Common Questions About Clostridium difficile Infection - American Family Physician
Mar 15, 2014 - Clostridium difficile infection is a common cause of antibiotic-associated diarrhea. It causes no symptoms in more than one-half of infected patients, but can also cause a wide spectrum of illnesses and death. The incidence and severity have increased in recent years. The most important...
American Family Physician : Article
https://www.aafp.org/afp/2014/0315/p437.html
Recommendations for Preconception Counseling and Care - American Family Physician
Oct 15, 2013 - Given that nearly one-half of pregnancies are unintended, preconception care should be considered an integral part of primary care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body weight, screening and treatment for ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p499.html
Gynecologic Procedures: Colposcopy, Treatments of Cervical Intraepithelial Neoplasia, ...
Jun 15, 2013 - Women who have abnormal Papanicolaou test results may undergo colposcopy to determine the biopsy site for histologic evaluation. Traditional grading systems do not accurately assess lesion severity because colposcopic impression alone is unreliable for diagnosis. The likelihood of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p836.html
Screening for Cancer: Concepts and Controversies - American Family Physician
Nov 1, 2014 - Early detection of cancer is a core task in family medicine, and patients have come to expect screening tests, sometimes out of proportion to what evidence can justify. To understand the controversies surrounding screening and to provide sound advice to patients, family physicians ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1101/p625.html
Atrial Fibrillation: Diagnosis and Treatment - American Family Physician
Jan 1, 2011 - Atrial fibrillation is the most common cardiac arrhythmia. It impairs cardiac function and increases the risk of stroke. The incidence of atrial fibrillation increases with age. Key treatment issues include deciding when to restore normal sinus rhythm, when to control rate only, and how...
American Family Physician : Article
https://www.aafp.org/afp/2011/0101/p61.html
Ivermectin 1% Cream (Soolantra) for Inflammatory Lesions of Rosacea - STEPS - American ...
Sep 15, 2016 - Ivermectin cream is an effective treatment for moderate to severe pustular rosacea, but it is more expensive than some other available treatments and has not been studied in patients with milder forms of rosacea. Generic metronidazole cream is a less expensive alternative, and long-term...
American Family Physician : STEPS
https://www.aafp.org/afp/2016/0915/p512.html
Noninvasive Diagnostic Tests for Helicobacter pylori Infection - Cochrane for ...
Jul 1, 2019 - When compared with serology or stool antigen tests, the urea breath test has the highest diagnostic accuracy to identify H. pylori infection in patients without a history of gastrectomy or recent use of antibiotics or proton pump inhibitors.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0701/p16.html
Intrapartum Fetal Monitoring - American Family Physician
Dec 15, 2009 - Continuous electronic fetal monitoring was developed in the 1960s to assist in the diagnosis of fetal hypoxia during labor. Continuous electronic fetal monitoring has been shown to reduce the incidence of neonatal seizures, but there has been no beneficial effect in decreasing cerebral ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1215/p1388.html
Can Walking Lower Blood Pressure in Patients With Hypertension? - Cochrane for ...
Jan 1, 2022 - Walking lowers systolic blood pressure by 4.11 mm Hg. It lowers diastolic blood pressure by 1.79 mm Hg and resting heart rate by 2.76 beats per minute.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2022/0100/p22.html
Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician
Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.
American Family Physician : STEPS
https://www.aafp.org/afp/2015/0415/p554.html
Proteinuria in Children - American Family Physician
Sep 15, 2010 - Proteinuria is common in children and may represent a benign condition or a serious underlying renal disease or systemic disorder. Proteinuria may occur secondary to glomerular or tubular dysfunction. Although a 24-hour urine protein excretion test is usually recommended, it may be ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0915/p645.html
Identification and Treatment of Amblyopia - American Family Physician
Mar 1, 2013 - Amblyopia is the leading cause of vision loss in children. It is treatable if diagnosed early, making identification of affected children critical. The American Association for Pediatric Ophthalmology and Strabismus and the American Academy of Pediatrics recommend that clinicians ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0301/p348.html
The 2021 Office Visit Coding Changes: Putting the Pieces Together -- FPM
Dec 1, 2020 - Simplified guidelines for coding and documenting evaluation and management office visits are coming next year. Learn how to apply the guidelines to some common visit types.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p6.html
Hyperkalemia - American Family Physician
Jan 15, 2006 - Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors. Acute episodes of hyperkalemia commonly are ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0115/p283.html
Erythema Nodosum: A Sign of Systemic Disease - American Family Physician
Mar 1, 2007 - Erythema nodosum, a painful disorder of the subcutaneous fat, is the most common type of panniculitis. Generally, it is idiopathic, although the most common identifiable cause is streptococcal pharyngitis. Erythema nodosum may be the first sign of a systemic disease such as ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p695.html
Diagnosis and Management of Von Willebrand Disease: Guidelines for Primary Care - ...
