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Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians... Restricted content. Login required.

Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p677.html

Gastroenteritis in Children: Part II. Prevention and Management - American Family ...

Jun 1, 2012 - The treatment of gastroenteritis in children focuses on preventing dehydration. A child with minimal or no dehydration should be encouraged to continue his or her usual diet plus drink adequate fluids. Many studies have shown that a child’s regular diet reduces the duration of diarrhea....

American Family Physician : Article

https://www.aafp.org/afp/2012/0601/p1066.html

Iron Deficiency Anemia - American Family Physician

Mar 1, 2007 - The prevalence of iron deficiency anemia is 2 percent in adult men, 9 to 12 percent in non-Hispanic white women, and nearly 20 percent in black and Mexican-American women. Nine percent of patients older than 65 years with iron deficiency anemia have a gastrointestinal cancer when ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p671.html

Appropriate Prescribing of Medications: An Eight-Step Approach - American Family Physician

Jan 15, 2007 - A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's problem; (2) specify the therapeutic ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0115/p231.html

Applying HIV Testing Guidelines in Clinical Practice - American Family Physician

Dec 15, 2009 - An estimated one fourth of persons with human immunodeficiency virus (HIV) are not aware they are infected. Early diagnosis of HIV has the potential to ensure optimal outcomes for infected persons and to limit the spread of the virus. Important barriers to testing among physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1441.html

Labor Analgesia - American Family Physician

Mar 1, 2012 - Regional analgesia has become the most common method of pain relief used during labor in the United States. Epidural and spinal analgesia are two types of regional analgesia. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p447.html

Views From the 2019 Congress of Delegates and Family Medicine Experience

This page features photos, videos and other content highlighting various events at the 2019 Congress of Delegates and Family Medicine Experience in Philadelphia.

https://www.aafp.org/news/2019-congress-fmx/20190930cod-fmx.html

Hypertensive Disorders of Pregnancy - American Family Physician

Jul 1, 2008 - The National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy has defined four categories of hypertension in pregnancy: chronic hypertension, gestational hypertension, preeclampsia, and preeclampsia superimposed on chronic hypertension. A maternal ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p93.html

Restless Legs Syndrome - American Family Physician

Jul 15, 2008 - Restless legs syndrome is a common neurologic movement disorder that affects approximately 10 percent of adults. Of those affected with this condition, approximately one third have symptoms severe enough to require medical therapy. Restless legs syndrome may be a primary condition, or ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p235.html

Despite Canceled Celebrations, A Record Year for Family Medicine in the 2020 Match

Match Day 2020: Despite Canceled Celebrations, Another Record Year for Family Medicine in the 2020 Match.

https://www.aafp.org/news/media-center/kits/match-day-2020.html

Identification and Management of Latent Tuberculosis Infection - American Family Physician

May 15, 2009 - Latent tuberculosis infection (LTBI) is a condition in which a person is infected with Mycobacterium tuberculosis, but does not currently have active tuberculosis disease. An estimated 10 to 15 million persons in the United States have LTBI. Because 5 to 10 percent of persons with LTBI ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p879.html

The Female Athlete Triad - American Family Physician

Jun 1, 2000 - The female athlete triad is defined as the combination of disordered eating, amenorrhea and osteoporosis. This disorder often goes unrecognized. The consequences of lost bone mineral density can be devastating for the female athlete. Premature osteoporotic fractures can occur, and lost ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3357.html

Evaluation and Management of Common Childhood Poisonings - American Family Physician

Mar 1, 2009 - Family physicians often manage substance ingestions in children, most of which are nontoxic in nature. Physicians should know the phone number of the poison control center, understand the appropriate initial assessment of suspected toxin ingestion, and recognize important toxidromes. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p397.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Disaster-Related Physical and Mental Health: A Role for the Family Physician - American...

