The Preparticipation Physical Evaluation - American Family Physician
May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0501/p539.html
Antibiotics for Acute Bronchitis - Medicine by the Numbers - American Family Physician
Nov 1, 2020 - Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1101/od2.html
Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ...
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
Post-ICU Care in the Outpatient Setting - American Family Physician
May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...
American Family Physician : Article
https://www.aafp.org/afp/2021/0515/p590.html
Flexible Sigmoidoscopy or Fecal Occult Blood Testing for Colorectal Cancer Screening in...
Aug 1, 2019 - This meta-analysis provides high-quality evidence that flexible sigmoidoscopy and fecal occult blood testing both reduce the risk of death from colorectal cancer. The study did not provide a clear answer regarding a superior screening modality, so the decision to choose one test over ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0801/od1.html
Treatment of Distal DVT - Medicine by the Numbers - American Family Physician
Apr 1, 2021 - A Cochrane review demonstrated that anticoagulation was effective and superior to observation for deep venous thrombosis; however, given the quality of the evidence, the benefits are unclear.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0401/p432.html
Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults - ...
Feb 15, 2021 - Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0215/p245.html
Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ...
Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1201/od2.html
Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician
Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0901/od2.html
Urethritis: Rapid Evidence Review - American Family Physician
May 1, 2021 - Urethritis refers to inflammation of the urethra and is classified as gonococcal (caused by Neisseria gonorrhoeae) or nongonococcal in origin (most commonly caused by Chlamydia trachomatis, Mycoplasma genitalium, or Trichomonas vaginalis). The most common signs and symptoms include ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0501/p553.html
Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults -...
May 1, 2015 - Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient’s quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0501/p617.html
Topical Capsaicin for Treatment of Chronic Neuropathic Pain in Adults - Medicine by the...
Dec 1, 2017 - Based on low-quality evidence, high-concentration capsaicin patches reduce neuropathic pain from herpes and human immunodeficiency virus infection by 30% to 50% compared with the low-concentration capsaicin control group.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2017/1201/od1.html
Clinically Relevant Drug-Drug Interactions in Primary Care - American Family Physician
May 1, 2019 - Drug interactions are common in the primary care setting and are usually predictable. Identifying the most important and clinically relevant drug interactions in primary care is essential to patient safety. Strategies for reducing the risk of drug-drug interactions include minimizing ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0501/p558.html
Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years - ...
May 1, 2021 - A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0501/od1.html
Antibiotic Prophylaxis for Operative Vaginal Delivery - Medicine by the Numbers - ...
Oct 1, 2020 - Current guidelines from the World Health Organization do not recommend routine antibiotic prophylaxis for operative vaginal birth because of insufficient evidence of effectiveness.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/1001/od2.html
Vitamin D Supplementation and All-Cause Mortality - Medicine by the Numbers - American ...
Jul 1, 2020 - Observational studies have shown that those with low vitamin D levels have higher cancer and cardiovascular mortality. Read more to learn about the effect of vitamin D supplementation on all-cause mortality.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0701/od1.html
Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ...
Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0301/od2.html
Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ...
Aug 1, 2020 - Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0801/p145.html
The Mental Status Examination - American Family Physician
Oct 15, 2016 - The mental status examination includes general observations made during the clinical encounter, as well as specific testing based on the needs of the patient and physician. Multiple cognitive functions may be tested, including attention, executive functioning, gnosia, language, memory, ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1015/p635.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
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
Atopic Dermatitis: Diagnosis and Treatment - American Family Physician
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
Antibiotics for Exacerbations of Chronic Obstructive Pulmonary Disease - Medicine by ...
Feb 1, 2020 - Prescription of antibiotics for the treatment of chronic obstructive pulmonary disease (COPD) is controversial due to the variety of etiologies. This review examined the use of antibiotics to treat COPD in outpatient, inpatient, and ICU settings. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0201/od1.html
Hemorrhoids: Diagnosis and Treatment Options - American Family Physician
Feb 1, 2018 - Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e., proximal or distal to the dentate line) determine the extent of pain or discomfort. The history and physical examination must assess for risk factors and clinical ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0201/p172.html
Antibiotics for Acute Rhinosinusitis in Adults - Medicine by the Numbers - American ...
