative to methadone.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0101/od1.html
Antiepileptic Drugs After First Unprovoked Seizure - Medicine by the Numbers - American...
Feb 1, 2017 - The decision to start an antiepileptic drug after a first unprovoked seizure has long been a clinically challenging one.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0201/od1.html
Primary Care of the Prostate Cancer Survivor - American Family Physician
May 1, 2016 - This summary of the American Cancer Society Prostate Cancer Survivorship Care Guidelines targets primary care physicians who coordinate care of prostate cancer survivors with subspecialists. Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0501/p764.html
Ectopic Pregnancy: Diagnosis and Management - American Family Physician
May 15, 2020 - Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p599.html
Top 20 Research Studies of 2016 for Primary Care Physicians - American Family Physician
May 1, 2017 - This article summarizes the top 20 original research studies and four practice guidelines of 2016, based on regular literature surveillance and as selected by members of the Canadian Medical Association. The studies, known as POEMs (patient-oriented evidence that matters), were rated ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0501/p572.html
Coronary Artery Disease/Coronary Heart Disease - American Family Physician
Dec 1, 2020 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4
Hoarseness in Adults - American Family Physician
Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1201/p720.html
Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment - American ...
Sep 15, 2020 - Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0915/p339.html
Valproate for Adult Migraine Prophylaxis - Medicine by the Numbers - American Family ...
Nov 1, 2016 - Evidence supports current guideline recommendations on the use of valproate medications to prevent migraine.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/1101/od1.html
Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation - American...
May 15, 2019 - Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. Meta-analyses and systematic reviews have shown that these interventions can improve symptoms of depression and anxiety ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0515/p620.html
Recurrent Urinary Tract Infections in Women: Diagnosis and Management - American Family...
Sep 15, 2010 - Recurrent urinary tract infections, presenting as dysuria or irritative voiding symptoms, are most commonly caused by reinfection with the original bacterial isolate in young, otherwise healthy women with no anatomic or functional abnormalities of the urinary tract. Frequency of sexual ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0915/p638.html
School Absenteeism in Children and Adolescents - American Family Physician
Dec 15, 2018 - Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Previous research focused on distinguishing between truancy and anxiety-driven ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1215/p738.html
Aripiprazole vs. Placebo or Haloperidol for Schizophrenia - Medicine by the Numbers - ...
Dec 1, 2016 - Aripiprazole was shown to have one major benefit over placebo, but favorable outcomes with haloperidol throw its effectiveness into question. Are the differences merely anomalies?
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/1201/p877.html
Acupuncture for Pain - American Family Physician
Jul 15, 2019 - Acupuncture has been increasingly used as an integrative or complementary therapy for pain. It is well-tolerated with little risk of serious adverse effects. Traditional acupuncture and nontraditional techniques, such as electroacupuncture and dry needling, often result in reported pain...
American Family Physician : Article
https://www.aafp.org/afp/2019/0715/p89.html
Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults - American Family ...
Jan 15, 2017 - Guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the U.K. National Institute for Health and Care Excellence (NICE) indicate that lipid-lowering drugs have benefit for primary and secondary prevention of atherosclerotic cardiovascular disease ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0115/p78.html
Current Concepts in Adult Acute Rhinosinusitis - American Family Physician
Jul 15, 2016 - Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper respiratory infections. A meta-analysis based on individual patient data found that common clinical signs and symptoms were ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0715/p97.html
Colorectal Cancer Screening and Surveillance in Individuals at Increased Risk - ...
Jan 15, 2018 - Individuals at increased risk of developing colorectal cancer include those with a personal or family history of advanced adenomas or colorectal cancer, a personal history of inflammatory bowel disease, or genetic polyposis syndromes. In general, these persons should undergo more ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0115/p111.html
Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ...
Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0701/p30.html
Newborn Circumcision Techniques - American Family Physician
Jun 1, 2020 - Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. The American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Centers for Disease Control and Prevention, and the American Academy ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0601/p680.html
Liberal vs. Conservative Oxygen Therapy in the Acutely Ill - Medicine by the Numbers - ...
