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Management of the Difficult Patient - American Family Physician

Nov 15, 2005 - All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Difficulties may be traced to patient, physician, or health care system factors. Patient factors include psychiatric disorders, personality ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2063.html

Should Family Physicians Routinely Screen for Hypercholesterolemia in Children? Yes: ...

Oct 15, 2012 - Yes: The Evidence Supports Universal Screening. Atherosclerotic cardiovascular disease events are the culmination of a process that has clearly been shown to begin in childhood, with accumulation of abnormal lipids in the vascular intima.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od2.html

Understanding the Guidelines for Treating HIV Disease - American Family Physician

Jan 15, 1998 - In 1996 a panel of experts convened by the International AIDS Society-USA issued new guidelines for treating human immunodeficiency virus (HIV) infection, which have recently been updated. Quantitative plasma HIV-1 RNA concentration (viral load) and CD4+ lymphocyte levels are used to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p315.html

Preventing Bacterial Endocarditis: American Heart Association Guidelines - American ...

Feb 1, 1998 - The American Heart Association recently revised its guidelines for the prevention of bacterial endocarditis. These guidelines are meant to aid physicians, dentists and other health care providers, but they are not intended to define the standard of care or to serve as a substitute for ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p457.html

SIDS: Counseling Parents to Reduce the Risk - American Family Physician

Apr 1, 1998 - Although the cause or causes of sudden infant death syndrome (SIDS) remain unknown, the incidence of SIDS is on the decline in the United States and other countries. This decline has been accomplished largely through public education campaigns informing parents about several important ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1566.html

Management of Status Epilepticus - American Family Physician

Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p469.html

Late Pregnancy Bleeding - American Family Physician

Apr 15, 2007 - Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1199.html

Coding and Billing Rules in 2016: Out With the Old, In With the New -- FPM

Feb 1, 2016 - Incident-to rules and advance care planning top the list of changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0100/p14.html

Successful Management of the Obese Patient - American Family Physician

Jun 15, 2000 - Obesity is a chronic disease that affects a substantial number of Americans. Obesity significantly increases a person's risk of cardiovascular diseases and morbidity. Modification of lifestyle behaviors that contribute to obesity (e.g., inappropriate diet and inactivity) is the ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3615.html

Universal Newborn Hearing Screening - American Family Physician

May 1, 2007 - Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1349.html

Incarceration and Health: A Family Medicine Perspective (Position Paper)

Read the AAFP's position paper on Incarceration and Health: A Family Medicine Perspective .

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/incarceration.html

Concussion in Sports: Minimizing the Risk for Complications - American Family Physician

Sep 15, 2001 - Mild traumatic brain injury, or concussion, is a common consequence of collisions, falls and other forms of contact in sports. Concussion may be defined as an acute trauma-induced alteration of mental function lasting fewer than 24 hours, with or without preceding loss of consciousness....

American Family Physician : Article

https://www.aafp.org/afp/2001/0915/p1007.html

Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in ... Restricted content. Login required.

Sep 1, 2021 - Structured PFMT beginning early in pregnancy prevents the onset of urge incontinence later in pregnancy and in the postpartum period compared with no intervention. There is no evidence that PFMT improves urinary incontinence later in pregnancy or in the postpartum period in pregnant ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p234.html

Office Care of the Premature Infant: Part II. Common Medical and Surgical Problems - ...

May 15, 1998 - Medical problems associated with prematurity are frequently complex, and a multidisciplinary approach is often required. Some common problems include the following: (1) anemia, which can be reduced by iron supplementation, (2) cerebral palsy or mental retardation as a result of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2383.html

Primary Care for Children with Autism - American Family Physician

Feb 15, 2010 - The earliest sign of autism in children is the delayed attainment of social skill milestones, including joint attention, social orienting, and pretend play. Language impairment is a common, but less specific, sign of autism. Repetitive behaviors and restricted interests may not be noted...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p453.html

Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ... Restricted content. Login required.

Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p147.html

Growing Mass in an Adolescent - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 1, 2021 - A patient presented with a polypoid, unpigmented mass on the top of the head that was raised and asymmetrical with slightly irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p413.html

Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary ...

Sep 15, 2002 - Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care physicians, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0915/p1001.html

FMIG Family Medicine Programming Ideas

Find ways to promote the Family Medicine specialty from previous FMIG Program of Excellence Award winners.

Students and Residents : Medical Students

https://www.aafp.org/students-residents/medical-students/fmig/lead-fmig/programming/fmeducation.html

Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician

Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1961.html

Treatment of Obstructive Sleep Apnea in Primary Care - American Family Physician

Feb 1, 2004 - Obstructive sleep apnea should be suspected in patients who are overweight snore loudly, and have chronic daytime sleepiness. The diagnosis of sleep apnea may be confirmed by sleep laboratory studies. Patients' symptoms and the frequency of respiratory events on laboratory testing are ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p561.html

Anticoagulation for the Long-term Treatment of VTE in Patients with Cancer - Cochrane ...

Jun 1, 2019 - Low-molecular-weight heparin (LMWH), vitamin K antagonists, and direct oral anticoagulants, when used to prevent recurrent VTE, have a similar impact on all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0601/p676.html

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

Family Medicine RapSDI Program 2021 Scholars Announced

Following a lengthy application process, the Family Medicine Discovers Rapid Cycle Scientific Discovery and Innovation initiative has selected two RapSDI scholars for 2021.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20210707rapsdi.html

In Defense of Family Medicine Certification

Craig Czarsty, M.D., former Board chair of the American Board of Family Medicine (ABFM), offers a rebuttal to criticism of the ABFM's initial board certification and continuing certification processes.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20180131guestedabfm.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.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

Seven Habits for Reducing Work After Clinic -- FPM

Jun 1, 2019 - Imagine shutting your office door at the end of the day and not having any work that you need to take home. These shifts in practice can help you reclaim your time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0500/p10.html

Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease - ... Restricted content. Login required.

