Henoch-Schönlein Purpura (IgA Vasculitis): Rapid Evidence Review - American Family ...
Aug 15, 2020 - Henoch-Schönlein purpura, now called immunoglobulin A (IgA) vasculitis, is a systemic, immune complex–mediated, small-vessel leukocytoclastic vasculitis characterized by nonthrombocytopenic palpable purpura, arthritis, and abdominal pain. It is the most common vasculitis in children but...
American Family Physician : Article
https://www.aafp.org/afp/2020/0815/p229.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
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
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
Intrapartum Fetal Monitoring - American Family Physician
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
Menstrual Disorders - American Family Physician
Aug 1, 2020 - This collection features AFP content on menstrual conditions and related issues, including abnormal uterine bleeding, amenorrhea, dysmenorrhea, endometrial ablation, endometriosis, heavy menstrual bleeding, menorrhagia, premenstrual dysphoric disorder, premenstrual syndrome, and uterine...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=81
Complementary and Alternative Medicine - American Family Physician
Aug 1, 2020 - This collection features AFP content on complementary and alternative medicine, including herbs and dietary supplements, acupuncture, meditation, and yoga. This collection features AFP content on complementary and alternative medicine, including herbs and dietary supplements, ...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=60
Coding & Documentation - Jul-Aug 2020 -- FPM
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
https://www.aafp.org/fpm/2020/0700/p36.html
Ten EHR Strategies for Efficient Documentation -- FPM
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
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
https://www.aafp.org/afp/2020/0801/p136.html
Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ...
Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0801/p147.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
Heart Failure - American Family Physician
Jul 15, 2020 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26
Asymptomatic Bacteriuria - American Family Physician
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 - ...
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
Unemployment During Pandemic Amounts to a One-Two Punch
Kyle Leggott, M.D., writes in the Fresh Perspectives blog that the pandemic -- and the higher unemployment rates it has caused -- has exposed the precarious nature of employer-sponsored health insurance.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200708fp-esi.html
Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ...
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
Gastroenteritis and Diarrhea in Children - American Family Physician
Jul 1, 2020 - This collection features AFP content on gastroenteritis and diarrhea in children and related issues, including dehydration, foodborne illnesses, probiotics, and rotavirus vaccination. This collection features AFP content on gastroenteritis and diarrhea in children and related issues, ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=9
Chronic Obstructive Pulmonary Disease - American Family Physician
Jul 1, 2020 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...
- Overview
- Screening and Prevention
- Diagnosis
- Treatment
- Point-of-Care Guides
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32
Back Pain - American Family Physician
Jul 1, 2020 - This collection features content from AFP on back pain and related issues, including chronic and acute low back pain, lumbar spinal stenosis, sciatica, and vertebral compression fractures. This collection features content from AFP on back pain and related issues, including chronic and ...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=109
Nutrition - American Family Physician
Jul 1, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- General
- Specific Vitamins and Nutrients
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86
Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ...
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
https://www.aafp.org/afp/2020/0701/p58.html
Beware Consequences of Delaying Primary Care in Pandemic
Although it may make sense to delay elective procedures during a pandemic, Natasha Bhuyan, M.D., writes in the Fresh Perspectives blog that primary care is essential.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200625fp-coviddelay.html
Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...
Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0615/p753.html
Procedures - American Family Physician
Jun 15, 2020 - ...Hypertension Musculoskeletal Care Respiratory Tract Infections Urinary Tract Infections/Dysuria Email Alerts Don't miss a single issue. Sign up for the free AFP email table of contents. Sign Up Now Legend Algorithm Point of Care Resource...
