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Eye and Vision Disorders - American Family Physician

Oct 15, 2021 - This collection features AFP content on eye and vision disorders, including amblyopia, eye examinations, glaucoma, LASIK surgery, ocular emergencies, red eye, vision loss, and vision screening. This collection features AFP content on eye and vision disorders, including amblyopia, eye ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=66

Travel Medicine - American Family Physician

Oct 15, 2021 - This collection features AFP content on travel medicine and related issues, including malaria, traveler’s diarrhea, pretravel consultation, and travel immunizations. This collection features AFP content on travel medicine and related issues, including malaria, traveler’s diarrhea, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=70

Health Maintenance and Counseling - American Family Physician

Aug 12, 2021 - This collection features AFP content on health maintenance and counseling and related issues, including dietary and nutrition guidelines, health maintenance in children, lifestyle counseling, and physical activity. This collection features AFP content on health maintenance and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=64

Onychomycosis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Onychomycosis is a chronic fungal infection of the fingernail or toenail bed leading to brittle, discolored, and thickened nails. Onychomycosis is not just a cosmetic problem. Untreated onychomycosis can cause pain, discomfort, and physical impairment, negatively impacting quality of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p359.html

Hereditary Hemochromatosis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Hereditary hemochromatosis is an autosomal recessive disorder that disrupts iron homeostasis, resulting in systemic iron overload. It is the most common inherited disorder among people of northern European ancestry. Despite the high prevalence of the gene mutation, there is a low and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p263.html

Alcohol Withdrawal Syndrome: Outpatient Management - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p253.html

Diabetes-Related Foot Infections: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Diabetes-related foot infections occur in approximately 40% of diabetes-related foot ulcers and cause significant morbidity. Clinicians should consider patient risk factors (e.g., presence of foot ulcers greater than 2 cm, uncontrolled diabetes mellitus, poor vascular perfusion, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p386.html

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

Aug 1, 2021 - Osteomyelitis is an inflammatory condition of bone secondary to an infectious process. Osteomyelitis is usually clinically diagnosed with support from imaging and laboratory findings. Bone biopsy and microbial cultures offer definitive diagnosis. Plain film radiography should be ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p395.html

Efficient Approach to the Evaluation of Syncope - Lown Right Care: Reducing Overuse and... Restricted content. Login required.

Aug 1, 2021 - 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/2021/0900/p305.html

Remdesivir (Veklury) for the Treatment of COVID-19 in Hospitalized Patients - STEPS - ... Restricted content. Login required.

Aug 1, 2021 - Although remdesivir has been shown to be safe and well tolerated, there is a lack of consistency in clinical trial results and guideline recommendations.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0900/p311.html

Melatonin to Treat Insomnia in Older Adults - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Aug 1, 2021 - Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0900/p297.html

Venous Thromboembolism: Management Guidelines from the American Society of Hematology -... Restricted content. Login required.

Aug 1, 2021 - The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p429.html

Musculoskeletal Care - American Family Physician

Jul 15, 2021 - This collection features AFP content on musculoskeletal care and related issues, including fracture management, joint aspiration, joint injections, pain in various parts of the body (foot and ankle; neck and back; hip; knee; arm and shoulder; and wrist and hand). This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=17

Pharmacologic Therapy for Acute Pain - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Pharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p63.html

Complex Regional Pain Syndrome - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Complex regional pain syndrome (CRPS) is a rare, chronic pain disorder. It is challenging for patients and physicians because it leads to significant morbidity due to chronic pain that may last for years. CRPS typically develops four to six weeks after direct trauma, such as an injury ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p49.html

Sinus Node Dysfunction - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Sinus node dysfunction, previously known as sick sinus syndrome, describes disorders related to abnormal conduction and propagation of electrical impulses at the sinoatrial node. An abnormal atrial rate may result in the inability to meet physiologic demands, especially during periods ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p179.html

Care of the College Student - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p141.html

Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions - Cochrane... Restricted content. Login required.

Jul 1, 2021 - Surgical treatment for AC joint dislocation of the shoulder does not appear to be superior to conservative management in adults. Surgical therapy increases the risk of hardware complications, infection, and continued discomfort.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0700/p28.html

Prenatal Vitamins, Patellofemoral Pain Syndrome, Alcohol Misuse, Hernia, Anaphylaxis, ... Restricted content. Login required.

Jul 1, 2021 - 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/2021/0800/p137.html

Mild Creatine Kinase Elevations Do Not Necessarily Reflect Rhabdomyolysis - Letters to ...

