Sexually Transmitted Infections: Updates From the 2021 CDC Guidelines - American Family...
May 1, 2022 - Sexually transmitted infection (STI) rates are increasing for most nationally notifiable disease categories in the United States. The 2021 Centers for Disease Control and Prevention STI guidelines provide several updated, evidence-based testing and treatment recommendations. The ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0500/p514.html
Constipation in Children and Adolescents: Evaluation and Treatment - American Family ...
May 1, 2022 - Constipation in children is usually functional constipation without an organic cause. Organic causes of constipation in children, which include Hirschsprung disease, cystic fibrosis, and spinal cord abnormalities, commonly present with red flag signs and symptoms. A history and physical...
American Family Physician : Article
https://www.aafp.org/afp/2022/0500/p469.html
Atopic Dermatitis: Diagnosis and Treatment - American Family Physician
May 15, 2020 - Atopic dermatitis (atopic eczema) is a chronic relapsing and remitting inflammatory skin disease affecting one in 10 people in their lifetime. Atopic dermatitis is caused by a complex interaction of immune dysregulation, epidermal gene mutations, and environmental factors that disrupts ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p590.html
Lung Cancer: Diagnosis, Treatment Principles, and Screening - American Family Physician
May 1, 2022 - Lung cancer is the second most common cancer in men and women in the United States; however, it remains the leading cause of cancer-related death in the United States and worldwide. The most common but nonspecific symptom of lung cancer is cough. Associated symptoms, including ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0500/p487.html
Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults -...
May 1, 2015 - Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient’s quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0501/p617.html
The Mental Status Examination - American Family Physician
Oct 15, 2016 - The mental status examination includes general observations made during the clinical encounter, as well as specific testing based on the needs of the patient and physician. Multiple cognitive functions may be tested, including attention, executive functioning, gnosia, language, memory, ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1015/p635.html
Hemorrhoids: Diagnosis and Treatment Options - American Family Physician
Feb 1, 2018 - Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e., proximal or distal to the dentate line) determine the extent of pain or discomfort. The history and physical examination must assess for risk factors and clinical ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0201/p172.html
Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention - American Family ...
Sep 15, 2019 - Pelvic inflammatory disease (PID) is an infection of the upper genital tract occurring predominantly in sexually active young women. Chlamydia trachomatis and Neisseria gonorrhoeae are common causes; however, other cervical, enteric, bacterial vaginosis–associated, and respiratory ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0915/p357.html
Azithromycin for Treatment of COVID-19 - Medicine by the Numbers - American Family ...
Mar 1, 2022 - Learn more about azithromycin for treatment of COVID-19.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2022/0300/od2.html
Clinically Relevant Drug-Drug Interactions in Primary Care - American Family Physician
May 1, 2019 - Drug interactions are common in the primary care setting and are usually predictable. Identifying the most important and clinically relevant drug interactions in primary care is essential to patient safety. Strategies for reducing the risk of drug-drug interactions include minimizing ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0501/p558.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
The Preparticipation Physical Evaluation - American Family Physician
May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0501/p539.html
Acute Migraine Headache: Treatment Strategies - American Family Physician
Feb 15, 2018 - Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0215/p243.html
Depression: Screening and Diagnosis - American Family Physician
Oct 15, 2018 - Depression affects an estimated 8% of persons in the United States and accounts for more than $210 billion in health care costs annually. The U.S. Preventive Services Task Force (USPSTF) and American Academy of Family Physicians recommend screening for depression in the general adult ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1015/p508.html
Hair Loss: Common Causes and Treatment - American Family Physician
Sep 15, 2017 - Hair loss is often distressing and can have a significant effect on the patient’s quality of life. Patients may present to their family physician first with diffuse or patchy hair loss. Scarring alopecia is best evaluated by a dermatologist. Nonscarring alopecias can be readily ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0915/p371.html
Polypharmacy: Evaluating Risks and Deprescribing - American Family Physician
Jul 1, 2019 - Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy. Patient-related factors include having multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0701/p32.html
Acne Vulgaris: Diagnosis and Treatment - American Family Physician
Oct 15, 2019 - Acne vulgaris is the most prevalent chronic skin disease in the United States, affecting nearly 50 million people per year, mostly adolescents and young adults. Potential sequelae of acne, such as scarring, dyspigmentation, and low self-esteem, may result in significant morbidity. ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1015/p475.html
Migraine Headache Prophylaxis - American Family Physician
Jan 1, 2019 - Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0101/p17.html
Gastroenteritis in Children - American Family Physician
Feb 1, 2019 - Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0201/p159.html
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
Heart Failure with Preserved Ejection Fraction: Diagnosis and Management - American ...
