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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

Should Routine Screening for Colorectal Cancer Start at 45 Years of Age? Insufficient ...

Feb 1, 2022 - There is insufficient evidence to support lowering the starting age for colorectal cancer screening to 45 years.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2022/0200/p118.html

Psychogenic Nonepileptic Seizures - American Family Physician

Sep 1, 2005 - Psychogenic nonepileptic seizures are episodes of movement, sensation, or behaviors that are similar to epileptic seizures but do not have a neurologic origin; rather, they are somatic manifestations of psychologic distress. Patients with psychogenic nonepileptic seizures frequently are...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p849.html

Limited Data Suggest That Music Improves Sleep Quality in Older Adults - POEMs - ... Restricted content. Login required.

Mar 1, 2022 - This study suggests that listening to music, especially sedative music, can improve sleep quality in older adults, but the underlying data are limited and of mixed quality.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0300/p321.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

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

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

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

Urinary Tract Infections During Pregnancy - American Family Physician

Feb 1, 2000 - Urinary tract infections are common during pregnancy, and the most common causative organism is Escherichia coli. Asymptomatic bacteriuria can lead to the development of cystitis or pyelonephritis. All pregnant women should be screened for bacteriuria and subsequently treated with ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p713.html

Prevention of Perinatal Group B Streptococcal Disease: Updated CDC Guideline - American...

Jul 1, 2012 - Group B streptococcus is the leading cause of early-onset neonatal sepsis in the United States. Universal screening is recommended for pregnant women at 35 to 37 weeks’ gestation. The Centers for Disease Control and Prevention recently updated its guideline for the prevention of ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p59.html

Amoxicillin Does Not Improve Outcomes for Nonpneumonia Lower Respiratory Tract ... Restricted content. Login required.

Feb 1, 2022 - A high dosage of amoxicillin (50 mg per kg per day, in three divided doses) did not significantly improve outcomes for children with a lower respiratory tract infection that is not pneumonia.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0200/p202a.html

A Step-by-Step Time-Saving Approach to Coding Office Visits -- FPM Restricted content. Login required.

Aug 1, 2021 - Follow these four steps to code quickly and accurately, while reducing the need to count up data points.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p21.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

Behavioral Counseling Interventions for Healthy Weight and Weight Gain in Pregnancy - ...

Feb 1, 2022 - The USPSTF recommends that clinicians offer pregnant persons effective behavioral counseling interventions aimed at promoting healthy weight gain and preventing excess gestational weight gain in pregnancy.

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

https://www.aafp.org/afp/2022/0200/od1.html

Harm Reduction for Patients With Substance Use Disorders - Curbside Consultation - ... Restricted content. Login required.

Jan 1, 2022 - Patients engaged in high-risk activities are often ambivalent about changing their behavior. Harm reduction is an approach that focuses on limiting harm and improving quality of life for patients who persist with high-risk behaviors; the foundations of harm reduction are pragmatism and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2022/0100/p90.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

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

Phentermine/Topiramate (Qsymia) for Chronic Weight Management - STEPS - American Family...

Oct 15, 2014 - Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use ...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/1015/p576.html

Guidelines for When to Consider Mortality-Reducing Treatments for Patients With Type 2 ... Restricted content. Login required.

Jan 1, 2022 - The guidelines give clear guidance on selecting an SGLT2 inhibitor, a GLP-1 receptor agonist, or neither in patients with type 2 diabetes. The guidelines are a bit conservative to some, but guideline development is a two-step process: determining the evidence and then weighing the value...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0100/p93.html

Dismantling Anti-Black Racism in Medicine - Editorials - American Family Physician

Dec 1, 2021 - The murders of George Floyd and countless other members of the Black community by police prompted family medicine journals and professional societies to publish antiracism statements that provide actions, plans, and accountability structures to eliminate systemic anti-Black racism in ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1200/p555.html

Rational Use of Opioids for Management of Chronic Nonterminal Pain - American Family ...

Aug 1, 2012 - Opioid prescribing for chronic nonterminal pain has increased in recent years, although evidence for its long-term effectiveness is weak and its potential for harm is significant. Nonmedical use of prescription opioids, diversion, and overdose deaths have also increased sharply, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0801/p252.html

Screening for Vitamin D Deficiency in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Nov 1, 2021 - A 49-year-old Black man with a history of hypertension, type 2 diabetes mellitus, and class I obesity (body mass index of 31.4 kg per m2) presents for a wellness examination. The patient's hypertension and diabetes are well controlled with lisinopril and metformin; they do not take any ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1100/p515.html

Hypertension, Pertussis, Splenomegaly, Breast Cancer, SGLT2 Inhibitors, Blood Pressure ... Restricted content. Login required.