- Aesthetic and Cosmetic
- Anesthesia, Local Nerve Blocks
- Anesthesia, Peripheral Nerve Blocks
- Bartholin's Cyst Management
- Breast Cyst Aspiration
- Cardiac Exercise Treadmill Stress Tests
- Circumcision, Newborn
- Colposcopy
- Cryosurgery
- Endometrial Biopsy
- Epistaxis Nasal Packing
- Foreign Body Removal, Skin
- Fracture Management
- Ingrown Toenail Removal
- IUD Insertion and Removal
- Joint Injections
- Lumbar Puncture
- Point-of-Care Ultrasonography (POCUS)
- Skin Procedures
- Spirometry/Pulmonary Function Tests
- Thrombosed Hemorrhoid Excision
- Vasectomy
- Improving Practice
- Patient Education, Self-Care
- Other Resources from AAFP
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=87
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
https://www.aafp.org/afp/2020/0615/od1.html
Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Jun 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/2020/0615/p748.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
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
Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM
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
https://www.aafp.org/fpm/2020/0500/p19.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
How to collect patient vitals for telehealth visits, including AWVs -- FPM
The Centers for Medicare and Medicaid Services recently clarified how physicians can collect biometric data for Medicare annual wellness visits from patients who are in their homes.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/telehealth_visit_vitals.html
How Do We Talk About the Worst-case Scenario?
Against the backdrop of a pandemic, Allison Edwards, M.D., ponders the best way to broach the subject of end-of-life care with a relatively young patient panel in the Fresh Perspectives blog.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200520fp-endoflife.html
Five steps to set up ambulatory blood pressure monitoring in your practice -- FPM
Ambulatory blood pressure monitoring (ABPM) provides more accurate data than in-office blood pressure checks, which is useful for identifying issues that might otherwise stay hidden and ruling out white coat hypertension.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/ambulatory_bp_monitoring.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
Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...
May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0515/od1.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
Encounter Forms -- FPM Toolbox
May 4, 2020 - Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care.
Family Practice Management : FPM Toolbox : Encounter Forms
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=12
Chronic Dyspnea: Diagnosis and Evaluation - American Family Physician
May 1, 2020 - Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p542.html
Endometrial Biopsy: Tips and Pitfalls - American Family Physician
May 1, 2020 - Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p551.html
Tickborne Diseases: Diagnosis and Management - American Family Physician
May 1, 2020 - Tickborne diseases that affect patients in the United States include Lyme disease, Rocky Mountain spotted fever (RMSF), ehrlichiosis, anaplasmosis, babesiosis, tularemia, Colorado tick fever, and tickborne relapsing fever. Tickborne diseases are increasing in incidence and should be ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p530.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.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
Hypertension, Pregnancy, Prostate Cancer, Short-Course Antibiotics, Anticonvulsants - ...
Apr 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/2020/0415/p460.html
Outpatient Burn Care: Prevention and Treatment - American Family Physician
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
Seizure Disorders - American Family Physician
Apr 15, 2020 - This collection features AFP content on seizure disorders, including antiepileptic medications, epilepsy, febrile seizures, nonepileptic seizures, seizures in the elderly, and status epilepticus. This collection features AFP content on seizure disorders, including antiepileptic ...
- Overview
- Screening and Diagnosis
- Treatment
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=80
Genetics - American Family Physician
Apr 15, 2020 - This collection features AFP content on genetics and related issues, including family medical history, genetic testing, and specific syndromes (fetal alcohol spectrum disorders, fragile X syndrome, Down Syndrome, Klinefelter syndrome, Prader-Willi syndrome, Turner syndrome). This ...
- Counseling, Testing, and Risk Assessment
- Family History
- Pharmacogenetics
- Specific Syndromes
- Editorials and Letters
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=56
Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...
Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0415/p458.html
Pandemic Highlights the Need for Full-scope FPs
In this Fresh Perspectives blog post, family physician MaryAnn Dakkak, M.D., M.S.P.H., describes a day on the front lines of the COVID-19 pandemic in a safety-net hospital.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20200406fp-covidhospital.html
Coding for Hypertension: Painting a Picture of the Severity of Illness -- FPM
Apr 1, 2020 - As risk-adjustment scoring increases, the pressure is on to code hypertension correctly. Here’s an overview using common patient scenarios.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0300/p23.html