Coding & Documentation - May-Jun 2019 -- FPM
Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2019/0500/p31.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
Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...
Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/1215/p751.html
Prophylactic Vaccination Against Human Papillomavirus to Prevent Cervical Cancer and ...
Jan 1, 2019 - HPV vaccination in women 15 to 26 years of age prevents the development of cervical intraepithelial neoplasia (CIN) 2 and CIN 3 in women regardless of previous HPV exposure (number needed to treat [NNT] = 39). No serious adverse effects are associated with administration of the HPV ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0101/p15.html
Effectiveness and Safety of Celecoxib for the Treatment of Rheumatoid Arthritis - ...
May 1, 2018 - Compared with placebo, celecoxib improves pain (number needed to treat [NNT] = 4) and clinical symptoms (NNT = 7), but it has no effect on physical function in patients with RA.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0501/p573.html
Cushing's Disease: Clinical Manifestations and Diagnostic Evaluation - American Family ...
Sep 1, 2000 - The most common endogenous cause of Cushing's syndrome is Cushing's disease. Frequent clinical findings include weight gain, truncal obesity, striae, hypertension, glucose intolerance and infections. Cranial nerve II may be affected by enlarging pituitary adenomas in Cushing's disease; ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0901/p1119.html
Preventing or Delaying Type 2 Diabetes Mellitus with Diet and Exercise - Cochrane for ...
Dec 1, 2018 - There is moderate-quality evidence that in patients with impaired glucose tolerance (IGT) defined by an abnormal 75-g two-hour glucose tolerance test, implementing changes in diet and adding physical activity together can prevent or delay the development of type 2 diabetes.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/1201/p643.html
Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...
Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1265.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
Diagnosing Rhinitis: Allergic vs. Nonallergic - American Family Physician
May 1, 2006 - Allergic rhinitis, the most common type of rhinitis, generally can be differentiated from the numerous types of nonallergic rhinitis through a thorough history and physical examination. Allergic rhinitis may be seasonal, perennial, or occupational. The most common cause of nonallergic ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0501/p1583.html
Acupuncture for Pain - American Family Physician
Sep 1, 2009 - Acupuncture is increasingly used as an alternative or complementary therapy for the treatment of pain. It is well tolerated, with a low risk of serious adverse effects. Traditional and modern acupuncture techniques may result in reported improvement in pain patterns. Research on ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0901/p481.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
Physical Activity Guidelines for Older Adults - American Family Physician
Jan 1, 2010 - Few older adults in the United States achieve the minimum recommended amount of physical activity. Lack of physical activity contributes to many chronic diseases that occur in older adults, including heart disease, stroke, diabetes mellitus, lung disease, Alzheimer disease, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0101/p55.html
Mini-Mental State Examination for the Detection of Dementia in Older Patients - ...
Dec 1, 2016 - When scores are adjusted based on a patient's education level, the MMSE may be useful to rule out a diagnosis of dementia in clinically unevaluated patients 65 years and older (sensitivity = 97%; specificity = 70%). Scores of less than 24 may also be useful to rule in dementia in ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2016/1201/p880.html
Herbal and Dietary Supplements for Treatment of Anxiety Disorders - American Family ...
Aug 15, 2007 - Use of complementary and alternative medicine has increased over the past decade. A variety of studies have suggested that this use is greater in persons with symptoms or diagnoses of anxiety and depression. Data support the effectiveness of some popular herbal remedies and dietary ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0815/p549.html
Update on Immunizations in Children and Adolescents - American Family Physician
Jun 1, 2008 - Over the past few years, there have been many changes to the recommendations for children and adolescents by the Advisory Committee on Immunization Practices. These include dividing the immunization schedule into two parts (i.e., ages birth to six years and seven to 18 years, with ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0601/p1561.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
Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...
Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2019/0201/p143.html
Preparation of the Cardiac Patient for Noncardiac Surgery - American Family Physician
Mar 1, 2007 - Approximately 20 to 40 percent of patients at high risk of cardiac-related morbidity develop myocardial ischemia perioperatively. The preferred approach to diagnostic evaluation depends on the interactions of patient-specific risk factors, surgery-specific risk factors, and exercise ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p656.html
Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...
