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Gastroenteritis and Diarrhea in Children - American Family Physician

Jul 1, 2020 - This collection features AFP content on gastroenteritis and diarrhea in children and related issues, including dehydration, foodborne illnesses, probiotics, and rotavirus vaccination. This collection features AFP content on gastroenteritis and diarrhea in children and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=9

Beware of False-Positive Results with SARS-CoV-2 Antibody Tests - Letters to the Editor...

Jul 1, 2020 - Letters to the Editor from regarding false-positive results with SARS-CoV-2 antibody tests.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0701/p5a.html

Nutrition - American Family Physician

Jul 1, 2020 - ...07/01/2020 Vitamin D Supplementation and All-Cause Mortality [Medicine by the Numbers] 05/01/2018 Omega-3 Fatty Acids and Cardiovascular Disease [Implementing AHRQ Effective Health Care Reviews] 02/15/2018 Vitamin D Screening and Supplementation in Community-Dwelling Adults:...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86

Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0701/p51.html

A Primary Care Approach to Adverse Childhood Experiences - Curbside Consultation - ... Restricted content. Login required.

Jul 1, 2020 - A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0701/p55.html

Worth a Shot: Home Visits Keep Kids Up to Date in Pandemic

Beth Oller, M.D., writes in the FPs on the Front Lines blog that she's making home visits to pediatric patients to ensure that kids stay up to date on immunizations during the pandemic.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200630fpimmunization.html

Lessons in Negotiation: Saving OB Training During Pandemic

When COVID-19 threatened to disrupt maternity care training at a Seattle hospital, leaders from three family medicine residency programs rallied to find a solution. Read more in this FPs on the Front Lines blog post.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200616fl-covidob.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

Foreign Bodies in the Skin: Evaluation and Management - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p740.html

Clinical Diagnosis of Acute Bacterial Rhinosinusitis - Point-of-Care Guides - American ... Restricted content. Login required.

Jun 15, 2020 - Which patients with symptoms of acute rhinosinusitis have bacterial infection?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0615/p758.html

Recovering patient volume and practice finances in the wake of COVID-19: 12 tips -- FPM

Patient volume has dropped 60% since the start of the pandemic, and practice revenues have declined 55%. Here’s what practices can do to recover.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/recovering_practice_finances.html

Welcome to Family Medicine; the AAFP Is Here to Help

Third-year residents are wrapping up their training. Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., the new physician member of the AAFP Board of Directors, offers advice on how the Academy can be an invaluable resource at this critical career stage in the Leader Voices Blog.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200602lv-newphysicians.html

Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ... Restricted content. Login required.

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

Newborn Circumcision Techniques - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. The American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Centers for Disease Control and Prevention, and the American Academy ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p680.html

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ... Restricted content. Login required.

Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695.html

A Physician’s Guide to Navigating a Bureaucracy -- FPM

Jun 1, 2020 - To get what you need to create a more ideal practice, you must learn to navigate the bureaucracy of your organization. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p26.html

Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM

Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p19.html

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ... Restricted content. Login required.

Jun 1, 2020 - Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per-protocol ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695a.html

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs... Restricted content. Login required.

Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p698.html

Lend Your Voice to Academy's Week of Action

Due to the pandemic, the Academy is taking its annual advocacy event online. John Cullen, M.D., urges family physicians to make their voices heard June 1-5 to help stabilize, strengthen and sustain primary care.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200529lv-weekofaction.html

Navigating Paper Walls, Digital Windows in Pandemic

Kurt Bravata, M.D., writes in this FPs on the Front Lines blog post that masks and other COVID-19 precautions have changed the way he communicates with patients in his rural practice.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200527fl-ruralcovid.html

Atopic Dermatitis: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

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

Ectopic Pregnancy: Diagnosis and Management - American Family Physician Restricted content. Login required.

May 15, 2020 - Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic...

