Pregnancy Myths and Practical Tips - American Family Physician
Oct 1, 2020 - For many patients, pregnancy is a highly anticipated and exciting phase of life, but it can also be anxiety provoking. Family physicians can resolve some of this anxiety and promote maternal and fetal health by making specific recommendations at prenatal visits. A daily prenatal vitamin...
American Family Physician : Article
https://www.aafp.org/afp/2020/1001/p420.html
PID Treatment, Low Back Pain, Opioids, Plasma Injections, Sphygmomanometry - AFP ...
Oct 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/1001/p398.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
Opioid Epidemic - Key Resources - American Family Physician
Sep 15, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=106
Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ...
Sep 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0915/p335.html
Urinary Tract Infections/Dysuria - American Family Physician
Sep 1, 2020 - This collection features AFP content on urinary tract infections/dysuria and related issues, including asymptomatic bacteriuria, bladder infections, cystitis, painful bladder syndrome, pyelonephritis, urinalysis, and urine dipstick testing. This collection features AFP content on ...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=30
Urinary Tract Infections in Young Children and Infants: Common Questions and Answers - ...
Sep 1, 2020 - Urinary tract infections (UTIs) are common in children and are associated with significant short- and long-term morbidity. They have a high recurrence rate and are associated with anatomic and functional abnormalities. The decision to test for UTI is based on risk factors and the ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0901/p278.html
Cloudy Pleural Fluid on Thoracentesis - Photo Quiz - American Family Physician
Sep 1, 2020 - A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0901/p307.html
Osteoporosis - American Family Physician
Aug 15, 2020 - This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency. This collection features AFP content on osteoporosis and related issues, including calcium...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=20
Henoch-Schönlein Purpura (IgA Vasculitis): Rapid Evidence Review - American Family ...
Aug 15, 2020 - Henoch-Schönlein purpura, now called immunoglobulin A (IgA) vasculitis, is a systemic, immune complex–mediated, small-vessel leukocytoclastic vasculitis characterized by nonthrombocytopenic palpable purpura, arthritis, and abdominal pain. It is the most common vasculitis in children but...
American Family Physician : Article
https://www.aafp.org/afp/2020/0815/p229.html
Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ...
Aug 15, 2020 - The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0815/p234.html
Facial Rash with Oral Lesions - Photo Quiz - American Family Physician
Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0815/p243.html
Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ...
Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p247.html
Intrapartum Fetal Monitoring - American Family Physician
Aug 1, 2020 - Continuous electronic fetal monitoring was developed to screen for signs of hypoxic-ischemic encephalopathy, cerebral palsy, and impending fetal death during labor. Because these events have a low prevalence, continuous electronic fetal monitoring has a false-positive rate of 99%. The ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0801/p158.html
Complementary and Alternative Medicine - American Family Physician
Aug 1, 2020 - This collection features AFP content on complementary and alternative medicine, including herbs and dietary supplements, acupuncture, meditation, and yoga. This collection features AFP content on complementary and alternative medicine, including herbs and dietary supplements, ...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=60
Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...
Aug 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0801/p136.html
Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ...
Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0801/p147.html
Hyperpigmentation of the Tongue and Buccal Mucosa - Photo Quiz - American Family Physician
Aug 1, 2020 - ...infectious disease, and cancer.3,4 Conversely, overreplacement can result in impaired glucose tolerance, insulin resistance, obesity, and hypertension.5 Glucocorticoid replacement therapy in primary adrenal insufficiency requires continuous monitoring and adjustment. In the absence...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0801/p181.html
Asymptomatic Bacteriuria - American Family Physician
Jul 15, 2020 - Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. There are few indications to treat asymptomatic bacteriuria, and ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0715/p99.html
Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ...
Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0715/p115.html
Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ...
Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0701/p30.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, ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=9
Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ...
Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0701/p58.html
Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...
Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0615/p753.html
Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...
Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0615/od1.html
Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0615/p748.html
Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician
Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0615/p755.html
Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ...
Jun 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0615/p718.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
Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...
May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0515/od1.html
Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ...
