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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

Survey Breaks Down Clinicians' Views on Transgender Care

A new report in the Annals of Family Medicine indicates that most -- but not all -- primary care clinicians are willing to provide care for transgender patients, but some feel unprepared to do so.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20181214transgendercare.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

AHA/ACC Issue New Cholesterol Management Guideline

On Nov. 10, the American Heart Association and the American College of Cardiology released a new cholesterol guideline that includes recommendations for more personalized risk assessments and new cholesterol-lowering drug options for people at the highest risk for cardiovascular disease.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181128ahaacccholesterol.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

USPSTF: More Research Needed on Screening for Lead Exposure

In a draft statement, the U.S. Preventive Services Task Force said current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in children and asymptomatic pregnant women.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181107uspstf-lead.html

Leading From Within the Health Care System

Ajoy Kumar, M.D., realized as an intern just how broken our health care system is. He's been working to change that ever since.

AAFP News : Family Doc Focus

https://www.aafp.org/news/family-doc-focus/20181105fdf-kumar.html

PrEP Your High-risk Patients to Help Protect Them From HIV

Jeffrey Kirchner, D.O., AAHIVS, outlines how family physicians can determine whether a patient could benefit from pre-exposure prophylaxis to prevent transmission of HIV.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20181102prephiv.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 : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20181022fp-millennials.html

High Blood Pressure in Children and Adolescents - American Family Physician

Oct 15, 2018 - High blood pressure in children and adolescents is a growing health problem that is often overlooked. Children should be screened for elevated blood pressure annually beginning at three years of age or at every visit if risk factors are present. In children younger than 13 years, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1015/p486.html

Ambulatory Blood Pressure Important for Decision-Making About Treatment - POEMs - ...

Oct 15, 2018 - This study supports the guidelines recommending that treatment decisions be based on ambulatory blood pressure measurements rather than in-office blood pressure results. The difference between the two measurements in this cohort was 19/11 mm Hg, which is enough to change the decision to...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od5.html

New Report Shows U.S. Obesity Epidemic Continues to Worsen

A new report from Trust for America's Health and the Robert Wood Johnson Foundation confirms that, with obesity rates for 2017 topping 35 percent of adults in seven states, obesity continues to be a significant health problem in the United States.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20181015obesityrpt.html

AAFP News - Oct 15, 2018 - American Family Physician

Oct 15, 2018 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2018/1015/p476.html

Solo FP Finds Fulfillment Serving Rural Patients, Community

Solo family physician Scott Anzalone, M.D., knows the joys and frustrations of practicing in a rural community where it's not unheard of for a patient to stop by his house to have a laceration sewn up.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20181003ruralanzalone.html

Anemia in Older Adults - American Family Physician

Oct 1, 2018 - Anemia is associated with increased morbidity and mortality in older adults. Diagnostic cutoff values for defining anemia vary with age, sex, and possibly race. Anemia is often asymptomatic and discovered incidentally on laboratory testing. Patients may present with symptoms related to ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1001/p437.html

Researchers Test EHR Tools That Document Social Determinants

New research published in Annals of Family Medicine analyzes use of an electronic health record-based tool for documenting social determinants of health in three community health centers.

AAFP News : Practice and Career

https://www.aafp.org/news/practice-professional-issues/20180919ehrsdoh.html

Breastfeeding: Common Questions and Answers - American Family Physician

Sep 15, 2018 - All major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced. Most organizations recommend breastfeeding for at least ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p368.html

Hemolytic Anemia: Evaluation and Differential Diagnosis - American Family Physician

Sep 15, 2018 - Hemolytic anemia is defined by the premature destruction of red blood cells, and can be chronic or life-threatening. It should be part of the differential diagnosis for any normocytic or macrocytic anemia. Hemolysis may occur intravascularly, extravascularly in the reticuloendothelial ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p354.html

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