Dec 1, 2009 - Von Willebrand disease is an inherited condition characterized by deficiency of von Willebrand factor, which is essential in hemostasis. The National Heart, Lung, and Blood Institute has released new evidence-based guidelines for the diagnosis and management of the disease. There are ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1201/p1261.html
Management of Common Sleep Disorders - American Family Physician
Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0815/p231.html
Dietary Fatty Acids - American Family Physician
Aug 15, 2009 - Fatty acids can be divided into four general categories: saturated, monounsaturated, polyunsaturated, and trans fats. Saturated fatty acids and trans fats are associated with an increased risk of coronary heart disease. Monounsaturated fatty acids and polyunsaturated fatty acids are ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0815/p345.html
Functional Decline in Older Adults - American Family Physician
Sep 15, 2013 - Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0915/p388.html
Diagnostic Approach to Pleural Effusion in Adults - American Family Physician
Apr 1, 2006 - The first step in the evaluation of patients with pleural effusion is to determine whether the effusion is a transudate or an exudate. An exudative effusion is diagnosed if the patient meets Light's criteria. The serum to pleural fluid protein or albumin gradients may help better ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0401/p1211.html
A Primary Care Approach to Substance Misuse - American Family Physician
Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p113.html
Principles of Casting and Splinting - American Family Physician
Jan 1, 2009 - The ability to properly apply casts and splints is a technical skill easily mastered with practice and an understanding of basic principles. The initial approach to casting and splinting requires a thorough assessment of the injured extremity for proper diagnosis. Once the need for ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0101/p16.html
Common Oral Lesions: Part I. Superficial Mucosal Lesions - American Family Physician
Feb 15, 2007 - Common superficial oral lesions include candidiasis, recurrent herpes labialis, recurrent aphthous stomatitis, erythema migrans, hairy tongue, and lichen planus. Recognition and diagnosis require taking a thorough history and performing a complete oral examination. Knowledge of clinical...
American Family Physician : Article
https://www.aafp.org/afp/2007/0215/p501.html
Assessment of Microscopic Hematuria in Adults - American Family Physician
May 15, 2006 - Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible. Etiologies of microscopic hematuria range from incidental causes to life-threatening urinary tract neoplasm. The lack ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0515/p1748.html
Geriatric Assistive Devices - American Family Physician
Aug 15, 2011 - Disability and mobility problems increase with age. Assistive devices such as canes, crutches, and walkers can be used to increase a patient’s base of support, improve balance, and increase activity and independence, but they are not without significant musculoskeletal and metabolic ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0815/p405.html
Prevention of Health Care-Associated Infections - American Family Physician
Sep 15, 2014 - Health care–associated infections cause approximately 75,000 deaths annually, in addition to increasing morbidity and costs. Over the past decade, a downward trend in health care–associated infections has occurred nationwide. Basic prevention measures include administrative support, ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0915/p377.html
Diagnosis and Management of Adnexal Masses - American Family Physician
Oct 15, 2009 - Adnexal masses represent a spectrum of conditions from gynecologic and nongynecologic sources. They may be benign or malignant. The initial detection and evaluation of an adnexal mass requires a high index of suspicion, a thorough history and physical examination, and careful attention ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1015/p815.html
Iron Deficiency Anemia: Guidelines from the American Gastroenterological Association - ...