Oct 1, 2019 - Because of the relatively high rate of reported adverse effects and the high likelihood of resolution of symptoms with supportive care and symptomatic management, the authors recommend selective antibiotic use in patients with acute sinusitis. Read more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/1001/od1.html
Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ...
Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0101/od1.html
Ticagrelor Compared to Clopidogrel in Acute Coronary Syndrome and Stable Coronary ...
Nov 1, 2019 - The authors determined there is no benefit from the use of ticagrelor in patients with acute coronary syndrome and stable coronary artery disease because of the uncertainty about benefits and evidence of potential harms.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/1101/od1.html
Introducing Medicine by the Numbers: A Collaboration of The NNT Group and AFP - ...
Apr 1, 2015 - The NNT is a useful concept that helps convey the importance of an intervention in various populations. The NNT assigns a bottom-line number to the relative strength of an intervention, and helps put it in perspective. Toward that end, we are happy to announce a partnership with ...
American Family Physician : Editorials
https://www.aafp.org/afp/2015/0401/p434.html
Pelvic Floor Muscle Training for Treatment of Urinary Incontinence in Women - Medicine ...
Dec 1, 2019 - Urinary incontinence is common in adult women, leading to health complications such as rash and urinary tract infections. This review discusses pelvic floor muscle training for the treatment of urinary incontinence in women.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/1201/od1.html
Preventing Spontaneous Abortion with Progestin Therapy - Medicine by the Numbers - ...
Jul 1, 2019 - The use of progestin therapy in women with recurrent pregnancy loss appears to reduce the incidence of spontaneous abortion, preterm labor, and stillbirth, and increase the rate of live birth. However, due to issues with the studies the authors were hesitant to give progestin their full...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0701/od1.html
The Suicidal Patient: Evaluation and Management - American Family Physician
Apr 1, 2021 - Suicide rates in the United States increased from 20% to 30% between 2005 and 2015, and family physicians need evidence-based resources to address this growing clinical concern. Asking high-risk patients (e.g., patients with previous suicide attempts, substance misuse, low social ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0401/p417.html
Denosumab for Reducing Risk of Fractures in Postmenopausal Women - Medicine by the ...
May 1, 2019 - Denosumab appears to be effective in reducing the risk of vertebral and nonvertebral fractures in postmenopausal women with osteoporosis. Treatment with denosumab does not increase the risk of cancer or death but might increase the risk of infection. However, more studies are required.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0501/od1.html
Polypharmacy: Evaluating Risks and Deprescribing - American Family Physician
Jul 1, 2019 - Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes. There are several risk factors that can lead to polypharmacy. Patient-related factors include having multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0701/p32.html
Antibiotic Prophylaxis in Patients with COPD - Medicine by the Numbers - American ...
Jun 1, 2019 - This research fails to determine whether the modest potential benefits of antibiotic prophylaxis in patients with chronic obstructive pulmonary disease outweigh the risk of resistance. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0601/od1.html
Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...
Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0201/od1.html
HPV Vaccine for Prevention of High-Grade Precancerous Cervical Lesions - Medicine by ...
Apr 1, 2019 - Data suggest the benefits of HPV vaccination for reducing precancerous lesions outweigh the potential harms. Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0401/od1.html
Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...
Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0301/od1.html
The Adult Well-Male Examination - American Family Physician
Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1215/p729.html
Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...
Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0701/p23.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
Effectiveness of Intrapartum Antibiotics for Meconium-Stained Amniotic Fluid - Medicine...
Nov 1, 2018 - This review concluded that there is insufficient evidence to recommend prophylactic intrapartum antibiotics in laboring women with meconium-stained amniotic fluid because of the lack of difference in rates of neonatal sepsis between the antibiotic and placebo groups.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/1101/od1.html
Palpitations: Evaluation in the Primary Care Setting - American Family Physician
Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p784.html
The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...
Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0715/p117.html
Chewing Gum for Reducing Post-Cesarean Section Ileus - Medicine by the Numbers - ...
Sep 1, 2018 - Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0901/od2.html
Combined Inhaled Short-Acting Beta2 Agonist and Anticholinergic Agents for Asthma - ...
Jun 1, 2018 - Although the quality of evidence included in this review was low to moderate, the potential benefits of decreased hospitalization and relapse rates and the comparatively mild and limited adverse events suggest that patients presenting with acute asthma exacerbations are likely to ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0601/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
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
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
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
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