Low-Dose CT Screening Decreases Mortality in Heavy Smokers - POEMs - American Family ...
Apr 1, 2014 - In patients with a significant (greater than 50 pack-year) history of smoking, yearly screening for lung cancer using low-dose computed tomography (CT) will extend their lives. A significant proportion of screened patients will have a false-positive finding or a finding not related to ...
American Family Physician : POEMs
https://www.aafp.org/afp/2014/0401/p574.html
Intrauterine Devices: An Update - American Family Physician
Mar 15, 2014 - Three intrauterine devices (IUDs) are available in the United States: the copper T 380A and two levonorgestrel-releasing IUDs, one that releases 20 mcg of levonorgestrel per 24 hours, and one that releases 14 mcg per 24 hours. All are safe and effective methods of contraception that ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0315/p445.html
A Stepwise Approach to the Interpretation of Pulmonary Function Tests - American Family...
Mar 1, 2014 - Office-based pulmonary function testing, also known as spirometry, is a powerful tool for primary care physicians to diagnose and manage respiratory problems. An obstructive defect is indicated by a low forced expiratory volume in one second/forced vital capacity (FEV1/FVC) ratio, which...
American Family Physician : Article
https://www.aafp.org/afp/2014/0301/p359.html
Common Sleep Disorders in Children - American Family Physician
Mar 1, 2014 - Up to 50% of children will experience a sleep problem. Early identification of sleep problems may prevent negative consequences, such as daytime sleepiness, irritability, behavioral problems, learning difficulties, motor vehicle crashes in teenagers, and poor academic performance. ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0301/p368.html
Complex Care: Treating an Older Patient with Multiple Comorbidities - Curbside ...
Mar 1, 2014 - Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2014/0301/p392.html
Nut Consumption Associated with Reduced Mortality - POEMs - American Family Physician
Mar 1, 2014 - In a study of health professionals, nut consumption was associated with reduced all-cause mortality. This was primarily because of a reduction in heart disease associated with any nut consumption and a reduction in cancer associated with tree nut consumption.
American Family Physician : POEMs
https://www.aafp.org/afp/2014/0301/p389.html
Thyroid Disease in Pregnancy - American Family Physician
Feb 15, 2014 - Thyroid disease is the second most common endocrine disorder affecting women of reproductive age, and when untreated during pregnancy is associated with an increased risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. Current guidelines recommend ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0215/p273.html
Screening for Chronic Kidney Disease - Putting Prevention into Practice - American ...
Feb 15, 2014 - A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/0215/p293.html
Screening for Chronic Kidney Disease: Recommendation Statement - U.S. Preventive ...
Feb 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2014/0215/od1.html
AAFP News - Feb 15, 2014 - American Family Physician
Feb 15, 2014 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2014/0215/p262.html
Common Questions About Bell Palsy - American Family Physician
Feb 1, 2014 - Bell palsy is an acute affliction of the facial nerve, resulting in sudden paralysis or weakness of the muscles on one side of the face. Testing patients with unilateral facial paralysis for diabetes mellitus or Lyme disease is not routinely recommended. Patients with Lyme disease ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0201/p209.html
Update on Prenatal Care - American Family Physician
Feb 1, 2014 - Many elements of routine prenatal care are based on tradition and lack a firm evidence base; however, some elements are supported by more rigorous studies. Correct dating of the pregnancy is critical to prevent unnecessary inductions and to allow for accurate treatment of preterm labor....
American Family Physician : Article
https://www.aafp.org/afp/2014/0201/p199.html
Screening Echocardiography Not Beneficial - POEMs - American Family Physician
Feb 1, 2014 - Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk.
American Family Physician : POEMs
https://www.aafp.org/afp/2014/0201/p224.html
Diagnostic Approach to Patients with Tinnitus - American Family Physician
Jan 15, 2014 - Tinnitus, a common symptom encountered in family medicine, is defined as the perception of noise in the absence of an acoustic stimulus outside of the body. Because tinnitus is a symptom and not a disease, its underlying cause must be determined to best help patients. Although tinnitus ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0115/p106.html
Screening for Coronary Heart Disease with Electrocardiography - Putting Prevention into...
Jan 15, 2014 - A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/0115/p79.html
Dementia - Clinical Evidence Handbook - American Family Physician
Jan 15, 2014 - What are the effects of treatments on cognitive, behavioral, and psychological symptoms of dementia (Alzheimer disease, Lewy body dementia, or vascular dementia)?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2014/0115/p117.html
Screening for Coronary Heart Disease with Electrocardiography: Recommendation Statement...
