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Henoch-Schönlein Purpura - American Family Physician

Oct 1, 2009 - Henoch-Schönlein purpura is an acute, systemic, immune complex-mediated, leukocytoclastic vasculitis. It is characterized by a triad of palpable purpura (without thrombocytopenia), abdominal pain, and arthritis. Most patients have an antecedent upper respiratory illness. More than 90 ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1001/p697.html

Zinc: An Essential Micronutrient - American Family Physician

May 1, 2009 - Zinc is an essential micronutrient for human metabolism that catalyzes more than 100 enzymes, facilitates protein folding, and helps regulate gene expression. Patients with malnutrition, alcoholism, inflammatory bowel disease, and malabsorption syndromes are at an increased risk of zinc...

American Family Physician : Article

https://www.aafp.org/afp/2009/0501/p768.html

Appropriate Use of Electrocardiography in Preparticipation Physical Evaluations - Lown ... Restricted content. Login required.

Mar 1, 2022 - 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/2022/0300/p302.html

Labor Analgesia - American Family Physician

Mar 1, 2012 - Regional analgesia has become the most common method of pain relief used during labor in the United States. Epidural and spinal analgesia are two types of regional analgesia. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p447.html

Behavioral and Psychological Treatments for Chronic Insomnia Disorder: Updated ... Restricted content. Login required.

Jan 1, 2022 - Chronic insomnia is a common sleep disorder that causes impairment, and treatment historically has been limited to sleep hygiene recommendations. The American Academy of Sleep Medicine has updated its clinical practice guidelines on behavioral treatments for chronic insomnia disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2022/0100/p97.html

Midodrine Is Worth a Trial in People With Frequent Episodes of Vasovagal Syncope - ... Restricted content. Login required.

Apr 1, 2022 - Midodrine is a vasoconstrictor used to prevent orthostatic hypotension and may reduce the likelihood of recurrence of vasovagal syncope in patients with frequent episodes. It seems to work completely or not at all; during this study, the patients who had at least one episode of syncope ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0400/od4.html

Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ... Restricted content. Login required.

Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0615/p762.html

Managing the Adverse Effects of Radiation Therapy - American Family Physician

Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p381.html

Screening and Interventions to Prevent Dental Caries in Children Younger Than Five ... Restricted content. Login required.

Mar 1, 2022 - Case study: Hispanic parents who are new to your practice bring in their two children, two years of age and four months of age, for routine wellness visits. Neither child has any known chronic medical conditions, and both are current on routine immunizations. The four-month-old recently...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2022/0300/p299.html

PrecivityAD for Diagnosis of Alzheimer Disease - Diagnostic Tests: What Physicians Need... Restricted content. Login required.

Jan 1, 2022 - The PrecivityAD test is a widely available blood test for older persons with mild cognitive impairment and is marketed to aid in the diagnosis of Alzheimer disease. The APS produced by the test is accurate in predicting the likelihood of positive PET findings, which may reduce the need ...

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

https://www.aafp.org/afp/2022/0100/p79.html

Platelet-Rich Plasma Injections Are Not Superior to Placebo Injections for Ankle ... Restricted content. Login required.

Apr 1, 2022 - This study found no evidence that supports a benefit of platelet-rich plasma injections compared with saline placebo injections for improving function or reducing pain in adults with symptomatic ankle osteoarthritis.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0400/od6.html

Multitarget Stool DNA Testing (Cologuard) for Colorectal Cancer Screening - Diagnostic ... Restricted content. Login required.

Feb 1, 2022 - MT-sDNA testing is a stool-based screening method that is recommended by the U.S. Preventive Services Task Force and covered by most insurance plans. It has higher sensitivity than FIT or FOBT for advanced adenomas but leads to more false-positive results, has a higher likelihood of ...