Jan 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0115/p75.html
Management of Hip Fracture: The Family Physician's Role - American Family Physician
Jun 15, 2006 - The incidence of hip fracture is expected to increase as the population ages. One in five persons dies in the first year after sustaining a hip fracture, and those who survive past one year may have significant functional limitation. Although surgery is the main treatment for hip ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0615/p2195.html
Fever in the Returned Traveler - American Family Physician
Oct 1, 2003 - With the rising popularity of international travel to exotic locations, family physicians are encountering more febrile patients who recently have visited tropical countries. In the majority of cases, the fever is caused by a common illness such as tracheobronchitis, pneumonia, or ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1001/p1343.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
Management of Spontaneous Abortion - American Family Physician
Oct 1, 2005 - Spontaneous abortion, which is the loss of a pregnancy without outside intervention before 20 weeks' gestation, affects up to 20 percent of recognized pregnancies. Spontaneous abortion can be subdivided into threatened abortion, inevitable abortion, incomplete abortion, missed abortion,...
American Family Physician : Article
https://www.aafp.org/afp/2005/1001/p1243.html
The Challenge of Pelvic Inflammatory Disease - American Family Physician
Mar 1, 2006 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract in women that can include endometritis, parametritis, salpingitis, oophoritis, tubo-ovarian abscess, and peritonitis. The spectrum of disease ranges from subclinical, asymptomatic infection to severe, ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0301/p859.html
Initiating Hormonal Contraception - American Family Physician
Jul 1, 2006 - Most women can safely begin taking hormonal birth control products immediately after an office visit, at any point in the menstrual cycle. Because hormonal contraceptives do not accelerate cervical neoplasia or interfere with cervical cytology, women who have not had a recent ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0701/p105.html
Nonalcoholic Fatty Liver Disease - American Family Physician
Jun 1, 2006 - Nonalcoholic fatty liver disease is a common condition associated with metabolic syndrome. It is the most common cause of elevated liver enzymes in U.S. adults, and is diagnosed after ruling out other causes of steatosis (fatty infiltration of liver), particularly infectious hepatitis ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1961.html
Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ...
Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0901/p272.html
Perioperative Cardiac Risk Reduction - American Family Physician
Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0201/p239.html
Nonhormonal Therapies for Hot Flashes in Menopause - American Family Physician
Feb 1, 2006 - Numerous reports in the medical literature and popular media have discussed the effectiveness of various nonhormonal agents in reducing menopausal hot flash symptoms. Data for these therapies are limited, and most of the studies have been conducted in women with a history of breast ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0201/p457.html
Genital Herpes: A Review - American Family Physician
Oct 15, 2005 - Genital herpes simplex virus infection is a recurrent, lifelong disease with no cure. The strongest predictor for infection is a person's number of lifetime sex partners. The natural history includes first-episode mucocutaneous infection, establishment of latency in the dorsal root ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1015/p1527.html
Childhood Obesity: Highlights of AMA Expert Committee Recommendations - American Family...
Jul 1, 2008 - Childhood obesity is an increasingly serious problem; 13.9 percent of children two to five years of age, 18.8 percent of children six to 11 years of age, and 17.4 percent of adolescents 12 to 19 years of age in America are obese. Practical strategies that primary care physicians can use...
American Family Physician : Article
https://www.aafp.org/afp/2008/0701/p56.html
The Woman with Dysuria - American Family Physician
May 1, 1998 - Bacterial cystitis is the most common bacterial infection occurring in women. Thirty percent of women will experience at least one episode of cystitis during their lifetime. About one third of patients presenting with symptoms of cystitis have upper urinary tract infection. A careful ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0501/p2155.html
Inborn Errors of Metabolism in Infancy and Early Childhood: An Update - American Family...
Jun 1, 2006 - Recent innovations in medical technology have changed newborn screening programs in the United States. The widespread use of tandem mass spectrometry is helping to identify more inborn errors of metabolism. Primary care physicians often are the first to be contacted by state and ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1981.html
Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...
Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0415/p519.html
Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment - American Family...
Aug 15, 2010 - Pulmonary arterial hypertension is defined as a mean pulmonary arterial pressure greater than 25 mm Hg at rest or 30 mm Hg during physical activity. Pulmonary arterial hypertension is classified into subgroups, including idiopathic, heritable, and pulmonary arterial hypertension ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p370.html
Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...
Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0901/p264.html
Testosterone Treatments: Why, When, and How? - American Family Physician
May 1, 2006 - Testosterone treatment is controversial for men and even more so for women. Although long-term outcome data are not available, prescriptions for testosterone are becoming more common. Testosterone is used primarily to treat symptoms of sexual dysfunction in men and women and hot flashes...
American Family Physician : Article
https://www.aafp.org/afp/2006/0501/p1591.html
Managing Hypertension Using Combination Therapy - American Family Physician
May 1, 2008 - Combination therapy of hypertension with separate agents or a fixed-dose combination pill offers the potential to lower blood pressure more quickly, obtain target blood pressure, and decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0501/p1279.html
Individual Behavioral Counseling for Smoking Cessation - Cochrane for Clinicians - ...
Jul 1, 2018 - Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0701/p21.html
Plantar Fasciitis and Other Causes of Heel Pain - American Family Physician
Apr 15, 1999 - The most common cause of heel pain is plantar fasciitis. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. The diagnosis is typically based on the history and the finding of localized tenderness. Treatment consists of medial arch support, ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0415/p2200.html
Common Benign Skin Tumors - American Family Physician
Feb 15, 2003 - Benign skin tumors are commonly seen by family physicians. The ability to properly diagnose and treat common benign tumors and to distinguish them from malignant lesions is a vital skill for all family physicians. Any lesions for which the diagnosis is uncertain, based on the history ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0215/p729.html
Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...
Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p275.html
Should Screening Techniques for Colorectal Cancer All Have an 'A' Recommendation? No: ...
May 15, 2017 - The AAFP will continue to evaluate different screening tests as more research becomes available, but currently can endorse only those options that have the strongest evidence that benefits exceed harms.
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2017/0515/p618.html
Amiodarone: Guidelines for Use and Monitoring - American Family Physician
Dec 1, 2003 - Amiodarone is a potent antiarrhythmic agent that is used to treat ventricular arrhythmias and atrial fibrillation. The drug prevents the recurrence of life-threatening ventricular arrhythmias and produces a modest reduction of sudden deaths in high-risk patients. Amiodarone is more ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1201/p2189.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
Late Pregnancy Bleeding - American Family Physician
Apr 15, 2007 - Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0415/p1199.html
Medical Emergency Preparedness in Office Practice - American Family Physician
Jun 1, 2007 - Most primary care physicians report at least one emergency presenting to their office per year. Asthma, anaphylaxis, shock, seizures, and cardiac arrest are among the most common adult and childhood emergencies in the office setting. Most offices are not fully prepared for these medical...
American Family Physician : Article
https://www.aafp.org/afp/2007/0601/p1679.html
Developing and Communicating a Long-Term Treatment Plan for Asthma - American Family ...