Jan 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk of CHD events.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2014/0115/od1.html
Is Intensive Blood Pressure Control Beneficial in Patients with Acute Intracerebral ...
Jan 15, 2014 - It seems to be safe to lower systolic blood pressure to a target of 140 mm Hg in those with an acute hemorrhagic stroke. However, there seems to be no clinical benefit to this approach when the data are adjusted for baseline NIH Stroke Scale scores.
American Family Physician : AFP Journal Club
https://www.aafp.org/afp/2014/0115/p120.html
Inheriting Patients with Questionable Medication Regimens - Curbside Consultation - ...
Jan 1, 2014 - Inheriting a patient on an inappropriate or questionable medical regimen is a scenario that every physician confronts when practicing continuity care. It can present frustrating challenges, especially for resident physicians, who, because of the nature of training programs, care for ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2014/0101/p44.html
Arthropod Bites - American Family Physician
Dec 15, 2013 - The phylum Arthropoda includes arachnids and insects. Although their bites typically cause only local reactions, some species are venomous or transmit disease. The two medically important spiders in the United States are widow spiders (Latrodectus), the bite of which causes intense ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1215/p841.html
Assessment of Asymptomatic Microscopic Hematuria in Adults - American Family Physician
Dec 1, 2013 - Although routine screening for bladder cancer is not recommended, microscopic hematuria is often incidentally discovered by primary care physicians. The American Urological Association has published an updated guideline for the management of asymptomatic microscopic hematuria, which is ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1201/p747.html
Vitamin D Does Not Affect Isolated Systolic Hypertension - POEMs - American Family ...
Dec 1, 2013 - Vitamin D supplementation in patients with isolated systolic hypertension and low levels of vitamin D does not decrease systolic blood pressure after one year of treatment.
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1201/p739a.html
Five-Day Steroid Treatment Effective for Acute COPD Exacerbation - POEMs - American ...
Dec 1, 2013 - A five-day course of systemic glucocorticoids is at least as effective as a 14-day course in the treatment of adults with acute exacerbations of COPD.
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1201/od1.html
Finasteride Prevents Low-Grade Prostate Cancers, but Does Not Reduce Mortality - POEMs ...
Dec 1, 2013 - Although finasteride prevents low-grade prostate tumors, it does not affect overall survival or survival after prostate cancer diagnosis. Although high-grade cancers were more common among men taking finasteride, up to 18 years of follow-up failed to show increased mortality in this group.
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1201/p744.html
Aspirin Is as Safe and Effective as LMWH for Extended Thromboprophylaxis After Total ...
Dec 1, 2013 - Aspirin is as effective as dalteparin for extended thromboprophylaxis in patients who had total hip arthroplasty and had initially received 10 days of dalteparin prophylaxis postoperatively. Because of its relative safety, low cost, and easy administration, aspirin is an attractive ...
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1201/p739.html
Treatment of Stable Chronic Obstructive Pulmonary Disease: the GOLD Guidelines - ...
Nov 15, 2013 - Chronic obstructive pulmonary disease (COPD) is a common problem in primary care. COPD is diagnosed with spirometry only in clinically stable patients with a postbronchodilator forced expiratory volume in one second/forced vital capacity ratio of less than 0.70. All patients with COPD ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1115/p655.html
Recognition and Management of Polymyalgia Rheumatica and Giant Cell Arteritis - ...
Nov 15, 2013 - Polymyalgia rheumatica affects proximal muscles and joints, causing disability in older adults. Giant cell arteritis affects medium and large arteries and can result in blindness. These conditions overlap significantly, often occurring together. Despite the similarities, each has ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1115/p676.html
Mottled Skin Changes - Photo Quiz - American Family Physician
Nov 15, 2013 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2013/1115/p707.html
AAP Releases Guideline on Managing Type 2 Diabetes Mellitus in Patients 10 to 18 Years ...