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

https://www.aafp.org/afp/2022/0200/p198.html

Neonatal Early-Onset Sepsis Calculator - Point-of-Care Guides - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Can the neonatal early-onset sepsis calculator safely and accurately evaluate the risk of early-onset sepsis in neonates?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/1200/p636.html

E/M Changes for 2021: The Beginning, Not the End -- FPM

Feb 1, 2021 - The E/M coding revisions aren’t perfect, but they represent a huge step forward in reducing physicians’ documentation burden, audit risk, and complexity of code selection.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0100/p8.html

Six Mobile Apps to Make Prescribing Easier -- FPM

Dec 1, 2018 - These apps can help you more effectively make medication decisions on the go.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/1100/p11.html

Physicians Should Refuse Pharmaceutical Industry Gifts - Editorials - American Family ...

Oct 1, 2021 - Knowing that the high price of drugs is a major detriment to public health in the United States and that the pharmaceutical industry spends vast sums marketing to health care professionals, physicians should refuse visits, gifts, payments, and drug samples from pharmaceutical ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1000/p348.html

Recurrent Facial Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 15, 2020 - A patient presented with a facial rash that was initially painless but developed a burning sensation.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1115/p625.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

Treatment of Vertigo - American Family Physician

Mar 15, 2005 - Vertigo is the illusion of motion, usually rotational motion. As patients age, vertigo becomes an increasingly common presenting complaint. The most common causes of this condition are benign paroxysmal positional vertigo, acute vestibular neuronitis or labyrinthitis, Ménière's ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1115.html

Countdown to the E/M Coding Changes -- FPM

Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p29.html

Update on the Management of Chronic Kidney Disease - American Family Physician

Oct 15, 2012 - Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1015/p749.html

Common Intestinal Parasites - American Family Physician

Mar 1, 2004 - Intestinal parasites cause significant morbidity and mortality. Diseases caused by Enterobius vermicularis, Giardia lamblia, Ancylostoma duodenale, Necator americanus, and Entamoeba histolytica occur in the United States. E. vermicularis, or pinworm, causes irritation and sleep ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1161.html

Trigger Finger: Safety and Effectiveness of NSAID vs. Steroid Injection Therapy - ... Restricted content. Login required.

Dec 1, 2021 - In patients with trigger finger, there is no significant difference in outcomes at 12 to 24 weeks— including resolution of symptoms, recurrence, total active motion, residual pain, patient satisfaction, or adverse events—when comparing treatment with NSAID injections vs. corticosteroid ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1200/p577.html

What Do Patients Want? -- FPM Restricted content. Login required.

Apr 1, 2022 - One way to find out is to ask them via a patient advisory council.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2022/0300/p5.html

Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published updated guidelines for the treatment of headache disorders based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p316.html

Coding & Documentation - Jan-Feb 2022 -- FPM Restricted content. Login required.

Feb 1, 2022 - Problem not addressed until follow-up visit | Incident-to annual wellness visits | Treating second-degree burns | Diagnosis codes for infant with problem ruled out during visit

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2022/0100/p32.html

Inhaled Budesonide Reduces the Risk of Emergency Department Evaluation or ... Restricted content. Login required.

Aug 1, 2021 - Inhaled budesonide, 800 mcg twice daily, significantly reduces the likelihood that patients with early COVID-19 will require emergency department evaluation or hospitalization (number needed to treat = 7 to 8). This is a widely available, relatively inexpensive drug with the potential ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p207.html

Treatment of Chronic Obstructive Pulmonary Disease: Guidelines from the VA/DoD - ... Restricted content. Login required.

Jul 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense published guidelines for the primary care management of COPD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p98.html

Hair Loss in a Child - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2022 - A three-year-old boy presented with hair loss that started as a small patch on the back of his head and worsened over the last two months.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2022/0300/p317.html

Massive Scrotal Swelling - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 1, 2022 - A man presented with a 10-year history of severe scrotal swelling. The scrotal skin was tender, thickened, and hyperpigmented.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2022/0100/p77.html

Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption -...

Jun 1, 2020 - Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0601/p646.html

Personality Disorders: Review and Clinical Application in Daily Practice - American ...