Feb 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/2022/0200/p128.html

Drug Treatment of Common STDs: Part I. Herpes, Syphilis, Urethritis, Chlamydia and ...

Oct 1, 1999 - In 1998, the Centers for Disease Control and Prevention released guidelines for the treatment of sexually transmitted diseases. Several treatment advances have been made since the previous guidelines were published. Part I of this two-part article describes current recommendations for ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1387.html

Cerebrospinal Fluid Analysis - American Family Physician

Sep 15, 2003 - Lumbar puncture is frequently performed in primary care. Properly interpreted tests can make cerebrospinal fluid (CSF) a key tool in the diagnosis of a variety of diseases. Proper evaluation of CSF depends on knowing which tests to order, normal ranges for the patient's age, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1103.html

Foreign Bodies in the Ear, Nose, and Throat - American Family Physician

Oct 15, 2007 - Foreign bodies in the ear, nose, and throat are occasionally seen in family medicine, usually in children. The most common foreign bodies are food, plastic toys, and small household items. Diagnosis is often delayed because the causative event is usually unobserved, the symptoms are ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1185.html

Osteoporosis in Men - American Family Physician

Sep 1, 2010 - Osteoporosis is an important and often overlooked problem in men. Although the lifetime risk of hip fracture is lower in men than in women, men are twice as likely to die after a hip fracture. Bone mineral density measurement with a T-score of -2.5 or less indicates osteoporosis. The ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p503.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

Treatment of Chronic Obstructive Pulmonary Disease Exacerbations: Guidelines from the ... Restricted content. Login required.

Jul 1, 2021 - The American Academy of Family Physicians has published guidelines for treating acute exacerbations of COPD based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p100.html

Determining When to Recommend Glucose-Lowering Drugs That Reduce Cardiovascular Risk - ...

Jan 1, 2022 - Treatment options for patients with type 2 diabetes mellitus have increased with the addition of three new drug classes. Large clinical trials have investigated cardiovascular outcomes with all three classes in patients who have diabetes. The primary outcome was a composite of nonfatal ...

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0100/p10.html

Common Bacterial Skin Infections - American Family Physician

Jul 1, 2002 - Family physicians frequently treat bacterial skin infections in the office and in the hospital. Common skin infections include cellulitis, erysipelas, impetigo, folliculitis, and furuncles and carbuncles. Cellulitis is an infection of the dermis and subcutaneous tissue that has poorly ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p119.html

How to Correctly Capture Patient Risk for Value-Based Care Programs -- FPM Restricted content. Login required.

Dec 1, 2021 - Hierarchical condition categories are key for improving health outcomes and getting accurate reimbursements.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/1100/p6.html

Rapidly Progressive Erythroderma - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 1, 2022 - A man presented with a progressive pruritic rash affecting his entire body.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2022/0100/p75.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

Telephone-Based Cognitive Behavior Therapy for Insomnia Is Effective - POEMs - American... Restricted content. Login required.

Feb 1, 2022 - In patients with clinical insomnia and chronic pain, CBT for insomnia delivered via telephone over six sessions leads to relief of sleeplessness that is sustained for at least one year. In this study, general education also provided insomnia relief to many patients.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0200/p202.html

Evaluating Acutely Injured Patients for Internal Derangement of the Knee - American ...

Feb 1, 2012 - Although historical findings have some value in diagnosing internal derangement of the knee, a thorough physical examination can often rule out fracture and ligamentous and meniscal injuries. The Ottawa Knee Rule can help physicians determine which patients require radiography. Positive...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p247.html

Jaundice in the Adult Patient - American Family Physician

Jan 15, 2004 - Jaundice in an adult patient can be caused by a wide variety of benign or life-threatening disorders. Organizing the differential diagnosis by prehepatic, intrahepatic, and posthepatic causes may help make the work-up more manageable. Prehepatic causes of jaundice include hemolysis and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p299.html

Shouldn't Every Practice Be a "Concierge" Practice? -- FPM Restricted content. Login required.

Feb 1, 2022 - Providing excellent patient service isn't an add-on. It's what we're supposed to do.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2022/0100/p36.html

The National Health Service Corps at 50 Years - Graham Center Policy One-Pagers - ...

Feb 1, 2022 - The National Health Service Corps (NHSC) was established in 1970 to address the mal-distribution of physicians in the United States. In 1972, it placed the first clinicians (181 physicians) into rural and urban underserved communities. Since then, the NHSC has grown into a ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2022/0200/p129.html

Diary of a Family Physician - Feb 01, 2022 - American Family Physician

Feb 1, 2022 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2022/0200/p201.html

Treatment of Plantar Fasciitis - American Family Physician

Feb 1, 2001 - Plantar fasciitis is a common cause of heel pain in adults. The disorder classically presents with pain that is particularly severe with the first few steps taken in the morning. In general, plantar fasciitis is a self-limited condition. However, symptoms usually resolve more quickly ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p467.html

Peanut Allergen Powder (Palforzia) for Peanut Allergy - STEPS - American Family Physician Restricted content. Login required.

