Health Maintenance in Postmenopausal Women - American Family Physician
May 1, 2017 - Cardiovascular disease is the leading cause of death and disability in postmenopausal women older than 50 years. Clinicians should use the pooled cohort risk assessment equations or another risk calculator every three to five years to estimate a woman’s 10-year risk of atherosclerotic ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0501/p561.html
Nephrotic Syndrome in Adults: Diagnosis and Management - American Family Physician
Nov 15, 2009 - Nephrotic syndrome may be caused by primary (idiopathic) renal disease or by a variety of secondary causes. Patients present with marked edema, proteinuria, hypoalbuminemia, and often hyperlipidemia. In adults, diabetes mellitus is the most common secondary cause, and focal segmental ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1115/p1129.html
E/M Changes for 2021: The Beginning, Not the End -- FPM
Feb 1, 2021 - The E/M coding revisions aren’t perfect, but they represent a huge step forward in reducing physicians’ documentation burden, audit risk, and complexity of code selection.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2021/0100/p8.html
Effectiveness of Moisturizers in the Treatment of Patients with Eczema - Cochrane for ...
Jan 1, 2018 - Moisturizers decrease the rate of eczema flare-ups by 3.7 times vs. no treatment (number needed to treat [NNT] = 4), as well as the amount of topical corticosteroids used per eczema flare-up (9.3 g less). Adverse effects are minimal.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0101/p18.html
Geriatric Assistive Devices - American Family Physician
Aug 15, 2011 - Disability and mobility problems increase with age. Assistive devices such as canes, crutches, and walkers can be used to increase a patient’s base of support, improve balance, and increase activity and independence, but they are not without significant musculoskeletal and metabolic ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0815/p405.html
Common Dental Infections in the Primary Care Setting - American Family Physician
Mar 15, 2008 - Family physicians commonly encounter patients with dental infections, such as dental caries and periodontal disease. Dental caries is caused by bacteria that destroy the enamel and dentin; it can be detected by an oral examination that shows stained pits or fissures on the tooth ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0315/p797.html
The Older Driver - Curbside Consultation - American Family Physician
May 15, 2020 - Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0515/p625.html
The Commercial Motor Vehicle Driver Medical Examination: Practical Issues - American ...
Apr 15, 2010 - The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p975.html
Clinical Management of Urinary Incontinence in Women - American Family Physician
May 1, 2013 - Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. A stepped-care approach that advances from least invasive (behavioral modification) to more invasive (surgery) interventions is recommended. Bladder retraining and pelvic floor ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0501/p634.html
Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician
Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p25.html
Esophageal Cancer - American Family Physician
Jan 1, 2017 - Esophageal cancer has a poor prognosis and high mortality rate, with an estimated 16,910 new cases and 15,910 deaths projected in 2016 in the United States. Squamous cell carcinoma and adenocarcinoma account for more than 95% of esophageal cancers. Squamous cell carcinoma is more common...
American Family Physician : Article
https://www.aafp.org/afp/2017/0101/p22.html
Diagnostic Approach to Pleural Effusion in Adults - American Family Physician
Apr 1, 2006 - The first step in the evaluation of patients with pleural effusion is to determine whether the effusion is a transudate or an exudate. An exudative effusion is diagnosed if the patient meets Light's criteria. The serum to pleural fluid protein or albumin gradients may help better ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0401/p1211.html
Immunizations (excluding Influenza) - American Family Physician
Feb 15, 2021 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...
- Overview
- Specific Immunizations
- 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=63
Counseling on Early Childhood Concerns: Sleep Issues, Thumb-Sucking, Picky Eating, ...
Aug 15, 2015 - Family physicians are often a source of information and advice on early childhood concerns regarding sleep, thumb-sucking/pacifier use, picky eating, school readiness, and oral health. Evidence indicates that family variables are important in the genesis of sleep difficulties, and that ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0815/p274.html
Charcot Foot: Clinical Clues, Diagnostic Strategies, and Treatment Principles - ...
May 1, 2018 - Acute Charcot neuroarthropathy of the foot and ankle is often difficult to diagnose because of limited findings in the patient history, physical examination, imaging, and laboratory studies. Delay in treatment results in the development of rigid foot and ankle deformities, increasing ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0501/p594.html
Update on Latent Tuberculosis Infection - American Family Physician
Jun 1, 2014 - Latent tuberculosis infection refers to an asymptomatic, nontransmissible infection with Mycobacterium tuberculosis, carrying a 5% to 10% lifetime risk of progressing to active disease. One-half of this risk occurs within the first two years after infection. High-risk groups include ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0601/p889.html
Overview of Changes to Asthma Guidelines: Diagnosis and Screening - American Family ...