Dec 1, 2011 - Personality disorders have been documented in approximately 9 percent of the general U.S. population. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders. Personality disorders are ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1253.html

Improving Time Management Through Modern-Day To-Do Lists -- FPM Restricted content. Login required.

Feb 1, 2022 - It’s not enough to be busy; so are the ants. The question is, what are we busy about? - Henry David Thoreau

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2022/0100/p5.html

Progressive Rash in an Infant - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2022 - An infant presented with a rash that first appeared on her chin and then spread to the diaper area, limbs, and chest.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2022/0300/p319.html

Universal Depression Screening in Primary Care: 77% False Positives - POEMs - American ... Restricted content. Login required.

Mar 1, 2022 - There is considerable uncertainty, which is reflected in the disparate guidelines, about whether screening for depression is helpful to patients (rather than a way to label them as being depressed or not). Most of the positive scores on the Patient Health Questionnaire-9 tool will be ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0300/p321a.html

Management of Patellofemoral Pain Syndrome - American Family Physician

Jan 15, 2007 - Patellofemoral pain syndrome (PFPS) is the most common cause of knee pain in the outpatient setting. It is caused by imbalances in the forces controlling patellar tracking during knee flexion and extension, particularly with overloading of the joint. Risk factors include overuse, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0115/p194.html

Virtual vs. In-Person Pulmonary Rehabilitation for Chronic Lung Disease - Cochrane for ... Restricted content. Login required.

Feb 1, 2022 - For patients with chronic obstructive pulmonary disease, virtual pulmonary rehabilitation is equivalent to in-person pulmonary rehabilitation at reducing symptoms of breathlessness and increasing six-minute walking distance. Participants in both virtual and in-person pulmonary ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0200/p135.html

Practice Pearls - Jan-Feb 2022 -- FPM Restricted content. Login required.

Feb 1, 2022 - Simplify documentation of history and physical exam for inpatient coding | Capture all of your time for outpatient E/M coding

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2022/0100/p33.html

Compression Stockings for Preventing Deep Venous Thrombosis in Airline Passengers - ... Restricted content. Login required.

Jan 1, 2022 - Compression stockings are effective at reducing asymptomatic deep venous thrombosis in airline passengers taking flights longer than five hours in both high-risk and low-risk populations.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0100/p23.html

Hepatitis B: Diagnosis and Treatment - American Family Physician

Apr 15, 2010 - Although an estimated 1 million persons in the United States are chronically infected with hepatitis B virus, the prevalence of hepatitis B has declined since the implementation of a national vaccination program. Hepatitis B virus is transmitted in blood and secretions. Acute infection ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p965.html

Behavioral Interventions for Smoking Cessation - Cochrane for Clinicians - American ... Restricted content. Login required.

Feb 1, 2022 - A variety of behavioral interventions are effective for smoking cessation. Providing individual or group counseling, guaranteed financial incentives, and text message–based counseling provide the greatest benefit. Population characteristics do not consistently affect the success of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0200/p133.html

Clopidogrel Monotherapy More Effective Than Aspirin to Prevent Coronary Events After ... Restricted content. Login required.

Feb 1, 2022 - In this study, clopidogrel monotherapy caused fewer subsequent events compared with aspirin monotherapy in stable patients who completed dual antiplatelet therapy after PCI with drug-eluting stents.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0200/p203a.html

Update on ASCCP Consensus Guidelines for Abnormal Cervical Screening Tests and Cervical...

Jul 15, 2009 - New data have emerged since publication of the American Society for Colposcopy and Cervical Pathology's 2001 consensus guidelines for management of abnormal cervical cytology and histology. The 2006 guidelines include recommendations for special populations (i.e., adolescents and ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p147.html

Can Mobile Phone–Based Interventions Improve Adherence to Medication for Primary ... Restricted content. Login required.