Jan 1, 2019 - This review compares liberal and conservative oxygen therapy in acutely ill adults and their effect on mortality (in-hospital, 30-day, and longest follow-up) and morbidity (disability at longest follow-up, risk of hospital-acquired pneumonia, any hospital-acquired infection, and length ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0101/od1.html
Treatment of the Common Cold in Children and Adults - American Family Physician
Jul 15, 2012 - The common cold, or upper respiratory tract infection, is one of the leading reasons for physician visits. Generally caused by viruses, the common cold is treated symptomatically. Antibiotics are not effective in children or adults. In children, there is a potential for harm and no ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0715/p153.html
Top 20 Research Studies of 2019 for Primary Care Physicians - American Family Physician
May 15, 2020 - In 2019, regular surveillance of 110 English-language research journals identified 254 studies that met the criteria to become POEMs (patient-oriented evidence that matters). Physician members of the Canadian Medical Association rated these POEMs for their relevance to patients in their...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p608.html
Neuropsychological Evaluations in Adults - American Family Physician
Jan 15, 2019 - Neuropsychologists provide detailed assessments of cognitive and emotional functioning that often cannot be obtained through other diagnostic means. They use standardized assessment tools and integrate the findings with other data to determine whether cognitive decline has occurred, to ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0115/p101.html
Type 1 Diabetes: Management Strategies - American Family Physician
Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0801/p154.html
Pigmentation Disorders: Diagnosis and Management - American Family Physician
Dec 15, 2017 - Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and café au lait macules. These conditions are generally ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p797.html
Updated Guidelines on Outpatient Anticoagulation - American Family Physician
Apr 15, 2013 - The American College of Chest Physicians provides recommendations for the use of anticoagulant medications for several indications that are important in the primary care setting. Warfarin, a vitamin K antagonist, is recommended for the treatment of venous thromboembolism and for the ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p556.html
When to Order Contrast-Enhanced CT - American Family Physician
Sep 1, 2013 - Family physicians often must determine the most appropriate diagnostic tests to order for their patients. It is essential to know the types of contrast agents, their risks, contraindications, and common clinical scenarios in which contrast-enhanced computed tomography is appropriate. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p312.html
The Generalized Rash: Part I. Differential Diagnosis - American Family Physician
Mar 15, 2010 - Physicians often have difficulty diagnosing a generalized rash because many different conditions produce similar rashes, and a single condition can result in different rashes with varied appearances. A rapid and accurate diagnosis is critically important to make treatment decisions, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0315/p726.html
Pharmacogenetics: Using Genetic Information to Guide Drug Therapy - American Family ...
Oct 1, 2015 - Clinical pharmacogenetics, the use of genetic data to guide drug therapy decisions, is beginning to be used for medications commonly prescribed by family physicians. However, clinicians are largely unfamiliar with principles supporting clinical use of this type of data. For example, ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1001/p588.html
Evaluation and Treatment of Infertility - American Family Physician
Mar 1, 2015 - Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Causes of infertility include male ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0301/p308.html
Diagnosis and Management of Genital Ulcers - American Family Physician
Feb 1, 2012 - Herpes simplex virus infection and syphilis are the most common causes of genital ulcers in the United States. Other infectious causes include chancroid, lymphogranuloma venereum, granuloma inguinale (donovanosis), secondary bacterial infections, and fungi. Noninfectious etiologies, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0201/p254.html
Heat-Related Illnesses - American Family Physician
Apr 15, 2019 - Heat-related illnesses comprise a spectrum of syndromes resulting from disruption of thermoregulation in people exposed to high environmental heat. Symptoms range from heat edema and exercise-associated muscle cramps to exercise-associated collapse, heat exhaustion, and life-threatening...
