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
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
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
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
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
Ruling Out Pulmonary Embolism in the Primary Care Setting - Point-of-Care Guides - ...
Jun 1, 2018 - What is the best approach to evaluate patients with suspected pulmonary embolism in the outpatient, primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0601/p750.html
Proteinuria in Adults: A Diagnostic Approach - American Family Physician
Sep 15, 2000 - Proteinuria is a common finding in adults in primary care practice. An algorithmic approach can be used to differentiate benign causes of proteinuria from rarer, more serious disorders. Benign causes include fever, intense activity or exercise, dehydration, emotional stress and acute ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0915/p1333.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
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
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
Herbal and Dietary Supplement-Drug Interactions in Patients with Chronic Illnesses - ...
Jan 1, 2008 - Herbs, vitamins, and other dietary supplements may augment or antagonize the actions of prescription and nonprescription drugs. St. John's wort is the supplement that has the most documented interactions with drugs. As with many drug-drug interactions, the information for many dietary ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0101/p73.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
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
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
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
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
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
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
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
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
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
Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ...
Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/1215/p756.html
Treatment of Recurrent Vulvovaginal Candidiasis - American Family Physician
Jun 1, 2000 - Vulvovaginal candidiasis is considered recurrent when at least four specific episodes occur in one year or at least three episodes unrelated to antibiotic therapy occur within one year. Although greater than 50 percent of women more than 25 years of age develop vulvovaginal candidiasis ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0601/p3306.html
Screening and Treatment for Sexually Transmitted Infections in Pregnancy - American ...
Jul 15, 2007 - Many sexually transmitted infections are associated with adverse pregnancy outcomes. The Centers for Disease Control and Prevention recommends screening all pregnant women for human immunodeficiency virus infection as early as possible. Treatment with highly active antiretroviral ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0715/p265.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
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
A Pedunculated Mass on the Thigh - Photo Quiz - American Family Physician
Dec 15, 2016 - A woman presented with a lesion on her thigh that had gradually increased in size over the previous five years.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2016/1215/p1003.html
AFP 2020: Reflections, New Fellows, Updates, and AFP Statistics - Editorials - American...
Oct 15, 2020 - This editorial highlights the top 20 AFP articles of 2019, provides an update on AFP's statistics for print circulation and website visits, and thanks our peer reviewers.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/1015/p457.html
Chasteberry - American Family Physician
Sep 1, 2005 - For centuries, chasteberry has been used to treat many hormone-related gynecologic conditions. The current literature supports the use of chasteberry for cyclical breast discomfort and premenstrual syndrome; data on its use for menstrual irregularities and fertility disorders are weak. ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0901/p821.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
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
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
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
Skin Conditions - American Family Physician
Feb 1, 2021 - This collection features AFP content on common skin conditions and related issues, including acne, dermatitis, dermatologic emergencies, generalized rash, lichen planus, nail disorders, newborn skin, office procedures, premalignant lesions, and psoriasis. This collection features AFP ...
- Examination, Signs, Symptoms
- Acne
- Cancer, Premalignant Lesions
- Dermatitis
- Folliculitis
- Hyperhidrosis
- Infections
- Lichen Planus
- Nail Disorders
- Psoriasis
- Procedures
- Ulcers
- Editorials and Letters
- Improving Practice
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=21
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
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
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
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
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
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
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
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
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
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
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
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
Using Pegylated Interferon and Ribavirin to Treat Patients with Chronic Hepatitis C - ...
Aug 15, 2005 - Hepatitis C virus is the most common chronic blood-borne infection in the United States. The advent of new treatment regimens using pegylated interferons in combination with ribavirin has led to improved sustained viral response rates for some genotypes in large multicenter trials. ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0815/p655.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
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
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
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
Primary Care for Children with Autism - American Family Physician
Feb 15, 2010 - The earliest sign of autism in children is the delayed attainment of social skill milestones, including joint attention, social orienting, and pretend play. Language impairment is a common, but less specific, sign of autism. Repetitive behaviors and restricted interests may not be noted...
American Family Physician : Article
https://www.aafp.org/afp/2010/0215/p453.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
Latex Allergy - American Family Physician
Dec 15, 2009 - The prevalence of latex allergy in the general population is low; however, the risk of developing latex allergy is higher in persons with increased latex exposure, such as health care workers or persons who work in the rubber industry. Children with spina bifida and others who undergo ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1215/p1413.html
Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease - ...
Sep 15, 2020 - Is it possible to determine which patients with acute abdominal pain are likely to have diverticulitis and therefore do not require imaging?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/0915/p371.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
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
What to do When SSRIs Fail: Eight Strategies for Optimizing Treatment of Panic Disorder...