Nov 1, 2017 - Heart failure with preserved ejection fraction, also referred to as diastolic heart failure, causes almost one-half of the 5 million cases of heart failure in the United States. It is more common among older patients and women, and results from abnormalities of active ventricular ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1101/p582.html
Care of the College Student - American Family Physician
Aug 1, 2021 - Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0800/p141.html
Child Abuse: Approach and Management - American Family Physician
May 1, 2022 - Child maltreatment is a devastating type of adverse childhood experience that encompasses neglect and emotional, physical, and sexual abuse (including sex trafficking). Adverse childhood experiences are exposures to maltreatment or household dysfunction during crucial developmental ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0500/p521.html
Acute and Chronic Urticaria: Evaluation and Treatment - American Family Physician
Jun 1, 2017 - Urticaria commonly presents with intensely pruritic wheals, sometimes with edema of the subcutaneous or interstitial tissue. It has a lifetime prevalence of about 20%. Although often self-limited and benign, it can cause significant discomfort, continue for months to years, and ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0601/p717.html
Hyperthyroidism: Diagnosis and Treatment - American Family Physician
Mar 1, 2016 - Hyperthyroidism is an excessive concentration of thyroid hormones in tissues caused by increased synthesis of thyroid hormones, excessive release of preformed thyroid hormones, or an endogenous or exogenous extrathyroidal source. The most common causes of an excessive production of ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0301/p363.html
Remdesivir for the Treatment of COVID-19 - Medicine by the Numbers - American Family ...
Feb 1, 2022 - Learn more about using remdesivir for the treatment of COVID-19.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2022/0200/p131.html
Hyperhidrosis: Management Options - American Family Physician
Jun 1, 2018 - Hyperhidrosis is excessive sweating that affects patients’ quality of life, resulting in social and work impairment and emotional distress. Primary hyperhidrosis is bilaterally symmetric, focal, excessive sweating of the axillae, palms, soles, or craniofacial region not caused by other ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0601/p729.html
Alcoholic Hepatitis: Diagnosis and Management - American Family Physician
Apr 1, 2022 - Alcoholic hepatitis is a clinical syndrome characterized by acute-onset jaundice and liver enzyme abnormalities in the setting of long-term heavy alcohol use. High rates of concomitant infections, systemic inflammation, and multiorgan failure lead to significant morbidity and mortality....
American Family Physician : Article
https://www.aafp.org/afp/2022/0400/p412.html
Reduction in Saturated Fat Intake for Cardiovascular Disease - Medicine by the Numbers ...
Jan 1, 2022 - Learn more about the effects of reducing saturated fat intake on cardiovascular disease risk.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2022/0100/od2.html
Cannabis Essentials: Tools for Clinical Practice - American Family Physician
Dec 1, 2021 - Cannabis use in the United States is increasing annually in people of all ages. This increase is fueled by state-level legalization, decreased risk perception, and increased social acceptability. Cannabis and its active components, cannabinoids, have been studied for medical uses and ...
American Family Physician : Article
https://www.aafp.org/afp/2021/1200/p598.html
Medications for Alcohol Use Disorder - American Family Physician
Mar 15, 2016 - The U.S. Preventive Services Task Force recommends that clinicians screen adults for alcohol misuse and provide persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. However, only a minority of American adults with high-risk ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0315/p457.html
Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ...
Sep 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0900/od1.html
Syncope: Evaluation and Differential Diagnosis - American Family Physician
Mar 1, 2017 - Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. It accounts for 1% to 1.5% of emergency department visits, resulting in high hospital admission rates and significant medical costs. Syncope is classified as neurally mediated, cardiac, and ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0301/p303.html
Flexible Sigmoidoscopy or Fecal Occult Blood Testing for Colorectal Cancer Screening in...
