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Evaluation of the Patient with Chronic Cough - American Family Physician

Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p887.html

Diagnosis and Management of Dehydration in Children - American Family Physician

Oct 1, 2009 - The most useful individual signs for identifying dehydration in children are prolonged capillary refill time, abnormal skin turgor, and abnormal respiratory pattern. However, clinical dehydration scales based on a combination of physical examination findings are better predictors than ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1001/p692.html

Common Questions About Pneumonia in Nursing Home Residents - American Family Physician

Oct 1, 2015 - Pneumonia in older adults residing in nursing homes can be challenging to diagnose and treat. Pneumococcal and influenza immunizations decrease the risk of pneumonia and are recommended for all nursing home patients. Older adults with pneumonia may not display classic signs and symptoms...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p612.html

Two Views on the New DSM-5: DSM-5: A Diagnostic Guide Relevant to Both Primary Care and...

Oct 15, 2013 - We are optimistic that by having welcomed an extensive review process and taken active steps to make DSM-5 more applicable to all of medicine, we have generated an approach that signifies a much improved future for the diagnosis and classification of mental disorders.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1015/od2.html

Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician

Dec 15, 2011 - Cirrhosis is the 12th leading cause of death in the United States. It accounted for 29,165 deaths in 2007, with a mortality rate of 9.7 per 100,000 persons. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis, although nonalcoholic fatty liver disease is emerging ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1353.html

Thrombocytopenia - American Family Physician

Mar 15, 2012 - Thrombocytopenia is defined as a platelet count of less than 150 × 103 per µL. It is often discovered incidentally when obtaining a complete blood count during an office visit. The etiology usually is not obvious, and additional investigation is required. Patients with platelet counts ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0315/p612.html

Inborn Errors of Metabolism: From Preconception to Adulthood - American Family Physician

Jan 1, 2019 - Inborn errors of metabolism (IEM), although individually rare, occur in 1 out of every 1,500 births. The first opportunity to detect IEM occurs during preconception counseling, when pregnant women and couples considering future pregnancies can undergo carrier screening. For individuals ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0101/p25.html

Bell's Palsy: Diagnosis and Management - American Family Physician

Oct 1, 2007 - Bell's palsy is a peripheral palsy of the facial nerve that results in muscle weakness on one side of the face. Affected patients develop unilateral facial paralysis over one to three days with forehead involvement and no other neurologic abnormalities. Symptoms typically peak in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1001/p997.html

2020 National Residency Match Program Results: Where Does Family Medicine Stand and ...

Aug 15, 2020 - Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p202.html

Care of Incarcerated Patients - American Family Physician

Nov 15, 2018 - The United States has the highest incarceration rate of any nation in the world. Approximately 870 of every 100,000 U.S. citizens are currently in jails or prisons. U.S. inmates are disproportionately young males, racial and ethnic minorities, and persons of low socioeconomic status. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p577.html

Sick Sinus Syndrome: A Review - American Family Physician

May 15, 2013 - Sick sinus syndrome refers to a collection of disorders marked by the heart’s inability to perform its pacemaking function. Predominantly affecting older adults, sick sinus syndrome comprises various arrhythmias, including bradyarrhythmias with or without accompanying tachyarrhythmias. ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0515/p691.html

Epilepsy: Treatment Options - American Family Physician

Jul 15, 2017 - The occurrence of a single seizure does not always require initiation of antiepileptic drugs. Risk of recurrent seizures should guide their use. In adults, key risk factors for recurrence are two unprovoked seizures occurring more than 24 hours apart, epileptiform abnormalities on ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0715/p87.html

Cervical Cancer: Evaluation and Management - American Family Physician

Apr 1, 2018 - Human papillomavirus infection is the precursor for the development of cervical cancer and is detectable in 99.7% of squamous cell carcinoma and adenocarcinoma cases. Early detection of precancerous lesions with Papanicolaou testing remains the primary mechanism for cancer prevention. ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0401/p449.html

Cluster Headache - American Family Physician

Jul 15, 2013 - Cluster headache causes severe unilateral temporal or periorbital pain, lasting 15 to 180 minutes and accompanied by autonomic symptoms in the nose, eyes, and face. Headaches often recur at the same time each day during the cluster period, which can last for weeks to months. Some ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p122.html

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

Newer Agents for the Management of Overactive Bladder - American Family Physician

Dec 15, 2006 - The anticholinergics tolterodine and oxybutynin are well established in the management of overactive bladder. However, their activity at muscarinic receptors distant from the target site (i.e., bladder) produces anticholinergic side effects leading to poor tolerability. In 2004, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1215/p2061.html

Nutrition Myths and Healthy Dietary Advice in Clinical Practice - American Family ...

May 1, 2015 - Healthy dietary intake is important for the maintenance of general health and wellness, the prevention of chronic illness, the optimization of life expectancy, and the clinical management of virtually all disease states. Dietary myths (i.e., concepts about nutrition that are poorly ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p634.html

Hyperbilirubinemia in the Term Newborn - American Family Physician

Feb 15, 2002 - Hyperbilirubinemia is one of the most common problems encountered in term newborns. Historically, management guidelines were derived from studies on bilirubin toxicity in infants with hemolytic disease. More recent recommendations support the use of less intensive therapy in healthy ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p599.html

The Visually Impaired Patient - American Family Physician

May 15, 2008 - Blindness or low vision affects more than 3 million Americans 40 years and older, and this number is projected to reach 5.5 million by 2020. In addition to treating a patient's vision loss and comorbid medical issues, physicians must be aware of the physical limitations and social ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1431.html

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.html

Update on the Evaluation and Management of Functional Dyspepsia - American Family ...

