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Influenza Vaccination: Updated 2020-2021 Recommendations from ACIP - Practice ...

Oct 15, 2020 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has released its recommendations for routine influenza vaccination in the 2020–2021 season.

American Family Physician : Practice Guidelines

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

Treatment of Adult Obesity with Bariatric Surgery - American Family Physician

Oct 1, 2011 - Bariatric surgery procedures, including laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass, result in an average weight loss of 50 percent of excess body weight. Remission of diabetes mellitus occurs in approximately 80 percent of ...

American Family Physician : Article

Management of Epistaxis - American Family Physician

Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...

American Family Physician : Article

Coding & Documentation - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome

Family Practice Management : Coding & Documentation

Radiologic Evaluation of Incidentally Discovered Adrenal Masses - American Family ...

Jun 1, 2010 - The increasing use of cross-sectional imaging has led to an increase in the incidental discovery of adrenal masses (adrenal incidentalomas). Although most of these lesions are benign, they often present a diagnostic dilemma. Before creating a management plan, the physician should ...

American Family Physician : Article

A Practical Approach to Hypercalcemia - American Family Physician

May 1, 2003 - Hypercalcemia is a disorder commonly encountered by primary care physicians. The diagnosis often is made incidentally in asymptomatic patients. Clinical manifestations affect the neuromuscular, gastrointestinal, renal, skeletal, and cardiovascular systems. The most common causes of ...

American Family Physician : Article

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.

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

Health Effects of Hawthorn - American Family Physician

Feb 15, 2010 - Hawthorn medicinal extract has long been a favored herbal remedy in Europe. The active components of this slow-acting cardiotonic agent are thought to be flavonoids and oligomeric procyanidins. The most studied hawthorn extracts are WS 1442 and LI 132. Reviews of placebo-controlled ...

American Family Physician : Article

Altitude Illness: Risk Factors, Prevention, Presentation, and Treatment - American ...

Nov 1, 2010 - Altitude illness affects 25 to 85 percent of travelers to high altitudes, depending on their rate of ascent, home altitude, individual susceptibility, and other risk factors. Acute mountain sickness is the most common presentation of altitude illness and typically causes headache and ...

American Family Physician : Article

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

Asymptomatic Bacteriuria in Adults - American Family Physician

Sep 15, 2006 - A common dilemma in clinical medicine is whether to treat asymptomatic patients who present with bacteria in their urine. There are few scenarios in which antibiotic treatment of asymptomatic bacteruria has been shown to improve patient outcomes. Because of increasing antimicrobial ...

American Family Physician : Article

JNC 7 Express: New Thinking in Hypertension Treatment - Editorials - American Family ...

Jul 15, 2003 - ...JNC 7 Express: New Thinking in Hypertension Treatment LEE GREEN, M.D., M.P.H. University of Michigan Medical School Ann Arbor, Michigan Am Fam Physician. 2003 Jul 15;68(2):228-230. Related Content In May 2003, the National Heart, Lung, and Blood Institute's Seventh Joint National...

American Family Physician : Editorials

Hepatitis C: Diagnosis and Treatment - American Family Physician

Jun 1, 2010 - Hepatitis C, a common chronic bloodborne infection, is found in approximately 2 percent of adults in the United States. Chronic infection is associated with serious morbidity and mortality (e.g., cirrhosis, hepatocellular carcinoma). Testing for hepatitis C is recommended for at-risk ...

American Family Physician : Article

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

N-Acetylcysteine: Multiple Clinical Applications - American Family Physician

Aug 1, 2009 - N-acetylcysteine is the acetylated variant of the amino acid L-cysteine and is widely used as the specific antidote for acetaminophen overdose. Other applications for N-acetylcysteine supplementation supported by scientific evidence include prevention of chronic obstructive pulmonary ...

American Family Physician : Article

Immunizations (excluding Influenza) - American Family Physician

Dec 1, 2020 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ... Restricted content. Login required.

Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...

American Family Physician : Practice Guidelines

Building an Outdoor Urgent Care Clinic During a Pandemic: One Clinic's Experience -- FPM Restricted content. Login required.

Oct 1, 2020 - When an infectious disease outbreak strikes, an outdoor clinic can reduce the risk of transmission and conserve personal protective equipment.

Family Practice Management : Articles

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work ... Restricted content. Login required.

Oct 1, 2020 - These simple tools can help you respond effectively when you feel emotionally hijacked by difficult people or circumstances.

Family Practice Management : Articles

Trigeminal Neuralgia - American Family Physician

May 1, 2008 - Trigeminal neuralgia is an uncommon disorder characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always ...

American Family Physician : Article

Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM Restricted content. Login required.

Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.

Family Practice Management : Articles

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

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

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

Cloudy Pleural Fluid on Thoracentesis - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2020 - A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.

American Family Physician : Photo Quiz

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

Aug 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

Potential Causes of Secondary Hypertension - Letters to the Editor - American Family ...

Jul 1, 2003 - ...Causes of Secondary Hypertension Am Fam Physician. 2003 Jul 1;68(1):42. to the editor: Concerning the excellent article, Diagnosing Secondary Hypertension, 1 by Dr. Onusko, which mentions many rare but relevant possibilities for the cause of secondary hypertension, may I add one...