American Family Physician : Article
https://www.aafp.org/afp/2019/0415/p482.html
Early Invasive Management of Acute Coronary Syndromes - Medicine by the Numbers - ...
Dec 1, 2018 - Does early invasive management help patients with unstable angina or acute non–ST-segment elevation myocardial infarction (NSTEMI) in reducing occurence of death, myocardial infarction, angina symptoms, and rehospitalization at six- to 12-month follow-up? Find out.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1201/od1.html
Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...
Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p147.html
Right Care for Children: Top Five Do's and Don'ts - American Family Physician
Mar 15, 2019 - Underuse and overuse of medical interventions, failure to use interventions known to be effective, and provision of tests or interventions in which benefits do not exceed harms are types of low-value care. The Lown Institute’s Right Care Alliance Children’s Health Council identified ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0315/p376.html
Cerebral Palsy: An Overview - American Family Physician
Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0215/p213.html
Hormone Therapy for Primary Prevention of Cardiovascular Disease in Postmenopausal ...
Oct 1, 2018 - No benefit was observed in postmenopausal women receiving hormone therapy for primary prevention of cardiovascular disease. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1001/od1.html
Top 20 Research Studies of 2018 for Primary Care Physicians - American Family Physician
May 1, 2019 - In 2018, through regular surveillance of more than 110 English-language research journals, 255 research studies met the criteria to become POEMs (patient-oriented evidence that matters). Using a validated tool, physician members of the Canadian Medical Association rated these POEMs for ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0501/p565.html
Controlled Cord Traction During the Third Stage of Labor - Medicine by the Numbers - ...
Mar 1, 2016 - The overall risk-to-benefit ratio of controlled cord traction is unclear. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/0301/od1.html
Terbinafine for Onychomycosis - Medicine by the Numbers - American Family Physician
Aug 1, 2018 - Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0801/od1.html
Bladder Cancer: Diagnosis and Treatment - American Family Physician
Oct 15, 2017 - Bladder cancer is the sixth most prevalent malignancy in the United States and causes more than 16,000 deaths annually. The most common clinical presentation is asymptomatic hematuria, which should prompt evaluation with cystoscopy, renal function testing, and upper urinary tract ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1015/p507.html
Diagnosis and Management of Vertebral Compression Fractures - American Family Physician
Jul 1, 2016 - Vertebral compression fractures (VCFs) are the most common complication of osteoporosis, affecting more than 700,000 Americans annually. Fracture risk increases with age, with four in 10 white women older than 50 years experiencing a hip, spine, or vertebral fracture in their lifetime. ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0701/p44.html
Diagnosis and Management of Acute Diverticulitis - American Family Physician
May 1, 2013 - Uncomplicated diverticulitis is localized diverticular inflammation, whereas complicated diverticulitis is diverticular inflammation associated with an abscess, phlegmon, fistula, obstruction, bleeding, or perforation. Patients with acute diverticulitis may present with left lower ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0501/p612.html
Myocardial Infarction: Management of the Subacute Period - American Family Physician
Nov 1, 2013 - Optimal management of myocardial infarction in the subacute period focuses on improving the discharge planning process, implementing therapies early to prevent recurrent myocardial infarction, and avoiding hospital readmission. Evidence-based guidelines for the care of patients with ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1101/p581.html
Nongenital Herpes Simplex Virus - American Family Physician
Nov 1, 2010 - Nongenital herpes simplex virus type 1 is a common infection usually transmitted during childhood via nonsexual contact. Most of these infections involve the oral mucosa or lips (herpes labialis). The diagnosis of an infection with herpes simplex virus type 1 is usually made by the ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1101/p1075.html
Evaluation of Anemia in Children - American Family Physician
Jun 15, 2010 - Anemia is defined as a hemoglobin level of less than the 5th percentile for age. Causes vary by age. Most children with anemia are asymptomatic, and the condition is detected on screening laboratory evaluation. Screening is recommended only for high-risk children. Anemia is classified ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0615/p1462.html
Pelvic Organ Prolapse - American Family Physician
Aug 1, 2017 - Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). Prevalence increases with age. The cause of prolapse is multifactorial but is ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0801/p179.html
Genital Herpes: A Review - American Family Physician
Jun 1, 2016 - Genital herpes is a common sexually transmitted disease, affecting more than 400 million persons worldwide. It is caused by herpes simplex virus (HSV) and characterized by lifelong infection and periodic reactivation. A visible outbreak consists of single or clustered vesicles on the ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0601/p928.html
Interventional Radiology: Indications and Best Practices - American Family Physician
May 1, 2019 - Interventional radiology employs image-guided techniques to perform minimally invasive procedures for diagnosis and treatment. Interventional radiology is often used to place central venous catheters and subcutaneous ports, with some evidence of benefit over surgical placement. Arterial...