Mar 1, 2022 - Mobile phone–based interventions improve adherence to cardiovascular medication regimens and may improve blood pressure control, but there is no patient-oriented evidence that these interventions are beneficial.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0300/p236.html

Venous Thromboembolism: Management Guidelines from the American Society of Hematology -... Restricted content. Login required.

Oct 1, 2021 - The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p429.html

Lyme Disease: Updated Recommendations from the IDSA, AAN, and ACR - Practice Guidelines... Restricted content. Login required.

Dec 1, 2021 - A multidisciplinary panel representing the Infectious Diseases Society of America, the American Academy of Neurology, and the American College of Rheumatology has published recommendations on the prevention, diagnosis, and treatment of Lyme disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1200/p652.html

Human Papillomavirus, Depression, Onychomycosis, Sciatica, Headaches, Obstetric ... Restricted content. Login required.

Mar 1, 2022 - 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/2022/0300/p234.html

How to Succeed in Value-Based Care -- FPM Restricted content. Login required.

Dec 1, 2021 - Identifying your patients, sorting them by risk, and managing their chronic conditions as a team can help you make the most of value-based care programs

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/1100/p25.html

Topical Nitroglycerin for Lower Extremity Tendinopathy - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Feb 1, 2022 - In non-insertional Achilles tendinopathy, topical NTG patches are minimally better than placebo at 24 weeks. Topical NTG plus physical therapy is not superior for pain relief or functional improvement compared with placebo patches plus physical therapy. In chronic patellar tendinopathy,...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2022/0200/p196.html

Common Oral Lesions: Part II. Masses and Neoplasia - American Family Physician

Feb 15, 2007 - Certain common oral lesions appear as masses, prompting concern about oral carcinoma. Many are benign, although some (e.g., leukoplakia) may represent neoplasia or cancer. Palatal and mandibular tori are bony protuberances and are benign anomalies. Oral pyogenic granulomas may appear in...

American Family Physician : Article

https://www.aafp.org/afp/2007/0215/p509.html

Buffering Lidocaine 1%/ Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as ... Restricted content. Login required.

Jan 15, 2021 - Lido/Epi buffered with NaHCO3 in a 3:1 ratio is significantly less painful during infiltration than unbuffered Lido/Epi and buffered Lido/Epi in a 9:1 ratio.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od4.html

Treatment of Constipation in Older Adults - American Family Physician

Dec 1, 2005 - Constipation is a common complaint in older adults. Although constipation is not a physiologic consequence of normal aging, decreased mobility and other comorbid medical conditions may contribute to its increased prevalence in older adults. Functional constipation is diagnosed when no ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2277.html

N-Acetylcysteine: Multiple Clinical Applications - American Family Physician

Aug 1, 2009 - N-acetylcysteine is the acetylated variant of the amino acid L-cysteine and is widely used as the specific antidote for acetaminophen overdose. Other applications for N-acetylcysteine supplementation supported by scientific evidence include prevention of chronic obstructive pulmonary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p265.html

Exercise-Induced Bronchoconstriction: Diagnosis and Management - American Family Physician

Aug 15, 2011 - Exercise-induced bronchoconstriction describes the narrowing of the airway that occurs with exercise. More than 10 percent of the general population and up to 90 percent of persons previously diagnosed with asthma have exercise-induced bronchoconstriction. Common symptoms include ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p427.html

Remdesivir for the Treatment of COVID-19 - Medicine by the Numbers - American Family ... Restricted content. Login required.

Feb 1, 2022 - Learn more about using remdesivir for the treatment of COVID-19.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2022/0200/p131.html

Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons: ...

Jun 15, 2021 - The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration-approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

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

https://www.aafp.org/afp/2021/0615/od1.html

Oppositional Defiant Disorder - American Family Physician

Oct 1, 2008 - Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p861.html

Cervical Ripening in the Outpatient Setting - Implementing AHRQ Effective Health Care ... Restricted content. Login required.