Aug 1, 2021 - The American Gastroenterological Association developed guidelines for the evaluation of IDA in adults.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/0800/p211.html
A Diffuse Nodular Eruption - Photo Quiz - American Family Physician
May 1, 2022 - A 40-year-old man presented with erythematous, raised, painful nodules across his trunk, back, arms, and legs and unintended weight loss.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2022/0500/p547.html
Chronic Shouler Pain Part I: Evaluation and Diagnosis - American Family Physician
Feb 15, 2008 - Shoulder pain is defined as chronic when it has been present for longer than six months. Common conditions that can result in chronic shoulder pain include rotator cuff disorders, adhesive capsulitis, shoulder instability, and shoulder arthritis. Rotator cuff disorders include ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0215/p453.html
Combining a Wellness Visit With a Problem-Oriented Visit: a Coding Guide -- FPM
Feb 1, 2022 - In the exam room, the distinction between one type of visit and another isn’t always clear. It’s important to know when - and how - you can bill for both.
Family Practice Management : Articles
https://www.aafp.org/fpm/2022/0100/p15.html
Herpes Zoster and Postherpetic Neuralgia: Prevention and Management - American Family ...
Jun 15, 2011 - Herpes zoster (shingles) is diagnosed clinically by recognition of the distinctive, painful vesicular rash appearing in a unilateral, dermatomal distribution. An estimated 1 million cases occur in the United States each year, and increasing age is the primary risk factor. Laboratory ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0615/p1432.html
Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician
Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p25.html
Pertussis: A Reemerging Infection - American Family Physician
Oct 15, 2013 - Pertussis, also known as whooping cough, is an acute respiratory tract infection that has increased in incidence in recent years. The initial catarrhal stage presents with nonspecific symptoms of malaise, rhinorrhea, sneezing, lacrimation, and mild cough. During the paroxysmal stage, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p507.html
Top 20 Research Studies of 2013 for Primary Care Physicians - American Family Physician
Sep 15, 2014 - In 2013, we performed monthly surveillance of more than 110 English-language clinical research journals, and identified approximately 250 studies that had the potential to change the practice of family physicians. Each study was critically appraised and summarized by a group of primary ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0915/p397.html
Dermatologic Conditions in Skin of Color: Part II. Disorders Occurring Predominately in...
Jun 15, 2013 - Several skin conditions are more common in persons with skin of color, including dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids. Dermatosis papulosa nigra is a common benign condition characterized by skin lesions that do not require treatment,...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p859.html
Cutaneous Cryosurgery - American Family Physician
Dec 15, 2012 - Cutaneous cryosurgery refers to localized application of freezing temperatures to achieve destruction of skin lesions. It can be used to treat a broad range of benign and premalignant skin conditions, and certain malignant skin conditions, with high cure rates. Cellular destruction is ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1215/p1118.html
Evaluation of Nausea and Vomiting - American Family Physician
Jul 1, 2007 - A comprehensive history and physical examination can often reveal the cause of nausea and vomiting, making further evaluation unnecessary. Acute symptoms generally are the result of infectious, inflammatory, or iatrogenic causes. Most infections are self-limiting and require minimal ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0701/p76.html
Hepatitis A - American Family Physician
Dec 1, 2012 - Hepatitis A is a common viral illness worldwide, although the incidence in the United States has diminished in recent years as a result of extended immunization practices. Hepatitis A virus is transmitted through fecal-oral contamination, and there are occasional outbreaks through food ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1201/p1027.html
Common Questions About Bell Palsy - American Family Physician
Feb 1, 2014 - Bell palsy is an acute affliction of the facial nerve, resulting in sudden paralysis or weakness of the muscles on one side of the face. Testing patients with unilateral facial paralysis for diabetes mellitus or Lyme disease is not routinely recommended. Patients with Lyme disease ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0201/p209.html
Financial Management -- FPM Toolbox
Nov 16, 2011 - Download templates and checklists to help you track practice expenses, analyze payer reimbursement, and manage other financial issues.
Family Practice Management : FPM Toolbox : Financial Management
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=13
Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician
Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1115/p913.html
Prevention or Delay of Type 2 Diabetes Mellitus: Recommendations From the American ...
Apr 1, 2022 - The American Diabetes Association (ADA) has released updated guidelines for the prevention or delay of diabetes.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2022/0400/p438.html
Common Eye Emergencies - American Family Physician
Oct 15, 2013 - Ocular emergencies such as retinal detachments, mechanical globe injuries, and chemical injuries can cause permanent vision loss if they are not recognized and treated promptly. Family physicians should be familiar with the signs and symptoms associated with each condition, and be able ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p515.html
JNC8 Guidelines for the Management of Hypertension in Adults - Practice Guidelines - ...