Nov 15, 2013 - Childhood type 2 diabetes poses a challenge to many physicians who are not used to treating this disease in such young patients. The American Academy of Pediatrics (AAP) has released a guideline of evidence-based recommendations for treating type 2 diabetes in patients 10 to 18 years of...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/1115/p710.html
Outpatient Management of Alcohol Withdrawal Syndrome - American Family Physician
Nov 1, 2013 - Approximately 2% to 9% of patients seen in a family physician’s office have alcohol dependence. These patients are at risk of developing alcohol withdrawal syndrome if they abruptly abstain from alcohol use. Alcohol withdrawal syndrome begins six to 24 hours after the last intake of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1101/p589.html
Myocardial Infarction: Management of the Subacute Period - American Family Physician
Nov 1, 2013 - Optimal management of myocardial infarction in the subacute period focuses on improving the discharge planning process, implementing therapies early to prevent recurrent myocardial infarction, and avoiding hospital readmission. Evidence-based guidelines for the care of patients with ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1101/p581.html
Care of the College Student - American Family Physician
Nov 1, 2013 - There are approximately 20 million students in U.S. colleges and universities. Although this population is characterized as having good health, 600,000 students report some form of disability or some type of medical problem, including attention-deficit/hyperactivity disorder, learning ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1101/p596.html
Management of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...
Nov 1, 2013 - The American College of Physicians (ACP) has developed a guideline on the management of stable ischemic heart disease (IHD). This summary presents recommendations related to risk factor modification (including strategies of unproven benefit), medical therapies to prevent myocardial ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/1101/p612.html
n-3 Fatty Acids Do Not Prevent Cardiovascular Events in High-Risk Patients - POEMs - ...
Nov 1, 2013 - There is no evidence that n-3 fatty acids prevent cardiovascular events or death in older adults who have cardiovascular disease (or who are at risk of it but have not had a myocardial infarction).
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1101/od2.html
Recommendations for Preconception Counseling and Care - American Family Physician
Oct 15, 2013 - Given that nearly one-half of pregnancies are unintended, preconception care should be considered an integral part of primary care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body weight, screening and treatment for ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p499.html
Pertussis: A Reemerging Infection - American Family Physician
Oct 15, 2013 - Pertussis, also known as whooping cough, is an acute respiratory tract infection that has increased in incidence in recent years. The initial catarrhal stage presents with nonspecific symptoms of malaise, rhinorrhea, sneezing, lacrimation, and mild cough. During the paroxysmal stage, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p507.html
Painless Red Eye - Photo Quiz - American Family Physician
Oct 15, 2013 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2013/1015/p533.html
Same Benefit with Equivalent Doses of Chlorthalidone and HCTZ - POEMs - American Family...
Oct 15, 2013 - In this retrospective analysis, chlorthalidone and HCTZ produced the same clinical outcomes in older adults. In general, chlorthalidone was more likely to be associated with hospitalization for hypokalemia and hyponatremia. When comparing equivalent doses, though, the rates of these ...
American Family Physician : POEMs
https://www.aafp.org/afp/2013/1015/od4.html
ACIP Releases Influenza Vaccination Updates for 2013-2014 - Practice Guidelines - ...
Oct 15, 2013 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has updated its annual guidelines for routine influenza vaccination in 2013–2014. Vaccination is recommended for all persons six months or older who do not have contraindications.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/1015/p543.html
Recognition and Evaluation of Nontraumatic Subarachnoid Hemorrhage and Ruptured ...
Oct 1, 2013 - Swift diagnosis and treatment are critical for good outcomes in patients with nontraumatic subarachnoid hemorrhage, which is usually caused by a ruptured aneurysm. This type of stroke often results in death or disability. Rates of misdiagnosis and treatment delays for subarachnoid ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1001/p451.html
General Health Checks for Reducing Morbidity and Mortality - Cochrane for Clinicians - ...
Oct 1, 2013 - Although general health checks increase the number of new diagnoses, they do not decrease total, cardiovascular-related, or cancer-related morbidity or mortality. The studies in this Cochrane review have limited applicability to the current recommended practice of providing selective, ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/1001/p432.html
Functional Decline in Older Adults - American Family Physician
Sep 15, 2013 - Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0915/p388.html
Top 20 Research Studies of 2012 for Primary Care Physicians - American Family Physician
Sep 15, 2013 - This is the second annual summary of top research studies in primary care. In 2012, through regular surveillance of more than 100 English-language clinical research journals, seven clinicians identified 270 studies with the potential to change primary care practice, called POEMs, or ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0915/p380.html
ACR Publishes Guidelines for Pharmacologic and Nonpharmacologic Treatment of Gout - ...