Feb 1, 2022 - What is the effectiveness and what are the harms of cervical ripening methods in the outpatient vs. inpatient setting?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2022/0200/p193.html

SGLT2 Inhibitors or GLP-1 Receptor Agonists Reduce Cardiovascular Outcomes in Patients ... Restricted content. Login required.

Aug 1, 2021 - SGLT2 inhibitors, the diabetes medications ending in -flozin, and GLP-1 receptor agonists, the -tide medications, decrease cardiovascular and renal outcomes to a greater extent than placebo or other treatments. They should be considered in addition to metformin and other ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p206.html

Current Concepts in Concussion: Evaluation and Management - American Family Physician

Jan 15, 2012 - Concussion is a disturbance in brain function caused by direct or indirect force to the head. It is a functional rather than structural injury that results from shear stress to brain tissue caused by rotational or angular forces—direct impact to the head is not required. Initial ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0115/p123.html

E/M Coding Since the 2021 Changes: It Really Is Better -- FPM Restricted content. Login required.

Feb 1, 2022 - There’s more work to be done, but the new rules simplified documentation and coding criteria and should result in increased revenue.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2022/0100/p7.html

Common Adverse Effects of Antiretroviral Therapy for HIV Disease - American Family ...

Jun 15, 2011 - Family physicians are treating patients infected with human immunodeficiency virus in their practices more often. Long-term complications of this disease are multifactorial and can be related to the virus itself or to adverse effects of antiretroviral therapy. Each drug class has side ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0615/p1443.html

Management of Corneal Abrasions - American Family Physician

Jul 1, 2004 - Corneal abrasions result from cutting, scratching, or abrading the thin, protective, clear coat of the exposed anterior portion of the ocular epithelium. These injuries cause pain, tearing, photophobia, foreign body sensation, and a gritty feeling. Symptoms can be worsened by exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p123.html

Diagnosis and Initial Management of Acute Colonic Diverticulitis - Implementing AHRQ ... Restricted content. Login required.

Aug 1, 2021 - What are the benefits and harms of diagnostic testing, and what is the effectiveness of treatment options for acute colonic diverticulitis?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0800/p195.html

Behavioral Counseling Interventions for Healthy Weight and Weight Gain in Pregnancy - ... Restricted content. Login required.

Feb 1, 2022 - Case study: A 23-year-old patient, J.J., presents to confirm pregnancy after a positive home pregnancy test result. The first day of the patient's last menstrual period was seven weeks ago. J.J. has no concerns, and blood pressure is 118/78 mm Hg on examination. J.J.'s medical records ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2022/0200/p187.html

Predictive Values for Six Common Abdominal Symptoms - POEMs - American Family Physician Restricted content. Login required.

Mar 1, 2022 - Using a cutoff of 3% risk (from The National Institute for Health and Care Excellence), dysphagia or changes in bowel habits in men and rectal bleeding in women should trigger referral for further workup to exclude cancer or inflammatory bowel disease (IBD). Symptoms such as abdominal ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0300/p322.html

Postpartum Major Depression - American Family Physician

Oct 15, 2010 - Postpartum major depression is a disorder that is often unrecognized and must be distinguished from baby blues. Antenatal depressive symptoms, a history of major depressive disorder, or previous postpartum major depression significantly increase the risk of postpartum major depression. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1015/p926.html

Multifocal Pneumonia: Fever, Cough, and Dyspnea - Photo Quiz - American Family Physician Restricted content. Login required.

Apr 15, 2021 - An 80-year-old patient presented to the emergency department with several days of increasing shortness of breath and abnormalities on a chest radiograph.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0415/p503.html

Hyperpigmented Reticular Patches in a Young Adult - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 1, 2022 - A patient presented with faint, dark purple, hyperpigmented patches in a reticular pattern, forming several complete rings, on his dorsal thighs and a few on his lower legs and arms.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2022/0200/p189.html

The Importance and Challenges of Reducing Low-Value Care in Children - Editorials - ...