Apr 15, 2000 - The treatment of asthma, according to current guidelines, requires complex treatment regimens that change as clinical conditions improve or deteriorate. We have developed a practical way to communicate long-term treatment plans in chart form in the primary care setting that is easy for ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0415/p2419.html
The Role of Allergens in Asthma - American Family Physician
Sep 1, 2007 - The National Asthma Education and Prevention Program Expert Panel guidelines for the management of asthma recommend that patients who require daily asthma medications have allergy testing for perennial indoor allergens and that, when triggers are found, exposure to allergens and ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0901/p675.html
New Classification and Update on the Quinolone Antibiotics - American Family Physician
May 1, 2000 - The newer fluoroquinolones have broad-spectrum bactericidal activity, excellent oral bioavailability, good tissue penetration and favorable safety and tolerability profiles. A new four-generation classification of the quinolone drugs takes into account the expanded antimicrobial ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0501/p2741.html
Medications for Treating Alcohol Dependence - American Family Physician
Nov 1, 2005 - Medications for treating alcohol dependence primarily have been adjunctive interventions, and only three medications--disulfiram, naltrexone, and acamprosate--are approved for this indication by the U.S. Food and Drug Administration. Disulfiram, an aversive agent that has been used for ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1101/p1775.html
Promoting and Prescribing Exercise in the Elderly - American Family Physician
Feb 1, 2002 - Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age-related ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0201/p419.html
A Practical Guide to Infant Oral Health - American Family Physician
Dec 1, 2004 - Early childhood caries is the most common chronic disease in young children and may develop as soon as teeth erupt. Bacteria, predominately mutans streptococci, metabolize simple sugars to produce acid that demineralizes teeth, resulting in cavities. Physicians should examine children's...
American Family Physician : Article
https://www.aafp.org/afp/2004/1201/p2113.html
Lactose Intolerance - American Family Physician
May 1, 2002 - Persons with lactose intolerance are unable to digest significant amounts of lactose because of a genetically inadequate amount of the enzyme lactase. Common symptoms include abdominal pain and bloating, excessive flatus, and watery stool following the ingestion of foods containing ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0501/p1845.html
Lymphadenopathy: Differential Diagnosis and Evaluation - American Family Physician
Oct 15, 1998 - Although the finding of lymphadenopathy sometimes raises fears about serious illness, it is, in patients seen in primary care settings, usually a result of benign infectious causes. Most patients can be diagnosed on the basis of a careful history and physical examination. Localized ...
American Family Physician : Article
https://www.aafp.org/afp/1998/1015/p1313.html
Acute Pancreatitis: Diagnosis, Prognosis, and Treatment - American Family Physician
May 15, 2007 - Mild acute pancreatitis has a low mortality rate, but patients with severe acute pancreatitis are more likely to develop complications and have a much higher death rate. Although serum amylase and lipase levels remain the most widely used diagnostic assays for acute pancreatitis, other ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1513.html
Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...
Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p785.html
Probiotics - American Family Physician
Nov 1, 2008 - Probiotics are microorganisms with potential health benefits. They may be used to prevent and treat antibiotic-associated diarrhea and acute infectious diarrhea. They may also be effective in relieving symptoms of irritable bowel syndrome, and in treating atopic dermatitis in children. ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1073.html
Pleurisy - American Family Physician
May 1, 2007 - Pleuritic chest pain is a common presenting symptom and has many causes, which range from life-threatening to benign, self-limited conditions. Pulmonary embolism is the most common potentially life-threatening cause, found in 5 to 20 percent of patients who present to the emergency ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0501/p1357.html
Effectiveness of Pneumococcal Vaccines - FPIN's Help Desk Answers - American Family ...
May 1, 2018 - The 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) decreases the relative risk of community-acquired pneumonia in adults by 13%. The risk is reduced by 28% in the population that includes adults older than 65 years, those with lung disease, and those living in a ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0501/od3.html
Adverse Reactions to Contrast Material. Recognition, Prevention and Treatment - ...
Oct 1, 2002 - Adverse reactions to contrast agents range from a mild inconvenience, such as itching associated with hives, to a life-threatening emergency. Renal toxicity is a well known adverse reaction associated with the use of intravenous contrast material. Other forms of adverse reactions ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1001/p1229.html
Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...
Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0415/p529.html
Clinically Significant Drug Interactions - American Family Physician
Mar 15, 2000 - A large number of drugs are introduced every year, and new interactions between medications are increasingly reported. Consequently, it is no longer practical for physicians to rely on memory alone to avoid potential drug interactions. Multiple drug regimens carry the risk of adverse ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0315/p1745.html
ACP Provides Guidance on Nonsurgical Treatment of Urinary Incontinence in Women - ...