American Family Physician : Article
https://www.aafp.org/afp/2019/0501/p547.html
Localized Prostate Cancer: Treatment Options - American Family Physician
Jun 15, 2018 - In the United States, prostate cancer will be diagnosed in one out of seven men in his lifetime. Most cases are localized, and only one in 39 men will die from the disease. Prostate cancer is most often detected using serum prostate-specific antigen testing. The National Comprehensive ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0615/p798.html
Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...
Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0401/p463.html
Upper Gastrointestinal Bleeding in Adults: Evaluation and Management - American Family ...
Mar 1, 2020 - Upper gastrointestinal (GI) bleeding is defined as hemorrhage from the mouth to the ligament of Treitz. Common risk factors for upper GI bleeding include prior upper GI bleeding, anticoagulant use, high-dose nonsteroidal anti-inflammatory drug use, and older age. Causes of upper GI ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0301/p294.html
Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician
Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p399.html
Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know - ...
Dec 1, 2018 - Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1201/p645.html
Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension - ...
Feb 1, 2018 - Although beta blockers seem to have a positive impact on patient-oriented evidence that matters in patients with hypertension, they appear to be inferior when compared with other medications.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0201/od1.html
Diagnosis and Treatment of Urethritis in Men - American Family Physician
Apr 1, 2010 - Symptoms of urethritis in men typically include urethral discharge, penile itching or tingling, and dysuria. A diagnosis can be made if at least one of the following is present: discharge, a positive result on a leukocyte esterase test in firstvoid urine, or at least 10 white blood ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0401/p873.html
Unintentional Weight Loss in Older Adults - American Family Physician
May 1, 2014 - Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality. The most common etiologies are malignancy, nonmalignant gastrointestinal disease, and psychiatric conditions. Overall, nonmalignant diseases are more common causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0501/p718.html
Screening, Diagnosis, and Management of Gestational Diabetes Mellitus - American Family...
Apr 1, 2015 - Gestational diabetes mellitus (GDM) affects approximately 6% of pregnancies in the United States, and it is increasing in prevalence. Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0401/p460.html
Approach to Acute Headache in Adults - American Family Physician
May 15, 2013 - Approximately one-half of the adult population worldwide is affected by a headache disorder. The International Headache Society classification and diagnostic criteria can help physicians differentiate primary headaches (e.g., tension, migraine, cluster) from secondary headaches (e.g., ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0515/p682.html
Treatment and Prevention of Kidney Stones: An Update - American Family Physician
Dec 1, 2011 - Kidney stones are associated with chronic kidney disease. Preventing recurrence is largely specific to the type of stone (e.g., calcium oxalate, calcium phosphate, cystine, struvite [magnesium ammonium phosphate]), and uric acid stones); however, even when the stone cannot be retrieved,...
American Family Physician : Article
https://www.aafp.org/afp/2011/1201/p1234.html
Pregabalin (Lyrica) for Acute Fibromyalgia Pain - Medicine by the Numbers - American ...