Jul 1, 2021 - ...about 10 patients with SARS-CoV-2 infection who developed rhabdomyolysis after the onset of COVID-19. The authors concluded that clinicians should be aware of this life-threatening manifestation of COVID-19 so that prompt and appropriate interventions can be performed. Having...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0700/p6.html

Additional Differential Diagnosis for Adult Hip Pain - Letters to the Editor - American...

Jul 1, 2021 - ...presents as hip pain. It is treatable if physicians are familiar with lateral femoral cutaneous nerve anatomy and ultrasound location. This injury is amenable to nerve hydrodissection guided by point-of-care ultrasonography because it courses over the proximal sartorius muscle....

American Family Physician : Letter

https://www.aafp.org/afp/2021/0700/p9.html

Obstetric Lacerations: Prevention and Repair - American Family Physician Restricted content. Login required.

Jun 15, 2021 - Obstetric lacerations are a common complication of vaginal delivery. Lacerations can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved, with fourth-degree lacerations disrupting the anal sphincter and the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0615/p745.html

Mobility Assistive Device Use in Older Adults - American Family Physician Restricted content. Login required.

Jun 15, 2021 - Many individuals need a mobility assistive device as they age. These devices include canes, crutches, walkers, and wheelchairs. Clinicians should understand how to select the appropriate device and size for individual patients (or work with a physical therapist) and prescribe the device...

American Family Physician : Article

https://www.aafp.org/afp/2021/0615/p737.html

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...

Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2021/0615/od1.html

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons - ... Restricted content. Login required.

Jun 15, 2021 - A 27-year-old patient, R.C., with a history of generalized anxiety disorder presents for a wellness examination. R.C. previously smoked a pack of cigarettes per day but has cut down to half a pack per day and started using electronic cigarettes (e-cigarettes) and is interested in ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0615/p753.html

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

Jun 1, 2021 - Tinnitus is the sensation of hearing a sound in the absence of an internal or external source and is a common problem encountered in primary care. Most cases of tinnitus are benign and idiopathic and are strongly associated with sensorineural hearing loss. A standard workup begins with ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0601/p663.html

Kidney Disease - American Family Physician

Jun 1, 2021 - This collection features AFP content on kidney disease and related issues, including acute renal failure, chronic kidney disease, dialysis, hematuria, proteinuria, and renal disease. This collection features AFP content on kidney disease and related issues, including acute renal ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=15

Chronic Kidney Disease in Diabetes: Guidelines from KDIGO - Practice Guidelines - ... Restricted content. Login required.

Jun 1, 2021 - The Kidney Disease: Improving Global Outcomes (KDIGO) group, an international organization dedicated to nephrology clinical practice guidelines, has developed a new guideline for management of diabetes with chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0601/p698.html

Post-ICU Care in the Outpatient Setting - American Family Physician Restricted content. Login required.

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

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List - Practice Guidelines ... Restricted content. Login required.

May 15, 2021 - The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0515/p633.html

Blunt Costophrenic Angle in a Patient with Pancreatitis - Photo Quiz - American Family ... Restricted content. Login required.

May 15, 2021 - A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0515/p625.html

The Preparticipation Physical Evaluation - American Family Physician Restricted content. Login required.

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

In-flight Medical Emergencies - American Family Physician Restricted content. Login required.

May 1, 2021 - In 2018, approximately 2.8 million passengers flew in and out of U.S. airports per day. Twenty-four to 130 in-flight medical emergencies are estimated to occur per 1 million passengers; however, there is no internationally agreed-upon recording or classification system. Up to 70% of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p547.html

Clinical Considerations in Caring for Transgender Athletes - Editorials - American ...

May 1, 2021 - Family physicians are in a unique position to care for transgender athletes, including providing preventive and gender-affirming care and addressing acute athletic injuries and chronic health concerns.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0501/p518.html

Nonopioid Pharmacologic Treatments for Chronic Pain - Implementing AHRQ Effective ... Restricted content. Login required.

May 1, 2021 - What are the effects of nonopioid drugs on pain, function, and quality of life in patients with specific types of chronic pain, and what are the adverse events related to these drugs?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0501/p561.html

Identifying and Addressing Vicarious Trauma - Curbside Consultation - American Family ... Restricted content. Login required.

May 1, 2021 - Vicarious trauma is part of a spectrum of responses to trauma exposure, including secondary traumatic stress, caregiver fatigue, compassion fatigue, and burnout. These conditions have varying definitions and categorizations, with overlapping symptoms, diagnostic criteria, and management...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0501/p570.html

Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders - American ... Restricted content. Login required.