Sep 15, 2020 - Is it possible to determine which patients with acute abdominal pain are likely to have diverticulitis and therefore do not require imaging?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0915/p371.html

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.html

Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease ...

Jan 15, 2002 - Coronary heart disease, the leading cause of death in women, is largely preventable. Lifestyle modifications (e.g., diet and exercise) are the cornerstone of primary and secondary prevention. Elevated levels of low-density lipoprotein cholesterol and triglycerides and low levels of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p217.html

Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician

Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p29.html

Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ... Restricted content. Login required.

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

Esophageal Cancer: A Review and Update - American Family Physician

Jun 15, 2006 - Although significant advancements have been made in the treatment of esophageal cancer, this aggressive malignancy commonly presents as locally advanced disease with a poor prognosis. Despite improvements in the detection of premalignant pathology, newer preventative strategies, and the...

American Family Physician : Article

https://www.aafp.org/afp/2006/0615/p2187.html

CT Colonography for Colorectal Cancer Screening - Diagnostic Tests: What Physicians ... Restricted content. Login required.

Jan 1, 2021 - Computed tomography colonography performs well for colorectal cancer screening. Long-term studies are needed to demonstrate its impact on patient morbidity and mortality, as well as to determine the risks, benefits, and costs.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0101/p55.html

Birth, Death, Hope and Money: Stories of Family Medicine

A diverse panel of five family physicians offered students and residents their perspectives on family medicine -- stories of triumphant hope and success -- during the 2018 National Conference of Family Medicine Residents and Medical Students.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20180808nc-facesoffm.html

Ocular Emergencies - American Family Physician

Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p829.html

Sudden Death in Young Athletes: Screening for the Needle in a Haystack - American ...

Jun 1, 1998 - Nontraumatic sudden death in young athletes is always disturbing, as apparently invincible athletes, become, without warning, victims of silent heart disease. Despite public perception to the contrary, sudden death in young athletes is exceedingly rare. It most commonly occurs in male ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2763.html

Skin-to-Skin Contact for Improved Duration of Breastfeeding - FPIN's Help Desk Answers ...

Aug 1, 2019 - Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0801/od2.html

Students, Residents Elect New Leaders for the Coming Year

Delegates to the National Congress of Family Medicine Residents and the National Congress of Student Members chose new leaders July 27 in Kansas City, Mo., to represent them in the coming year.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20190727nc-elections.html

Students Optimistic About Future of Family Medicine

After a chaotic 2020, we asked four AAFP student leaders what they are excited about regarding the future of family medicine. Here is what they shared.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20210127fmfuture.html

Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...

Jun 15, 2019 - The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0615/od1.html

Outpatient E/M Coding Simplified -- FPM Restricted content. Login required.

Feb 1, 2022 - Getting clear on the new coding rules can help you eliminate bloated documentation and improve reimbursement to reflect the value of your visits.

Family Practice Management : Articles

https://www.aafp.org/fpm/2022/0100/p26.html

Intra-articular Corticosteroid Injections for Osteoarthritis of the Knee - FPIN's ...

Jul 15, 2014 - Intra-articular corticosteroid injections can be used to reduce pain by about 20% in the short term (one to three weeks) in patients with osteoarthritis of the knee.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0715/p115.html

Diagnostic Evaluation of Dyspnea - American Family Physician

Feb 15, 1998 - Dyspnea is a common symptom and, in most cases, can be effectively managed in the office by the family physician. The differential diagnosis is composed of four general categories: cardiac, pulmonary, mixed cardiac or pulmonary, and noncardiac or nonpulmonary. Most cases of dyspnea are ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p711.html

Braces and Splints for Musculoskeletal Conditions - American Family Physician

Feb 1, 2007 - Braces and splints can be useful for acute injuries, chronic conditions, and the prevention of injury. There is good evidence to support the use of some braces and splints; others are used because of subjective reports from patients, relatively low cost, and few adverse effects, despite...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p342.html

Latex Allergy - American Family Physician

Dec 15, 2009 - The prevalence of latex allergy in the general population is low; however, the risk of developing latex allergy is higher in persons with increased latex exposure, such as health care workers or persons who work in the rubber industry. Children with spina bifida and others who undergo ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1413.html

Best Project Winners Named By Emerging Leader Institute

The AAFP Foundation recently announced the project award winners from the Family Medicine Leads Emerging Leader Institute's fifth class.

AAFP News : CME

https://www.aafp.org/news/education-professional-development/20200825emergingleaders.html

Chronic Vulvovaginal Candidiasis - American Family Physician

Feb 15, 2001 - Frequently ignored by the medical community, chronic vulvovaginal symptoms are relatively common and can frustrating for patients and physicians. Establishing a proper diagnosis will lay the foundation for an effective therapeutic therapeutic plan. Fungal cultures are an important ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p697.html

'Moving the Needle' on Student Choice

Michelle Roett, M.D., M.P.H., is working on both local and national initiatives to expand the family medicine pipeline.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20181022fdf-roett.html

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