Sep 15, 2013 - The American College of Rheumatology (ACR) has developed recommendations for the management of gout. The recommendations call for a systematic nonpharmacologic and pharmacologic management approach that is intended to be applicable to all patients with gout.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0915/p408.html
When to Order Contrast-Enhanced CT - American Family Physician
Sep 1, 2013 - Family physicians often must determine the most appropriate diagnostic tests to order for their patients. It is essential to know the types of contrast agents, their risks, contraindications, and common clinical scenarios in which contrast-enhanced computed tomography is appropriate. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p312.html
Pituitary Adenomas: An Overview - American Family Physician
Sep 1, 2013 - Prolactinomas and nonfunctioning adenomas are the most common types of pituitary adenomas. Patients with pituitary adenomas may present initially with symptoms of endocrine dysfunction such as infertility, decreased libido, and galactorrhea, or with neurologic symptoms such as headache ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p319.html
Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician
Sep 1, 2013 - Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p306.html
Undetected Childhood Sexual Trauma and Its Health Effects in Adults - Curbside ...
Sep 1, 2013 - It is essential for physicians to understand the relevance of childhood sexual trauma to adult medical conditions. Recognizing this connection can help physicians begin to manage the resulting damage. Exposure to childhood sexual trauma is highly prevalent in the United States, but is ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2013/0901/p328.html
Parathyroid Disorders - American Family Physician
Aug 15, 2013 - Disorders of the parathyroid glands most commonly present with abnormalities of serum calcium. Patients with primary hyperparathyroidism, the most common cause of hypercalcemia in outpatients, are often asymptomatic or may have bone disease, nephrolithiasis, or neuromuscular symptoms. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0815/p249.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
Interventions for Lower-Extremity Lymphedema - FPIN's Clinical Inquiries - American ...
Aug 15, 2013 - Complete decongestive physiotherapy (i.e., a noninvasive protocol consisting of skin care, lymph drainage massage, exercises, and compression bandaging1) effectively improves edema, rates of infection, and quality of life in patients with lower-extremity lymphedema.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2013/0815/od1.html
Signs and Symptoms of Childhood Cancer: A Guide for Early Recognition - American Family...
Aug 1, 2013 - Although cancer in children is rare, it is the second most common cause of childhood mortality in developed countries. It often presents with nonspecific symptoms similar to those of benign conditions, leading to delays in the diagnosis and initiation of appropriate treatment. Primary ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0801/p185.html
Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and ...
Aug 1, 2013 - The Choosing Wisely campaign provides key clinical recommendations for physicians and patients that promote best practices and help avoid unnecessary medical interventions.
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0801/p164.html
Mediterranean Diet Reduces Cardiovascular Events - POEMs - American Family Physician
Aug 1, 2013 - In a high-risk population, a Mediterranean diet, supplemented with either nuts or olive oil, reduces the likelihood of a composite outcome of cardiovascular events or death over a five-year follow-up period (number needed to treat = 70). The relative risk reduction is approximately 30%....
American Family Physician : POEMs
https://www.aafp.org/afp/2013/0801/p201.html
Edema: Diagnosis and Management - American Family Physician
Jul 15, 2013 - Edema is an accumulation of fluid in the interstitial space that occurs as the capillary filtration exceeds the limits of lymphatic drainage, producing noticeable clinical signs and symptoms. The rapid development of generalized pitting edema associated with systemic disease requires ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p102.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
A Primary Care Approach to Substance Misuse - American Family Physician
Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p113.html
Endocrine Society Releases Guidelines on Diagnosis and Management of ...
Jul 15, 2013 - The Endocrine Society recently published evidence-based recommendations on the diagnosis and management of hypertriglyceridemia in adults. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes mellitus, ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0715/p142.html
Pharmacotherapy for Mild Hypertension - Cochrane for Clinicians - American Family ...
Jul 1, 2013 - Pharmacologic treatment of mild hypertension for up to five years does not reduce coronary events, stroke, or mortality compared with placebo.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0701/p21.html
Early Recognition and Management of Sepsis in Adults: The First Six Hours - American ...
Jul 1, 2013 - Sepsis is a complication of severe infection characterized by a systemic inflammatory response. Mortality rates from sepsis range between 25% to 30% for severe sepsis and 40% to 70% for septic shock. The clinical presentation of sepsis is highly variable depending on the etiology. The ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p44.html
Nonalcoholic Fatty Liver Disease: Diagnosis and Management - American Family Physician
Jul 1, 2013 - Nonalcoholic fatty liver disease is characterized by excessive fat accumulation in the liver (hepatic steatosis). Nonalcoholic steatohepatitis is characterized by steatosis, liver cell injury, and inflammation. The mechanism of nonalcoholic fatty liver disease is unknown but involves ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p35.html
Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician
Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p25.html
Text Message Appointment Reminders - Cochrane for Clinicians - American Family Physician
Jul 1, 2013 - Text message reminders increase attendance at health care appointments compared with no reminders or postal reminders. They are as effective as telephone call reminders but are less expensive.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0701/p20.html
Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity ...