Mar 15, 2007 - Natural disasters, technologic disasters, and mass violence impact millions of persons each year. The use of primary health care services typically increases for 12 or more months following major disasters. A conceptual framework for assisting disaster victims involves understanding the...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p841.html

Cancer Screening in the Older Patient - American Family Physician

Dec 15, 2008 - Although there are clear guidelines that advise at what age to begin screening for various cancers, there is less guidance concerning when it may be appropriate to stop screening. The decision to stop screening must take into account patients' age; overall health and life expectancy; ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1369.html

Radiologic Evaluation of Suspected Renovascular Hypertension - American Family Physician

Aug 1, 2009 - More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p273.html

Scope of Practice: Reclaiming Young Patient Care -- FPM

Oct 1, 2019 - Caring for the whole family is a defining aspect of family medicine, yet many physicians have stopped seeing young patients. Here’s why and how to welcome them back.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p26.html

Adverse Drug Reactions: Types and Treatment Options - American Family Physician

Nov 1, 2003 - Drug hypersensitivity results from interactions between a pharmacologic agent and the human immune system. These types of reactions constitute only a small subset of all adverse drug reactions. Allergic reactions to medications represent a specific class of drug hypersensitivity ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1781.html

Neonatal Resuscitation: An Update - American Family Physician

Apr 15, 2011 - Appropriate resuscitation must be available for each of the more than 4 million infants born annually in the United States. Ninety percent of infants transition safely, and it is up to the physician to assess risk factors, identify the nearly 10 percent of infants who need ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0415/p911.html

HPV Testing in the Evaluation of the Minimally Abnormal Papanicolaou Smear - American ...

May 15, 1999 - Minor cytologic abnormalities of the cervix, such as atypical squamous cells of undetermined significance (ASCUS), are vastly more common than high-grade squamous intraepithelial lesions or invasive cancer. Current guidelines for the management of ASCUS include repeating the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2794.html

Bleeding and Bruising: A Diagnostic Work-up - American Family Physician

Apr 15, 2008 - Primary care physicians are often asked about easy bruising, excessive bleeding, or risk of bleeding before surgery. A thorough history, including a family history, will guide the appropriate work-up, and a physical examination may provide clues to diagnosis. A standardized bleeding ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1117.html

Acute Shoulder Injuries - American Family Physician

Nov 15, 2004 - The shoulder is the most mobile joint in the human body. The cost of such versatility is an increased risk of injury. It is important that family physicians understand the anatomy of the shoulder, mechanisms of injury, typical physical and radiologic findings, approach to management of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1947.html

Hepatitis A - American Family Physician

Jun 15, 2006 - The introduction of hepatitis A vaccines in 1995 led to a drop in the number of reported cases of hepatitis A and a shift to a higher percentage of cases occurring in older age groups. The hepatitis A virus survives for extended periods in the environment. Transmission primarily is ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0615/p2162.html

An Approach to Interpreting Spirometry - American Family Physician

Mar 1, 2004 - Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit. However, interpreting spirometry results can be ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1107.html

Integrating Medical Acupuncture into Family Medicine Practice - Editorials - American ...

Jul 15, 2019 - Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0715/p76.html

It’s a Match: Family Medicine Celebrates a Decade of Growth in the Specialty

It’s a Match: Family Medicine Celebrates a Decade of Growth in the Specialty

https://www.aafp.org/news/media-center/more-releases/match-2019.html

Office Management of Early Pregnancy Loss - American Family Physician

Jul 1, 2011 - The management of early pregnancy loss used to be based largely in the hospital setting, but it has shifted to the outpatient setting, allowing women to remain under the care of their family physician throughout the miscarriage process. Up to 15 percent of recognized pregnancies end in ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0701/p75.html

Preterm Premature Rupture of Membranes: Diagnosis and Management - American Family ...

Feb 15, 2006 - Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p659.html

Risks Associated with Long-Term Benzodiazepine Use - Editorials - American Family ...

Aug 15, 2013 - Many patients underestimate the degree of impairment caused by benzodiazepines. Benzodiazepines increase the risk of addiction, withdrawal, cognitive decline, motor vehicle crashes, and hip fracture. The risk of overdose is particularly great when combined with sedative drugs such as ...

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0815/p224.html

On the Hill: Academy Promoting Family Medicine's Perspective

On the Hill: Academy Promoting Family Medicine's Perspective

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/on_the_hill_academy_promoting.html

The Role of the Family Physician in the Referral and Management of Hospice Patients - ...

Mar 15, 2008 - Hospice is available for any patient who is terminally ill and chooses a palliative care approach. Because of the close relationship that primary care physicians often have with their patients, they are in a unique position to provide end-of-life care, which includes recognizing the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p807.html

Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p528.html

Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment - American ...

Sep 15, 2012 - Interventions following a transient ischemic attack are aimed at preventing a future episode or stroke. Hypertension, current smoking, obesity, physical inactivity, diabetes mellitus, and dyslipidemia are all well-known risk factors, and controlling these factors can have dramatic ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p527.html

Colorectal Cancer: A Summary of the Evidence for Screening and Prevention - American ...

