Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly ...
Apr 1, 2020 - This study found a significant reduction in mortality and morbidity among patients who took their once-daily anti-hypertensive medications at bedtime instead of in the morning. No significant difference occurred in compliance rates between bedtime and morning ingestion times. Individual...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0401/p434a.html
Frequent Headaches: Evaluation and Management - American Family Physician
Apr 1, 2020 - Most frequent headaches are typically migraine or tension-type headaches and are often exacerbated by medication overuse. Repeated headaches can induce central sensitization and transformation to chronic headaches that are intractable, are difficult to treat, and cause significant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p419.html
Anxiety Disorders - American Family Physician
Apr 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...
- Overview
- Screening and Diagnosis
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Improving Practice
- Patient Education, Self-Care
- Other AFP Content
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=85
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
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
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
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
Managing Hypertension Using Combination Therapy - American Family Physician
Mar 15, 2020 - More than 70% of adults treated for primary hypertension will eventually require at least two antihypertensive agents, either initially as combination therapy or as add-on therapy if monotherapy and lifestyle modifications do not achieve adequate blood pressure control. Four main ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p341.html
Genital Ulcers: Differential Diagnosis and Management - American Family Physician
Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p355.html
Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Mar 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/2020/0315/p370.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
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
HIV/AIDS - American Family Physician
Mar 1, 2020 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...
- Overview
- Screening and Diagnosis
- Prevention
- Treatment
- Complications and Special Situations
- Editorials and Letters
- Patient Education, Self-Care
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11
Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ...
Mar 1, 2020 - Vitamin and mineral supplementation has little to no beneficial effect on preserving cognitive functioning or preventing dementia in cognitively healthy adults 40 years and older.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0301/p272.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
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
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
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
A three-step guide to coding for multiple skin procedures in a single visit -- FPM
Follow these three steps to bill correctly, avoid denials, and make sure you’re not leaving revenue on the table when you perform skin biopsies and lesion removals.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/skin_procedure_coding.html
Chronic Wounds: Evaluation and Management - American Family Physician
Feb 1, 2020 - Chronic wounds are those that do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. The morbidity and associated costs of chronic wounds highlight the need to implement wound prevention and treatment guidelines. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p159.html
Menopause - American Family Physician
Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59
Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...
Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p147.html
Short-Term Systemic Corticosteroids: Appropriate Use in Primary Care - American Family ...
Jan 15, 2020 - Short-term systemic corticosteroids, also known as steroids, are frequently prescribed for adults in the outpatient setting by primary care physicians. There is a lack of supporting evidence for most diagnoses for which steroids are prescribed, and there is evidence against steroid use ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0115/p89.html
Management of Atrial Fibrillation: Updated Guidance from the AHA, ACC, and HRS - ...
Jan 15, 2020 - This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0115/p123.html
Lymphoma: Diagnosis and Treatment - American Family Physician
Jan 1, 2020 - Lymphoma is a group of malignant neoplasms of lymphocytes with more than 90 subtypes. It is traditionally classified broadly as non-Hodgkin or Hodgkin lymphoma. Approximately 82,000 new U.S. patients are diagnosed with lymphoma annually. Any tobacco use and obesity are major modifiable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0101/p34.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
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
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
Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ...
Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1215/p782.html
Cirrhosis: Diagnosis and Management - American Family Physician
Dec 15, 2019 - Cirrhosis is the 12th leading cause of death in the United States. Newer research has established that liver fibrosis is a dynamic process and that early cirrhosis may be reversible. Only one in three people with cirrhosis knows they have it. Most patients with cirrhosis remain ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1215/p759.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
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
Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of...
Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od4.html
Four ways to target blood pressure control -- FPM
Four steps to get your patients on the path to better blood pressure.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/blood_pressure_control.html
Acute Kidney Injury: Diagnosis and Management - American Family Physician
Dec 1, 2019 - Acute kidney injury is a clinical syndrome characterized by a rapid decline in glomerular filtration rate and resultant accumulation of metabolic waste products. Acute kidney injury is associated with an increased risk of mortality, cardiovascular events, and progression to chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1201/p687.html
Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...
Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1115/p649.html
Fully Automated Blood Pressure Measurement Is the Way to Go in the Office - POEMs - ...
Nov 15, 2019 - automated measurement aligns better with ambulatory blood pressure monitoring, the best predictor of cardiovascular events, than manual measurement; manual readings are an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambulatory or automated readings in patients with ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646.html
Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...
Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p648.html
Depression in Children and Teens - American Family Physician
Nov 15, 2019 - ...Previous: Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG Next: Spinosad: A Low-Risk, Effective Treatment for Lice View the full table of contents >> Home / Journals / afp / Vol. 100/No. 10(November 15, 2019) / Depression in Children and Teens...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2019/1115/p609-s1.html
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.html
Care of the Military Veteran: Selected Health Issues - American Family Physician
Nov 1, 2019 - According to the U.S. Census Bureau, 18.2 million veterans were living in the United States in 2017, of whom 1.6 million were female. Less than one-half of all veterans receive care at a Veterans Health Administration or military treatment facility, leaving most to receive services from...
American Family Physician : Article
https://www.aafp.org/afp/2019/1101/p544.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
Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ...
Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/1101/p537.html
Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for...
Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p541.html
Postpartum Care: An Approach to the Fourth Trimester - American Family Physician
Oct 15, 2019 - The postpartum period, defined as the 12 weeks after delivery, is an important time for a new mother and her family and can be considered a fourth trimester. Outpatient postpartum care should be initiated within three weeks after delivery in person or by phone, and may require multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1015/p485.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
Influenza Vaccination: Updated Recommendations from ACIP - Practice Guidelines - ...
Oct 15, 2019 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1015/p505.html
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...
Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1015/p463.html
Lifestyle Medicine Is My Prescription for Better Health
Alex Mroszczyk-McDonald, M.D., is determined to convince his patients that a healthy diet, exercise and adequate rest are better than any medication he can prescribe.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20191014fp-lifestylemed.html
Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...
Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1001/p403.html