May 1, 2009 - The Expert Panel Report 3 of the National Asthma Education and Prevention Program represents a major advance in the approach to asthma care by emphasizing the monitoring of clinically relevant aspects of care and the importance of planned primary care, and by providing patients ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0501/p761.html
Enuresis in Children: A Case Based Approach - American Family Physician
Oct 15, 2014 - Enuresis is defined as intermittent urinary incontinence during sleep in a child at least five years of age. Approximately 5% to 10% of all seven-year-olds have enuresis, and an estimated 5 to 7 million children in the United States have enuresis. The pathophysiology of primary ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1015/p560.html
An Update on Emergency Contraception - American Family Physician
Apr 1, 2014 - Emergency contraception decreases the risk of unintended pregnancy after unprotected sexual intercourse or after suspected failure of routine contraception (e.g., a condom breaking). Oral methods include combined contraceptive pills (i.e., Yuzpe method), single- or split-dose ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0401/p545.html
Care of the Returning Veteran - American Family Physician
Jul 1, 2010 - Of the 23.8 million military veterans living in the United States, approximately 3 million have served in Operation Enduring Freedom or Operation Iraqi Freedom. The injuries and illnesses that affect veterans returning from combat are predictable. Blast injuries are common and most ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0701/p43.html
Leukotriene Inhibitors in the Treatment of Allergy and Asthma - American Family Physician
Jan 1, 2007 - Leukotriene inhibitors are the first new class of medications for the treatment of persistent asthma that have been approved by the U.S. Food and Drug Administration in more than two decades. They also have been approved for the treatment of allergic rhinitis. Prescriptions of ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0101/p65.html
Erythema Nodosum: A Sign of Systemic Disease - American Family Physician
Mar 1, 2007 - Erythema nodosum, a painful disorder of the subcutaneous fat, is the most common type of panniculitis. Generally, it is idiopathic, although the most common identifiable cause is streptococcal pharyngitis. Erythema nodosum may be the first sign of a systemic disease such as ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p695.html
Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease - ...
Sep 15, 2010 - Pulmonary rehabilitation is a nonpharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0915/p655.html
Prevention, Recognition, and Management of Serotonin Syndrome - American Family Physician
May 1, 2010 - Serotonin syndrome is a potentially life-threatening condition caused by excessive serotonergic activity in the nervous system. It is characterized by mental status changes, autonomic instability, and neuromuscular hyperactivity. Most reported cases of serotonin syndrome are in patients...
American Family Physician : Article
https://www.aafp.org/afp/2010/0501/p1139.html
Family Medicine: An Underutilized Resource in Addressing the Opioid Epidemic? - Graham ...
Sep 1, 2016 - Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to ...
American Family Physician : Graham Center Policy One-Pagers
https://www.aafp.org/afp/2016/0901/p350.html
Diagnosis and Management of Gonococcal Infections - American Family Physician
Nov 15, 2012 - Neisseria gonorrhoeae causes urogenital, anorectal, conjunctival, and pharyngeal infections. Urogenital tract infections are most common. Men with gonorrhea may present with penile discharge and dysuria, whereas women may present with mucopurulent discharge or pelvic pain; however, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1115/p931.html
Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...
May 15, 2017 - Several medications have been used perioperatively in patients undergoing noncardiac surgery in an attempt to improve outcomes. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery to avoid increasing the ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0515/p645.html
Schizophrenia - American Family Physician
Dec 1, 2014 - Schizophrenia is the most common psychotic disease, with a global prevalence of less than 1%. It affects all ethnicities and is slightly more common in men. Patients with schizophrenia commonly experience debilitating social and occupational impairments, but some are able to function ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1201/p775.html
Autosomal Dominant Polycystic Kidney Disease - American Family Physician
Sep 1, 2014 - Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of kidney disease. Enlarging cysts within the kidneys are the clinical hallmark of the disease. Renal manifestations include varying degrees of kidney injury, urinary tract infections, kidney stones,...
American Family Physician : Article
https://www.aafp.org/afp/2014/0901/p303.html
Choosing Topical Corticosteroids - American Family Physician
Jan 15, 2009 - Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Successful treatment depends on an accurate diagnosis and consideration of the steroid's delivery ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0115/p135.html
Pertussis: A Reemerging Infection - American Family Physician
Oct 15, 2013 - Pertussis, also known as whooping cough, is an acute respiratory tract infection that has increased in incidence in recent years. The initial catarrhal stage presents with nonspecific symptoms of malaise, rhinorrhea, sneezing, lacrimation, and mild cough. During the paroxysmal stage, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p507.html
The Right-Sized Patient Panel: A Practical Way to Make Adjustments for Acuity and ...