Oct 1, 2014 - Hypertension is one of the most important preventable contributors to disease and death in the United States, leading to myocardial infarction, stroke, and renal failure when it is not detected early and treated appropriately. The Eighth Joint National Committee (JNC 8) recently ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2014/1001/p503.html
Differential Diagnosis of the Swollen Red Eyelid - American Family Physician
Dec 15, 2007 - The differential diagnosis of eyelid erythema and edema is broad, ranging from benign, self-limiting dermatoses to malignant tumors and vision-threatening infections. A definitive diagnosis usually can be made on physical examination of the eyelid and a careful evaluation of symptoms ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1215/p1815.html
Infant Formula - American Family Physician
Apr 1, 2009 - Although the American Academy of Pediatrics and the American Academy of Family Physicians recommend breast milk for optimal infant nutrition, many parents still choose formula as an acceptable alternative. The wide variety of available formulas is confusing to parents and physicians, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0401/p565.html
Adolescent Health Screening and Counseling - American Family Physician
Dec 15, 2012 - Serious health problems, risky behavior, and poor health habits persist among adolescents despite access to medical care. Most adolescents do not seek advice about preventing leading causes of morbidity and mortality in their age group, and physicians often do not find ways to provide ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1215/p1109.html
Managing Adverse Effects of Hormonal Contraceptives - American Family Physician
Dec 15, 2010 - Adverse effects of hormonal contraceptives usually diminish with continued use of the same method. Often, physi- cians only need to reassure patients that these symptoms will likely resolve within three to five months. Long-acting injectable depot medroxyprogesterone acetate is the only...
American Family Physician : Article
https://www.aafp.org/afp/2010/1215/p1499.html
Common Conditions in the Overhead Athlete - American Family Physician
Apr 1, 2014 - The overhead athlete is at unique risk for injury because of the mechanics associated with rapid shoulder elevation, abduction, and external rotation. Angulation of the humeral head against the posterosuperior glenoid can cause rotator cuff tendon and labral impingement. The throwing or...
American Family Physician : Article
https://www.aafp.org/afp/2014/0401/p537.html
Iliotibial Band Syndrome: A Common Source of Knee Pain - American Family Physician
Apr 15, 2005 - Iliotibial band syndrome is a common knee injury. The most common symptom is lateral knee pain caused by inflammation of the distal portion of the iliotibial band. The iliotibial band is a thick band of fascia that crosses the hip joint and extends distally to insert on the patella, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0415/p1545.html
Dermatologic Conditions in Skin of Color: Part I. Special Considerations for Common ...
Jun 15, 2013 - Skin of color traditionally refers to that of persons of African, Asian, Native American, Middle Eastern, and Hispanic backgrounds. Differences in cutaneous structure and function can result in skin conditions with distinct presentations and varying prevalence that require unique ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p850.html
Evaluation and Management of Common Anorectal Conditions - American Family Physician
Mar 15, 2012 - The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0315/p624.html
Physical Activity Guidelines for Older Adults - American Family Physician
Jan 1, 2010 - Few older adults in the United States achieve the minimum recommended amount of physical activity. Lack of physical activity contributes to many chronic diseases that occur in older adults, including heart disease, stroke, diabetes mellitus, lung disease, Alzheimer disease, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0101/p55.html
Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...
Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0115/p127.html
Urinalysis: A Comprehensive Review - American Family Physician
Mar 15, 2005 - A complete urinalysis includes physical, chemical, and microscopic examinations. Midstream clean collection is acceptable in most situations, but the specimen should be examined within two hours of collection. Cloudy urine often is a result of precipitated phosphate crystals in alkaline...
American Family Physician : Article
https://www.aafp.org/afp/2005/0315/p1153.html
Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...
Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0915/p378.html
Hemorrhoids - American Family Physician
Jul 15, 2011 - Most patients with hemorrhoids experience only mild symptoms that can be treated with nonprescription topical preparations. Patients usually seek treatment when symptoms increase. Internal hemorrhoids typically present with prolapse or painless rectal bleeding. External hemorrhoids also...