Dec 15, 2008 - Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer can be reduced with increasing efforts directed at mass screening of average-risk adults 50 years and older. Currently, fecal occult blood test and flexible ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1385.html

Update on the Treatment of Tuberculosis - American Family Physician

Aug 15, 2008 - Approximately one third of the world's population, including more than 11 million persons in the United States, is latently infected with Mycobacterium tuberculosis. Although most cases of tuberculosis in the United States occur in foreign-born persons from endemic countries, the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p457.html

Treatment of Prostatitis - American Family Physician

May 15, 2000 - The term prostatitis is applied to a series of disorders, ranging from acute bacterial infection to chronic pain syndromes, in which the prostate gland is inflamed. Patients present with a variety of symptoms, including urinary obstruction, fever, myalgias, decreased libido or ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3015.html

Management of Varicose Veins - American Family Physician

Dec 1, 2008 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1289.html

Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...

Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0701/p49.html

Chronic Nonmalignant Pain in Primary Care - American Family Physician

Nov 15, 2008 - A systematic approach to chronic nonmalignant pain includes a comprehensive evaluation; a treatment plan determined by the diagnosis and mechanisms underlying the pain; patient education; and realistic goal setting. The main goal of treatment is to improve quality of life while ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1155.html

Arrhythmogenic Right Ventricular Dyplasia - American Family Physician

Apr 15, 2006 - Arrhythmogenic right ventricular dysplasia (ARVD) is a disorder in which normal myocardium is replaced by fibrofatty tissue. This disorder usually involves the right ventricle, but the left ventricle and septum also may be affected. Although the exact prevalence of ARVD is unknown, it ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0415/p1391.html

Older Adult Drivers with Cognitive Impairment - American Family Physician

Mar 15, 2006 - As the number of drivers with cognitive impairment increases, family physicians are more likely to become involved in decisions about cessation of driving privileges in older patients. Physicians who care for cognitively impaired older adults should routinely ask about driving status. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0315/p1029.html

Outdoor Air Pollutants and Patient Health - American Family Physician

Jan 15, 2010 - Almost 160 million persons live in areas of the United States that exceed federal health-based air pollution standards. The two air pollutants that most commonly exceed standards are ozone and particulate matter. Ozone and particulate matter can harm anyone if levels are sufficiently ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p175.html

Molluscum Contagiosum and Warts - American Family Physician

Mar 15, 2003 - Molluscum contagiosum and warts are benign epidermal eruptions resulting from viral infections of the skin. Molluscum contagiosum eruptions are usually self-limited and without sequelae, although they can be more extensive in immunocompromised persons. Spontaneous disappearance of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1233.html

Screening for Cancer: Evaluating the Evidence - American Family Physician

Feb 1, 2001 - Many patients expect to undergo screening tests for cancer. In evaluating screening procedures, physicians must take into account the known effects of lead time, length and screening biases, all of which can result in an overestimation of the benefits of screening. The gold standard by ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p513.html

Academy, STFM Launch Shots by AAFP/STFM

The Academy and the Society of Teachers of Family Medicine are excited to announce that the new Shots by AAFP/STFM applet is now available in the AAFP mobile app and as a stand-alone app, as well.

https://www.aafp.org/news/health-of-the-public/20180402shotsapp.html

Evaluating the Febrile Patient with a Rash - American Family Physician

Aug 15, 2000 - The differential diagnosis for febrile patients with a rash is extensive. Diseases that present with fever and rash are usually classified according to the morphology of the primary lesion. Rashes can be categorized as maculopapular (centrally and peripherally distributed), petechial, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0815/p804.html

Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician

Jun 15, 2003 - Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2527.html

Understanding the High Cost of Insulin: What Family Physicians Can Do to Help Our ...

Apr 1, 2019 - Through clinical and system-level interventions, family physicians can push back against the high cost of insulin and help patients with type 2 diabetes afford these essential medications.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0401/p416.html

Prostate Cancer Screening: The Continuing Controversy - American Family Physician

Dec 15, 2008 - Prostate cancer is the second most common cancer in men, with a lifetime prevalence of 17 percent. Prostate cancer symptoms generally occur in advanced stages, making early detection desirable. Digital rectal examination and prostate-specific antigen testing are the most commonly used ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1377.html

