Outpatient Management of COVID-19: Rapid Evidence Review - American Family Physician
Oct 15, 2020 - Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. However, patients may have a wide range of symptoms representing a spectrum of mild to severe illness. Symptoms in children tend to be milder and may include fever, cough, ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1015/p478.html
Office Spirometry: Indications and Interpretation - American Family Physician
Mar 15, 2020 - High-quality, office-based spirometry provides diagnostic information as useful and reliable as testing performed in a pulmonary function laboratory. Spirometry may be used to monitor progression of lung disease and response to therapy. A stepwise approach to spirometry allows for ease ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p362.html
Acute Respiratory Distress Syndrome: Diagnosis and Management - American Family Physician
Jun 15, 2020 - Acute respiratory distress syndrome (ARDS) is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include onset within one week of a known insult or new or worsening respiratory symptoms, profound hypoxemia, ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0615/p730.html
Antibiotics for Acute Bronchitis - Medicine by the Numbers - American Family Physician
Nov 1, 2020 - Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1101/od2.html
Asthma - American Family Physician
Oct 1, 2020 - This collection features AFP content on asthma and related issues, including allergens, beta agonists, chronic cough, exercise-induced bronchoconstriction, inhalers, and wheezing. This collection features AFP content on asthma and related issues, including allergens, beta agonists, ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- 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=3
Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ...
Jun 1, 2020 - Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of COPD.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0601/od1.html
Chronic Obstructive Pulmonary Disease - American Family Physician
Jul 1, 2020 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...
- Overview
- Screening and Prevention
- Diagnosis
- Treatment
- Point-of-Care Guides
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32
Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ...
Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0201/od1.html
Electronic Cigarettes: Common Questions and Answers - American Family Physician
Aug 15, 2019 - Electronic cigarettes (e-cigarettes) are popular devices designed to heat a liquid solution, often containing nicotine, that generates an inhaled aerosol, or vapor. e-Cigarettes have been marketed as healthier alternatives to traditional cigarettes. Thus, most adult users are current or...
American Family Physician : Article
https://www.aafp.org/afp/2019/0815/p227.html
Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...
Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0601/od1.html
Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...
Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0701/p23.html
Tobacco Abuse and Dependence - American Family Physician
Jan 1, 2021 - This collection features AFP content on tobacco abuse and dependence and related issues, including addiction, behavioral and drug therapies, lifestyle counseling, and smoking cessation. This collection features AFP content on tobacco abuse and dependence and related issues, including ...
- Overview
- Prevention
- Treatment
- 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=28
Combined Inhaled Short-Acting Beta2 Agonist and Anticholinergic Agents for Asthma - ...
Jun 1, 2018 - Although the quality of evidence included in this review was low to moderate, the potential benefits of decreased hospitalization and relapse rates and the comparatively mild and limited adverse events suggest that patients presenting with acute asthma exacerbations are likely to ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0601/od1.html
Combination LABA Inhalers Compared with High-Dose Inhaled Steroids for Adults with ...
Mar 1, 2018 - We designated the use of long-acting beta agonist inhalers for adults with asthma as having no benefits because of a small potential benefit of questionable clinical utility (avoiding a brief burst of oral steroids) and the possibility of a fatal harm. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0301/od1.html
Pneumonia - American Family Physician
Sep 1, 2020 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22
Qvar for Treatment of Chronic Asthma - Medicine by the Numbers - American Family Physician
Apr 15, 2018 - Learn the results of a Cochrane review which studied the effectiveness of Qvar in two sets of patients with chronic asthma: those receiving oral corticosteroids and those not receiving them.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0415/p538.html
Liberal vs. Conservative Oxygen Therapy in the Acutely Ill - Medicine by the Numbers - ...
Jan 1, 2019 - This review compares liberal and conservative oxygen therapy in acutely ill adults and their effect on mortality (in-hospital, 30-day, and longest follow-up) and morbidity (disability at longest follow-up, risk of hospital-acquired pneumonia, any hospital-acquired infection, and length ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0101/od1.html
Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...
Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0401/p463.html
Increasing the D-dimer Threshold for Patients with Low Clinical Pretest Probability ...
Jul 15, 2020 - The Pulmonary Embolism Graduated d-Dimer strategy increases the number of patients in the emergency department and outpatient setting who have PE ruled out via d-dimer testing, thus decreasing the need for chest imaging.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0715/p117a.html
Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness...
Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0415/p505.html
Culture-Specific Asthma Education Programs for Minority Groups - Cochrane for ...
Nov 1, 2018 - In children from minority groups, culture-specific asthma education programs (CAEPs) reduce the number of severe asthma exacerbations requiring hospitalization and improve asthma control as measured by the Childhood Asthma Control Test but not the Asthma Control Questionnaire. CAEPs ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/1101/p572.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
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
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
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
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.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
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
Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...
Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0615/p768.html
Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ...
Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2021/0101/p53.html
C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...
Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p54.html
Identifying Patients with Newly Diagnosed Acute Pulmonary Embolism Who Are at Low Risk ...
Jun 15, 2018 - Standard management of acute PE includes five days of inpatient treatment with parenteral anticoagulation, followed by long-term oral anticoagulation as an outpatient. However, guidelines from the American College of Chest Physicians state that early discharge before five days can be ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0615/p811.html
Written Action Plans for Self-Management of COPD Exacerbations - Cochrane for ...
Mar 1, 2018 - Written self-management plans, especially those that include guidance on smoking cessation, increase health-related quality of life in patients with COPD. They also decrease the need for respiratory-related hospital admissions among patients with high or low baseline risk.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0301/p310.html
Antibiotic Prophylaxis for COPD Exacerbations - FPIN's Clinical Inquiries - American ...
Apr 15, 2018 - Prophylactic antibiotics may be used to reduce the overall rate of COPD exacerbations and delay their onset. However, the appropriate antibiotic regimen and target population are unclear.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2018/0415/p527.html
Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...
Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0815/p246.html
Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ...
Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/1115/od2.html
Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ...
Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0115/od2.html
Deep Venous Thrombosis: Home vs. Inpatient Treatment - Cochrane for Clinicians - ...
Dec 1, 2018 - Patients treated at home with low-molecular-weight heparin (LMWH) have lower rates of recurrent VTE than those treated in a hospital.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/1201/p642.html
As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...
Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646a.html
LABA Plus Inhaled Corticosteroid Reduces Exacerbations, But Not Hospitalizations - ...
Jan 1, 2019 - Adding a LABA to an inhaled corticosteroid is safe but does not reduce the likelihood of a serious exacerbation requiring hospitalization. There is a small reduction in nonsevere asthma exacerbations, with one fewer exacerbation for every 53 patients treated for six months.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0101/p53.html
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