May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0515/p618.html
Chronic Dyspnea: Diagnosis and Evaluation - American Family Physician
May 1, 2020 - Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p542.html
Endometrial Biopsy: Tips and Pitfalls - American Family Physician
May 1, 2020 - Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p551.html
Tickborne Diseases: Diagnosis and Management - American Family Physician
May 1, 2020 - Tickborne diseases that affect patients in the United States include Lyme disease, Rocky Mountain spotted fever (RMSF), ehrlichiosis, anaplasmosis, babesiosis, tularemia, Colorado tick fever, and tickborne relapsing fever. Tickborne diseases are increasing in incidence and should be ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p530.html
Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician
May 1, 2020 - A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0501/p567.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
Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants - ...
Apr 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0415/p460.html
Outpatient Burn Care: Prevention and Treatment - American Family Physician
Apr 15, 2020 - Most patients with burn injuries are treated as outpatients. Two key determinants of the need for referral to a burn center are burn depth and percentage of total body surface area involved. All burn injuries are considered trauma, prompting immediate evaluation for concomitant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0415/p463.html
Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...
Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0415/p458.html
Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ...
Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434a.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
Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ...
Apr 1, 2020 - Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434.html
Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis - FPIN's ...
Apr 1, 2020 - Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0401/p432.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
Genital Ulcers: Differential Diagnosis and Management - American Family Physician
Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p355.html
Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ...
Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0315/p378.html
Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Mar 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0315/p370.html
Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ...
Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0315/p339.html
Tense Bullae and Pruritus - Photo Quiz - American Family Physician
Mar 1, 2020 - A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0301/p305.html
Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ...
Mar 1, 2020 - Vitamin and mineral supplementation has little to no beneficial effect on preserving cognitive functioning or preventing dementia in cognitively healthy adults 40 years and older.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0301/p272.html
Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ...
Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309a.html
The Risk of Corticosteroids in Community-Acquired Pneumonia - Letters to the Editor - ...
Feb 15, 2020 - ...conditions, immunocompromised state, and concurrent use of nonsteroidal anti-inflammatory drugs. Hyperglycemia, fluid retention, hypertension, delirium, psychosis, insomnia, osteonecrosis, and gastrointestinal bleeding may consequently be underestimated. The potential harmful...
American Family Physician : Letter
https://www.aafp.org/afp/2020/0215/p197.html
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
Chronic Wounds: Evaluation and Management - American Family Physician
Feb 1, 2020 - Chronic wounds are those that do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. The morbidity and associated costs of chronic wounds highlight the need to implement wound prevention and treatment guidelines. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p159.html
Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...
Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p147.html
Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...
Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p89.html
Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS - ...
Jan 15, 2020 - This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0115/p123.html
Lymphoma: Diagnosis and Treatment - American Family Physician
Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0101/p34.html
Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician
Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0101/p49.html
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53.html
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.html
Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...
Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1215/p782.html
Cirrhosis: Diagnosis and Management - American Family Physician
Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1215/p759.html
Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides...
Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/1215/p778.html
Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Dec 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2019/1215/p742.html
Screening for Pancreatic Cancer: Recommendation Statement - U.S. Preventive Services ...
Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1215/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
Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...
Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1115/p649.html
Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ...
Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646.html
Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...
Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p648.html
Depression in Children and Teens - American Family Physician
Nov 15, 2019 - ...Previous: Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG Next: Potential Drug Interactions in Patients Taking Oral Contraceptive Pills View the full table of contents >> Home / Journals / afp / Vol. 100/No. 10(November 15, 2019) / Depression in...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2019/1115/p609-s1.html
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.html
Care of the Military Veteran: Selected Health Issues - American Family Physician
Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...
American Family Physician : Article
https://www.aafp.org/afp/2019/1101/p544.html
The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...
Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/1101/p575.html
Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ...
Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/1101/p537.html
Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for...
Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p541.html
Postpartum Care: An Approach to the Fourth Trimester - American Family Physician
Oct 15, 2019 - The postpartum period, defined as the 12 weeks after delivery, is an important time for a new mother and her family and can be considered a fourth trimester. Outpatient postpartum care should be initiated within three weeks after delivery in person or by phone, and may require multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1015/p485.html
Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...
Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1015/od1.html
Influenza Vaccination: Updated Recommendations from ACIP - Practice Guidelines - ...
Oct 15, 2019 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1015/p505.html
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...
Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1015/p463.html
Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...
Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p403.html
Anticoagulation: Updated Guidelines for Outpatient Management - American Family Physician
Oct 1, 2019 - Anticoagulation therapy is recommended for preventing, treating, and reducing the recurrence of venous thromboembolism, and preventing stroke in persons with atrial fibrillation. Direct oral anticoagulants are first-line agents for eligible patients for treating venous thromboembolism ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1001/p426.html
Opioid Use Disorder: Medical Treatment Options - American Family Physician
Oct 1, 2019 - Opioid use disorder is highly prevalent and can be fatal. At least 2.1 million Americans 12 years and older had opioid use disorder in 2016, and approximately 47,000 Americans died from opioid overdoses in 2017. Opioid use disorder is a chronic relapsing condition, the treatment of ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1001/p416.html
Common Misperceptions About Buprenorphine Prescribing for Opioid Use Disorder - ...
Oct 1, 2019 - The antidote to the opioid use disorder epidemic is the thoughtful use of evidence-based medicine and an honest understanding of what we know—and what we don't know—about caring for people with substance use disorders.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/1001/p396.html
Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...
Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p405.html
Uterine Fibroids, Traumatic Brain Injury, Treating Obesity, Breast Cancer Survivors - ...
Oct 1, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2019/1001/p400.html
Protecting Patients from Elder Abuse Scams - Close-ups - American Family Physician
Oct 1, 2019 - Protecting patients from elder abuse scams.
American Family Physician : Close-ups
https://www.aafp.org/afp/2019/1001/p438.html
Diagnosing Dementia and Clarifying Goals of Care - Lown Right Care: Reducing Overuse ...
Sep 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2019/0915/p369.html
Venous Ulcers: Diagnosis and Treatment - American Family Physician
Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p298.html
Top POEMs of 2018 Consistent with the Principles of the Choosing Wisely Campaign - ...
Sep 1, 2019 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2018 judged to be most consistent with the principles of the Choosing Wisely campaign. We selected these POEMs through a crowdsourcing strategy of the daily POEMs information service for Canadian Medical ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p290.html
Child with Swollen Eyes - Photo Quiz - American Family Physician
Sep 1, 2019 - A six-year-old child presented with eye swelling, cold-like symptoms, and fever.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0901/p313.html
Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...
Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p279.html
Communicating Risk to Patients Who Get Their Information from the Internet - Curbside ...
Sep 1, 2019 - What can physicians do when our patients act on findings from the internet?
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/0901/p306.html
Health Maintenance in School-Aged Children: Part I. History, Physical Examination, ...
Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0815/p213.html
Bilateral Lower Extremity Discoloration - Photo Quiz - American Family Physician
Aug 15, 2019 - ...His medical history included diabetes mellitus, hypertension, hyperlipidemia, and obstructive sleep apnea. His medications included hydrochlorothiazide, metformin, glipizide (Glucotrol), minocycline (Minocin), and pravastatin (Pravachol). Six weeks before presentation, he had right...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0815/p239.html
Hirsutism in Women - American Family Physician
Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0801/p168.html
Pharyngitis (Sore Throat) - American Family Physician
Jul 29, 2019 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=110
Interpregnancy Care: Guidelines from ACOG and SMFM - Practice Guidelines - American ...
Jul 15, 2019 - The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0715/p121.html
In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...
Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0715/p118a.html
Amenorrhea: A Systematic Approach to Diagnosis and Management - American Family Physician
Jul 1, 2019 - Menstrual patterns can be an indicator of overall health and self-perception of well-being. Primary amenorrhea, defined as the lifelong absence of menses, requires evaluation if menarche has not occurred by 15 years of age or three years post-thelarche. Secondary amenorrhea is ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0701/p39.html