American Family Physician : Letter

Recognition and Management of Acute Medication Poisoning - American Family Physician

Feb 1, 2010 - Poisoning is a common cause of morbidity and mortality in the United States, with several million episodes reported annually. Acute medication poisonings account for nearly one half of all poisonings reported in the United States and should be considered in persons with an acute change ...

American Family Physician : Article

ACC/AHA Guideline Update for the Management of ST-Segment Elevation Myocardial ...

Jun 15, 2009 - The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family ...

American Family Physician : Article

Racism in Health Care: Creating a More Equitable Health Care Experience -- FPM

Oct 1, 2020 - Imagine how it would feel to walk into a doctor’s office and see that everyone else looks different from you.

Family Practice Management : From the Editor

Second Trimester Pregnancy Loss - American Family Physician

Nov 1, 2007 - Second trimester pregnancy loss is uncommon, but it should be regarded as an important event in a woman's obstetric history. Fetal abnormalities, including chromosomal problems, and maternal anatomic factors, immunologic factors, infection, and thrombophilia should be considered; ...

American Family Physician : Article

Coding for Hypertension: Painting a Picture of the Severity of Illness

...Is the patient generally healthy but presenting with a single episode of elevated blood pressure, is the patient chronically ill with hypertension that has affected other organ systems, or is the patient’s condition somewhere in between? With today’s focus on population health...

Family Practice Management

Diagnosis and Treatment of Pulmonary Hypertension -- American Family Physician more common in women than in men (ratio: 1.7 to 1). Primary pulmonary hypertension is most prevalent in persons 20 to 40 years of age. The condition has no racial predilection.1 Secondary pulmonary hypertension is rela- tively common but is underdiagnosed. Reli- able estimates...

American Family Physician

Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of LIfe --...

...because physicians do not routinely look for the disor- der. Additionally, the role of OSA in the pro- duction of essential hypertension (EH) is fre- quently not appreciated.1-4 The purpose of this article is to demonstrate how commonly OSA occurs, how the quality of patients’ lives...

American Family Physician

Managing Hypertension in Athletes and Physically Active Patients -- American Family ...

...should be screened for hypertension. If the condition is diagnosed, appropriate treatment should be started to reduce the risk of mor- bidity and mortality associated with cardio- vascular disease.5 Hypertension Classification and Secondary Hypertension The sixth report of the...

American Family Physician

Controlling Hypertension in Patients with Diabetes -- American Family Physician

...To reduce this risk, hypertension must be diagnosed accurately and promptly, and the patient must receive adequate treatment. To confirm the diagnosis of hypertension, blood pressures measured with standard techniques should be ele- vated on two separate occasions.6 Be- cause...

American Family Physician

Diagnosing Secondary Hypertension -- American Family Physician

...other risk factors for cardiovascular dis- orders (e.g., diabetes mellitus, hyperlipi- demia); and detection of secondary causes of hypertension. Physicians can use the mnemonic ABCDE to help deter- mine secondary causes in the patient with elevated blood pressure (Table 1)....

American Family Physician

New Developments in the Management of Hypertension - American Family Physician

...Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) and are summarized in Table 1.3 Advances in the management of hypertension have refined our under- standing of systolic blood pressure, nutri- tion, medication selection, and hyperten- sion in special populations....

American Family Physician

Management of Hypertension in Older Persons - American Family Physician

...adequate blood pressure control.2 Fur- thermore, persons who are normotensive at age 55 have a 90 percent lifetime risk for developing hypertension.3 This and the pres- ence of other cardiovascular risk factors in older persons (i.e., obesity, left ventricular hypertrophy, sedentary...

American Family Physician

Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment

...Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment RICHARD STRINGHAM, MD, and NIPA R. SHAH, MD, University of Illinois at Chicago College of Medicine, Chicago, Illinois P ulmonary arterial hypertension (PAH) is a rare, underdiagnosed condition defined as...

American Family Physician

Diagnosis of Secondary Hypertension: An Age-Based Approach

...of Secondary Hypertension: An Age-Based Approach ANTHONY J. VIERA, MD, MPH, and DANA M. NEUTZE, MD, PhD University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina I n the United States, one in three adults has hypertension.1 Most of these...

American Family Physician

Diabetes: Treating Hypertension

...of persons with diabetes and untreated hypertension each year, and the risk is higher in those with other risk fac- tors, such as diabetic nephropathy. We cannot be sure how different treat- ments compare in persons with diabetes and hypertension. However, evidence suggests that...

American Family Physician

Common Questions About the Initial Management of Hypertension

February 1, 2014 Scientific

American Family Physician

Screening for Primary Hypertension in Children and Adolescents: Recommendation Statement

February 15, 2015 USPSTF

American Family Physician

Screening for Primary Hypertension in Children and Adolescents

February 15, 2015 Putting Prevention into Practice

American Family Physician

Nonpharmacologic Management of Hypertension: What Works?


American Family Physician

AHA/AAC/<FEFF>ASH Release Guideline on the Treatment of Hypertension and CAD

December 1, 2015 Practice Guidelines

American Family Physician

AHA/ATS Release Guidelines on the Diagnosis and Treatment of Pediatric Pulmonary ...

April 1, 2016 Practice Guidelines

American Family Physician

Pulmonary Hypertension: An Update on Diagnosis and Treatment

September 15, 2016:

American Family Physician

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