Jun 15, 2013 - ...Population: General adult population without a known diagnosis of hypertension, diabetes mellitus, hyperlipidemia, or cardiovascular disease (CVD). Recommendation: Although the correlation among healthful diet, physical activity, and the incidence of CVD is strong, existing evidence...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2013/0615/od1.html
Amenorrhea: An Approach to Diagnosis and Management - American Family Physician
Jun 1, 2013 - Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause. Primary amenorrhea, which by definition...
American Family Physician : Article
https://www.aafp.org/afp/2013/0601/p781.html
Health Literacy and Prescribing: It Is Time to Change Old Habits - Editorials - ...
Jun 1, 2013 - In the United States, 80 million adults have substantial difficulties with reading. Approximately 1.5 million adverse drug events occur each year. Clear and concise prescription writing and labeling, and confirming a patient's understanding of the instructions can help improve adherence...
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0601/p755.html
Diabetes: Taking Control of My Health - Close-ups - American Family Physician
Jun 1, 2013 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.
American Family Physician : Close-ups
https://www.aafp.org/afp/2013/0601/p758.html
AAFP News - Jun 1, 2013 - American Family Physician
Jun 1, 2013 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2013/0601/p751.html
Approach to Acute Headache in Adults - American Family Physician
May 15, 2013 - Approximately one-half of the adult population worldwide is affected by a headache disorder. The International Headache Society classification and diagnostic criteria can help physicians differentiate primary headaches (e.g., tension, migraine, cluster) from secondary headaches (e.g., ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0515/p682.html
Hard-to-Diagnose Headache: Practical Tips for Diagnosis and Treatment - Editorials - ...
May 15, 2013 - w/ Hainer
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0515/p672.html
AHA/ASA Publish Advisory on Oral Antithrombotics for Stroke Prevention in Nonvalvular ...
May 15, 2013 - New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0515/p732.html
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
Obesity in Pregnancy - Editorials - American Family Physician
May 1, 2013 - Obesity is increasingly common among pregnant women, and it can cause significant risk to mother and fetus. Family physicians who provide prenatal care should also be familiar with recommendations for the management of obesity in pregnancy.
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0501/p606.html
Diabetes: Treating Hypertension - Clinical Evidence Handbook - American Family Physician
Apr 15, 2013 - What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2013/0415/p574.html
Updated Guidelines on Outpatient Anticoagulation - American Family Physician
Apr 15, 2013 - The American College of Chest Physicians provides recommendations for the use of anticoagulant medications for several indications that are important in the primary care setting. Warfarin, a vitamin K antagonist, is recommended for the treatment of venous thromboembolism and for the ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p556.html
Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach - American Family Physician
Apr 15, 2013 - Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p568.html
Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults - ...
Apr 15, 2013 - Case Study: A 22-year-old primigravid woman at 20 weeks' gestation presents to your office with her boyfriend for a routine obstetric examination. She has had an uneventful pregnancy. She states that things are okay at home, even though she was laid off from her job just before finding ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2013/0415/p577.html
Effect of Cocoa on Blood Pressure - Cochrane for Clinicians - American Family Physician
Apr 1, 2013 - Consuming 50 g of cocoa daily will lower blood pressure 2 to 3 mm Hg on average in adults with hypertension. Evidence of improved patient-oriented outcomes does not exist.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0401/p484.html
Preoperative Testing Before Noncardiac Surgery: Guidelines and Recommendations - ...
Mar 15, 2013 - Preoperative testing (e.g., chest radiography, electrocardiography, laboratory testing, urinalysis) is often performed before surgical procedures. These investigations can be helpful to stratify risk, direct anesthetic choices, and guide postoperative management, but often are obtained ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0315/p414.html
Managing Difficult Encounters: Understanding Physician, Patient, and Situational ...