Oct 15, 2002 - Selective serotonin reuptake inhibitors (SSRIs) are the drug of choice for treatment of patients with panic disorder. Most patients have a favorable response to SSRI therapy; however, 30 percent will not be able to tolerate these drugs or will have an unfavorable or incomplete response....
American Family Physician : Article
https://www.aafp.org/afp/2002/1015/p1477.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
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
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
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...
Jun 15, 2019 - The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0615/od1.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
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
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
Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ...
Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0915/p375a.html
Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician
Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0415/p1725.html
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
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
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
Aesthetic Procedures in Office Practice - American Family Physician
Dec 1, 2009 - Since the approval of botulinum toxin, dermal fillers, and lasers for cosmetic use, minimally invasive aesthetic procedures have rapidly become the treatments of choice for age-related facial changes.
American Family Physician : Article
https://www.aafp.org/afp/2009/1201/p1231.html
Generalized Anxiety Disorder - American Family Physician
Oct 1, 2000 - Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms. The disorder is frequently difficult to diagnose because of the variety of presentations and the common occurrence of comorbid medical or psychiatric conditions. The...
American Family Physician : Article
https://www.aafp.org/afp/2000/1001/p1591.html
Pain: Chronic - American Family Physician
Feb 1, 2021 - This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy. This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy.
- Overview
- Treatment-Specific Therapies
- Complications and Special Situations
- 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=61
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
Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ...
Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0301/p302.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
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
Urinary Tract Infection in Children - American Family Physician
Dec 15, 2005 - Up to 7 percent of girls and 2 percent of boys will have a symptomatic, culture-confirmed urinary tract infection by six years of age. Urinary tract infection may be suspected because of urinary symptoms in older children or because of fever, nonspecific symptoms, or failure to thrive ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1215/p2483.html
Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...
Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p801.html
Evaluation of Palpable Breast Masses - American Family Physician
May 1, 2005 - Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy. A thorough clinical breast examination, imaging, and tissue sampling are needed for a definitive diagnosis. Fine-needle aspiration is fast, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0501/p1731.html
Atypical Pathogens and Challenges in Community-Acquired Pneumonia - American Family ...
Apr 1, 2004 - Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia. Antibiotic treatment is empiric and includes coverage for both typical and atypical organisms. Doxycycline, a ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0401/p1699.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
Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ...
Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0701/p51.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
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
Interventions to Facilitate Smoking Cessation - American Family Physician
Jul 15, 2006 - Tobacco use, primarily cigarette smoking, is the leading cause of preventable morbidity and mortality in the United States, and nearly one third of those who try a cigarette become addicted to nicotine. Family physicians, who see most of these patients in their offices every year, have ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0715/p262.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
Treatment of Hypothyroidism - American Family Physician
Nov 15, 2001 - Thyroid disease affects up to 0.5 percent of the population of the United States. Its prevalence is higher in women and the elderly. The management of hypothyroidism focuses on ensuring that patients receive appropriate thyroid hormone replacement therapy and monitoring their response. ...
American Family Physician : Article
https://www.aafp.org/afp/2001/1115/p1717.html
Asbestos-Related Lung Disease - American Family Physician
Mar 1, 2007 - The inhalation of asbestos fibers may lead to a number of respiratory diseases, including lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma. Although exposure is now regulated, patients continue to present with these diseases because of the ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p683.html
Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...
Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/1201/p649.html
Skin and Soft Tissue Infections in Immunocompetent Patients - American Family Physician
Apr 1, 2010 - The increasing incidence of skin and soft tissue infections requires family physicians to be familiar with the management of these conditions. Evidence of systemic infection, such as fever, tachycardia, and hypotension, is an indication for inpatient management. Urgent surgical referral...
American Family Physician : Article
https://www.aafp.org/afp/2010/0401/p893.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
The Importance of Beta Blockers in the Treatment of Heart Failure - American Family ...
Dec 1, 2000 - Heart failure, the only cardiovascular disease with an increasing incidence, is associated with significant mortality and poses a considerable economic burden. Traditionally, beta blockers have been considered to be contraindicated in patients with heart failure. Recently, however, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1201/p2453.html
Vacuum-Assisted Vaginal Delivery - American Family Physician
Oct 15, 2008 - The second stage of labor is a dynamic event that may require assistance when maternal efforts fail to effect delivery or when there are nonreassuring fetal heart tones. Therefore, knowing how to perform an operative vaginal delivery with forceps or vacuum is vital for family physicians...
American Family Physician : Article
https://www.aafp.org/afp/2008/1015/p953.html
Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician
Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.
American Family Physician : STEPS
https://www.aafp.org/afp/2015/0415/p554.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
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
Ectopic Pregnancy - American Family Physician
Feb 15, 2000 - Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester. Greater awareness of risk factors and improved technology (biochemical markers and ultrasonography) allow ectopic pregnancy to be ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0215/p1080.html