Medical Management of Stable Coronary Artery Disease - American Family Physician

Apr 1, 2011 - All patients with stable coronary artery disease require medical therapy to prevent disease progression and recurrent cardiovascular events. Three classes of medication are essential to therapy: lipid-lowering, antihypertensive, and antiplatelet agents. Lipid-lowering therapy is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0401/p819.html

Falls in the Elderly - American Family Physician

Apr 1, 2000 - Falls are the leading cause of injury-related visits to emergency departments in the United States and the primary etiology of accidental deaths in persons over the age of 65 years. The mortality rate for falls increases dramatically with age in both sexes and in all racial and ethnic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2159.html

Nonpharmacologic Management of Chronic Insomnia - American Family Physician

Jan 15, 2009 - Chronic insomnia is highly prevalent in our society, with an incidence of 10 to 30 percent. It is a major cost to society in terms of health care expenditure and reduced productivity. Nonpharmacologic interventions have been studied and shown to produce reliable and sustained ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p125.html

Diagnosis and Treatment of Atrophic Vaginitis - American Family Physician

May 15, 2000 - Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. Because the condition is attributable to estrogen deficiency, it may occur in premenopausal women who take antiestrogenic medications or who have medical or surgical conditions that result in decreased levels ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3090.html

Fetal Chromosomal Abnormalities: Antenatal Screening and Diagnosis - American Family ...

Jan 15, 2009 - Pregnant women of all ages should be offered screening and invasive diagnostic testing for chromosomal abnormalities before 20 weeks' gestation. New developments in screening methods have increased the number of options for patients. Diagnostic options include chorionic villus sampling ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p117.html

Treatment of Menorrhagia - American Family Physician

Jun 15, 2007 - Menorrhagia is defined as excessive uterine bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. The classic definition of menorrhagia (i.e., greater than 80 mL of blood loss per cycle) is rarely used clinically. Women describe the loss or ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0615/p1813.html

Tourette's Syndrome - American Family Physician

Mar 1, 2008 - Tourette's syndrome is a movement disorder most commonly seen in school-age children. The incidence peaks around preadolescence with one half of cases resolving in early adulthood. Tourette's syndrome is the most common cause of tics, which are involuntary or semivoluntary, sudden, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p651.html

The Patient with Daily Headaches - American Family Physician

Dec 15, 2004 - The term 'chronic daily headache' (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2299.html

Treatment of Knee Osteoarthritis - American Family Physician

Jun 1, 2011 - Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1287.html

Radiologic Imaging in the Management of Sinusitis - American Family Physician

Nov 15, 2002 - Sinusitis is one of the most common diseases treated by primary care physicians. Uncomplicated sinusitis does not require radiologic imagery. However, when symptoms are recurrent or refractory despite adequate treatment, further diagnostic evaluations may be indicated. Plain radiography...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1882.html

Omega-3 Fatty Acids - American Family Physician

Jul 1, 2004 - Omega-3 fatty acids have been shown to significantly reduce the risk for sudden death caused by cardiac arrhythmias and all-cause mortality in patients with known coronary heart disease. Fatty fish, such as salmon and tuna, and fish oil are rich sources of the omega-3 fatty acids ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p133.html

Updated Guidelines from AASM for the Treatment of Central Sleep Apnea Syndromes - ...

Nov 15, 2012 - The updated guidelines on central sleep apnea from the American Academy of Sleep Medicine (AASM) includes levels of recommendations (standard or option) based on the overall quality of evidence (high, moderate, low, or very low). Central sleep apnea syndromes are characterized by ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1115/p968.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Osteoporosis in Men - American Family Physician

Sep 1, 2010 - Osteoporosis is an important and often overlooked problem in men. Although the lifetime risk of hip fracture is lower in men than in women, men are twice as likely to die after a hip fracture. Bone mineral density measurement with a T-score of -2.5 or less indicates osteoporosis. The ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p503.html

Dermatophyte Infections - American Family Physician

Jan 1, 2003 - Dermatophytes are fungi that require keratin for growth. These fungi can cause superficial infections of the skin, hair, and nails. Dermatophytes are spread by direct contact from other people (anthropophilic organisms), animals (zoophilic organisms), and soil (geophilic organisms), as ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p101.html

Evaluating and Treating Unintentional Weight Loss in the Elderly - American Family ...