Apr 15, 2021 - Hypermobile Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders are the most common symptomatic joint hypermobility conditions seen in clinical practice. The 2017 International Classification of the Ehlers-Danlos syndromes replaced previous terms for symptomatic joint ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0415/p481.html

Elagolix, Estradiol, and Norethindrone Kit (Oriahnn) for the Management of Heavy ... Restricted content. Login required.

Apr 15, 2021 - Oriahnn can decrease menstrual blood loss in premenopausal patients with uterine fibroids. Although it has been studied for only six months of use and may result in significant bone loss, it is labeled for up to two years of continuous therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0415/p505.html

Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders - American ...

Apr 15, 2021 - ...flexible. Joints are areas of your body where two bones meet. Most joints bend, letting your body move. Some examples of joints are your shoulders, elbows, wrists, fingers, knees, ankles, and toes. What are hypermobile Ehlers-Danlos syndrome and hypermobility spectrum disorders?...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0415/p481-s1.html

The Suicidal Patient: Evaluation and Management - American Family Physician Restricted content. Login required.

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

Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic - POEMs - American... Restricted content. Login required.

Apr 1, 2021 - Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p439.html

Cerebrospinal Fluid Analysis - American Family Physician Restricted content. Login required.

Apr 1, 2021 - Cerebrospinal fluid (CSF) analysis is a diagnostic tool for many conditions affecting the central nervous system. Urgent indications for lumbar puncture include suspected central nervous system infection or subarachnoid hemorrhage. CSF analysis is not necessarily diagnostic but can be ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0401/p422.html

Tuberculosis, COPD, Pelvic Floor Muscle Training, Burns, Sepsis - AFP Clinical Answers ... Restricted content. Login required.

Apr 1, 2021 - 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/2021/0401/p403.html

Acute Neck Swelling in a Child - Photo Quiz - American Family Physician Restricted content. Login required.

Apr 1, 2021 - A five-year-old child presented with a midline swelling on his neck

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0401/p437.html

Common Fractures of the Radius and Ulna - American Family Physician Restricted content. Login required.

Mar 15, 2021 - Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. Evaluation with ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p345.html

Pain Management in Labor - American Family Physician Restricted content. Login required.

Mar 15, 2021 - A patient’s sense of empowerment and control is most predictive of maternal satisfaction with childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities for labor pain management should be explored as part of routine prenatal care. Continuous labor...

American Family Physician : Article

https://www.aafp.org/afp/2021/0315/p355.html

Oral and Dental Injury Prevention in Children and Adolescents - Letters to the Editor -...

Mar 15, 2021 - ...Oral and Dental Injury Prevention in Children and Adolescents Am Fam Physician. 2021 Mar 15;103(6):328. Original Article: Prevention of Unintentional Childhood Injury Issue Date: October 1, 2020 Available at: https://www.aafp.org/afp/2020/1001/p411.html I applaud Drs. DeGeorge,...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p328.html

The KIDs List: Medications That Are Potentially Inappropriate in Children - Editorials ...

Mar 15, 2021 - The Key Potentially Inappropriate Drugs in Pediatrics (KIDs) List is an open access, evidence-based reference aimed at improving medication safety in children.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0315/p330.html

Evidence-Based Use of Opioids - Letters to the Editor - American Family Physician

Mar 15, 2021 - ...addiction, velocity and validation, other strategies) method is effective for these discussions between patients and physicians.3 Clinicians should consider gradually tapering the opioids over nine to 12 months or transitioning to buprenorphine.4 Many patients without opioid use...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p326.html

Peripheral Nerve Entrapment and Injury in the Upper Extremity - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Peripheral nerves in the upper extremities are at risk of injury and entrapment because of their superficial nature and length. Injury can result from trauma, anatomic abnormalities, systemic disease, and entrapment. The extent of the injury can range from mild neurapraxia, in which the...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p275.html

Difficult-to-Treat and Severe Asthma: Management Strategies - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Asthma is a common chronic inflammatory disease in the United States. Up to 17% of asthma cases are classified as difficult to treat, and 3.7% of these are considered severe. Uncontrolled asthma is characterized by poor symptom control or frequent exacerbations. In difficult-to-treat ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0301/p286.html

Structural MRI for the Early Diagnosis of Alzheimer Disease in Patients with MCI - ... Restricted content. Login required.

