Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...
Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0301/od1.html
Renal Cell Carcinoma: Diagnosis and Management - American Family Physician
Feb 1, 2019 - Kidney cancer is one of the 10 most common cancers in the United States with 90% being attributed to renal cell carcinoma. Men, especially black men, are more likely to be affected than women. Renal masses, either cystic or solid, are best detected with contrast-enhanced, triple-phase ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0201/p179.html
Tools for Better Dementia Care -- FPM
Feb 1, 2019 - Quality measures and clinical tools can bring focus and clarity to caring for patients with cognitive impairment and supporting their caregivers.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0100/p11.html
The No. 1 question about team documentation -- FPM
To ease physicians’ administrative burdens, many practices are adopting team documentation, which involves increasing the MA-to-physician ratio and delegating more tasks to MAs. How do you convince your practice to try it?
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/team_documentation_question.html
Primary Care for Persons Who Inject Drugs - American Family Physician
Jan 15, 2019 - More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0115/p109.html
Fitness-Related Cardiac Arrhythmias - Editorials - American Family Physician
Jan 15, 2019 - How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0115/p78.html
Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors - Putting ...
Jan 15, 2019 - A 46-year-old Asian American woman with no significant medical history presents to your clinic for the first time for a pre-employment physical examination.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0115/p123.html
Top 20 POEMs Should Provide Better Context of Study Quality and Scope - Letters to the ...
Jan 15, 2019 - ...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measurements using a bare arm vs. a shirt sleeve, is...
American Family Physician : Letter
https://www.aafp.org/afp/2019/0115/p74.html
Migraine Headache Prophylaxis - American Family Physician
Jan 1, 2019 - Migraines impose significant health and financial burdens. Approximately 38% of patients with episodic migraines would benefit from preventive therapy, but less than 13% take prophylactic medications. Preventive medication therapy reduces migraine frequency, severity, and ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0101/p17.html
Papular Lesions on Bilateral Elbows and Knees - Photo Quiz - American Family Physician
Jan 1, 2019 - A man presented with new-onset foot pain, as well as long-standing red-yellow lesions on his elbows and knees.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0101/p47.html
Effective Advocacy for Patients and Communities - Curbside Consultation - American ...
Jan 1, 2019 - Family physicians play diverse roles in society, often bridging individual and community perspectives. Family physicians' ethics require providing care to all persons regardless of their geographic, economic, political, racial, religious, or sexual orientation status.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/0101/p44.html
Pharmacologic Interventions for Apathy in Patients with Alzheimer Disease - Cochrane ...
Jan 1, 2019 - Methylphenidate may improve apathy in select patients with AD (mean difference [MD] = –4.99 on the apathy evaluation scale; 95% confidence interval [CI], –9.55 to –0.43), although the clinical significance associated with these findings remains unclear and the evidence is considered low...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0101/p14.html
Lower Systolic BP During Antihypertensive Treatment Associated with More Deaths in ...
Jan 1, 2019 - In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with antihypertensive medications is associated with higher death rates and greater cognitive decline.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0101/p54.html
The Adult Well-Male Examination - American Family Physician
Dec 15, 2018 - The adult well-male examination should provide evidence-based guidance toward the promotion of optimal health and well-being. The medical history should focus on tobacco and alcohol use, risk of human immunodeficiency virus and other sexually transmitted infections, and diet and ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1215/p729.html
Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...
Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/1215/p751.html
Why Are We So Slow to Adopt Some Evidence-Based Practices? - Editorials - American ...
Dec 15, 2018 - Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/1215/p709.html
Crohn's Disease: Diagnosis and Management - American Family Physician
Dec 1, 2018 - Crohn’s disease is a chronic inflammatory condition that affects the gastrointestinal tract. It can cause lesions from mouth to anus and may result in extraintestinal complications. The prevalence of Crohn’s disease is increasing in adults and children. Genetic predispositions to ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1201/p661.html
Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know - ...
Dec 1, 2018 - Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1201/p645.html
Coding & Documentation - Nov-Dec 2018 -- FPM
Dec 1, 2018 - When the chief complaint is medication refill | 99221 for second hospital encounter? | Staph infection of a wound
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2018/1100/p32.html
Care of Incarcerated Patients - American Family Physician
Nov 15, 2018 - The United States has the highest incarceration rate of any nation in the world. Approximately 870 of every 100,000 U.S. citizens are currently in jails or prisons. U.S. inmates are disproportionately young males, racial and ethnic minorities, and persons of low socioeconomic status. ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1115/p577.html
Overuse of Cardiac Testing - Lown Right Care: Reducing Overuse and Underuse - American ...
Nov 15, 2018 - This is the first of a new collaboration between AFP and the Lown Institute. This new feature promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2018/1115/p561.html
Type 2 Diabetes Mellitus in Children - American Family Physician
Nov 1, 2018 - The prevalence of type 2 diabetes mellitus in children and adolescents has increased worldwide over the past three decades. This increase has coincided with the obesity epidemic, and minority groups are disproportionately affected. The American Diabetes Association recommends screening ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1101/p590.html
The Pregnant Patient: Managing Common Acute Medical Problems - American Family Physician
Nov 1, 2018 - Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1101/p595.html
Abrupt Rash with Painful, Nonpruritic Purpura on the Lower Extremities - Photo Quiz - ...
Nov 1, 2018 - ...pain, and it progressed in an ascending fashion. The patient had a history of atrial fibrillation, chronic obstructive pulmonary disease, hypertension, hyperlipidemia, and moderate osteoarthritis. Physical examination revealed tender, nonblanching, nonpruritic purpura on the lower...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/1101/p607.html
Millennials Don't Have PCPs; Here's Why They Should
Nearly half of 18- to 29-year-olds say they don't have a primary care physician. Natasha Bhuyan, M.D., makes the case for why they should.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20181022fp-millennials.html