Jan 1, 2022 - For individuals with severe peanut allergy, peanut allergen powder may lessen the likelihood of life-threatening consequences of accidental ingestion of small amounts of peanuts. Patients must still adhere to a peanut-avoidant diet, which likely has far bigger preventive impact than ...

American Family Physician : STEPS

https://www.aafp.org/afp/2022/0100/p20.html

Evidence of Benefit Is Lacking for Low Back Pain Relief With Muscle Relaxants - POEMs -... Restricted content. Login required.

Jan 1, 2022 - Nonsteroidal anti-inflammatory drugs are a better choice for the treatment of low back pain. Despite benzodiazepine and nonbenzodiazepine muscle relaxants being used for almost 50 years to treat low back pain, the supporting evidence is of low certainty. None of the treatments will ...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0100/p95.html

Flow Sheets -- FPM Toolbox

Nov 16, 2009 - Download flow sheets for asthma, diabetes, and other common conditions to help you track key elements of patients' care.

Family Practice Management : FPM Toolbox : Flow Sheets

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=14

Acute Treatments for Episodic Migraine in Adults - Implementing AHRQ Effective Health ... Restricted content. Login required.

Nov 1, 2021 - How effective are pharmacologic and nonpharmacologic acute treatments for episodic migraine in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/1100/p509.html

The Vaccine Dilemma -- FPM

Feb 1, 2022 - In this short poem, a physician processes the dilemma of caring for patients who won’t take advice when it comes to vaccination.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2022/0100/oa1.html

Every-Other-Year FIT Is at Least as Effective as a Single Sigmoidoscopy to Detect ... Restricted content. Login required.

Feb 1, 2022 - Fecal immunochemical testing (FIT) every other year, over at least six years, identified fewer cancers and advanced adenomas initially, but surpassed a single sigmoidoscopy in detection after three rounds of testing. The increased detection may be because of greater participation in FIT...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0200/p203.html

Intrauterine Growth Restriction: Identification and Management - American Family Physician

Aug 1, 1998 - Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p453.html

Management of Erectile Dysfunction - American Family Physician

Feb 1, 2010 - Erectile dysfunction (ED) is the most common sexual problem in men. The incidence increases with age and affects up to one third of men throughout their lives. It causes a substantial negative impact on intimate relationships, quality of life, and self-esteem. History and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p305.html

Reduction in Saturated Fat Intake for Cardiovascular Disease - Medicine by the Numbers ... Restricted content. Login required.

Jan 1, 2022 - Learn more about the effects of reducing saturated fat intake on cardiovascular disease risk.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2022/0100/od2.html

Preventing Cognitive Decline - Editorials - American Family Physician

Jan 1, 2022 - Because of the lack of effective treatments, prevention remains the best strategy for reducing the burden of dementia. Rather than attempting to identify and intervene on early disease through screening, a primary prevention strategy seeks to prevent cognitive decline by addressing ...

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0100/p13.html

Management of Epistaxis - American Family Physician

Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p305.html

Coenzyme Q10 for Heart Failure - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Nov 1, 2021 - In patients with chronic heart failure, supplementation with coenzyme Q10 may reduce all-cause mortality. Adverse effects are generally mild and may be only slightly increased with coenzyme Q10 supplementation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p458.html

Summary of the NIAID-Sponsored Food Allergy Guidelines - American Family Physician

Jul 1, 2012 - Patients with suspected food allergies are commonly seen in clinical practice. Although up to 15 percent of parents believe their children have food allergies, these allergies have been confirmed in only 1 to 3 percent of all Americans. Family physicians must be able to separate true ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p43.html

The KIDs List: Medications That Are Potentially Inappropriate in Children - Editorials ...

Mar 15, 2021 - The Key Potentially Inappropriate Drugs in Pediatrics (KIDs) List is an open access, evidence-based reference aimed at improving medication safety in children.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0315/p330.html

Burning on the Tip of the Tongue - Photo Quiz - American Family Physician

Jan 1, 2018 - A woman presented with lesions on her tongue, as well as bare patches with raised erythematous borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0101/p47.html

Platelet-Rich Plasma for Androgenic Alopecia - FPIN's Help Desk Answers - American ... Restricted content. Login required.

Jan 1, 2022 - Platelet-rich plasma injections more effectively increase hair density vs. usual treatment in men with androgenic alopecia.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2022/0100/p84.html

Thank You, FPM Peer Reviewers (2021) -- FPM

Feb 1, 2022 - A list of the FPM peer reviewers for 2021.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2022/0100/p4.html

Virtual Reality in the Treatment of Generalized Anxiety Disorder - FPIN's Clinical ... Restricted content. Login required.

