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Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0901/od2.html

Documentation Guidelines -- FPM Topic Collection

Jul 23, 2010 - This collection of articles from FPM will help you comply with Medicare's E/M documentation guidelines. This collection of articles from FPM will help you comply with Medicare's E/M documentation guidelines.

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=52

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...

Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0215/p233.html

Racism in Health Care: Creating a More Equitable Health Care Experience -- FPM

Oct 1, 2020 - Imagine how it would feel to walk into a doctor’s office and see that everyone else looks different from you.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0900/p3.html

School-Based Asthma Management Programs - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Oct 15, 2020 - Comprehensive public school–based programs providing supervised administration of asthma medication and/or education for staff, children, and parents markedly decrease asthma-related ED visits for school-aged children.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/1015/od2.html

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1443.html

Increased Daily Steps Associated with Reduced All-Cause Mortality - POEMs - American ... Restricted content. Login required.

Oct 15, 2020 - This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od4.html

Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...

Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1201/p672.html

Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome - POEMs - American ... Restricted content. Login required.

Sep 15, 2020 - This is the largest and best study to date of fecal microbiota transplant for irritable bowel syndrome —with impressive results.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p377.html

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians ...

Oct 1, 2020 - Expansion of Medicare or private insurance would not address the deeper problems in our health care system.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2020/1001/p392.html

Diary of a Family Physician - Oct 15, 2020 - American Family Physician Restricted content. Login required.

Oct 15, 2020 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2020/1015/p460.html

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...

May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od4.html

Evaluation and Treatment of Constipation in Infants and Children - American Family ...

Feb 1, 2006 - Constipation in children usually is functional and the result of stool retention. However, family physicians must be alert for red flags that may indicate the presence of an uncommon but serious organic cause of constipation, such as Hirschsprung's disease (congenital aganglionic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p469.html

Sex-Based Differences in Drug Activity - American Family Physician

Dec 1, 2009 - Physiologic differences between men and women affect drug activity, including pharmacokinetics and pharmacodynamics. Pharmacokinetics in women is affected by lower body weight, slower gastrointestinal motility, less intestinal enzymatic activity, and slower glomerular filtration rate. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1254.html

Ten EHR Strategies for Efficient Documentation -- FPM Restricted content. Login required.

Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p5.html

Primary Care–Based Interventions to Prevent Illicit Drug Use: Recommendation Statement ...

Oct 15, 2020 - The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral counseling interventions to prevent illicit drug use, including nonmedical use of prescription drugs, in children, ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/1015/od1.html

Treating Diabetic Peripheral Neuropathic Pain - American Family Physician

Jul 15, 2010 - Diabetic peripheral neuropathic pain affects the functionality, mood, and sleep patterns of approximately 10 to 20 percent of patients with diabetes mellitus. Treatment goals include restoring function and improving pain control. Patients can realistically expect a 30 to 50 percent ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0715/p151.html

Preventive Care -- FPM Topic Collection

Mar 21, 2011 - This collection of articles and tools from FPM can help you provide preventive care efficiently and get paid fairly for it. This collection of articles and tools from FPM can help you provide preventive care efficiently and get paid fairly for it.

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=65

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians ...

Oct 1, 2020 - We must use the lessons of the coronavirus disease 2019 (COVID-19) pandemic to better prepare for the next one and address the shortcomings in our health care system.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2020/1001/p389.html

Otitis Media, COVID-19 and Hydroxychloroquine, Postoperative Pulmonary Risk, ... Restricted content. Login required.

Sep 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0901/p266.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

AFP 2020: Reflections, New Fellows, Updates, and AFP Statistics - Editorials - American...

Oct 15, 2020 - This editorial highlights the top 20 AFP articles of 2019, provides an update on AFP's statistics for print circulation and website visits, and thanks our peer reviewers.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1015/p457.html

Shared Decision-Making for Administering PCV13 in Older Adults - Editorials - American ...

Feb 1, 2020 - In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0201/p134.html

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

Aug 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0801/p136.html

Diagnosis and Management of Ectopic Pregnancy - American Family Physician

Nov 1, 2005 - Ectopic pregnancy is a high-risk condition that occurs in 1.9 percent of reported pregnancies. The condition is the leading cause of pregnancy-related death in the first trimester. If a woman of reproductive age presents with abdominal pain, vaginal bleeding, syncope, or hypotension, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1707.html

Enlarging Leg Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 1, 2020 - A patient presented with an enlarging, nonpainful, nonpruritic nodule just below the right knee where he sustained minor trauma twelve years earlier.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1001/p439.html

Acute Stroke Diagnosis - American Family Physician

Jul 1, 2009 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of ischemic stroke diagnosis. The most common presenting symptoms for ischemic stroke are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p33.html

Immunizations in Pregnancy: Updated Recommendations - Editorials - American Family ...

