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
Anemia - American Family Physician
Oct 1, 2018 - This collection features AFP content on anemia and related issues, including blood transfusions, iron deficiency and iron supplementation, macrocytosis, microcytosis, and thalassemia. This collection features AFP content on anemia and related issues, including blood transfusions, iron ...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=2
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
Well-Child Visits for Infants and Young Children - American Family Physician
Sep 15, 2018 - The well-child visit allows for comprehensive assessment of a child and the opportunity for further evaluation if abnormalities are detected. A complete history during the well-child visit includes information about birth history; prior screenings; diet; sleep; dental care; and medical,...
American Family Physician : Article
https://www.aafp.org/afp/2018/0915/p347.html
Screening for Cardiovascular Disease Risk with Electrocardiography - Putting Prevention...
Sep 15, 2018 - A 55-year-old man presents for an annual visit. He has no history of hypertension, cardiovascular disease (CVD), or diabetes mellitus; has never smoked; and has no family history of CVD. His lipid panel results from one year ago were normal, and he has no current symptoms of CVD.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0915/p375.html
Screening for Cardiovascular Disease Risk with Electrocardiography: Recommendation ...
Sep 15, 2018 - The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0915/od1.html
Consider Cardiovascular Risk Factors Before Prescribing Triptans for Migraine - Letters...
Sep 15, 2018 - ...triptans include, but are not limited to, peripheral vascular disease, coronary artery disease, cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with...
American Family Physician : Letter
https://www.aafp.org/afp/2018/0915/p342.html
Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease - ...
Sep 1, 2018 - Achieving a target BP of 135/85 mm Hg or less does not decrease the risk of total cardiovascular events vs. treating to a target of 140 to 160/90 to 100 mm Hg. Further, treating to the lower BP target does not improve total mortality, cardiovascular mortality, or serious adverse effects.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p276.html
Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...
Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0901/p275.html
Radon: A Leading Environmental Cause of Lung Cancer - Editorials - American Family ...
Sep 1, 2018 - Protracted exposure to radon is the leading environmental cause of cancer deaths in the United States. Family physicians play a key role in informing patients about the health risks.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0901/p280.html
Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults - ...
Aug 15, 2018 - Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0815/p253.html
Epistaxis: Outpatient Management - American Family Physician
Aug 15, 2018 - Epistaxis is a common emergency encountered by primary care physicians. Up to 60% of the general population experience epistaxis, and 6% seek medical attention for it. More than 90% of cases arise from the anterior nasal circulation, and most treatments can be easily performed in the ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0815/p240.html
Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...
Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0815/p256.html
Solitary Ulcerated Lesion on the Arm - Photo Quiz - American Family Physician
Aug 15, 2018 - A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0815/p251.html
Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment - POEMs - ...
Aug 15, 2018 - Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but does not ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0815/p249.html
Rheumatologic Tests: A Primer for Family Physicians - American Family Physician
Aug 1, 2018 - Patients with a suspected connective tissue disorder should undergo serologic testing to confirm the diagnosis and, in some cases, to monitor disease activity and predict flares. Patients with suspected systemic lupus erythematosus should be tested for antinuclear antibodies. However, ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0801/p164.html
Chronic Nonallergic Rhinitis - American Family Physician
Aug 1, 2018 - Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear...
American Family Physician : Article
https://www.aafp.org/afp/2018/0801/p171.html
Type 1 Diabetes: Management Strategies - American Family Physician
Aug 1, 2018 - There is considerable benefit of tight glucose control in patients with type 1 diabetes mellitus. Tight blood glucose control dramatically decreases the incidence of microvascular and macrovascular complications. Although glycemic goals should be individualized, most nonpregnant adults ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0801/p154.html
Food Insecurity: How You Can Help Your Patients - Editorials - American Family Physician
Aug 1, 2018 - Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0801/p143.html
Diabetes: ADA Releases Revised Position Statement on Standards of Medical Care - ...
Aug 1, 2018 - Because the evidence regarding medical care for persons with diabetes mellitus continues to evolve, the American Diabetes Association (ADA) annually updates its standards. In addition, starting in 2018, the ADA will also periodically update its guidance online if warranted.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0801/p187.html
Quality Measures: How to Get Them Right -- FPM
Aug 1, 2018 - Pay-for-performance programs have produced disappointing results. Fewer and more appropriate, evidence-based quality measures could help.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p23.html
ICD-10 coding for patients with hypertension and heart failure -- FPM
Here’s how to code for heart failure when it is not caused by your patient’s hypertension.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/hypertension_heart_failure.html
Stimulant and Designer Drug Use: Primary Care Management - American Family Physician
Jul 15, 2018 - Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p85.html
Top POEMs of 2017 Consistent with the Principles of the Choosing Wisely Campaign - ...
Jul 15, 2018 - This article discusses the POEMs (patient-oriented evidence that matters) of 2017 judged to be most consistent with the principles of the Choosing Wisely campaign. A POEM is a synopsis of a research study that reports patient-oriented outcomes, such as improvement in symptoms, quality ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p93.html
Lower Extremity Erythema - Photo Quiz - American Family Physician
Jul 15, 2018 - A man who lived a hermit lifestyle presented with an open eschar over the left medial malleolus.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0715/p107.html
AAFP News - Jul 15, 2018 - American Family Physician
Jul 15, 2018 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2018/0715/p78.html
Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...
Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0701/p23.html
Diets for Health: Goals and Guidelines - American Family Physician
Jun 1, 2018 - Diet is the single most significant risk factor for disability and premature death. Patients and physicians often have difficulty staying abreast of diet trends, many of which focus primarily on weight loss rather than nutrition and health. Recommending an eating style can help patients...
American Family Physician : Article
https://www.aafp.org/afp/2018/0601/p721.html
Coding & Documentation - May-Jun 2018 -- FPM
Jun 1, 2018 - ICD-10 coding for hypertension and diabetes | Physician certification of diabetic shoes | Umbilical cauterization
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2018/0500/p33.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
Deprescribing Unnecessary Medications: A Four-Part Process -- FPM
Jun 1, 2018 - With too many patients taking too many unnecessary medications, deprescribing has become a required skill for primary care physicians. Here’s how to go about it.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0500/p28.html
Ruling Out Pulmonary Embolism in the Primary Care Setting - Point-of-Care Guides - ...
Jun 1, 2018 - What is the best approach to evaluate patients with suspected pulmonary embolism in the outpatient, primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0601/p750.html
How to document newly diagnosed hypertension -- FPM
If a patient’s elevated blood pressure has developed into hypertension, your documentation should clearly describe the basis for the new diagnosis.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/properly_documenting_hypertension.html
Exercise Is Medicine. Here's How I Get Patients Started
Ninety percent of Americans don't meet recommendations for physical activity. Alex Mroszczyk-McDonald, M.D., has seen the good that exercise can do, and in this Fresh Perspectives blog post he shares ways to get more patients off the couch.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180516fp-exercise.html
Top 20 Research Studies of 2017 for Primary Care Physicians - American Family Physician
May 1, 2018 - Based on systematic surveillance of more than 110 medical journals, 247 studies met criteria as POEMs (patient-oriented evidence that matters) in 2017. Members of the Canadian Medical Association identified 20 of these POEMs as most relevant to practice. This article reviews the ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0501/p581.html
Obesity in Pregnancy: Risks and Management - Editorials - American Family Physician
May 1, 2018 - As obesity becomes more common, it is important for all maternity care clinicians to understand the risks and associated management of obesity in pregnancy. Elevated prepregnancy weight increases the absolute risk of many adverse fetal and maternal outcomes.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0501/p559.html
Omega-3 Fatty Acids and Cardiovascular Disease - Implementing AHRQ Effective Health ...
May 1, 2018 - What is the effect of omega-3 fatty acid supplementation on cardiovascular outcomes?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2018/0501/p562.html
What If Everyone Had a Family Physician?
Securing funding for vital primary care programs is a start, but Leonard Reeves, M.D., writes in this Leader Voices Blog post that the fight continues for the kind of physician workforce our country needs.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20180501lv-whatif.html
Poststreptococcal Illness: Recognition and Management - American Family Physician
Apr 15, 2018 - Group A beta-hemolytic streptococcus can cause several postinfectious, nonsuppurative immune- mediated diseases including acute rheumatic fever, poststreptococcal reactive arthritis, pediatric autoimmune neuropsychiatric disorders, and poststreptococcal glomerulonephritis. Except for ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0415/p517.html
Screening and Management of High BP in Children and Adolescents: An Updated Guideline ...
Apr 15, 2018 - The American Academy of Pediatrics (AAP) previously published guidance on screening for and managing high blood pressure (BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an updated ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0415/p543.html
Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...
Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0415/p529.html
More Investment in Primary Care Would Help Mothers, Babies
Obstetric care recommendations implemented in 2012 lowered costs and improved outcomes in Washington, but Carl Olden, M.D., asks in this Leader Voices Blog post whether his home state can do better.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20180411lv-obcare.html
Rheumatoid Arthritis: Common Questions About Diagnosis and Management - American Family...
Apr 1, 2018 - Rheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis, with a lifetime prevalence of up to 1% worldwide. Women, smokers, and those with a family history of the disease are most often affected. Rheumatoid arthritis should be considered if there is at least ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0401/p455.html
Diagnosis Coding for Value-Based Payment: A Quick Reference Tool -- FPM
Apr 1, 2018 - Use this cheat sheet to identify diagnosis codes that are weighted for risk adjustment.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0300/p26.html
Is Your Diagnosis Coding Ready for Risk Adjustment? -- FPM
Apr 1, 2018 - As payment models change, diagnosis coding is more important than ever. Here’s how to be sure your codes capture your patients’ severity of illness.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0300/p21.html
A Team-Based Care Model That Improves Job Satisfaction -- FPM
Apr 1, 2018 - Expanding the role of medical assistants to better support providers can improve not only traditional outcomes but also job satisfaction.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0300/p6.html
Syncope Evaluation and Treatment Guidelines from ACC, AHA, and HRS - Practice ...
Apr 1, 2018 - The American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS) have released guidelines to assist physicians in evaluating and treating syncope.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0401/p478.html
It's Time to Go RAFing -- FPM
Apr 1, 2018 - What you don’t know about risk-adjustment factor scores could cost you.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2018/0300/p5.html
Coding & Documentation - Mar-Apr 2018 -- FPM
Apr 1, 2018 - Time spent on chronic care management vs. time spent on E/M services | ICD-10 coding for bug bites | Billing for palliative care visits
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2018/0300/p41.html