Feb 15, 2002 - Elderly patients with unintentional weight loss are at higher risk for infection, depression and death. The leading causes of involuntary weight loss are depression (especially in residents of long-term care facilities), cancer (lung and gastrointestinal malignancies), cardiac disorders...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p640.html

Management of Erectile Dysfunction - American Family Physician

Feb 1, 2010 - Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age and affects up to one third of men throughout their lives. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. History and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p305.html

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

Supplements and Sports - American Family Physician

Nov 1, 2008 - Use of performance-enhancing supplements occurs at all levels of sports, from professional athletes to junior high school students. Although some supplements do enhance athletic performance, many have no proven benefits and have serious adverse effects. Anabolic steroids and ephedrine ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1039.html

Reducing Adverse Effects of Proton Pump Inhibitors - American Family Physician

Jul 1, 2012 - Proton pump inhibitors effectively treat gastroesophageal reflux disease, erosive esophagitis, duodenal ulcers, and pathologic hypersecretory conditions. Proton pump inhibitors cause few adverse effects with short-term use; however, long-term use has been scrutinized for ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p66.html

Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...

Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p265.html

Green Tea: Potential Health Benefits - American Family Physician

Apr 1, 2009 - Green tea has been used widely and in high doses for centuries as a health tonic in many societies. Evidence suggests that green tea is effective for treating genital warts. There is some supportive evidence for the use of green tea in cancer prevention. Drinking green tea is associated...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p591.html

The Undescended Testicle: Diagnosis and Management - American Family Physician

Nov 1, 2000 - Early diagnosis and management of the undescended testicle are needed to preserve fertility and improve early detection of testicular malignancy. Physical examination of the testicle can be difficult; consultation should be considered if a normal testis cannot be definitely identified. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2037.html

Linezolid: Its Role in the Treatment of Gram-Positive, Drug-Resistant Bacterial ...

Feb 15, 2002 - While the choices available for the management of gram-positive, drug-resistant bacterial infections are becoming limited, antimicrobial resistance is becoming increasingly problematic because of the widespread overuse of antibiotics. Linezolid is a synthetic antibiotic belonging to a ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p663.html

Technology Tools and Trends for Better Patient Care: Beyond the EHR -- FPM

Oct 1, 2017 - From remote monitoring of chronic diseases to virtual assistants in the exam room, technology will improve practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p28.html

Finding the Bright Spots in Value-Based Care -- FPM

Oct 1, 2017 - Taking one small step at a time, primary care practices can lead the way as the health care system begins to reward value.

Family Practice Management : Articles

https://www.aafp.org/fpm/2017/0900/p21.html

Outpatient Management of Anticoagulation Therapy - American Family Physician

Apr 1, 2007 - The Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy provides guidelines for outpatient management of anticoagulation therapy. The ACCP guidelines recommend short-term warfarin therapy, with the goal of maintaining an ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0401/p1031.html

Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

Smell and Taste Disorders: A Primary Care Approach - American Family Physician

Jan 15, 2000 - Smell and taste disorders are common in the general population, with loss of smell occurring more frequently. Although these disorders can have a substantial impact on quality of life and may represent significant underlying disease, they are often overlooked by the medical community. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p427.html

Human Papillomavirus: Clinical Manifestations and Prevention - American Family Physician

Nov 15, 2010 - Human papillomaviruses cause the most common sexually trans- mitted infection in the world and are responsible for nearly all cases of cervical cancer. Genital human papillomavirus infection can be divided into low-risk infections (causing genital warts) and high-risk infections ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1115/p1209.html

Helping Patients Who Drink Too Much: An Evidence-Based Guide for Primary Care ...

Jul 1, 2009 - Excessive alcohol consumption is a leading cause of preventable morbidity and mortality, but few heavy drinkers receive treatment. Primary care physicians are in a position to address heavy drinking and alcohol use disorders with patients, and can do so quickly and effectively. The ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p44.html

2019 NRMP Match Marks Decade of Growth for Family Medicine

The 2019 Match numbers mark a decade of year-over-year growth for family medicine, with a total of 3,848 medical students and graduates matching into the specialty -- 313 more than in 2018.

https://www.aafp.org/news/education-professional-development/20190315matchday.html

Pharmacologic Pearls for End-of-Life Care - American Family Physician

Jun 15, 2009 - As death approaches, a gradual shift in emphasis from curative and life prolonging therapies toward palliative therapies can relieve significant medical burdens and maintain a patient's dignity and comfort. Pain and dyspnea are treated based on severity, with stepped interventions, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1059.html

Acute Pericarditis - American Family Physician

Nov 15, 2007 - Although acute pericarditis is most often associated with viral infection, it may also be caused by many diseases, drugs, invasive cardiothoracic procedures, and chest trauma. Diagnosing acute pericarditis is often a process of exclusion. A history of abrupt-onset chest pain, the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1509.html

