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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

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

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

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

Low-Dose Aspirin Beneficial for the Prevention of Preterm Birth in Nulliparous Patients... Restricted content. Login required.

Nov 15, 2020 - The routine use of low-dose aspirin, 81 mg daily, starting as early as six weeks' gestational age provided a statistically significant absolute risk reduction (nearly 2 percentage points) in the incidence of preterm birth among nulliparous patients with singleton gestation in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od4.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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme... Restricted content. Login required.

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

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

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

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

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

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Dec 1, 2020 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4

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

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

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

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

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

What Is the Best Approach to Annual Wellness Visits for Seniors? -- FPM

Apr 1, 2017 - Maybe it is time to change the way I do things - yet again.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2017/0300/p3.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

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

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

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

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

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 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

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

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

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

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

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

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

Encouraging Health Behavior Change: Eight Evidence-Based Strategies -- FPM

Apr 1, 2018 - Using these brief interventions, you can help your patients make healthy behavior changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p31.html

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Dec 1, 2002 - Vaccines have turned many childhood diseases into distant memories in industrialized countries. However, questions have been raised about the safety of some vaccines because of rare but serious adverse effects that have been attributed to them. Pain, swelling, and redness at the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2113.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

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

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

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

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

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

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

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ... Restricted content. Login required.

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

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

Complications of Body Piercing - American Family Physician

Nov 15, 2005 - The trend of body piercing at sites other than the earlobe has grown in popularity in the past decade. The tongue, lips, nose, eyebrows, nipples, navel, and genitals may be pierced. Complications of body piercing include local and systemic infections, poor cosmesis, and foreign body ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2029.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

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

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

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

Developing Standing Orders to Help Your Team Work to the Highest Level -- FPM

Jun 1, 2018 - Use this seven-step plan to create protocols that improve efficiency and reduce physician workloads.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0500/p13.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

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

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

Acute Respiratory Distress Syndrome - American Family Physician

Jan 15, 2003 - Acute respiratory distress syndrome is a manifestation of acute injury to the lung, commonly resulting from sepsis, trauma, and severe pulmonary infections. Clinically, it is characterized by dyspnea, profound hypoxemia, decreased lung compliance, and diffuse bilateral infiltrates on ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p315.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 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

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

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

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

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

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

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

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

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

Celiac Disease - American Family Physician

Dec 15, 2007 - As many as one in every 100 to 200 persons in the United States has celiac disease, a condition resulting from an inappropriate immune response to the dietary protein gluten. The manifestations of celiac disease range from no symptoms to overt malabsorption with involvement of multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1795.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

How to Document and Code for Hypertensive Diseases in ICD-10 -- FPM

Apr 1, 2014 - This installment in FPM's ICD-10 series explains the guidelines for coding hypertension.

Family Practice Management : Articles

https://www.aafp.org/fpm/2014/0300/p5.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

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

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

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ... Restricted content. Login required.

Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p20.html

Helping Your Adolescent and Young Adult Patients Get the Preventive Care and Services ...

Apr 1, 2018 - Make the most of opportunities to confidentially discuss health decisions and recommend screening tests and immunizations using this tool.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p17.html

Alopecia in Women - American Family Physician

Mar 1, 2003 - Alopecia can be divided into disorders in which the hair follicle is normal but the cycling of hair growth is abnormal and disorders in which the hair follicle is damaged. Androgenetic alopecia is the most common cause of hair loss in women. Other disorders include alopecia areata, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p1007.html

Alcoholism in the Elderly - American Family Physician

Mar 15, 2000 - Alcohol abuse and alcoholism are common but underrecognized problems among older adults. One third of older alcoholic persons develop a problem with alcohol in later life, while the other two thirds grow older with the medical and psychosocial sequelae of early-onset alcoholism. The ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1710.html

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work ... Restricted content. Login required.

Oct 1, 2020 - These simple tools can help you respond effectively when you feel emotionally hijacked by difficult people or circumstances.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p9.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

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