Jun 1, 2015 - The American College of Physicians (ACP) has provided recommendations for nonsurgical treatment of UI in women. Treatment of UI is aimed at achieving, or at least improving, symptoms. It is deemed effective if it reduces the number of episodes by at least one-half.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2015/0601/p801.html
The FMIG Network Online Community
The FMIG Network online community connects you to other FMIG leaders. Hosted by the AAFP and your FMIG Network regional coordinators, join the online community to stay in the know about important news, events and opportunities, ask questions, contribute to discussions, and get ideas and...
https://www.aafp.org/students-residents/medical-students/fmig/online-community.html
Selecting Medications for the Treatment of Urinary Incontinence - American Family ...
Jan 15, 2005 - In response to the growing population of older patients with incontinence, pharmaceutical companies are developing new drugs to treat the condition. Before prescribing medications for incontinence, however, physicians should determine the nature and cause of the patient's incontinence. ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0115/p315.html
Polymyalgia Rheumatica and Giant Cell Arteritis - American Family Physician
Nov 1, 2006 - Polymyalgia rheumatica and giant cell arteritis are common, closely related vasculitic conditions that almost exclusively occur in patients older than 50 years. They may be manifestations of the same underlying disease and often coexist. Patients with polymyalgia rheumatica usually ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1101/p1547.html
Low-Carbohydrate Diets - American Family Physician
Jun 1, 2006 - Americans spend dollar 33 billion annually on weight loss products and services, and a large portion of this money is spent on low-carbohydrate diets. Because of their higher protein and fat content and lower fiber and carbohydrate content, concerns have been raised about the potential ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1942.html
Urinary Tract Infections During Pregnancy - American Family Physician
Feb 1, 2000 - Urinary tract infections are common during pregnancy, and the most common causative organism is Escherichia coli. Asymptomatic bacteriuria can lead to the development of cystitis or pyelonephritis. All pregnant women should be screened for bacteriuria and subsequently treated with ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0201/p713.html
People in the News/Awards -- October
A number of AAFP members received various honors or recognition in October 2018. In addition, one family medicine academic department was named the recipient of a national award.
https://www.aafp.org/news/inside-aafp/20181109people-awards.html
OnabotulinumtoxinA Injections for Urge Incontinence - FPIN's Help Desk Answers - ...
Feb 1, 2018 - Detrusor muscle injections of onabotulinumtoxinA can be used to decrease the number of episodes of urinary incontinence in women for whom treatment with anticholinergic agents has been ineffective.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0201/od3.html
Obsessive Compulsive Disorder: Diagnosis and Management - American Family Physician
Aug 1, 2009 - Obsessive-compulsive disorder is an illness that can cause marked distress and disability. It often goes unrecognized and is undertreated. Primary care physicians should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p239.html
Current Guidelines for Antibiotic Prophylaxis of Surgical Wounds - American Family ...
Jun 1, 1998 - Appropriately administered antibiotic prophylaxis reduces the incidence of surgical wound infection. Prophylaxis is uniformly recommended for all clean-contaminated, contaminated and dirty procedures. It is considered optional for most clean procedures, although it may be indicated for ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0601/p2731.html
Nausea and Vomiting in Pregnancy - American Family Physician
Jul 1, 2003 - Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and...
American Family Physician : Article
https://www.aafp.org/afp/2003/0701/p121.html
Polycythemia Vera - American Family Physician
May 1, 2004 - Polycythemia vera is a chronic myeloproliferative disorder characterized by increased red blood cell mass. The resultant hyperviscosity of the blood predisposes such patients to thrombosis. Polycythemia vera should be suspected in patients with elevated hemoglobin or hematocrit levels, ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0501/p2139.html
Chronic Vulvovaginal Candidiasis - American Family Physician
Feb 15, 2001 - Frequently ignored by the medical community, chronic vulvovaginal symptoms are relatively common and can frustrating for patients and physicians. Establishing a proper diagnosis will lay the foundation for an effective therapeutic therapeutic plan. Fungal cultures are an important ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0215/p697.html
Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...
Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0115/p127.html
Evaluating Dysphagia - American Family Physician
Jun 15, 2000 - Dysphagia is a problem that commonly affects patients cared for by family physicians in the office, as hospital inpatients and as nursing home residents. Familiar medical problems, including cerebrovascular accidents, gastroesophageal reflux disease and medication-related side effects, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0615/p3639.html
Diverticular Disease: Diagnosis and Treatment - American Family Physician
Oct 1, 2005 - Diverticular disease refers to symptomatic and asymptomatic disease with an underlying pathology of colonic diverticula. Predisposing factors for the formation of diverticula include a low-fiber diet and physical inactivity. Approximately 85 percent of patients with diverticula are ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1001/p1229.html
The 2019 Medicare Documentation, Coding, and Payment Update -- FPM
Feb 1, 2019 - This year’s changes include some welcome documentation relief, new codes for portal and telephone encounters, and much more.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0100/p23.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.html
Management of Heatstroke and Heat Exhaustion - American Family Physician
Jun 1, 2005 - Heat exhaustion and heatstroke are part of a continuum of heat-related illness. Both are common and preventable conditions affecting diverse patients. Recent research has identified a cascade of inflammatory pathologic events that begins with mild heat exhaustion and, if uninterrupted, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0601/p2133.html
Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary ...
Sep 15, 2002 - Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0915/p1001.html
Practice Pearls - Mar-Apr 2018 -- FPM
Apr 1, 2018 - Be mindful of the joy in medicine | Rule out heart murmurs more effectively in children | Take a lesson from the hospitality industry
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2018/0300/p42.html
Geriatric Screening and Preventive Care - American Family Physician
Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0715/p206.html
Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...
Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0601/p676.html
Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ...
Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0801/p147.html
The Problem With Patient Satisfaction Scores -- FPM
Feb 1, 2016 - Scoring of individual physicians is becoming more widespread. Here’s how to improve the process.
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0100/p23.html
Ocular Emergencies - American Family Physician
Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0915/p829.html
DVT and Pulmonary Embolism: Part II. Treatment and Prevention - American Family Physician
Jun 15, 2004 - Treatment goals for deep venous thrombosis include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0615/p2841.html
The Female Athlete Triad: Recommendations for Management - Editorials - American Family...
Apr 15, 2018 - Family physicians should be familiar with recommendations regarding the female athlete triad, because prevention and early intervention can significantly reduce morbidity from this disorder.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0415/p499.html
Essentials of the Diagnosis of Heart Failure - American Family Physician
Mar 1, 2000 - Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0301/p1319.html
Metabolic Syndrome: Time for Action - American Family Physician
Jun 15, 2004 - The constellation of dyslipidemia (hypertriglyceridemia and low levels of high-density lipoprotein cholesterol), elevated blood pressure, impaired glucose tolerance, and central obesity is identified now as metabolic syndrome, also called syndrome X. Soon, metabolic syndrome will ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0615/p2875.html
Ginger: An Overview - American Family Physician
Jun 1, 2007 - Ginger (Zingiber officinale) is one of the more commonly used herbal supplements. Although often consumed for culinary purposes, it is taken by many patients to treat a variety of conditions. Ginger has been shown to be effective for pregnancy-induced and postoperative nausea and ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0601/p1689.html
Sudden Cardiac Death and Implantable Cardioverter-Defibrillators - American Family ...
Dec 1, 2010 - Sudden cardiac death is a major public health problem, affecting 500,000 patients in the United States annually. An implantable cardioverter-defibrillator (ICD) can terminate malignant ventricular arrhythmias and has been shown to improve survival in high-risk populations. Although ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1357.html
Management of Status Epilepticus - American Family Physician
Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0801/p469.html
Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician
Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0101/p29.html
Developing Your Professional Career Plan -- FPM
Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p21.html
Drug Treatment of Common STDs: Part I. Herpes, Syphilis, Urethritis, Chlamydia and ...
Oct 1, 1999 - In 1998, the Centers for Disease Control and Prevention released guidelines for the treatment of sexually transmitted diseases. Several treatment advances have been made since the previous guidelines were published. Part I of this two-part article describes current recommendations for ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1387.html