American Family Physician : Article
https://www.aafp.org/afp/2011/0715/p204.html
High Blood Pressure in Children and Adolescents - American Family Physician
Apr 1, 2012 - High blood pressure in children and adolescents is a growing health problem that is often overlooked by physicians. Normal blood pressure values for children and adolescents are based on age, sex, and height, and are available in standardized tables. Prehypertension is defined as a ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0401/p693.html
Outpatient E/M Coding Simplified -- FPM
Feb 1, 2022 - Getting clear on the new coding rules can help you eliminate bloated documentation and improve reimbursement to reflect the value of your visits.
Family Practice Management : Articles
https://www.aafp.org/fpm/2022/0100/p26.html
Managing Difficult Encounters: Understanding Physician, Patient, and Situational ...
Mar 15, 2013 - Family physicians commonly find themselves in difficult clinical encounters. These encounters often leave the physician feeling frustrated. The patient may also be dissatisfied with these encounters because of unmet needs, unfulfilled expectations, and unresolved medical issues. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0315/p419.html
Treatment of Breast Cancer - American Family Physician
Jun 1, 2010 - Understanding breast cancer treatment options can help family physicians care for their patients during and after cancer treatment. This article reviews typical treatments based on stage, histology, and biomarkers. Lobular carcinoma in situ does not require treatment. Ductal carcinoma ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0601/p1339.html
Sexually Transmitted Infections: Updated Guideline From the CDC - Practice Guidelines -...
May 1, 2022 - The Centers for Disease Control and Prevention released updated recommendations for management of sexually transmitted infections.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2022/0500/p553.html
Management of Chronic Tendon Injuries - American Family Physician
Apr 1, 2013 - Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0401/p486.html
Understanding and Interpreting the Serum Protein Electrophoresis - American Family ...
Jan 1, 2005 - Serum protein electrophoresis is used to identify patients with multiple myeloma and other serum protein disorders. Electrophoresis separates proteins based on their physical properties, and the subsets of these proteins are used in interpreting the results. Plasma protein levels ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0101/p105.html
Reducing the Risk of Adverse Drug Events in Older Adults - American Family Physician
Mar 1, 2013 - Adverse drug events occur in 15 percent or more of older patients presenting to offices, hospitals, and extended care facilities. These events are potentially preventable up to 50 percent of the time. Common serious manifestations include falls, orthostatic hypotension, heart failure, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0301/p331.html
Psoriasis: Update on Topical Therapy From the American Academy of Dermatology - ...
May 1, 2022 - The American Academy of Dermatology and National Psoriasis Foundation updated their recommendations on topical therapies for patients with mild to moderate psoriasis.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2022/0500/p558.html
Anaphylaxis: Recognition and Management - American Family Physician
Nov 15, 2011 - Anaphylaxis is a severe, life-threatening, systemic allergic reaction that is almost always unanticipated and may lead to death by airway obstruction or vascular collapse. Anaphylaxis occurs as the result of an allergen response, usually immunoglobulin E–mediated, which leads to mast ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1115/p1111.html
Office Management of Early Pregnancy Loss - American Family Physician
Jul 1, 2011 - The management of early pregnancy loss used to be based largely in the hospital setting, but it has shifted to the outpatient setting, allowing women to remain under the care of their family physician throughout the miscarriage process. Up to 15 percent of recognized pregnancies end in ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0701/p75.html
Management of Gout: Update from the American College of Rheumatology - Practice ...
Aug 1, 2021 - The American College of Rheumatology published updated guidelines for gout management focused on improving prevention of flare-ups.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/0800/p209.html
Recognition and Evaluation of Nontraumatic Subarachnoid Hemorrhage and Ruptured ...
Oct 1, 2013 - Swift diagnosis and treatment are critical for good outcomes in patients with nontraumatic subarachnoid hemorrhage, which is usually caused by a ruptured aneurysm. This type of stroke often results in death or disability. Rates of misdiagnosis and treatment delays for subarachnoid ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1001/p451.html
When to Suspect a Genetic Syndrome - American Family Physician
Nov 1, 2012 - Family physicians should be able to recognize findings on physical examination and history that suggest the presence of a genetic syndrome to aid in the diagnosis and treatment of potentially affected patients, as well as subspecialty referral. General themes that can alert family ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1101/p826.html
Evaluation and Treatment of the Acutely Injured Worker - American Family Physician
Jan 1, 2014 - Approximately 3 million work-related injuries were reported by private industries in 2011, and primary care physicians provided care for approximately one out of four injured workers. To appropriately individualize the treatment of an injured worker and expedite the return to work ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0101/p17.html
Common Questions About Pacemakers - American Family Physician
Feb 15, 2014 - Pacemakers are indicated in patients with certain symptomatic bradyarrhythmias caused by sinus node dysfunction, and in those with frequent, prolonged sinus pauses. Patients with third-degree or complete atrioventricular (AV) block benefit from pacemaker placement, as do those with type...