Aug 1, 2019 - This meta-analysis provides high-quality evidence that flexible sigmoidoscopy and fecal occult blood testing both reduce the risk of death from colorectal cancer. The study did not provide a clear answer regarding a superior screening modality, so the decision to choose one test over ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0801/od1.html
Post-ICU Care in the Outpatient Setting - American Family Physician
May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...
American Family Physician : Article
https://www.aafp.org/afp/2021/0515/p590.html
Out-of-Hospital Birth - American Family Physician
Jun 1, 2021 - Since the 1970s, most births in the United States have been planned to occur in a hospital. However, a small percentage of Americans choose to give birth outside of a hospital. The number of out-of-hospital births has increased, with one in every 61 U.S. births (1.64%) occurring out of ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0601/p672.html
Functional Dyspepsia: Evaluation and Management - American Family Physician
Jan 15, 2020 - Functional dyspepsia is defined as at least one month of epigastric discomfort without evidence of organic disease found during an upper endoscopy, and it accounts for 70% of dyspepsia. Symptoms of functional dyspepsia include postprandial fullness, early satiety, and epigastric pain or...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p84.html
Hepatitis A - American Family Physician
Oct 1, 2021 - Hepatitis A is a common viral infection worldwide that is transmitted via the fecal-oral route. The incidence of infection in the United States decreased by more than 90% after an effective vaccine was introduced, but the number of cases has been increasing because of large community ...
American Family Physician : Article
https://www.aafp.org/afp/2021/1000/p368.html
Ultrasound Guidance for the Placement of Peripheral Intravenous Catheters - Medicine by...
Oct 1, 2021 - Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/1000/od2.html
Urine Drug Tests: Ordering and Interpreting Results - American Family Physician
Jan 1, 2019 - Urine drug testing is an essential component of monitoring patients who are receiving long-term opioid therapy, and it has been suggested for patients receiving long-term benzodiazepine or stimulant therapy. Family physicians should be familiar with the characteristics and capabilities ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0101/p33.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
The Adult Well-Male Examination - American Family Physician
Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1215/p729.html
Accuracy of Ultrasonography for the Diagnosis of Small Bowel Obstruction - Medicine by ...
Aug 1, 2021 - According to a meta-analysis including prospective observational studies evaluating the accuracy of ultrasonography for the diagnosis of small bowel obstruction, ultrasonography appears to be highly sensitive and specific for this use.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0800/p135.html
Probiotics for Gastrointestinal Conditions: A Summary of the Evidence - American Family...
Aug 1, 2017 - Probiotics contain microorganisms, most of which are bacteria similar to the beneficial bacteria that occur naturally in the human gut. Probiotics have been widely studied in a variety of gastrointestinal diseases. The most-studied species include Lactobacillus, Bifidobacterium, and ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0801/p170.html
Evaluation of Suspected Dementia - American Family Physician
Mar 15, 2018 - Dementia is a significant and costly health condition that affects 5 million adults and is the fifth leading cause of death among Americans older than 65 years. The prevalence of dementia will likely increase in the future because the number of Americans older than 65 years is expected ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0315/p398.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
Mildly Elevated Liver Transaminase Levels: Causes and Evaluation - American Family ...
Dec 1, 2017 - Mild, asymptomatic elevations (less than five times the upper limit of normal) of alanine transaminase and aspartate transaminase levels are common in primary care. It is estimated that approximately 10% of the U.S. population has elevated transaminase levels. An approach based on the ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1201/p709.html
Treating Painful Diabetic Peripheral Neuropathy: An Update - American Family Physician
Aug 1, 2016 - Painful diabetic peripheral neuropathy occurs in approximately 25% of patients with diabetes mellitus who are treated in the office setting and significantly affects quality of life. It typically causes burning pain, paresthesias, and numbness in a stocking-glove pattern that progresses...
American Family Physician : Article
https://www.aafp.org/afp/2016/0801/p227.html
Levonorgestrel-Releasing Intrauterine System for Regression of Endometrial Hyperplasia ...
