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
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
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
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
Want to Solve Problems in Public Health? Here's How
Family physician Stewart Decker, M.D., is getting his master's degree in public health and wants you to come along for the ride. In this Fresh Perspectives blog post, he shares what he's learned so far.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180316fp-mph1.html
Stable Coronary Artery Disease: Treatment - American Family Physician
Mar 15, 2018 - Stable coronary artery disease refers to a reversible supply/demand mismatch related to ischemia, a history of myocardial infarction, or the presence of plaque documented by catheterization or computed tomography angiography. Patients are considered stable if they are asymptomatic or ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0315/p376.html
ACC/AHA Hypertension Guideline: What Is New? What Do We Do? - Editorials - American ...
Mar 15, 2018 - Choosing a threshold and target for treatment should be based on the science supporting CVD risk reduction, while considering the benefits and harms in individual patient circumstances and respecting patient choice.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0315/p372.html
High Blood Pressure: ACC/AHA Releases Updated Guideline - Practice Guidelines - ...
Mar 15, 2018 - The American College of Cardiology (ACC) and American Heart Association (AHA) recently updated their guideline on the prevention, detection, evaluation, and treatment of high BP in adults. The ACC/AHA recommendations were based on a systematic review that addressed four questions ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0315/p413.html
Lesinurad (Zurampic) for Gout - STEPS - American Family Physician
Mar 15, 2018 - Lesinurad taken in addition to a xanthine oxidase inhibitor reduces serum uric acid levels. However, it does not reduce the likelihood of experiencing a gout flare-up or completely resolving tophi.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0315/p374.html
AAFP News - Mar 15, 2018 - American Family Physician
Mar 15, 2018 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2018/0315/p368.html
Medical Aid in Dying - Curbside Consultation - American Family Physician
Mar 1, 2018 - Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at the ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0301/p339.html
Coding: ICD-10 -- FPM Toolbox
Feb 23, 2018 - Download FPM's coding guides and cheat sheets to help you understand ICD-10 coding and select the right codes.
Family Practice Management : FPM Toolbox : Coding: ICD-10
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=30
Acute Migraine Headache: Treatment Strategies - American Family Physician
Feb 15, 2018 - Migraine is a primary headache disorder characterized by recurrent attacks. Acetaminophen, nonsteroidal anti-inflammatory drugs, triptans, antiemetics, ergot alkaloids, and combination analgesics have evidence supporting their effectiveness in the treatment of migraine. Acetaminophen ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0215/p243.html
Vitamin D Screening and Supplementation in Community-Dwelling Adults: Common Questions ...
Feb 15, 2018 - Measurement of vitamin D levels and supplementation with oral vitamin D have become commonplace, although clinical trials have not demonstrated health benefits. The usefulness of serum 25-hydroxyvitamin D levels to assess adequate exposure to vitamin D is hampered by variations in ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0215/p254.html
Beta Blockers Compared with Other Drug Options for the Treatment of Hypertension - ...
Feb 1, 2018 - Although beta blockers seem to have a positive impact on patient-oriented evidence that matters in patients with hypertension, they appear to be inferior when compared with other medications.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0201/od1.html
Effectiveness of ACL Injury Prevention Programs - FPIN's Help Desk Answers - American ...
Feb 1, 2018 - ACL injury prevention programs reduce the incidence of ACL injuries by at least 50% in a variety of sports, and should be used for all athletes. There is no evidence that any particular prevention program or component is superior.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0201/od2.html
Coding & Documentation - Jan-Feb 2018 -- FPM
Feb 1, 2018 - Reciprocal billing during extended absences | ICD-10 coding for accidents without injury | Removal of impacted cerumen
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2018/0100/p33.html
OnabotulinumtoxinA Injections for Urge Incontinence - FPIN's Help Desk Answers - ...
Feb 1, 2018 - Detrusor muscle injections of onabotulinumtoxinA can be used to decrease the number of episodes of urinary incontinence in women for whom treatment with anticholinergic agents has been ineffective.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0201/od3.html
Nebivolol/Valsartan (Byvalson) for Hypertension - STEPS - American Family Physician
Jan 15, 2018 - Nebivolol/valsartan is an option for the treatment of patients with newly diagnosed or poorly controlled hypertension. Although it offers a new beta-blocker option, no research has demonstrated its benefit over existing treatments.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0115/p124.html
Noninfectious Penile Lesions - American Family Physician
Jan 15, 2018 - Noninfectious penile lesions are classified by clinical presentation as papulosquamous (e.g., psoriasis), inflammatory (e.g., lichen sclerosus, lichen nitidus, lichen planus), vascular (e.g., angiokeratomas), or neoplastic (e.g., carcinoma in situ, invasive squamous cell carcinoma). ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0115/p102.html
Abrupt Onset of a Tender Rash on the Upper and Lower Extremities - Photo Quiz - ...
Jan 15, 2018 - ...Previous: Nebivolol/Valsartan (Byvalson) for Hypertension Next: H. pylori Infection: ACG Updates Treatment Recommendations View the full table of contents >> Home / Journals / afp / Vol. 97/No. 2(January 15, 2018) / Photo Quiz: Abrupt Onset of a Tender Rash on the Upper and...
