Combination LABA Inhalers Compared with High-Dose Inhaled Steroids for Adults with ...
Mar 1, 2018 - We designated the use of long-acting beta agonist inhalers for adults with asthma as having no benefits because of a small potential benefit of questionable clinical utility (avoiding a brief burst of oral steroids) and the possibility of a fatal harm. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0301/od1.html
Hyperpronation Method for Reduction of Nursemaid's Elbow - Medicine by the Numbers - ...
May 15, 2018 - Although data are limited, the results have consistently shown a higher rate of success with first attempt reduction of nursemaids' elbow when the hyperpronation method was used. For other outcomes, including pain and adverse effects such as bruising, no conclusions could be drawn ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0515/od2.html
Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ...
Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0301/od1.html
Qvar for Treatment of Chronic Asthma - Medicine by the Numbers - American Family Physician
Apr 15, 2018 - Learn the results of a Cochrane review which studied the effectiveness of Qvar in two sets of patients with chronic asthma: those receiving oral corticosteroids and those not receiving them.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0415/p538.html
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
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
Antibiotics for Otitis Media in Children - Medicine by the Numbers - American Family ...
Jun 15, 2018 - This meta-analysis concludes that the risk of a prolonged course of antibiotics was twice as high for children younger than two years with bilateral acute otitis media than for children two years and older with unilateral acute otitis media, indicating that antibiotics might be ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0615/od3.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
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
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
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
Statins in Persons at Low Risk of Cardiovascular Disease - Medicine by the Numbers - ...
Nov 1, 2017 - Despite the small reductions in nonfatal heart attacks and strokes, statins were not associated with a reduction in serious illness overall.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/1101/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
Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ...
Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0101/od1.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
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
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
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
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
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
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
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
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
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
Sepsis: Diagnosis and Management - American Family Physician
Apr 1, 2020 - Guidelines published in 2016 provide a revised definition of sepsis: life-threatening organ dysfunction caused by a dysregulated host response to infection. The guidelines define septic shock as sepsis with circulatory, cellular, and metabolic dysfunction that is associated with a ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p409.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
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
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
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
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
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
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
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
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
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 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
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
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
Management of Hypertriglyceridemia: Common Questions and Answers - American Family ...
Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0915/p347.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
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
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 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
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
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
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
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
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
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
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