Jul 1, 2021 - A Cochrane review compared the levonorgestrel-releasing intrauterine system with progesterone for the treatment of endometrial hyperplasia.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0700/p26.html
Postpartum Hemorrhage: Prevention and Treatment - American Family Physician
Apr 1, 2017 - Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active management of the third stage of labor should be used routinely to reduce its incidence. Use of oxytocin after delivery of the anterior shoulder is the most important and effective ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0401/p442.html
Treatment of Distal DVT - Medicine by the Numbers - American Family Physician
Apr 1, 2021 - A Cochrane review demonstrated that anticoagulation was effective and superior to observation for deep venous thrombosis; however, given the quality of the evidence, the benefits are unclear.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0401/p432.html
Palpitations: Evaluation in the Primary Care Setting - American Family Physician
Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p784.html
Oxytocin as First-line Uterotonic Therapy for Postpartum Hemorrhage - Medicine by the ...
Jun 1, 2021 - Oxytocin decreases the chances of a blood transfusion and has fewer adverse effects compared with misoprostol.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0601/p656.html
Parathyroid Disorders - American Family Physician
Mar 1, 2022 - Parathyroid disorders are most often identified incidentally by abnormalities in serum calcium levels when screening for renal or bone disease or other conditions. Parathyroid hormone, which is released by the parathyroid glands primarily in response to low calcium levels, stimulates ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0300/p289.html
First Trimester Bleeding: Evaluation and Management - American Family Physician
Feb 1, 2019 - Approximately one-fourth of pregnant women will experience bleeding in the first trimester. The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Pain and heavy bleeding are associated with an increased risk of early pregnancy loss. ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0201/p166.html
The Pregnant Patient: Managing Common Acute Medical Problems - American Family Physician
Nov 1, 2018 - Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1101/p595.html
Differential Diagnosis of Polyarticular Arthritis - American Family Physician
Jul 1, 2015 - Polyarticular arthritis is commonly encountered in clinical settings and has multiple etiologies. The first step is to distinguish between true articular pain and nonarticular or periarticular conditions by recognizing clinical patterns through the history and physical examination. Once...
American Family Physician : Article
https://www.aafp.org/afp/2015/0701/p35.html
Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults - ...
Feb 15, 2021 - Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0215/p245.html
Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician
Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1215/p732.html
Testosterone Therapy: Review of Clinical Applications - American Family Physician
Oct 1, 2017 - Testosterone therapy is increasingly common in the United States, and many of these prescriptions are written by primary care physicians. There is conflicting evidence on the benefit of male testosterone therapy for age-related declines in testosterone. Physicians should not measure ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1001/p441.html
The Suicidal Patient: Evaluation and Management - American Family Physician
Apr 1, 2021 - Suicide rates in the United States increased from 20% to 30% between 2005 and 2015, and family physicians need evidence-based resources to address this growing clinical concern. Asking high-risk patients (e.g., patients with previous suicide attempts, substance misuse, low social ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0401/p417.html
Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ...
Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1201/od2.html
Point-of-Care Ultrasonography - American Family Physician
Mar 1, 2020 - Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0301/p275.html
Diagnosis and Management of Common Types of Supraventricular Tachycardia - American ...