Mar 15, 2013 - Family physicians commonly find themselves in difficult clinical encounters. These encounters often leave the physician feeling frustrated. The patient may also be dissatisfied with these encounters because of unmet needs, unfulfilled expectations, and unresolved medical issues. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0315/p419.html
Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician
Mar 1, 2013 - Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0301/p337.html
Reducing the Risk of Adverse Drug Events in Older Adults - American Family Physician
Mar 1, 2013 - Adverse drug events occur in 15 percent or more of older patients presenting to offices, hospitals, and extended care facilities. These events are potentially preventable up to 50 percent of the time. Common serious manifestations include falls, orthostatic hypotension, heart failure, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0301/p331.html
Analgesics for Osteoarthritis - Implementing AHRQ Effective Health Care Reviews - ...
Mar 1, 2013 - What are the comparative effectiveness, benefits, and adverse effects of oral and topical analgesics for osteoarthritis?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2013/0301/p354.html
AASM Updates Treatment Guidelines for Restless Legs Syndrome and Periodic Limb Movement...
Feb 15, 2013 - The American Academy of Sleep Medicine (AASM) last published recommendations on the treatment of restless legs syndrome (RLS) and periodic limb movement disorder in 2004. It recently updated these recommendations based on a literature review and meta-analysis.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0215/p290.html
U.S. Preventive Services Task Force - Feb 15, 2013 - American Family Physician
Feb 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2013/0215/p283.html
Outpatient Diagnosis of Acute Chest Pain in Adults - American Family Physician
Feb 1, 2013 - Approximately 1 percent of primary care office visits are for chest pain, and 1.5 percent of these patients will have unstable angina or acute myocardial infarction. The initial goal in patients presenting with chest pain is to determine if the patient needs to be referred for further ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0201/p177.html
Intermittent Sudden Dyspneic Episodes - Photo Quiz - American Family Physician
Feb 1, 2013 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2013/0201/p217.html
Caring for Latino Patients - American Family Physician
Jan 1, 2013 - Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0101/p48.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
Cardiovascular Risk of Combined Oral Contraceptive Use - FPIN's Clinical Inquiries - ...
Dec 15, 2012 - Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2012/1215/od4.html
Putting Prevention into Practice - Dec 15, 2012 - American Family Physician
Dec 15, 2012 - Case study: A 73-year-old woman comes to your office for routine follow-up for hypertension. She lives alone in an apartment and walks slowly, requiring the use of a cane. She is otherwise healthy and alert. Her most recent eye examination was three years ago.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2012/1215/p1135.html
Tips From Other Journals - American Family Physician
Dec 1, 2012 - ...induction group were more likely to be white, 35 years or older, and nulliparous. They were also more likely to have diabetes mellitus, hypertension, obesity, a macrosomic neonate, and a Bishop score less than 5. Nulliparous women who were induced took significantly longer to...
American Family Physician : Tip
https://www.aafp.org/afp/2012/1201/p1068a.html
Revised AAP Guideline on UTI in Febrile Infants and Young Children - American Family ...
Nov 15, 2012 - In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1115/p940.html
Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician
Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1115/p913.html
Widespread Tender Hemorrhagic Patches on the Breast - Photo Quiz - American Family ...
Nov 15, 2012 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2012/1115/p953.html
When to Suspect a Genetic Syndrome - American Family Physician
Nov 1, 2012 - Family physicians should be able to recognize findings on physical examination and history that suggest the presence of a genetic syndrome to aid in the diagnosis and treatment of potentially affected patients, as well as subspecialty referral. General themes that can alert family ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1101/p826.html
Top 20 Research Studies of 2011 for Primary Care Physicians - American Family Physician
Nov 1, 2012 - In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1101/p835.html
AACE Releases Guidelines for Menopausal Hormone Therapy - Practice Guidelines - ...
Nov 1, 2012 - Menopause is diagnosed in women who have not had menses for one year. The American Association of Clinical Endocrinologists (AACE) convened a task force to review available evidence on therapies for menopausal symptoms. The task force's guidelines include recommendations for prescribing...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/1101/p864.html
Poems & Tips From Other Journals - American Family Physician
Nov 1, 2012 - ...the "white-coat hypertension" that occurs when physicians take a patient's blood pressure. (Level of Evidence: 1b) Reference: Myers MG, Godwin M, Dawes M, et al. Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension:...
American Family Physician : Tip
https://www.aafp.org/afp/2012/1101/ot3.html
Poems & Tips From Other Journals - American Family Physician
Nov 1, 2012 - ...Clinical Question: How many blood pressure readings are necessary to accurately diagnose hypertension? Bottom Line: Several blood pressure measurements, taken over time, should be averaged to obtain a patient's "true" blood pressure. Using a single measurement to determine whether...
American Family Physician : Tip
https://www.aafp.org/afp/2012/1101/ot2.html