Dec 1, 2019 - Do you have the right number of patients on your panel? Here’s a process and a spreadsheet for calculating and adjusting your panel based on actual patient behavior.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p23.html
Dermatologic Conditions in Skin of Color: Part II. Disorders Occurring Predominately in...
Jun 15, 2013 - Several skin conditions are more common in persons with skin of color, including dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids. Dermatosis papulosa nigra is a common benign condition characterized by skin lesions that do not require treatment,...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p859.html
Diagnosis and Management of Lyme Disease - American Family Physician
Jun 1, 2012 - Lyme disease, caused by the bacterium Borrelia burgdorferi, is the most common tick-borne illness in the United States. Transmission occurs primarily through the bite of an infected deer tick (Ixodes scapularis). Identification of an erythema migrans rash following a tick bite is the ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0601/p1086.html
Parkinson Disease: An Update - American Family Physician
Feb 15, 2013 - Parkinson disease is a progressive neurologic disorder afflicting approximately 1 percent of Americans older than 60 years. The cardinal features of Parkinson disease are bradykinesia, rigidity, tremor, and postural instability. There are a number of neurologic conditions that mimic the...
American Family Physician : Article
https://www.aafp.org/afp/2013/0215/p267.html
Diagnosis and Treatment of Streptococcal Pharyngitis - American Family Physician
Mar 1, 2009 - Common signs and symptoms of streptococcal pharyngitis include sore throat, temperature greater than 100.4 degrees F (38 degrees C), tonsillar exudates, and cervical adenopathy. Cough, coryza, and diarrhea are more common with viral pharyngitis. Available diagnostic tests include throat...
American Family Physician : Article
https://www.aafp.org/afp/2009/0301/p383.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
Osteoporosis - American Family Physician
Aug 15, 2020 - This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency. This collection features AFP content on osteoporosis and related issues, including calcium...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=20
Ergogenic Aids: Counseling the Athlete - American Family Physician
Mar 1, 2001 - Numerous ergogenic aids that claim to enhance sports performance are used by amateur and professional athletes. Approximately 50 percent of the general population have reported taking some form of dietary supplements, while 76 to 100 percent of athletes in some sports are reported to ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0301/p913.html
The Patient with Excessive Worry - American Family Physician
Mar 15, 2006 - Worry is a normal response to uncertainty. Education, empathetic support, reassurance, and passage of time usually ameliorate ordinary worries. However, these common-sense strategies for dealing with transient worries often prove ineffective for patients with excessive worry, many of ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0315/p1049.html
Somatoform Disorders - American Family Physician
Nov 1, 2007 - The somatoform disorders are a group of psychiatric disorders that cause unexplained physical symptoms. They include somatization disorder (involving multisystem physical symptoms), undifferentiated somatoform disorder (fewer symptoms than somatization disorder), conversion disorder ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1101/p1333.html
Vision Loss in Older Adults - American Family Physician
Aug 1, 2016 - Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults...
American Family Physician : Article
https://www.aafp.org/afp/2016/0801/p219.html
Choosing a Skeletal Muscle Relaxant - American Family Physician
Aug 1, 2008 - Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or nonsteroidal ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0801/p365.html
Management of Genital Warts - American Family Physician
Dec 15, 2004 - Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed. Biopsy, viral typing, acetowhite staining, and other diagnostic measures are not routinely ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1215/p2335.html
Treatment of Childhood and Adolescent Depression - American Family Physician
Sep 1, 2012 - Major depressive disorder in children and adolescents is a common condition that affects physical, emotional, and social development. Risk factors include a family history of depression, parental conflict, poor peer relationships, deficits in coping skills, and negative thinking. ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0901/p442.html
Childhood Eye Examination - American Family Physician
Aug 15, 2013 - Vision screening in children is an ongoing process, with components that should occur at each well-child visit. The purpose is to detect risk factors and visual abnormalities that necessitate treatment and to identify those patients who require referral to an ophthalmologist skilled in ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0815/p241.html
The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...
Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1215/p734.html
Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ...
Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2021/0201/p183.html
Practical Use of the Pessary - American Family Physician
May 1, 2000 - The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Pessaries can also be used in the treatment of stress urinary incontinence. The wide ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0501/p2719.html
Thyroid Nodules - American Family Physician
Aug 1, 2013 - Thyroid nodules are a common finding in the general population. They may present with symptoms of pressure in the neck or may be discovered during physical examination. Although the risk of cancer is small, it is the main reason for workup of these lesions. Measurement of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0801/p193.html