Mar 1, 2011 - Dyspepsia affects up to 40 percent of adults each year and is often diagnosed as functional (nonulcer) dyspepsia. The defining symptoms are postprandial fullness, early satiation, or epigastric pain or burning in the absence of causative structural disease. These symptoms may coexist ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0301/p547.html

Health Maintenance in Women - American Family Physician

Jan 1, 2013 - The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0101/p30.html

Top 20 Research Studies of 2014 for Primary Care Physicians - American Family Physician

Sep 1, 2015 - A team of primary care clinicians with expertise in evidence-based medicine performed monthly surveillance of more than 110 English-language clinical research journals during 2014, and identified 255 studies that had the potential to change how family physicians practice. Each study was...

American Family Physician : Article

https://www.aafp.org/afp/2015/0901/p377.html

Management of Blood Glucose with Noninsulin Therapies in Type 2 Diabetes - American ...

Jul 1, 2015 - A comprehensive, collaborative approach is necessary for optimal treatment of patients with type 2 diabetes mellitus. Treatment guidelines focus on nutrition, exercise, and pharmacologic therapies to prevent and manage complications. Patients with prediabetes or new-onset diabetes ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0701/p27.html

Cat-scratch Disease - American Family Physician

Jan 15, 2011 - Cat-scratch disease is a common infection that usually presents as tender lymphadenopathy. It should be included in the differential diagnosis of fever of unknown origin and any lymphadenopathy syndrome. Asymptomatic, bactere- mic cats with Bartonella henselae in their saliva serve as ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p152.html

Therapeutic Uses of Magnesium - American Family Physician

Jul 15, 2009 - Magnesium is an essential mineral for optimal metabolic function. Research has shown that the mineral content of magnesium in food sources is declining, and that magnesium depletion has been detected in persons with some chronic diseases. This has led to an increased awareness of proper...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p157.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

Preventive Health Care for Women Who Have Sex with Women - American Family Physician

Mar 1, 2017 - Despite recent shifts in societal attitudes toward same-sex relationships, women who have sex with women face a variety of barriers to optimal health, including a history of negatively perceived interactions in clinical settings that lead them to delay or avoid health care. Women who ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0301/p314.html

Top 20 Research Studies of 2017 for Primary Care Physicians - American Family Physician

May 1, 2018 - Based on systematic surveillance of more than 110 medical journals, 247 studies met criteria as POEMs (patient-oriented evidence that matters) in 2017. Members of the Canadian Medical Association identified 20 of these POEMs as most relevant to practice. This article reviews the ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0501/p581.html

Management of Common Sleep Disorders - American Family Physician

Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p231.html

Diagnosis and Management of Physical Abuse in Children - American Family Physician

Nov 15, 2013 - Child abuse is the third leading cause of death in children between one and four years of age, and almost 20% of child homicide victims have contact with a health care professional within a month of their death. Therefore, family physicians are in an ideal position to detect and ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p669.html

Diagnostic Imaging of Acute Abdominal Pain in Adults - American Family Physician

Apr 1, 2015 - Acute abdominal pain is a common presentation in the outpatient setting and can represent conditions ranging from benign to life-threatening. If the patient history, physical examination, and laboratory testing do not identify an underlying cause of pain and if serious pathology remains...

American Family Physician : Article

https://www.aafp.org/afp/2015/0401/p452.html

Hepatitis (and Other Liver Diseases) - American Family Physician

Nov 15, 2020 - This collection features AFP content on hepatitis and other liver disease, including cirrhosis, chronic liver failure, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, jaundice, and nonalcoholic fatty liver disease. This collection features AFP content on hepatitis and other ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=38

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

Management of Hypertriglyceridemia - American Family Physician

May 1, 2007 - Hypertriglyceridemia is associated with an increased risk of cardiovascular events and acute pancreatitis. Along with lowering low-density lipoprotein cholesterol levels and raising high-density lipoprotein cholesterol levels, lowering triglyceride levels in high-risk patients (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1365.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

Abdominal Pain, Acute - American Family Physician

Dec 1, 2020 - This collection features AFP content on acute abdominal pain and related issues, including acute pelvic pain, appendicitis, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and pancreatitis. This collection features AFP content on acute abdominal pain and related ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=73

Cancer - American Family Physician

Jan 1, 2021 - This collection features AFP content on cancer and related issues, including various types (breast, cervical, childhood, colorectal, lung, oral, ovarian, prostate, skin, testicular, and other types of cancer). This collection features AFP content on cancer and related issues, including ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=31

Substance Abuse - American Family Physician

Jan 15, 2021 - ...03/01/2017 Buprenorphine Maintenance vs. Placebo for Opioid Dependence [Medicine by the Numbers] 01/01/2017 Alpha-adrenergic Agonists for the Management of Opioid Withdrawal [Medicine by the Numbers] 10/01/2016 Rural Opioid Use Disorder Treatment Depends on Family Physicians...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=27

99213 or 99214? Three Tips for Navigating the Coding Conundrum -- FPM

Aug 1, 2018 - Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p5.html

Chlamydia Trachomatis Infections: Screening, Diagnosis, and Management - American ...

Dec 15, 2012 - Chlamydia trachomatis is a gram-negative bacterium that infects the columnar epithelium of the cervix, urethra, and rectum, as well as nongenital sites such as the lungs and eyes. The bacterium is the cause of the most frequently reported sexually transmitted disease in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1215/p1127.html

Allergy Testing: Common Questions and Answers - American Family Physician

Jul 1, 2018 - An estimated 10% to 30% of the global population has an allergic disease. Clinical presentations of allergic diseases, respiratory infections, and autoimmune conditions have similar features. Allergy and immunologic testing can help clarify the diagnosis and guide treatment. Immediate ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0701/p34.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

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

Menopause - American Family Physician

Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59

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

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

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

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

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

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