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
The Geriatric Assessment - American Family Physician
Jan 1, 2011 - The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually initiated when the physician identifies a potential ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0101/p48.html
Varenicline for Smoking Cessation - Medicine by the Numbers - American Family Physician
Sep 1, 2017 - Do the benefits outweigh the harms of using varenicline (Chantix) for smoking cessation? Read more to find out.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0901/od1.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
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
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
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
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
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
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
Amenorrhea: An Approach to Diagnosis and Management - American Family Physician
Jun 1, 2013 - Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause. Primary amenorrhea, which by definition...
American Family Physician : Article
https://www.aafp.org/afp/2013/0601/p781.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
Tenofovir for Prevention of HIV Infection - Medicine by the Numbers - American Family ...
Jul 1, 2017 - The benefits are greater than the harm in using tenofovir for HIV prevention, but cost-effectiveness and personal preferences are critical.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0701/od1.html
Antipsychotics for Fibromyalgia in Adults - Medicine by the Numbers - American Family ...
Aug 1, 2017 - Quetiapine may be considered for a limited period (less than 12 weeks) to improve pain, sleep, and depression in fibromyalgia, while considering the potential for weight gain.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0801/od1.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
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
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
Vitamin E in Pregnancy - Medicine by the Numbers - American Family Physician
Apr 1, 2017 - Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0401/od1.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
Buprenorphine Maintenance vs. Placebo for Opioid Dependence - Medicine by the Numbers -...
Mar 1, 2017 - Buprenorphine causes lower physical dependence, milder withdrawal symptoms, and is less likely to cause an overdose than methadone in the treatment of opioid dependence.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0301/od1.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
Community-Acquired Pneumonia in Adults: Diagnosis and Management - American Family ...
Nov 1, 2016 - Community-acquired pneumonia is a leading cause of death. Risk factors include older age and medical comorbidities. Diagnosis is suggested by a history of cough, dyspnea, pleuritic pain, or acute functional or cognitive decline, with abnormal vital signs (e.g., fever, tachycardia) and ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1101/p698.html
Evaluation and Treatment of Neonatal Hyperbilirubinemia - American Family Physician
Jun 1, 2014 - Although neonatal jaundice is common, acute bilirubin encephalopathy and kernicterus (i.e., chronic bilirubin encephalopathy) are rare. Universal screening for neonatal hyperbilirubinemia is controversial. The American Academy of Pediatrics recommends universal screening with bilirubin ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0601/p873.html
Alpha-adrenergic Agonists for the Management of Opioid Withdrawal - Medicine by the ...
Jan 1, 2017 - Alpha-adrenergic agonists were more efficacious than placebo in the management of opioid withdrawal, but are best reserved as an alternative to methadone.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0101/od1.html
Antiepileptic Drugs After First Unprovoked Seizure - Medicine by the Numbers - American...
Feb 1, 2017 - The decision to start an antiepileptic drug after a first unprovoked seizure has long been a clinically challenging one.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/0201/od1.html
Managing Hypertension Using Combination Therapy - American Family Physician
Mar 15, 2020 - More than 70% of adults treated for primary hypertension will eventually require at least two antihypertensive agents, either initially as combination therapy or as add-on therapy if monotherapy and lifestyle modifications do not achieve adequate blood pressure control. Four main ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p341.html
Evaluation of the Solitary Pulmonary Nodule - American Family Physician
Dec 15, 2015 - A solitary pulmonary nodule is a common radiologic finding that is often discovered incidentally and may require significant workup to establish a definitive diagnosis. A solitary pulmonary nodule is a well-circumscribed round lesion measuring up to 3 cm in diameter and surrounded by ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1215/p1084.html
Evaluation of the Patient with Hip Pain - American Family Physician
Jan 1, 2014 - Hip pain is a common and disabling condition that affects patients of all ages. The differential diagnosis of hip pain is broad, presenting a diagnostic challenge. Patients often express that their hip pain is localized to one of three anatomic regions: the anterior hip and groin, the ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0101/p27.html
Valproate for Adult Migraine Prophylaxis - Medicine by the Numbers - American Family ...
Nov 1, 2016 - Evidence supports current guideline recommendations on the use of valproate medications to prevent migraine.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/1101/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
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
Aripiprazole vs. Placebo or Haloperidol for Schizophrenia - Medicine by the Numbers - ...
Dec 1, 2016 - Aripiprazole was shown to have one major benefit over placebo, but favorable outcomes with haloperidol throw its effectiveness into question. Are the differences merely anomalies?
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/1201/p877.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
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
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
Omega-3 Fatty Acids and Cardiovascular Disease Prevention - Medicine by the Numbers - ...
Aug 15, 2019 - High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0815/p209.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
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
Treatment of the Common Cold - American Family Physician
Sep 1, 2019 - Acute upper respiratory tract infections are extremely common in adults and children, but only a few safe and effective treatments are available. Patients typically present with nasal congestion, rhinorrhea, sore throat, cough, general malaise, and/or low-grade fever. Informing patients...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p281.html
Frequent Headaches: Evaluation and Management - American Family Physician
Apr 1, 2020 - Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable, are difficult to treat, and cause significant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p419.html
Controlled Cord Traction During the Third Stage of Labor - Medicine by the Numbers - ...
Mar 1, 2016 - The overall risk-to-benefit ratio of controlled cord traction is unclear. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2016/0301/od1.html
Hypertensive Disorders of Pregnancy - American Family Physician
Jan 15, 2016 - Elevated blood pressure in pregnancy may represent chronic hypertension (occurring before 20 weeks’ gestation or persisting longer than 12 weeks after delivery), gestational hypertension (occurring after 20 weeks’ gestation), preeclampsia, or preeclampsia superimposed on chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0115/p121.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
Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign - ...
Jul 15, 2018 - This article discusses the POEMs (patient-oriented evidence that matters) of 2017 judged to be most consistent with the principles of the Choosing Wisely campaign. A POEM is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p93.html
Thyroid Nodules: Advances in Evaluation and Management - American Family Physician
Sep 1, 2020 - Thyroid nodules can be detected by ultrasonography in up to 68% of the general population. They are typically benign and are often discovered incidentally. The primary goal of thyroid nodule evaluation is to determine whether it is malignant. After thyroid ultrasonography has been ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0901/p298.html
Primary Care of Breast Cancer Survivors - American Family Physician
Mar 15, 2019 - With declining mortality rates, the number of breast cancer survivors is increasing. Ongoing care after breast cancer treatment is often provided by primary care physicians. This care includes surveillance for cancer recurrence with a history and physical examination every three to six ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0315/p370.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
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
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
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