Mar 1, 2021 - There is insufficient evidence to recommend structural brain magnetic resonance imaging to diagnose Alzheimer disease in patients with mild cognitive impairment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p273.html

Bipolar Disorders: Evaluation and Treatment - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Bipolar disorders are common, recurrent mental health conditions of variable severity that are difficult to diagnose. Affected individuals have higher rates of other mental health disorders, substance use disorders, and comorbid chronic medical illnesses. New diagnostic criteria and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0215/p227.html

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical ... Restricted content. Login required.

Feb 15, 2021 - The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p252.html

Sexual Assault of Women - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Sexual violence is a major public health and human rights issue affecting more than 40% of women in the United States during their lifetimes. Although men and women experience sexual assault, women are at greatest risk. Populations uniquely impacted by sexual assault include ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p168.html

Telemedicine Management of Musculoskeletal Issues - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Telemedicine can provide patients with cost-effective, quality care. The coronavirus disease 2019 pandemic has highlighted the need for alternative methods of delivering health care. Family physicians can benefit from using a standardized approach to evaluate and diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p147.html

Occupational Health - American Family Physician

Feb 1, 2021 - ...by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations, noise-induced hearing loss, occupational illnesses, occupational lung disease, work-related injuries, and work-site safety and health programs. New research may...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Chronic Pelvic Pain in Women: ACOG Updates Recommendations - Practice Guidelines - ... Restricted content. Login required.

Feb 1, 2021 - The American College of Obstetricians and Gynecologists has new recommendations for managing chronic pelvic pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0201/p186.html

Sexual Assault of Women - American Family Physician

Feb 1, 2021 - ...What should I do if I have been sexually assaulted? You should go to a safe place and get help. For example, go to the emergency room, call your doctor, or talk to the police. A doctor or nurse will talk to you about what happened. They will treat any injuries and give you medicine...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0201/p168-s1.html

Hip Pain in Adults: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Adults commonly present to their family physicians with hip pain, and diagnosing the cause is important for prescribing effective therapy. Hip pain is usually located anteriorly, laterally, or posteriorly. Anterior hip pain includes referred pain from intra-abdominal or intrapelvic ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p81.html

Dysphagia: Evaluation and Collaborative Management - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p97.html

Screening for Unhealthy Drug Use: Recommendation Statement - U.S. Preventive Services ...

Jan 15, 2021 - The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2021/0115/p107.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Eating Disorders in Primary Care: Diagnosis and Management - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behaviors that impair physical health and psychosocial functioning. Early intervention may decrease the risk of long-term pathology and disability. Clinicians should ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p22.html

Intimate Partner Violence During the COVID-19 Pandemic - Letters to the Editor - ...

Jan 1, 2021 - ...Physician article.4 Dialogue should begin by asking if the patient feels safe and valued in their relationship.4 When video is available, physicians should recognize nonverbal indicators of abuse, such as avoidance of eye contact or suspicious injuries on the head, neck, or...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p6.html

Corrections - Jan 1, 2021 - American Family Physician

Jan 1, 2021 - ...of people who died from opioid overdoses in 2017. The correct sentence should have read In 2017, more than 70,000 people died from a drug overdose (47,600 involving opioids), making it the leading cause of injury-related death in people 25 to 64 years of age. The online version of...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0101/p8a.html

Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p732.html

Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p721.html

Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p740.html

Shoulder Pain and Stiffness with Abnormal Imaging Findings - Photo Quiz - American ... Restricted content. Login required.

Dec 1, 2020 - A 51-year-old patient presented with several years of diffuse shoulder pain and abnormal imaging findings.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1201/p695.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign - ... Restricted content. Login required.

Dec 1, 2020 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2019 judged to be most consistent with the principles of Choosing Wisely, an international campaign to reduce unnecessary testing and treatments. We selected these POEMs through a crowdsourcing strategy of...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p673.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - ...for rhabdomyolysis. The median creatine kinase level on presentation was 4,460 U per L (74.48 μkat per L). Three patients had acute kidney injury on presentation and liver enzymes were elevated in all patients except one. Inflammatory markers (erythrocyte sedimentation rate,...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645a.html

Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from ... Restricted content. Login required.

Dec 1, 2020 - The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1201/p697.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

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

Cirrhosis, Ureteral Stones, Depression, Sleep Apnea, Scoliosis - AFP Clinical Answers -... Restricted content. Login required.

Dec 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/2020/1201/p664.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - ...or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for publication in AFP must...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645.html

Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and ... Restricted content. Login required.