Medications for Migraine Prophylaxis - American Family Physician

Jan 1, 2006 - Sufficient evidence and consensus exist to recommend propranolol, timolol, amitriptyline, divalproex, sodium valproate, and topiramate as first-line agents for migraine prevention. There is fair evidence of effectiveness with gabapentin and naproxen sodium. Botulinum toxin also has ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p72.html

Mirtazapine: A Newer Antidepressant - American Family Physician

Jan 1, 1999 - Mirtazapine is a newer antidepressant that exhibits both noradrenergic and serotonergic activity. It is at least as effective as the older antidepressants for treating mild to severe depression. Sedation is the most common side effect. Although agranulocytosis is the most serious side ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0101/p159.html

Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...

Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1277.html

Leukocytosis: Basics of Clinical Assessment - American Family Physician

Nov 1, 2000 - Leukocytosis, a common laboratory finding, is most often due to relatively benign conditions (infections or inflammatory processes). Much less common but more serious causes include primary bone marrow disorders. The normal reaction of bone marrow to infection or inflammation leads to ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2053.html

Normocytic Anemia - American Family Physician

Nov 15, 2000 - Anemia is a common problem that is often discovered on routine laboratory tests. Its prevalence increases with age, reaching 44 percent in men older than 85 years. Normocytic anemia is the most frequently encountered type of anemia. Anemia of chronic disease, the most common normocytic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2255.html

Senile Dementia of the Binswanger's Type - American Family Physician

Dec 1, 1998 - Senile dementia of the Binswanger's type is a term used to describe a dementia syndrome characterized by onset in the sixth or seventh decade of life, subcortical neurologic deficits, psychiatric disorders and evidence of hypertension or systemic vascular disease. The status of senile ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2068.html

Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection - American ...

Apr 1, 2008 - This article describes a joint update of guidelines by the American Cancer Society and the U.S. Multi-Society Task Force on Colorectal Cancer delineating evidence-based surveillance recommendations for patients after polypectomy and colorectal cancer resection. Although there are some ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p995.html

Fibromyalgia - American Family Physician

Jul 15, 2007 - Fibromyalgia is an idiopathic, chronic, nonarticular pain syndrome with generalized tender points. It is a multisystem disease characterized by sleep disturbance, fatigue, headache, morning stiffness, paresthesias, and anxiety. Nearly 2 percent of the general population in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p247.html

Recent Advances in Radiation Therapy - American Family Physician

Dec 1, 2008 - Recent advances have improved the effectiveness, decreased the complications, and expanded the implications of radiation therapy. These advances include three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic radiotherapy, brachytherapy, and ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1254.html

What Drives Medical Students to Choose Family Medicine?

Results of focus group sessions with medical students at allopathic schools across the United States show that the decision to specialize in family medicine is influenced by several factors.

https://www.aafp.org/news/education-professional-development/20190305studentchoice.html

Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...

Nov 15, 2019 - ...women for other conditions, such as migraines and mood disorders. I expect that the absolute number of patients who are taking these drugs while taking OCPs is probably a lot less than the number who might be prescribed an antibiotic while taking warfarin (Coumadin), for example....

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p599.html

Pregnancy Prevention in Adolescents - American Family Physician

Oct 15, 2004 - Although the pregnancy rate in adolescents has declined steadily in the past 10 years, it remains a major public health problem with lasting repercussions for the teenage mothers, their infants and families, and society as a whole. Successful strategies to prevent adolescent pregnancy ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1015/p1517.html

Outpatient Detoxification of the Addicted or Alcoholic Patient - American Family Physician

Sep 15, 1999 - Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1175.html

Diagnosis: Making the Best Use of Medical Data - American Family Physician

Mar 15, 2009 - To take the best possible care of patients, physicians must understand the basic principles of diagnostic test interpretation. Pretest probability is an important factor in interpreting test results. Some tests are useful for ruling in disease when positive or ruling out disease when ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p478.html

Imaging for Suspected Appendicitis - American Family Physician

Jan 1, 2005 - Acute appendicitis is the most common reason for emergency abdominal surgery and must be distinguished from other causes of abdominal pain. Family physicians play a valuable role in the early diagnosis and management of this condition. However, the overall diagnostic accuracy achieved ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p71.html

Health Effects of Garlic - American Family Physician

Jul 1, 2005 - Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p103.html

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