Myxedema Coma: Diagnosis and Treatment - American Family Physician
Dec 1, 2000 - Myxedema coma, the extreme manifestation of hypothyroidism, is an uncommon but potentially lethal condition. Patients with hypothyroidism may exhibit a number of physiologic alterations to compensate for the lack of thyroid hormone. If these homeostatic mechanisms are overwhelmed by ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1201/p2485.html
Endometrial Cancer - American Family Physician
Nov 15, 2009 - Endometrial cancer is the leading cause of gynecologic cancer in the United States. Etiologically, endometrial carcinoma usually results from unopposed estrogen stimulation of the endometrium, although non-estrogen-related forms occur as well. The most common presentation of endometrial...
American Family Physician : Article
https://www.aafp.org/afp/2009/1115/p1075.html
Facial Rash with Oral Lesions - Photo Quiz - American Family Physician
Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0815/p243.html
Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ...
Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0315/p378.html
Medical Therapy for Asthma: Updates from the NAEPP Guidelines - American Family Physician
Nov 15, 2010 - Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1115/p1242.html
Hyperpigmentation of the Tongue and Buccal Mucosa - Photo Quiz - American Family Physician
Aug 1, 2020 - ...infectious disease, and cancer.3,4 Conversely, overreplacement can result in impaired glucose tolerance, insulin resistance, obesity, and hypertension.5 Glucocorticoid replacement therapy in primary adrenal insufficiency requires continuous monitoring and adjustment. In the absence...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0801/p181.html
Common Bacterial Skin Infections - American Family Physician
Jul 1, 2002 - Family physicians frequently treat bacterial skin infections in the office and in the hospital. Common skin infections include cellulitis, erysipelas, impetigo, folliculitis, and furuncles and carbuncles. Cellulitis is an infection of the dermis and subcutaneous tissue that has poorly ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0701/p119.html
Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ...
Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p247.html
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
https://www.aafp.org/afp/2007/1101/p1341.html
Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ...
Apr 1, 2020 - Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434.html
Developing Standing Orders to Help Your Team Work to the Highest Level -- FPM
Jun 1, 2018 - Use this seven-step plan to create protocols that improve efficiency and reduce physician workloads.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0500/p13.html
Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician
Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0615/p755.html
Management of Status Epilepticus - American Family Physician
Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0801/p469.html
Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ...
Jun 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/2020/0615/p718.html
Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides...
Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/1215/p778.html
Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician
May 1, 2020 - A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0501/p567.html
The Risk of Corticosteroids in Community-Acquired Pneumonia - Letters to the Editor - ...
Feb 15, 2020 - ...conditions, immunocompromised state, and concurrent use of nonsteroidal anti-inflammatory drugs. Hyperglycemia, fluid retention, hypertension, delirium, psychosis, insomnia, osteonecrosis, and gastrointestinal bleeding may consequently be underestimated. The potential harmful...
American Family Physician : Letter
https://www.aafp.org/afp/2020/0215/p197.html
The Commercial Motor Vehicle Driver Medical Examination: Practical Issues - American ...
Apr 15, 2010 - The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p975.html
Ocular Emergencies - American Family Physician
Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0915/p829.html
Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ...
Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0315/p339.html
Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ...
May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0515/p618.html
Geriatric Screening and Preventive Care - American Family Physician
Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0715/p206.html
The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...
Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2019/1101/p575.html
Appropriate Prescribing of Medications: An Eight-Step Approach - American Family Physician
Jan 15, 2007 - A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's problem; (2) specify the therapeutic ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0115/p231.html
Tense Bullae and Pruritus - Photo Quiz - American Family Physician
Mar 1, 2020 - A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0301/p305.html
Tapering Long-Term Opioid Therapy - Curbside Consultation - American Family Physician
Jan 1, 2020 - My patient is a 54-year-old construction worker who has been taking prescribed opioids for more than a decade for chronic knee and back pain.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0101/p49.html
Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis - FPIN's ...
