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Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM Restricted content. Login required.

Feb 1, 2021 - Determining whether the visit you’ve just finished should be coded as a level 4 could be as simple as asking yourself three questions.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p27.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

Musculoskeletal Care - American Family Physician

Jan 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

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

Who Inspired You to Go to Med School?

Medical school applications are surging as young people draw inspiration from physicians during the pandemic. Accordingly, we asked our new physician bloggers who inspired them to become doctors.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20201223fp-inspiration.html

The new Medicare G code: Everything you need to know to take advantage of it -- FPM

On Dec. 21, Congress delayed implementation of the primary care add-on code, G2211, for three years as part of the 2020 Year End Funding Bill and COVID-19 Emergency Funding, and it applied the savings to increase Medicare base payments for all services and specialties by an additional ...

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/g2211_summary.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

Coding & Documentation - Nov-Dec 2020 -- FPM Restricted content. Login required.

Dec 1, 2020 - Suspected exposure to communicable disease | Diabetes type 1.5 | Remote patient monitoring | Tetanus immunization due to injury | Performing venipuncture on a child

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/1100/p45.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

The 2021 Office Visit Coding Changes: Putting the Pieces Together -- FPM Restricted content. Login required.

Dec 1, 2020 - Simplified guidelines for coding and documenting evaluation and management office visits are coming next year. Learn how to apply the guidelines to some common visit types.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p6.html

Kidney Disease - American Family Physician

Dec 1, 2020 - 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

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

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

Is Cutaneous Cryosurgery the Best Treatment Option for Cutaneous Warts? - Letters to ...

Dec 1, 2020 - ...evidence suggesting that it is no better than placebo in a disease process that will likely resolve on its own4 should make us reconsider whether family physicians should offer cryotherapy for cutaneous warts. I believe that the quoted statement from this article is not supported by...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p648.html

Immunogenicity of Childhood Vaccines after Pediatric Cancer - FPIN's Clinical Inquiries... Restricted content. Login required.

Dec 1, 2020 - Children treated for cancer do not retain full immunity from previous vaccinations; therefore, it is likely beneficial for children who survive cancer to be revaccinated six to 12 months after immunosuppressive therapy.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1201/od1.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

Eye and Vision Disorders - American Family Physician

Nov 1, 2020 - 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

Nov 1, 2020 - 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

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

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

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

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

Diary of a Family Physician - Oct 15, 2020 - American Family Physician Restricted content. Login required.

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

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

Five ways to fight system-induced distress before it causes burnout -- FPM

A multilevel approach to resisting a health care system that relies on overworking physicians to make up for its own inefficiencies.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/fight_system_distress.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

Countdown to the E/M Coding Changes -- FPM Restricted content. Login required.

Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p29.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

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

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ... Restricted content. Login required.

Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p20.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

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

Urinary Tract Infections in Young Children and Infants: Common Questions and Answers - ... Restricted content. Login required.

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

Health Maintenance and Counseling - American Family Physician

Sep 1, 2020 - 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

House Calls - American Family Physician Restricted content. Login required.

Aug 15, 2020 - The demand for house calls is increasing because of the aging U.S. population, an increase in patients who are homebound, and the acknowledgment of the value of house calls by the public and health care industry. Literature from current U.S. home-based primary care programs describes ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0815/p211.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

Neck Pain: Initial Evaluation and Management - American Family Physician Restricted content. Login required.

Aug 1, 2020 - Neck pain is a common presenting symptom in the primary care setting and causes significant disability. The broad differential diagnosis requires an efficient but global assessment; therefore, emphasis is typically placed on red flags that can assist in the early recognition and ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0801/p150.html

Intrapartum Fetal Monitoring - American Family Physician Restricted content. Login required.

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

Ten EHR Strategies for Efficient Documentation -- FPM Restricted content. Login required.

Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p5.html

Fact: The Pandemic Is About People, Not Politics

MaryAnn Dakkak, M.D., M.S.P.H., writes in the Fresh Perspectives blog that she is devastated by politicians and other officials telling the public that physicians aren't to be trusted regarding COVID-19.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200716fp-moralinjury.html

Shoulder Dystocia: Managing an Obstetric Emergency - American Family Physician Restricted content. Login required.

Jul 15, 2020 - Shoulder dystocia is an obstetric emergency in which normal traction on the fetal head does not lead to delivery of the shoulders. This can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma, including damage to the bladder, anal sphincter, and rectum, and postpartum ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0715/p84.html

Asymptomatic Bacteriuria - American Family Physician Restricted content. Login required.

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 - ... Restricted content. Login required.

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

Case Report: Flavored Vaping–Associated Hypokalemia - Letters to the Editor - American ...

Jul 15, 2020 - Letters to the Editor from AFP reader regarding flavored vaping–associated hypokalemia.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p74a.html

Back Pain in Children and Adolescents - American Family Physician Restricted content. Login required.

Jul 1, 2020 - Back pain is a relatively common presenting symptom in children and adolescents. Typical causes include muscle strain or spasm, spinal deformities (e.g., Scheuermann kyphosis, adolescent idiopathic scoliosis), spondylolysis, bulging or herniated intervertebral disks, apophysitis of the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p19.html

Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ... Restricted content. Login required.

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

Knee Bruising and Swelling in a Teenager - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2020 - A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0701/p49.html

Foreign Bodies in the Skin: Evaluation and Management - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p740.html

Acute Respiratory Distress Syndrome: Diagnosis and Management - American Family Physician

Jun 15, 2020 - Acute respiratory distress syndrome (ARDS) is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include onset within one week of a known insult or new or worsening respiratory symptoms, profound hypoxemia, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p730.html

Resources on Environmental Exposures for Military Veterans - Letters to the Editor - ...