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0115/p129.html
Screening for Preeclampsia: Recommendation Statement - U.S. Preventive Services Task ...
Jan 15, 2018 - The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0115/od1.html
Screening for Preeclampsia - Putting Prevention into Practice - American Family Physician
Jan 15, 2018 - A 28-year-old white woman comes to your clinic for prenatal care reporting a new-onset severe headache. She is currently pregnant with twins at an estimated gestational age of 22 weeks. Her obstetric history is significant for one previous term singleton vaginal delivery at 24 years of ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0115/p117.html
AAFP News - Jan 15, 2018 - American Family Physician
Jan 15, 2018 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2018/0115/p72.html
New Year, Same Issues. Why Does Health Care Cost So Much?
We asked our new physician bloggers what issues concern them for their practices and patients in 2018. The cost of care to patients tops the list.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20180102fp-newyear.html
Ear Pain: Diagnosing Common and Uncommon Causes - American Family Physician
Jan 1, 2018 - Otalgia (ear pain) is a common presentation in the primary care setting with many diverse causes. Pain that originates from the ear is called primary otalgia, and the most common causes are otitis media and otitis externa. Examination of the ear usually reveals abnormal findings in ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0101/p20.html
Type 2 Diabetes Mellitus: Outpatient Insulin Management - American Family Physician
Jan 1, 2018 - In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0101/p29.html
Intensive Blood Pressure Control in Older Patients Can Decrease Renal Function - POEMs ...
Jan 1, 2018 - In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of developing...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0101/p54.html
At Home or Abroad, ALSO Training Improves Maternal Outcomes
The Advanced Life Support in Obstetrics program has helped improve maternal outcomes in other countries around the globe. Carl Olden, M.D., writes that now it's time to improve U.S. outcomes.
AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/leadervoices/entry/20171218lv-also.html
Chronic Kidney Disease: Detection and Evaluation - American Family Physician
Dec 15, 2017 - Chronic kidney disease affects 47 million people in the United States and is associated with significant health care costs, morbidity, and mortality. Because this disease can silently progress to advanced stages, early detection is critical for initiating timely interventions. Multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p776.html
Statin Use for the Primary Prevention of Cardiovascular Disease in Adults - Putting ...
Dec 15, 2017 - L.D., a 66-year-old generally healthy white man, presents for his annual physical. He has no history of cardiovascular disease (CVD); he has had consistent systolic blood pressure measurements of 140 mm Hg; he is not taking any medications; he does not smoke; he exercises three times ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2017/1215/p805.html
Is "Precision Medicine" Ready to Use in Primary Care Practice? No: It Is Barely Ready ...
Dec 15, 2017 - Precision medicine is ultimately only a tool, and just as it might be used to facilitate better outcomes, if adopted prematurely, it may paradoxically increase inappropriate care. Therefore, primary care physicians must wait for carefully conducted randomized studies to demonstrate ...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2017/1215/p769.html
AAFP News - Dec 15, 2017 - American Family Physician
Dec 15, 2017 - Selected policy and health issues news briefs from AAFP News.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2017/1215/p760.html
Rural or Urban FP, We Both Handle Gamut of Patient Issues
A rural family physician and her inner-city counterpart find that their scope of practice and the issues their patients face are more similar than they expected.
AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs
https://www.aafp.org/news/blogs/freshperspectives/entry/20171205fp-urbanrural.html
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for ...
Nov 15, 2017 - The USPSTF recommends that primary care professionals individualize the decision to offer or refer adults without obesity who do not have hypertension, dyslipidemia, abnormal blood glucose levels, or diabetes to behavioral counseling to promote a healthful diet and physical activity.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2017/1115/od2.html
Cardiomyopathy: An Overview - American Family Physician
Nov 15, 2017 - The definition and classification of cardiomyopathy have evolved considerably in recent years. Cardiomyopathy can be separated into primary (genetic, mixed, or acquired) and secondary categories, which result in varied phenotypes including dilated, hypertrophic, and restrictive ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1115/p640.html
Heart Failure with Preserved Ejection Fraction: Diagnosis and Management - American ...
Nov 1, 2017 - Heart failure with preserved ejection fraction, also referred to as diastolic heart failure, causes almost one-half of the 5 million cases of heart failure in the United States. It is more common among older patients and women, and results from abnormalities of active ventricular ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1101/p582.html
Disorders of Puberty: An Approach to Diagnosis and Management - American Family Physician
Nov 1, 2017 - Disorders of puberty can profoundly impact physical and psychosocial well-being. Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1101/p590.html
Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders - American Family Physician
Oct 15, 2017 - Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorders (FASD) result from intrauterine exposure to alcohol and are the most common nonheritable causes of intellectual disability. The percentage of women who drink or binge drink during pregnancy has increased since 2012. FAS ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1015/p515.html
Screening for Obesity in Children and Adolescents: Recommendation Statement - U.S. ...
Oct 15, 2017 - The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older, and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2017/1015/od4.html