Nov 1, 2015 - Supraventricular tachycardia refers to rapid rhythms that originate and are sustained in atrial or atrioventricular node tissue above the bundle of His. The condition is caused by reentry phenomena or automaticity at or above the atrioventricular node, and includes atrioventricular ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1101/p793.html
Specific Learning Disabilities: The Family Physician's Role - American Family Physician
Nov 15, 2019 - Academic underachievement, such as failing a class and the threat of being held back because of academic issues, is common. Family physicians can provide support and guidance for families as they approach their child’s unique academic challenges. Specific learning disabilities are a ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1115/p628.html
Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician
Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0901/od2.html
Genital Ulcers: Differential Diagnosis and Management - American Family Physician
Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p355.html
Insomnia: Pharmacologic Therapy - American Family Physician
Jul 1, 2017 - Insomnia accounts for more than 5.5 million visits to family physicians each year. Although behavioral interventions are the mainstay of treatment, pharmacologic therapy may be necessary for some patients. Understanding the risks and benefits of insomnia medications is critical. ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0701/p29.html
Diagnosis and Management of Osteoporosis - American Family Physician
Aug 15, 2015 - Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.S. Preventive Services Task Force recommends using dual energy ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0815/p261.html
Acute Bronchitis - American Family Physician
Oct 1, 2016 - Cough is the most common illness-related reason for ambulatory care visits in the United States. Acute bronchitis is a clinical diagnosis characterized by cough due to acute inflammation of the trachea and large airways without evidence of pneumonia. Pneumonia should be suspected in ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1001/p560.html
House Calls - American Family Physician
Aug 15, 2020 - The demand for house calls is increasing because of the aging U.S. population, an increase in patients who are homebound, and the acknowledgment of the value of house calls by the public and health care industry. Literature from current U.S. home-based primary care programs describes ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0815/p211.html
Acute Otitis Externa: An Update - American Family Physician
Dec 1, 2012 - Acute otitis externa is a common condition involving inflammation of the ear canal. The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa presents with the rapid onset of ear canal...
American Family Physician : Article
https://www.aafp.org/afp/2012/1201/p1055.html
Antibiotic Prophylaxis for Operative Vaginal Delivery - Medicine by the Numbers - ...
Oct 1, 2020 - Current guidelines from the World Health Organization do not recommend routine antibiotic prophylaxis for operative vaginal birth because of insufficient evidence of effectiveness.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1001/od2.html
Neuropsychological Evaluations in Adults - American Family Physician
Jan 15, 2019 - Neuropsychologists provide detailed assessments of cognitive and emotional functioning that often cannot be obtained through other diagnostic means. They use standardized assessment tools and integrate the findings with other data to determine whether cognitive decline has occurred, to ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0115/p101.html
Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ...
Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0301/od2.html
Early Recognition and Management of Sepsis in Adults: The First Six Hours - American ...
Jul 1, 2013 - Sepsis is a complication of severe infection characterized by a systemic inflammatory response. Mortality rates from sepsis range between 25% to 30% for severe sepsis and 40% to 70% for septic shock. The clinical presentation of sepsis is highly variable depending on the etiology. The ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p44.html
Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign - ...
Dec 1, 2020 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2019 judged to be most consistent with the principles of Choosing Wisely, an international campaign to reduce unnecessary testing and treatments. We selected these POEMs through a crowdsourcing strategy of...
American Family Physician : Article
https://www.aafp.org/afp/2020/1201/p673.html
Clostridioides difficile Infection: Update on Management - American Family Physician
Feb 1, 2020 - Guidelines for the diagnosis and treatment of Clostridioides difficile infection have recently been updated. Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. C. difficile infection is characterized by a wide range of symptoms, from ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p168.html
Geriatric Assessment: An Office-Based Approach - American Family Physician
Jun 15, 2018 - Family physicians should be proficient in geriatric assessment because, as society ages, older adults will constitute an increasing proportion of patients. Geriatric assessment evaluates medical, social, and environmental factors that influence overall well-being, and addresses ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0615/p776.html
Onychomycosis: Current Trends in Diagnosis and Treatment - American Family Physician
Dec 1, 2013 - Onychomycosis is a fungal infection of the nails that causes discoloration, thickening, and separation from the nail bed. Onychomycosis occurs in 10% of the general population, 20% of persons older than 60 years, and 50% of those older than 70 years. It is caused by a variety of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1201/p762.html
Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ...
Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0401/od1.html
Dog and Cat Bites - American Family Physician
Aug 15, 2014 - Animal bites account for 1% of all emergency department visits in the United States and more than $50 million in health care costs per year. Most animal bites are from a dog, usually one known to the victim. Most dog bite victims are children. Bite wounds should be cleaned, copiously ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0815/p239.html
Vitamin D Supplementation and All-Cause Mortality - Medicine by the Numbers - American ...
Jul 1, 2020 - Observational studies have shown that those with low vitamin D levels have higher cancer and cardiovascular mortality. Read more to learn about the effect of vitamin D supplementation on all-cause mortality.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0701/od1.html
Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ...