Mar 1, 2022 - Eliminating the use of low-value care (interventions for which harms typically exceed benefits) in children is crucial.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0300/p226.html

Should Routine Screening for Colorectal Cancer Start at 45 Years of Age? Yes: Lowering ...

Feb 1, 2022 - The starting age for colorectal cancer screening should be lowered to 45 years of age.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2022/0200/p120.html

Prediabetes Diagnosis: Helpful or Harmful? - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Dec 1, 2021 - 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/2021/1200/p649.html

Nail Abnormalities: Clues to Systemic Disease - American Family Physician

Mar 15, 2004 - The visual appearance of the fingernails and toenails may suggest an underlying systemic disease. Clubbing of the nails often suggests pulmonary disease or inflammatory bowel disease. Koilonychia, or

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1417.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

Nirmatrelvir/Ritonavir Reduces Risk of Hospitalization in At-Risk Outpatients - POEMs -... Restricted content. Login required.

May 1, 2022 - Nirmatrelvir/ritonavir significantly reduces the likelihood of hospitalization or death in unvaccinated adults with confirmed COVID-19 who are at risk of a more severe course of disease.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0500/od1.html

Ibuprofen, Ketorolac, and Diclofenac Are Equivalent for the Treatment of Acute, ... Restricted content. Login required.

May 1, 2022 - This study found no differences among ibuprofen, ketorolac, and diclofenac in the primary outcome of overall clinical improvement at five days in adults presenting to the emergency department with acute, nonradicular low back pain. Some of the secondary outcomes favored ketorolac, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0500/od2.html

Dual Antiplatelet Therapy With Aspirin Plus Clopidogrel for 30 Days Is the Best Option ... Restricted content. Login required.

May 1, 2022 - For patients with minor stroke or transient ischemic attack, dual antiplatelet therapy with aspirin plus clopidogrel for up to 30 days reduces the likelihood of subsequent stroke more than aspirin monotherapy, with a small increase in the risk of major hemorrhage. A longer duration of ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0500/od3.html

The Case for Supervised Injection Sites in the United States - Editorials - American ...

May 1, 2022 - As the opioid epidemic continues, a movement advocating for medically supervised injection sites in U.S. cities is growing. Family physicians should be knowledgeable about their potential impacts.

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0500/p454.html

Amoxicillin for Children With CAP: Low-Dose for Three Days Is Noninferior to High-Dose ... Restricted content. Login required.

May 1, 2022 - In children with community-acquired pneumonia who are discharged from an emergency department or inpatient setting within 48 hours, a lower dose of oral amoxicillin is noninferior to a higher dose, and three days of treatment is noninferior to seven days in reducing the need for ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0500/od4.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

Reduced Dietary Salt for Patients With Chronic Kidney Disease - Cochrane for Clinicians... Restricted content. Login required.

May 1, 2022 - In patients with chronic kidney disease (CKD), reducing dietary salt intake by approximately 4.2 g per day lowers mean systolic blood pressure by 6.9 mm Hg and diastolic blood pressure by 3.9 mm Hg compared with patients on a higher salt diet. In patients with CKD who do not have ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0500/p466.html

Diabetes, Vocal Cord Dysfunction, Periodontal Disease, Light Therapy, and More - AFP ... Restricted content. Login required.

May 1, 2022 - 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/2022/0500/p462.html

Kinesiology Taping for Rotator Cuff Disease - Cochrane for Clinicians - American Family... Restricted content. Login required.

May 1, 2022 - Kinesiology taping for adults with rotator cuff disease has little to no benefit compared with sham taping or conservative (i.e., nonsurgical) therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0500/p467.html

Physical Activity and the Health of Wheelchair Users - Implementing AHRQ Effective ... Restricted content. Login required.

May 1, 2022 - What are the benefits of physical activity in patients with multiple sclerosis (MS), cerebral palsy, and spinal cord injury who use or are at risk of using wheelchairs?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2022/0500/p534.html

Does Performing Dating Ultrasonography Before a First-Trimester Uterine Evacuation ... Restricted content. Login required.