Jun 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0615/p709.html

What Are the Actual Causes of Hospital Admissions?

Kyle Leggott, M.D., and Graham Custar, M.D., look at the social drivers that actually lead to many hospital admissions.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200602fp-admissions.html

Newborn Circumcision Techniques - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. The American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Centers for Disease Control and Prevention, and the American Academy ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p680.html

Nerve Blocks: Part I. Upper Extremity - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Procedural anesthesia is administered by family physicians for a variety of conditions, including neuropathies, fracture reduction, foreign body removals, and complex wound management. A nerve block may be preferred because it provides effective regional anesthesia with less anesthetic....

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p654.html

Preparticipation Physical Evaluation: AAFP and Others Update Recommendations - Practice... Restricted content. Login required.

Jun 1, 2020 - The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0601/p692.html

Nerve Blocks: Part II. Lower Extremity - American Family Physician Restricted content. Login required.

Jun 1, 2020 - Family physicians use anesthesia to provide diagnostic and procedural analgesia for conditions such as neuropathies, fracture reduction, foreign body removals, and complex wound management. Local infiltration of anesthetics is commonly used in this setting because of the ease of use, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0601/p669.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

Care of the Military Veteran Should Include Screening for Substance Use Disorders - ...

May 15, 2020 - ...Care of the Military Veteran Should Include Screening for Substance Use Disorders Am Fam Physician. 2020 May 15;101(10):580-582. Original Article: Care of the Military Veteran: Selected Health Issues Issue Date: November 1, 2019 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0515/p580a.html

The Older Driver - Curbside Consultation - American Family Physician Restricted content. Login required.

May 15, 2020 - Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0515/p625.html

Death of Patient With COVID-19 Was Unlike Any Other

Alex Mroszczyk-McDonald, M.D., writes in this Fresh Perspectives blog post that when a patient of his died of COVID-19, the uncertainty and anxiety shrouding her death made it unlike any other he had ever experienced.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20200427fp-coviddeath.html

Prepare now for next round of Paycheck Protection Program funding -- FPM

Given how quickly the first round of funding was exhausted, businesses are advised to apply as soon as possible.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/ppp_second_round.html

Outpatient Burn Care: Prevention and Treatment - American Family Physician Restricted content. Login required.

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

Burn Injuries: What You Should Know - American Family Physician

Apr 15, 2020 - ...Burn Injuries: What You Should Know Am Fam Physician. 2020 Apr 15;101(8):online. Related article: Outpatient Burn Care: Prevention and Treatment What causes burns? Anyone can get burned. In young children, most burns happen because of sun exposure (sunburn), their bathwater is...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0415/p463-s1.html

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness... Restricted content. Login required.

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Oral Health Care Is an Important Issue for Military Veterans - Letters to the Editor - ...

Apr 15, 2020 - ...To the Editor: I was impressed with this article on care of military veterans. In addition to issues such as moral injury, posttraumatic stress disorder, and specific exposures, oral health of veterans warrants mention. It is not known exactly how many veterans lack dental care or...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0415/p452.html

Testing for Fetal Aneuploidy - American Family Physician

Apr 15, 2020 - ...Next: Burn Injuries: What You Should Know View the full table of contents >> Home / Journals / afp / Vol. 101/No. 8(April 15, 2020) / Testing for Fetal Aneuploidy...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0415/p481-s1.html

How to access small business loans for COVID-19 financial relief -- FPM

Some of the loans now available offer 1% interest or even full loan forgiveness if you keep your employees on the payroll.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_business_loans.html

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

Apr 1, 2020 - Guidelines published in 2016 provide a revised definition of sepsis: life-threatening organ dysfunction caused by a dysregulated host response to infection. The guidelines define septic shock as sepsis with circulatory, cellular, and metabolic dysfunction that is associated with a ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p409.html

Frequent Headaches: Evaluation and Management - American Family Physician Restricted content. Login required.

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

Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p399.html

Frostbite: Recommendations for Prevention and Treatment from the Wilderness Medical ... Restricted content. Login required.

Apr 1, 2020 - Recommendations for prevention and treatment of frostbite from the Wilderness Medical Society.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0401/p440.html

Practice Pearls - Mar-Apr 2020 -- FPM

Apr 1, 2020 - Make office redesign a collaborative project | Designate a vaccine update expert | Handle disability exams with empathy and practicality

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0300/p32.html

Common Cold, IV Fluids for Children, e-Cigarettes, Postpartum Depression, Actinic ... Restricted content. Login required.

Mar 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/2020/0315/p332.html

Conjunctival Lesion in a 10-Year-Old Girl - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 15, 2020 - ...prior. The lesion was not painful, and she had no changes in her vision. Her medical history was unremarkable, including no eye trauma or injury. She had no history of contact lens use. Physical examination revealed a smooth, clear, fluid-filled lesion on the lateral aspect of the...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0315/p375.html

New code for vaping-related illness may require a billing system update -- FPM

Update your electronic health record and billing systems for a new diagnosis code for vaping-related illness that takes effect April 1.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/vaping_related_illness.html

Sexual Health History: Techniques and Tips - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Family physicians should use a proactive, integrated, patient-centered approach to sexual health that includes, but is not limited to, disease identification and treatment. Successfully delivering positive, affirming, nonjudgmental sexual health care requires intentionally creating safe...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p286.html

Point-of-Care Ultrasonography - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p275.html

Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ... Restricted content. Login required.

Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0301/p302.html

Cerebral Palsy: An Overview - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p213.html

Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ... Restricted content. Login required.

Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p206.html

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