May 1, 2018 - Pregabalin (Lyrica) provides good pain relief to some patients with acute fibromyalgia pain but does not work for most persons. Learn more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0501/od1.html
Labor, Delivery, and Postpartum Issues - American Family Physician
Jan 15, 2021 - This collection features AFP content on labor, delivery, and postpartum issues and related topics, including breastfeeding, cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood storage, and vaginal ...
- Normal Delivery
- Abnormal Delivery
- Preterm Labor/Preterm Premature Rupture of the Membranes
- Procedures/Monitoring
- Emergencies
- Management of Labor Pain
- Postpartum Care and Complications
- Breastfeeding
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=16
Preventing Falls in Older Persons - American Family Physician
Aug 15, 2017 - The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0815/p240.html
Aortic Stenosis: Diagnosis and Treatment - American Family Physician
Mar 1, 2016 - Aortic stenosis affects 3% of persons older than 65 years. Although survival in asymptomatic patients is comparable to that in age- and sex-matched control patients, it decreases rapidly after symptoms appear. During the asymptomatic latent period, left ventricular hypertrophy and ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0301/p371.html
Beware of False-Positive Results with SARS-CoV-2 Antibody Tests - Letters to the Editor...
Jul 1, 2020 - Letters to the Editor from regarding false-positive results with SARS-CoV-2 antibody tests.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0701/p5a.html
Chronic Obstructive Pulmonary Disease - American Family Physician
Jul 1, 2020 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...
- Overview
- Screening and Prevention
- Diagnosis
- Treatment
- Point-of-Care Guides
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32
Dental Problems in Primary Care - American Family Physician
Dec 1, 2018 - Oral health directly affects overall health and quality of life. More Americans lack dental insurance than medical insurance. Patients with poor oral health are more likely to have respiratory and cardiovascular diseases, adverse pregnancy outcomes, and diabetes mellitus. Early ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1201/p654.html
Chronic Pelvic Pain in Women - American Family Physician
Mar 1, 2016 - Chronic pelvic pain in women is defined as persistent, noncyclic pain perceived to be in structures related to the pelvis and lasting more than six months. Often no specific etiology can be identified, and it can be conceptualized as a chronic regional pain syndrome or functional ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0301/p380.html
Intimate Partner Violence - American Family Physician
Oct 15, 2016 - Intimate partner violence (IPV) is a prevalent worldwide health problem, affecting women more commonly than men. IPV is underreported and underrecognized by health care professionals. Even when IPV is recognized, it remains an underaddressed issue. In addition to physical injury and ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1015/p646.html
Developmental Delay: When and How to Screen - American Family Physician
Jul 1, 2017 - An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0701/p36.html
Common Tongue Conditions in Primary Care - American Family Physician
Mar 1, 2010 - Although easily examined, abnormalities of the tongue can present a diagnostic and therapeutic dilemma for physicians. Recognition and diagnosis require a thorough history, including onset and duration, antecedent symptoms, and tobacco and alcohol use. Examination of tongue morphology ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0301/p627.html
Tap Water vs. Sterile Saline for Wound Irrigation - Medicine by the Numbers - American ...
Aug 1, 2015 - Studies show that there was no significant difference and none were harmed by using tap water. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2015/0801/od1.html
Surveillance of the Adult Cancer Survivor - American Family Physician
Jan 1, 2015 - The term cancer survivor refers to anyone living with a diagnosis of cancer. As the U.S. population ages, cancer screening increases, and cancer treatments improve, millions more Americans will be classified as cancer survivors in the future. Although many survivors wish to continue ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0101/p29.html
Colorectal Cancer Screening and Prevention - American Family Physician
May 15, 2018 - Colorectal cancer is a common cause of morbidity and mortality in the United States. Most colorectal cancers arise from preexisting adenomatous or serrated polyps. The incidence and mortality of colorectal cancer can be reduced with screening of average-risk adults 50 to 75 years of ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0515/p658.html
Diagnosis and Treatment of Obstructive Sleep Apnea in Adults - American Family Physician
Sep 1, 2016 - Obstructive sleep apnea is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. This results in fragmented, nonrestful sleep that can lead to symptoms such as morning headache and daytime sleepiness. Obstructive sleep apnea ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0901/p355.html
Stents for Stable Coronary Artery Disease - Medicine by the Numbers - American Family ...