May 1, 2022 - Routine use of ultrasonography before a first-trimester abortion is not necessary. In patients seeking medical or surgical abortion in the first trimester, date of the last menstrual period (LMP) alone can appropriately determine gestational age for treatment (before 63 to 90 days' ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2022/0500/p540.html

MyProstateScore for Predicting High-Grade Prostate Cancer - Diagnostic Tests: What ... Restricted content. Login required.

May 1, 2022 - MyProstateScore (MPS; also referred to as Michigan Prostate Score) is a promising tool for the detection of clinically significant prostate cancer and has been validated for determining the necessity of a prostate biopsy in select individuals. It has not been studied as a prostate ...

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

https://www.aafp.org/afp/2022/0500/p542.html

Vaccination Disagreement Between Parents - Curbside Consultation - American Family ... Restricted content. Login required.

May 1, 2022 - In addressing this case, it is important to note that the dissenting parent (the mother) has not informed the family physician that she adamantly opposes giving the vaccine; this opposition would provide explicit proscription. Importantly, in a legal context, a parent (the father) who ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2022/0500/p544.html

A Diffuse Nodular Eruption - Photo Quiz - American Family Physician Restricted content. Login required.

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

Jammed Finger in High School Football Player - Photo Quiz - American Family Physician Restricted content. Login required.

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

Sexually Transmitted Infections: Updated Guideline From the CDC - Practice Guidelines -... Restricted content. Login required.

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

Psoriasis: Update on Topical Therapy From the American Academy of Dermatology - ... Restricted content. Login required.

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

Common Tinea Infections in Children - American Family Physician

May 15, 2008 - The common dermatophyte genera Trichophyton, Microsporum, and Epidermophyton are major causes of superficial fungal infections in children. These infections (e.g., tinea corporis, pedis, cruris, and unguium) are typically acquired directly from contact with infected humans or animals or...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1415.html

Top 20 Research Studies of 2011 for Primary Care Physicians - American Family Physician

Nov 1, 2012 - In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p835.html

Inflammation of the Eye - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 1, 2022 - A patient presented with dilated right eye, with incomplete constriction to light, and a small collection of white fluid in the anterior chamber of the affected eye.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2022/0200/p191.html

Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years -...

Mar 1, 2022 - The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride and apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth ...

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

https://www.aafp.org/afp/2022/0300/od1.html

Tips for Writing Effective CVs and Cover Letters -- FPM Restricted content. Login required.

Oct 1, 2021 - Putting a little extra effort into these materials can help you make a good first impression with potential employers.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0900/p4.html

Gender-Based Requests for Physician Care - Curbside Consultation - American Family ... Restricted content. Login required.

Mar 1, 2022 - Many patients have personal preferences regarding their choice of physicians. These may include personal factors such as the physician’s race, ethnicity, religion, gender, sexual orientation, or age. These patient preferences, and requests to accommodate them, occur on a continuum from ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2022/0300/p315.html

Salt Substitute Reduces Mortality and Stroke in Older Adults Who Have a History or Are ... Restricted content. Login required.

Mar 1, 2022 - For older adults who have a history or are at risk of stroke, the use of a salt substitute safely reduces their risk of death or stroke.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0300/p322a.html

Methods for Cervical Ripening and Induction of Labor - American Family Physician

May 15, 2003 - Induction of labor is common in obstetric practice. According to the most current studies, the rate varies from 9.5 to 33.7 percent of all pregnancies annually. In the absence of a ripe or favorable cervix, a successful vaginal birth is less likely. Therefore, cervical ripening or ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2123.html

These Four Telehealth Changes Should Stay, Even After the Pandemic -- FPM

Jun 1, 2021 - The national COVID-19 crisis has proven that telehealth can transform access to care, but only if we unshackle it from outdated and unnecessary regulations.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0500/p9.html

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