Nov 15, 2020 - Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p603.html

ADHD in Children: Common Questions and Answers - American Family Physician Restricted content. Login required.

Nov 15, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is a multidimensional chronic neurodevelopmental condition that affects 8.4% of U.S. children between two and 17 years of age and may pose long-term morbidity if untreated. The evaluation for ADHD begins when parents or caregivers present ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p592.html

Augmentation Therapy, Menstrual Bleeding, VTE, Pancreatic Cancer, Acute Kidney Injury -... Restricted content. Login required.

Nov 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/2020/1115/p587.html

Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics - ... Restricted content. Login required.

Nov 15, 2020 - The American Academy of Pediatrics has published updated guidelines for diagnosis and treatment of autism spectrum disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1115/p629.html

Oral Semaglutide (Rybelsus) for the Treatment of Type 2 Diabetes Mellitus - STEPS - ... Restricted content. Login required.

Nov 15, 2020 - Oral semaglutide (Rybelsus) is labeled as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1115/p627.html

Evidence to Avoid Overtesting and Overuse in Diabetes Mellitus and Other Diseases - ...

Nov 15, 2020 - What can physicians do to avoid overuse? Start by asking the right questions.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1115/p583.html

Eye Emergencies - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments are eye emergencies that can result in permanent vision loss if not treated urgently. Family physicians should be able to recognize the signs and symptoms of each condition and be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p539.html

Evidence Against the Routine Use of MRI for Nonoperative Treatment of Chronic ...

Nov 1, 2020 - Physicians should consider the ramifications before ordering an MRI in the setting of chronic pain. An MRI that is not indicated can lead to a procedure that is not necessary as both patient and physician focus on the abnormal study finding. Most patients improve with conservative ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1101/p521.html

Accidental Hypothermia: Guidelines from the Wilderness Medical Society - Practice ... Restricted content. Login required.

Nov 1, 2020 - The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1101/p571.html

Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments - American ... Restricted content. Login required.

Oct 15, 2020 - Chronic low back pain, neck pain, hip and knee osteoarthritis, and fibromyalgia are the most common types of chronic musculoskeletal pain. Because no individual therapy has consistent benefit, a multimodal treatment approach to chronic musculoskeletal pain is recommended. Many ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p465.html

Inguinal Hernias: Diagnosis and Management - American Family Physician Restricted content. Login required.

Oct 15, 2020 - Groin hernias are caused by a defect of the abdominal wall in the groin area and comprise inguinal and femoral hernias. Inguinal hernias are more common in men. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p487.html

Learning Disorders, Perinatal Depression, Infants with GERD, Kidney Injury, Amblyopia -... Restricted content. Login required.

Oct 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/2020/1015/p463.html

Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, ... Restricted content. Login required.

Oct 15, 2020 - M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1015/p493.html

Primary Care–Based Interventions to Prevent Illicit Drug Use: Recommendation Statement ...

Oct 15, 2020 - The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral counseling interventions to prevent illicit drug use, including nonmedical use of prescription drugs, in children, ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/1015/od1.html

Diary of a Family Physician - Oct 15, 2020 - American Family Physician

Oct 15, 2020 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2020/1015/p460.html

Prevention of Unintentional Childhood Injury - American Family Physician Restricted content. Login required.

Oct 1, 2020 - Unintentional injury accounts for one-third of deaths in children and adolescents each year, primarily from motor vehicle crashes. Children younger than 13 years should be restrained in the back seat, and infants and toddlers should remain rear-facing until at least two years of age. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p411.html

Pregnancy Myths and Practical Tips - American Family Physician Restricted content. Login required.

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

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma - ... Restricted content. Login required.

Oct 1, 2020 - Inhaled fluticasone (Flovent; 200 mcg per day) is associated with a greater linear growth velocity when compared with beclomethasone (400 mcg per day; an equivalent dose).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1001/p404.html

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians ...

Oct 1, 2020 - Expansion of Medicare or private insurance would not address the deeper problems in our health care system.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2020/1001/p392.html

Preventing Accidental Injuries in Children - American Family Physician

Oct 1, 2020 - ...Preventing Accidental Injuries in Children Am Fam Physician. 2020 Oct 1;102(7):online. See related article on prevention of unintentional childhood injury Car Safety Use a car seat or booster seat until your child is at least nine years old. Children should sit in the back seat...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/1001/p411-s1.html

Chronic Kidney Disease: Evaluation and Treatment Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 15, 2020 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and treatment of chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0915/p378.html

Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

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

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