American Family Physician : Article

https://www.aafp.org/afp/2020/0515/p599.html

Top 20 Research Studies of 2019 for Primary Care Physicians - American Family Physician

May 15, 2020 - In 2019, regular surveillance of 110 English-language research journals identified 254 studies that met the criteria to become POEMs (patient-oriented evidence that matters). Physician members of the Canadian Medical Association rated these POEMs for their relevance to patients in their...

American Family Physician : Article

https://www.aafp.org/afp/2020/0515/p608.html

The Older Driver - Curbside Consultation - American Family Physician Restricted content. Login required.

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

Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American... Restricted content. Login required.

May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630a.html

Let's Learn From Pandemic so All May 'Live Long and Prosper'

Gary LeRoy, M.D., examines parallels between the current health crisis and the 1918 flu pandemic and writes in this Leader Voices Blog post that we must learn from history this time.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200506lv-covidhistory.html

Holding People Sacred in Time of Loss

MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives blog post that she is praying for dying patients and crying with her nurses in the midst of the COVID-19 pandemic.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200504fp-covidsacred.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

Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician

May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p528.html

Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...

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

Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ...

May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p527.html

COVID-19: Lessons Learned So Far

In his latest In the Trenches blog post, AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin offers three key observations on family medicine and the pandemic.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200428itt-covidlessons.html

COVID-19 Shows What Is Truly Valuable in Health Care

The financial burden that the COVID-19 pandemic has put on family physicians must be addressed as a threat to the very foundation of the U.S. health care system, Brent Sugimoto, M.D., M.P.H., A.A.H.I.V.S., writes in this Leader Voices Blog post.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20200423lv-familymedicinevalue.html

The Immeasurable, Cascading Effects of Primary Care

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that family physicians in outpatient settings are playing a vital role during the pandemic by keeping patients out of hospitals.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200422fp-covidprimarycare.html

When Quarantining at Home Puts Families at Risk

MaryAnn Dakkak, M.D., M.S.P.H., writes in this Fresh Perspectives post that quarantining at home is not a safe option for patients with COVID-19 who live in close quarters, and the approach is putting minority communities at risk.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200420fp-coviddisparities.html

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness...

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ...

Apr 15, 2020 - In otherwise healthy adults with severe and frequent migraine or cluster headaches, galcanezumab may provide a modest reduction in debilitating headache frequency in the short term.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0415/p502.html

Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ...

Apr 15, 2020 - Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0415/p495.html

Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ...

Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0415/p493.html

Unease During Pandemic Offers a Lesson in Understanding

Stewart Decker, M.D., writes in this Fresh Perspectives blog post that when physicians treat patients with anxiety after the COVID-19 crisis is over, they should remember how they felt during the pandemic.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200415fp-covidanxiety.html

Carpe Diem: It's Time to Fix Our Broken Health Care System

AAFP Senior VP for Advocacy, Practice Advancement and Policy Shawn Martin writes in this In the Trenches blog post that the current health crisis presents an opportunity to drastically improve the U.S. health care system.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200414itt-fixsystem.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

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

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

Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician

Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p399.html

Anxiety Disorders - American Family Physician

Apr 1, 2020 - ...04/01/2020 Benzodiazepines for Panic Disorder in Adults [Medicine by the Numbers] 05/15/2019 Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation 05/01/2019 Psychological and Pharmacologic Treatments for Adults with PTSD [Implementing AHRQ Effective...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=85

Panel Size Is Just a Number: A Rubric for Opening and Closing Panels -- FPM

Apr 1, 2020 - Deciding whether primary care doctors have the capacity to take on more patients requires accounting for things like productivity, as well as panel size.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p7.html

Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM

Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p17.html

Is This Some Kind of Joke? Understanding and Using Humor in the Clinical Setting -- FPM

Apr 1, 2020 - The wrong joke at the wrong time can shatter the doctor-patient relationship, but humor used wisely has health benefits and strengthens bonds in stressful situations.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p11.html

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