American Family Physician : Article
https://www.aafp.org/afp/2014/0215/p279.html
Jammed Finger in High School Football Player - Photo Quiz - American Family Physician
May 1, 2022 - A 16-year-old football player presented after a game with pain and deformity of his left ring finger.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2022/0500/p549.html
Dyslipidemia Management for Cardiovascular Disease Prevention: Guidelines from the ...
Apr 15, 2021 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and management of dyslipidemia to prevent cardiovascular disease.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/0415/p507.html
What Is New in HIV Infection? - American Family Physician
Feb 15, 2014 - Human immunodeficiency virus (HIV) prevention and treatment updates include screening recommendations, fourth-generation testing, preexposure prophylaxis, and a paradigm shift; treatment is prevention. The U.S. Preventive Services Task Force recommends routine HIV screening in persons ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0215/p265.html
Credentialing Family Physicians Who Provide Maternity Care - Editorials - American ...
May 1, 2022 - Without national standards of credentialing based on competency, family physicians who provide obstetric care may struggle to obtain hospital privileges.
American Family Physician : Editorials
https://www.aafp.org/afp/2022/0500/p456.html
Evaluation of Acute Pelvic Pain in Women - American Family Physician
Jul 15, 2010 - Diagnosis of pelvic pain in women can be challenging because many symptoms and signs are insensitive and nonspecific. As the first priority, urgent life-threatening conditions (e.g., ectopic pregnancy, appendicitis, ruptured ovarian cyst) and fertility-threatening conditions (e.g., ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0715/p141.html
Common Questions About Vasectomy - American Family Physician
Dec 1, 2013 - Vasectomy offers a safe, effective, and permanent method of male contraception, with an overall failure rate of less than 1% in pooled studies. Men older than 30 years in a stable, committed relationship appear to be the best candidates for vasectomy. The no-scalpel technique reduces ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1201/p757.html
Oral vs. Intravaginal Antifungal Treatments for Uncomplicated Vulvovaginal Candidiasis ...
Apr 1, 2022 - Clinical resolution of symptoms is similar for oral and intravaginal antifungal medications at both short-term (five to 15 days) and long-term (two to 12 weeks) follow-up. However, mycological cure rates (fungal spores cleared from vaginal secretions) are higher in patients treated with...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2022/0400/p367.html
Treatment Options for Insomnia - American Family Physician
Aug 15, 2007 - The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. Physicians may initiate treatment of insomnia at an initial visit; for patients with a clear acute stressor such as grief, no ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0815/p517.html
Diagnosis and Treatment of Community-Acquired Pneumonia - American Family Physician
Feb 1, 2006 - Patients with community-acquired pneumonia often present with cough, fever, chills, fatigue, dyspnea, rigors, and pleuritic chest pain. When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0201/p442.html
Diet and Exercise in the Management of Hyperlipidemia - American Family Physician
May 1, 2010 - Dietary factors that influence lipid levels include modification of nutritional components, consumption of specific foods, use of food additives and supplements, and major dietary approaches. The most beneficial changes result from reducing intake of saturated and trans fats; increasing...
American Family Physician : Article
https://www.aafp.org/afp/2010/0501/p1097.html
Performance-Enhancing Drug Use in Recreational Athletes - Editorials - American Family ...
Feb 15, 2021 - Family physicians may be surprised to learn the number of their patients who use performance-enhancing drugs, either deliberately to improve athletic performance or unknowingly through contaminated dietary supplements.
American Family Physician : Editorials
https://www.aafp.org/afp/2021/0215/p203.html
Asthma Management: Updated Guidelines from the National Heart, Lung, and Blood ...