Jan 1, 2018 - Most published trials fail to show a benefit from coronary stenting in patients with stable obstructive coronary artery disease. However, stent technology has evolved significantly in recent years, and it is possible that newer-generation drug-eluting stents may offer different results.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0101/od1.html
Vaginitis: Diagnosis and Treatment - American Family Physician
Apr 1, 2011 - Bacterial vaginosis, trichomoniasis, and vulvovaginal candidiasis are the most common infectious causes of vaginitis. Bacterial vaginosis occurs when the normal lactobacilli of the vagina are replaced by mostly anaerobic bacteria. Diagnosis is commonly made using the Amsel criteria, ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0401/p807.html
The Pretravel Consultation - American Family Physician
Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...
American Family Physician : Article
https://www.aafp.org/afp/2016/1015/p620.html
Evaluation and Treatment of Constipation in Children and Adolescents - American Family ...
Jul 15, 2014 - Childhood constipation is common and almost always functional without an organic etiology. Stool retention can lead to fecal incontinence in some patients. Often, a medical history and physical examination are sufficient to diagnose functional constipation. Further evaluation for ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0715/p82.html
Common Questions About Cognitive Behavior Therapy for Psychiatric Disorders - American ...
Nov 1, 2015 - Cognitive behavior therapy (CBT) is a time-limited, goal-oriented psychotherapy that has been extensively researched and has benefits in a number of psychiatric disorders, including anxiety, depression, posttraumatic stress disorder, attention-deficit/hyperactivity disorder, autism, ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1101/p807.html
Bronchodilators for Bronchiolitis - Medicine by the Numbers - American Family Physician
Sep 1, 2015 - Studies show that none were helped and the impact of harms such as decreased oxygen saturation and tachycardia was uncertain.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2015/0901/od1.html
Cyclobenzaprine in the Treatment of Low Back Pain - Medicine by the Numbers - American ...
Feb 1, 2016 - Studies show that 1 in 3 patients experiences global improvement in back pain symptoms at 10 days, while 1 in 4 patients experiences medication adverse effects. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/0201/od2.html
Prenatal Care - American Family Physician
Oct 1, 2020 - This collection features AFP content on prenatal care and related issues, including preconception care, folic acid, medication safety, nausea and vomiting, pregnancy complications, and prenatal screening. This collection features AFP content on prenatal care and related issues, ...
- Overview
- Medication Safety
- Hyperemesis
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=25
Recurrent Ischemic Stroke: Strategies for Prevention - American Family Physician
Oct 1, 2017 - Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p436.html
Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach - American Family Physician
Apr 15, 2013 - Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p568.html
The Limping Child: A Systematic Approach to Diagnosis - American Family Physician
Feb 1, 2009 - Deviations from a normal age-appropriate gait pattern can be caused by a wide variety of conditions. In most children, limping is caused by a mild, self-limiting event, such as a contusion, strain, or sprain. In some cases, however, a limp can be a sign of a serious or even ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0201/p215.html
Diagnosis and Treatment of Acute Uncomplicated Cystitis - American Family Physician
Oct 1, 2011 - Urinary tract infections are the most common bacterial infections in women. Most urinary tract infections are acute uncomplicated cystitis. Identifiers of acute uncomplicated cystitis are frequency and dysuria in an immunocompetent woman of childbearing age who has no comorbidities or ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1001/p771.html
Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events - ...
Oct 1, 2017 - In patients who are stable one year post-MI, prolonged use of dual antiplatelet therapy may be an effective treatment to decrease major cardiac events and cardiovascular mortality.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/1001/od1.html
Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ...
Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0215/p206.html