Aug 15, 2020 - Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p205.html

Cycled Hyperbaric Oxygen Improves the Healing of Diabetic Foot Ulcers - POEMs - ... Restricted content. Login required.

Oct 15, 2020 - Hyperbaric oxygen provided with a device that cycles oxygen from high pressure to low pressure increased the likelihood of complete healing of diabetic foot ulcers when combined with standard dressing and an offloading boot.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od3.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Practice Pearls - Sep-Oct 2020 -- FPM Restricted content. Login required.

Oct 1, 2020 - Provide patient letters describing the diagnosis rather than the need for accommodation |Reduce pain of deltoid injection | Test your staff's phone etiquette by calling your own office |Prevent staff burnout due to COVID-19

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0900/p43.html

Management of Bartholin's Duct Cyst and Gland Abscess - American Family Physician

Jul 1, 2003 - Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. Bartholin's glands are located bilaterally at the posterior introitus and drain through ducts that empty into the vestibule at approximately the 4 o'clock and 8 o'clock positions. These normally...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p135.html

Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ... Restricted content. Login required.

May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/0501/p557.html

Hyperbilirubinemia in the Term Newborn - American Family Physician

Feb 15, 2002 - Hyperbilirubinemia is one of the most common problems encountered in term newborns. Historically, management guidelines were derived from studies on bilirubin toxicity in infants with hemolytic disease. More recent recommendations support the use of less intensive therapy in healthy ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p599.html

Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ... Restricted content. Login required.

Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p147.html

Generalized Anxiety Disorder: Practical Assessment and Management - American Family ...

May 1, 2009 - Generalized anxiety disorder is common among patients in primary care. Affected patients experience excessive chronic anxiety and worry about events and activities, such as their health, family, work, and finances. The anxiety and worry are difficult to control and often lead to ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0501/p785.html

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ... Restricted content. Login required.

Aug 15, 2020 - J.P., a 13-year-old girl, presents to your clinic for a routine well-child visit. She has no acute concerns, is doing well in school, plays sports, and is generally healthy. J.P. reports that she has never used tobacco products, including electronic cigarettes or vaping.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0815/p241.html

PID Treatment, Low Back Pain, Opioids, Plasma Injections, Sphygmomanometry - AFP ... Restricted content. Login required.

Oct 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/1001/p398.html

Vaccine Adverse Events: Separating Myth from Reality - American Family Physician

Dec 1, 2002 - Vaccines have turned many childhood diseases into distant memories in industrialized countries. However, questions have been raised about the safety of some vaccines because of rare but serious adverse effects that have been attributed to them. Pain, swelling, and redness at the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2113.html

Two Habits of a Healthy Team: Managing Conflict and Practicing Gratitude -- FPM Restricted content. Login required.

Aug 1, 2020 - Most teams try to avoid conflict, yet can’t stop focusing on the negative. Healthy teams do the opposite.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p11.html

Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic -... Restricted content. Login required.

Sep 1, 2020 - In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0901/p312.html

Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ... Restricted content. Login required.

Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0215/p230.html

Case Report: Gonorrhea as a Cause of Exudative Tonsillitis - Letters to the Editor - ...

Jan 15, 2019 - Letters to the Editor from AFP reader regarding a case report of gonorrhea as a cause of exudative tonsillitis.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p77.html

2020 National Residency Match Program Results: Where Does Family Medicine Stand and ...

Aug 15, 2020 - Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p202.html

Complications of Body Piercing - American Family Physician

Nov 15, 2005 - The trend of body piercing at sites other than the earlobe has grown in popularity in the past decade. The tongue, lips, nose, eyebrows, nipples, navel, and genitals may be pierced. Complications of body piercing include local and systemic infections, poor cosmesis, and foreign body ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2029.html

Case Report: Multisystem Inflammatory Syndrome in a Child Presenting with Rash and ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of multisystem inflammatory syndrome in a child presenting with rash and fever.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p325.html

Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica - ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of Dermatobia hominis after travel to Costa Rica.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p326.html

Migraines in Children: Recommendations for Acute and Preventive Treatment - Practice ... Restricted content. Login required.

May 1, 2020 - Updated recommendations for the prevention and treatment of migraines in children and adolescents were recently published by the American Academy of Neurology and the American Headache Society, and they are based on a systematic review of new evidence published between January 2003 and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0501/p569.html

Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American... Restricted content. Login required.

Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p17.html

Recognition and Management of Acute Medication Poisoning - American Family Physician

Feb 1, 2010 - Poisoning is a common cause of morbidity and mortality in the United States, with several million episodes reported annually. Acute medication poisonings account for nearly one half of all poisonings reported in the United States and should be considered in persons with an acute change ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p316.html

Clinical Diagnosis of Acute Bacterial Rhinosinusitis - Point-of-Care Guides - American ... Restricted content. Login required.

Jun 15, 2020 - Which patients with symptoms of acute rhinosinusitis have bacterial infection?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0615/p758.html

Colorectal Cancer Screening: BMJ Rapid Recommendation - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p253.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults - Putting ... Restricted content. Login required.

Sep 15, 2020 - M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0915/p367.html

ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p376.html

Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations - Practice ... Restricted content. Login required.

May 15, 2020 - The American College of Obstetricians and Gynecologists (ACOG) has new recommendations and conclusions about menstrual bleeding disorders in adolescents.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0515/p633.html

Keys to High-Quality, Low-Cost Care: Empanelment, Attribution, and Risk Stratification ...

Oct 1, 2020 - Understand attribution and alignment methodologies in VBP arrangements to know which patients are assigned to you. Use empanelment and risk stratification to better understand where to expend a practice's care management and care coordination resources.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p37.html

Sarecycline (Seysara) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Aug 15, 2020 - Sarecycline is a once-daily oral medication for patients with moderate to severe non-nodular acne. Its benefit over less expensive options has not been demonstrated.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0815/p245.html

Persistent Asymptomatic Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 15, 2020 - A soldier deployed to Afghanistan presented with an asymptomatic ulcerated lesion on the arm.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0915/p369.html

Venous Thromboembolism During Pregnancy - American Family Physician

Jun 15, 2008 - Venous thromboembolism is the leading cause of maternal death in the United States. Pregnancy is a risk factor for deep venous thrombosis, and risk is further increased with a personal or family history of thrombosis or thrombophilia. Screening for thrombophilia is not recommended for ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0615/p1709.html

Transitioning to Direct Primary Care -- FPM Restricted content. Login required.

Aug 1, 2020 - Imagine practicing medicine without all the administrative burdens related to billing insurance. Here’s how one physician made the switch.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p29.html

How to Handle Misinformation in the Age of Dr. Google -- FPM Restricted content. Login required.

Oct 1, 2020 - Sometimes the medical information patients find on the internet is correct. But when it’s not, we need to practice a new skillset.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0900/p48.html

Antibiotic Prophylaxis for Operative Vaginal Delivery - Medicine by the Numbers - ... Restricted content. Login required.

Oct 1, 2020 - Current guidelines from the World Health Organization do not recommend routine antibiotic prophylaxis for operative vaginal birth because of insufficient evidence of effectiveness.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1001/od2.html

Evaluation and Treatment of Enuresis - American Family Physician

Aug 15, 2008 - Enuresis is defined as repeated, spontaneous voiding of urine during sleep in a child five years or older. It affects 5 to 7 million children in the United States. Primary nocturnal enuresis is caused by a disparity between bladder capacity and nocturnal urine production and failure of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p489.html

Acupuncture for Knee Osteoarthritis - FPIN's Clinical Inquiries - American Family ... Restricted content. Login required.

Aug 1, 2020 - Electroacupuncture can be used to improve pain and physical function in adults with knee osteoarthritis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0801/p184.html

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0901/p269.html

Postexposure Prophylaxis Against Human Immunodeficiency Virus - American Family Physician

Jul 15, 2010 - Family physicians often encounter situations in which postexposure prophylaxis (PEP) with antiretroviral medications against human immunodeficiency virus (HIV) may be indicated. When the exposure source's HIV status is unknown and testing of the source is possible, use of a rapid HIV ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0715/p161.html

Differential Diagnosis of Muscle Weakness in Adults - Letters to the Editor - American ...

Jul 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p73.html

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.html

Pilonidal Disease Management: Guidelines from the ASCRS - Practice Guidelines - ...

Nov 1, 2019 - The American Society of Colon and Rectal Surgeons (ASCRS) has released a clinical practice guideline to provide physicians with diagnosis and treatment options of pilonidal disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1101/p582.html

Developing Your Professional Career Plan -- FPM Restricted content. Login required.

Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p21.html

Diagnosis and Treatment of Bladder Cancer - American Family Physician

Oct 1, 2009 - Bladder cancer is the sixth most prevalent malignancy in the United States. The most common type of bladder cancer is urothelial (transitional cell) carcinoma, and cystoscopy remains the mainstay of diagnosis and surveillance. Fluorescence cystoscopy offers improvement in the detection ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1001/p717.html

Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ... Restricted content. Login required.

May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0501/p527.html

Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -... Restricted content. Login required.

Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0615/p753.html

Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ... Restricted content. Login required.

Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248.html

Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Similar Long-Term Morbidity and Mortality with Human Insulin and Analogue Insulin - ... Restricted content. Login required.

Sep 15, 2020 - This study found no difference in long-term patient-oriented outcomes between human and analogue insulins in adults with type 2 diabetes.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375.html

ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2020 - The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0215/p251.html

Managing a Telephone Encounter: Five Tips for Effective Communication -- FPM

Jun 1, 2020 - Doctoring by phone is a skill I never thought I’d have to learn.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0500/p4.html

The Painful Shoulder: Part I. Clinical Evaluation. - American Family Physician

May 15, 2000 - Family physicians need to understand diagnostic and treatment strategies for common causes of shoulder pain. We review key elements of the history and physical examination and describe maneuvers that can be used to reach an appropriate diagnosis. Examination of the shoulder should ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3079.html

Postpartum Care, COVID-19, Augmentation Therapy, Vitamin D Supplementation - AFP ... Restricted content. Login required.

Aug 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0815/p209.html

Facial Rash with Oral Lesions - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0815/p243.html

Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ... Restricted content. Login required.

Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0715/p115.html

Shoulder Dystocia - American Family Physician

Apr 1, 2004 - Shoulder dystocia can be one of the most frightening emergencies in the delivery room. Although many factors have been associated with shoulder dystocia, most cases occur with no warning. Calm and effective management of this emergency is possible with recognition of the impaction and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1707.html

Lymphadenopathy: Differential Diagnosis and Evaluation - American Family Physician

Oct 15, 1998 - Although the finding of lymphadenopathy sometimes raises fears about serious illness, it is, in patients seen in primary care settings, usually a result of benign infectious causes. Most patients can be diagnosed on the basis of a careful history and physical examination. Localized ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1313.html

Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica - ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of Dermatobia hominis after travel to Costa Rica.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p326a.html

VTE, Antiplatelet Therapy, Treatment for Veterans, HIV Prophylaxis, Diabetes Mellitus ... Restricted content. Login required.

Sep 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0915/p332.html

Keratinocyte Carcinomas: Should We Screen for Them? - Editorials - American Family ...

Sep 15, 2020 - Keratinocyte carcinoma, which includes basal cell and cutaneous squamous cell carcinomas, is common, and the incidence is increasing.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0915/p330.html

Benefits of Teaching Medical Students: Perspectives from a Community Physician ...

Aug 1, 2020 - There is a need for more enthusiastic community family physician mentors to improve the shortage of medical students going into primary care and to reach the goal of 25% of students choosing family medicine by 2030.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0801/p140.html

Smoking Cessation with Text Messaging and App-Based Interventions - Cochrane for ... Restricted content. Login required.

Aug 1, 2020 - Automated text messaging interventions are more effective than minimal smoking cessation support (absolute risk reduction [ARR] = 3%; 95% CI, 1% to 5%).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p148.html

Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...

Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p785.html

Chronic Anal Fissures - Clinical Evidence Handbook - American Family Physician

Mar 15, 2016 - What are the effects of surgical treatments for chronic anal fissure?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2016/0315/p498.html

Increasing the D-dimer Threshold for Patients with Low Clinical Pretest Probability ... Restricted content. Login required.

Jul 15, 2020 - The Pulmonary Embolism Graduated d-Dimer strategy increases the number of patients in the emergency department and outpatient setting who have PE ruled out via d-dimer testing, thus decreasing the need for chest imaging.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p117a.html

Hirsutism, Amphetamines, COVID-19 Viral Shedding, Hand-Foot-and-Mouth Disease - AFP ... Restricted content. Login required.

May 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0515/p589.html

Hyperpigmentation of the Tongue and Systemic Symptoms - Photo Quiz - American Family ... Restricted content. Login required.

Apr 15, 2020 - A woman presents with darkening of her skin, tongue, and lips.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0415/p499.html

Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/0615/p748.html

Acetaminophen for Pain Relief in Osteoarthritis - FPIN's Help Desk Answers - American ... Restricted content. Login required.

Jul 15, 2020 - Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0715/p113.html

Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: ...

Jul 15, 2020 - The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0715/p105.html

Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ... Restricted content. Login required.

Aug 1, 2020 - Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0801/p145.html

Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ... Restricted content. Login required.

Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p247.html

Lead Poisoning in Children - American Family Physician

Mar 15, 2010 - The prevalence and severity of childhood lead poisoning have been greatly reduced since the removal of lead from paint and gasoline in the 1970s. Despite these efforts, approximately 310,000 U.S. children younger than five years have elevated blood lead levels. Health care professionals...

American Family Physician : Article

https://www.aafp.org/afp/2010/0315/p751.html

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