Nov 1, 2021 - The National Heart, Lung, and Blood Institute (NHLBI) published asthma management guidelines in 1991 and 2007. In 2020, the NHLBI released an update focusing on six priority topics.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/1100/p531.html
Preterm Premature Rupture of Membranes: Diagnosis and Management - American Family ...
Feb 15, 2006 - Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0215/p659.html
Top 20 Research Studies of 2012 for Primary Care Physicians - American Family Physician
Sep 15, 2013 - This is the second annual summary of top research studies in primary care. In 2012, through regular surveillance of more than 100 English-language clinical research journals, seven clinicians identified 270 studies with the potential to change primary care practice, called POEMs, or ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0915/p380.html
Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...
Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1277.html
Fatigue: An Overview - American Family Physician
Nov 15, 2008 - Fatigue, a common presenting symptom in primary care, negatively impacts work performance, family life, and social relationships. The differential diagnosis of fatigue includes lifestyle issues, physical conditions, mental disorders, and treatment side effects. Fatigue can be classified...
American Family Physician : Article
https://www.aafp.org/afp/2008/1115/p1173.html
Diagnosis and Management of G6PD Deficiency - American Family Physician
Oct 1, 2005 - Glucose-6-phosphate dehydrogenase deficiency, the most common enzyme deficiency worldwide, causes a spectrum of disease including neonatal hyperbilirubinemia, acute hemolysis, and chronic hemolysis. Persons with this condition also may be asymptomatic. This X-linked inherited disorder ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1001/p1277.html
Appropriate and Safe Use of Diagnostic Imaging - American Family Physician
Apr 1, 2013 - Risks of diagnostic imaging include cancer from radiation exposure and nephrogenic systemic fibrosis. The increase in volume of imaging between 1980 and 2006 has led to a sixfold increase in annual per capita radiation exposure. It is predicted that 2 percent of future cancers will be ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0401/p494.html
Microscopic Hematuria in Adults: Updated Recommendations from the American Urological ...
Dec 1, 2021 - The American Urological Association released an updated guideline for risk-based evaluation of microscopic hematuria.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/1200/p655.html
Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis - STEPS - American Family ...
Nov 15, 2019 - Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/1115/p643.html
Diagnosis and Management of Benign Prostatic Hyperplasia - American Family Physician
May 15, 2008 - Benign prostatic hyperplasia is a common condition affecting older men. Typical presenting symptoms include urinary hesitancy, weak stream, nocturia, incontinence, and recurrent urinary tract infections. Acute urinary retention, which requires urgent bladder catheterization, is ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0515/p1403.html
Peptic Ulcer Disease - American Family Physician
Oct 1, 2007 - Peptic ulcer disease usually occurs in the stomach and proximal duodenum. The predominant causes in the United States are infection with Helicobacter pylori and use of nonsteroidal anti-inflammatory drugs. Symptoms of peptic ulcer disease include epigastric discomfort (specifically, ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1001/p1005.html
Contraception Choices in Women with Underlying Medical Conditions - American Family ...
Sep 15, 2010 - Primary care physicians often prescribe contraceptives to women of reproductive age with comorbidities. Novel delivery systems (e.g., contraceptive patch, contraceptive ring, single-rod implantable device) may change traditional risk and benefit profiles in women with comorbidities. ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0915/p621.html
Promoting Smoking Cessation - American Family Physician
Mar 15, 2012 - Cigarette smoking causes significant morbidity and mortality in the United States. Physicians can use the five A’s framework (ask, advise, assess, assist, arrange) to promote smoking cessation. All patients should be asked about tobacco use and assessed for motivation to quit at every ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0315/p591.html
Hearing Loss in Older Adults - American Family Physician
Jun 15, 2012 - Hearing loss affects approximately one-third of adults 61 to 70 years of age and more than 80 percent of those older than 85 years. Men usually experience greater hearing loss and have earlier onset compared with women. The most common type is age-related hearing loss; however, many ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0615/p1150.html
Fever in Returning Travelers: A Case-Based Approach - American Family Physician
Oct 15, 2013 - Overall, 3% to 19% of travelers to the developing world will return to the United States with fever or will develop fever within weeks of their return. When evaluating the returning traveler with fever, it is important to know which pretravel immunizations the patient received; which ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1015/p524.html