Aug 1, 2020 - Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0801/p145.html
Depression in Children and Adolescents: Evaluation and Treatment - American Family ...
Nov 15, 2019 - The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1115/p609.html
Acute Kidney Injury: Diagnosis and Management - American Family Physician
Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1201/p687.html
Vitamin B12 Deficiency: Recognition and Management - American Family Physician
Sep 15, 2017 - Vitamin B12 deficiency is a common cause of megaloblastic anemia, various neuropsychiatric symptoms, and other clinical manifestations. Screening average-risk adults for vitamin B12 deficiency is not recommended. Screening may be warranted in patients with one or more risk factors, such...
American Family Physician : Article
https://www.aafp.org/afp/2017/0915/p384.html
Common Questions About Recurrent Urinary Tract Infections in Women - American Family ...
Apr 1, 2016 - Recurrent urinary tract infections (UTIs) are common in women, including healthy women with normal genitourinary anatomy. Recurrent UTI is typically defined as three or more UTIs within 12 months, or two or more occurrences within six months. The same species that caused previous ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0401/p560.html
Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician
Apr 1, 2019 - A febrile seizure is a seizure occurring in a child six months to five years of age that is accompanied by a fever (100.4°F or greater) without central nervous system infection. Febrile seizures are classified as simple or complex. A complex seizure lasts 15 minutes or more, is ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0401/p445.html
Diagnosis and Treatment of Polycystic Ovary Syndrome - American Family Physician
Jul 15, 2016 - Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the syndrome is complex and there is no single defect from which it is known to result, it is ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0715/p106.html
Home Blood Pressure Monitoring - American Family Physician
Sep 1, 2021 - Home blood pressure monitoring provides important diagnostic information beyond in-office blood pressure readings and offers similar results to ambulatory blood pressure monitoring. Home blood pressure monitoring involves patients independently measuring their blood pressure with an ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0900/p237.html
Borderline Personality Disorder - American Family Physician
Feb 1, 2022 - Borderline personality disorder is a psychological disorder characterized by a pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image. Borderline personality disorder may be present in up to 6.4% of adult primary care visits, ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0200/p156.html
Diabetes Mellitus: Screening and Diagnosis - American Family Physician
Jan 15, 2016 - Diabetes mellitus is one of the most common diagnoses made by family physicians. Uncontrolled diabetes can lead to blindness, limb amputation, kidney failure, and vascular and heart disease. Screening patients before signs and symptoms develop leads to earlier diagnosis and treatment, ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0115/p103.html
Recurrent Venous Thromboembolism - American Family Physician
Apr 1, 2022 - Venous thromboembolism (VTE) recurrence rates are three times higher in patients with chronic or no risk factors compared with those who have transient risk factors after stopping anticoagulation therapy. In patients with unprovoked VTE, age-appropriate screening is sufficient ...
American Family Physician : Article
https://www.aafp.org/afp/2022/0400/p377.html
Laceration Repair: A Practical Approach - American Family Physician
May 15, 2017 - The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0515/p628.html
Type 2 Diabetes Mellitus: Outpatient Insulin Management - American Family Physician
Jan 1, 2018 - In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0101/p29.html
Audiometry Screening and Interpretation - American Family Physician
Jan 1, 2013 - The prevalence of hearing loss varies with age, affecting at least 25 percent of patients older than 50 years and more than 50 percent of those older than 80 years. Adolescents and young adults represent groups in which the prevalence of hearing loss is increasing and may therefore ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0101/p41.html
Tranexamic Acid for Postpartum Hemorrhage - Medicine by the Numbers - American Family ...
May 1, 2020 - Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0501/od2.html
Splint vs. Cast for Forearm Buckle Fracture in Children - Medicine by the Numbers - ...
Apr 1, 2022 - Learn more about splint vs. cast for forearm buckle fracture in children.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2022/0400/od2.html
Peritonsillar Abscess - American Family Physician
Apr 15, 2017 - Peritonsillar abscess is the most common deep infection of the head and neck, occurring primarily in young adults. Diagnosis is usually made on the basis of clinical presentation and examination. Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a hot ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0415/p501.html