Apr 1, 2020 - Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0401/p432.html
Practice Pearls - May-Jun 2020 -- FPM
Jun 1, 2020 - Check for COVID-19 updates on home isolation and work notes | Ask patients to submit vitals before telehealth | Adapt your documentation setup for telehealth
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0500/p32.html
Differential Diagnosis and Treatment of Hearing Loss - American Family Physician
Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0915/p1125.html
Hypertension and Diabetes: Family Physicians' Pivotal Role - Editorials - American ...
Oct 1, 2002 - ...Hypertension and Diabetes: Family Physicians' Pivotal Role GEORGE L. BAKRIS, M.D. Rush Presbyterian/St. Luke's Medical Center Chicago, Illinois Am Fam Physician. 2002 Oct 1;66(7):1151-1153. Related Article In the United States, diabetes is the most common cause of both blindness and...
American Family Physician : Editorials
https://www.aafp.org/afp/2002/1001/p1151.html
Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM
Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p17.html
Child with Swollen Eyes - Photo Quiz - American Family Physician
Sep 1, 2019 - A six-year-old child presented with eye swelling, cold-like symptoms, and fever.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0901/p313.html
Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Dec 15, 2019 - A collaboration between AFP and the Lown Institute 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/2019/1215/p742.html
Intrauterine Growth Restriction: Identification and Management - American Family Physician
Aug 1, 1998 - Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0801/p453.html
Gout: An Update - American Family Physician
Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0915/p801.html
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53.html
Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...
Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1015/od1.html
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
Diagnosing Night Sweats - American Family Physician
Mar 1, 2003 - Night sweats are a common outpatient complaint, yet literature on the subject is scarce. Tuberculosis and lymphoma are diseases in which night sweats are a dominant symptom, but these are infrequently found to be the cause of night sweats in modern practice. While these diseases remain ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p1019.html
Looking Beyond Diagnostic Criteria -- FPM
Apr 1, 2020 - The power of family medicine is seeing patients as more than just signs and symptoms.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0300/p36.html
ACCP Updates Guidelines for the Treatment of PAH - Practice Guidelines - American ...
Dec 15, 2007 - The American College of Chest Physicians (ACCP) has updated its 2004 guidelines with evidence-based treatment recommendations for the management of pulmonary arterial hypertension (PAH).
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2007/1215/p1874.html
Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality...
Apr 15, 2019 - The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0415/od1.html
Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ...
Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0301/p309a.html
National Heart, Lung, and Blood Institute Releases New Guidelines for the Treatment of ...
Jan 15, 1998 - ...Blood Institute Releases New Guidelines for the Treatment of Hypertension Am Fam Physician. 1998 Jan 15;57(2):362-366. Related Editorial Nearly half of 50 million persons in the United States who are affected by hypertension do not receive treatment, according to a new report...
American Family Physician : Special Medical Reports
https://www.aafp.org/afp/1998/0115/p362.html
Recognizing Occupational Illnesses and Injuries - American Family Physician
Jul 15, 2010 - Given the burden of occupational illnesses and injuries in the United States, family physicians should understand the role workplace exposures may play in patients' chief concerns. Incorporating employment screening questions into patients' intake questionnaires is an efficient means of...
American Family Physician : Article
https://www.aafp.org/afp/2010/0715/p169.html
Evidence-Based Medicine -- FPM Topic Collection
Jul 16, 2010 - This article collection features popular FPM content on the subject of evidence-based medicine -- from evaluating the literature to finding clinical information at the point of care. This article collection features popular FPM content on the subject of evidence-based medicine -- from ...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=40
Chronic Disease Care -- FPM Topic Collection
Jul 22, 2010 - This article collection features popular FPM content on the subject of chronic disease care. This article collection features popular FPM content on the subject of chronic disease care.
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=47
Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control - American ...
Jul 15, 2002 - Atrial fibrillation is the arrhythmia most commonly encountered in family practice. Serious complications can include congestive heart failure, myocardial infarction, and thromboembolism. Initial treatment is directed at controlling the ventricular rate, most often with a calcium ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0715/p249.html
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p16.html
Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...
Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p279.html