Dec 1, 2021 - Virtual reality does not appear to be effective and should not be used in the treatment of generalized anxiety disorder. In trials including anxiety disorders such as phobias and fear of flying, virtual reality may be better than no treatment, but it is not superior to traditional ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1200/p638.html

Diabetic Ketoacidosis - American Family Physician

May 1, 2005 - A diagnosis of diabetic ketoacidosis requires the patient's plasma glucose concentration to be above 250 mg per dL (although it usually is much higher), the pH level to be less than 7.30, and the bicarbonate level to be 18 mEq per L or less. Beta-hydroxybutyrate is a better measurement ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1705.html

Implementing Advance Directives in Office Practice - American Family Physician

Mar 1, 2012 - Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician’s office involves more than ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p461.html

Hydrochlorothiazide vs. Chlorthalidone for the Treatment of Hypertension - FPIN's Help ... Restricted content. Login required.

Aug 1, 2021 - Chlorthalidone reduces systolic blood pressure by 10 mm Hg more than hydrochlorothiazide at equal dosages in patients using monotherapy. Low-dose chlorthalidone and controlled-release hydrochlorothiazide reduce 24-hour ambulatory systolic blood pressure and diastolic blood pressure, ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0800/p203.html

Treatment of Chronic Obstructive Pulmonary Disease: Guidelines from the American ... Restricted content. Login required.

Jul 1, 2021 - The American Thoracic Society published guidelines for pharmacologic management of COPD and long-term oxygen therapy for COPD and interstitial lung disease based on systematic reviews.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p102.html

Green Toenail Discoloration - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 1, 2021 - A woman presented with green discoloration of her right first toenail.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1200/p645.html

Practical Use of the Pessary - American Family Physician

May 1, 2000 - The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Pessaries can also be used in the treatment of stress urinary incontinence. The wide ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2719.html

Probiotics for Preventing Antibiotic-Associated Diarrhea - Medicine by the Numbers - ... Restricted content. Login required.

Dec 1, 2021 - Learn more about probiotics for preventing antibiotic-associated diarrhea.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1200/od1.html

Coding & Documentation - Nov-Dec 2021 -- FPM Restricted content. Login required.

Dec 1, 2021 - Two visits with the same patient on the same date | Screening for prediabetes | TCM and CCM in the same month | Time spent reviewing screening scores

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/1100/p32.html

Nonalcoholic Fatty Liver Disease - American Family Physician

Jun 1, 2006 - Nonalcoholic fatty liver disease is a common condition associated with metabolic syndrome. It is the most common cause of elevated liver enzymes in U.S. adults, and is diagnosed after ruling out other causes of steatosis (fatty infiltration of liver), particularly infectious hepatitis ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1961.html

Navigating Physician Employment Contracts -- FPM Restricted content. Login required.

Oct 1, 2021 - Explore information on physician employment contracts including common terms, advice on specific provisions, and key steps to follow before signing a contract.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0900/p17.html

Obstructive Sleep Apnea, Fever in Children, Labor Pain, Mobility Devices, Lung Cancer ... Restricted content. Login required.

Jan 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/2022/0100/p19.html

A Single Corticosteroid Burst in Children Is Associated With Harms - POEMs - American ... Restricted content. Login required.

Jan 1, 2022 - Although corticosteroid bursts have potential for improving outcomes for many acute illnesses, this study shows that the potential harms are not trivial.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0100/p94.html

Is the Use of Hormonal Contraception Associated With Suicide and Suicide Attempts? - ... Restricted content. Login required.

Jan 1, 2022 - There may be an association between the use of hormonal contraception and suicide. Women using oral contraceptives had an increase in completed suicides and suicidal behaviors (i.e., suicidal thoughts and suicide attempts without success).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2022/0100/p82.html

Screening for Gestational Diabetes - Putting Prevention into Practice - American Family... Restricted content. Login required.

Dec 1, 2021 - A 28-year-old South Asian patient at 30 weeks' gestation, S.F., presents to transfer prenatal care to your clinic. The patient has recently moved, and prenatal records indicate that S.F.'s most recent prenatal visit was at 22 weeks' gestation. This is the patient's first pregnancy. S.F....

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1200/p641.html

Implementing Continuous Glucose Monitoring in Clinical Practice -- FPM

Apr 1, 2021 - Finger-stick blood glucose measurements provide a snapshot in time. Continuous glucose monitoring gives patients with diabetes a bigger picture.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0300/p7.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

Single-Dose Oral NSAIDs and Acetaminophen for Perineal Pain in the Early Postpartum ... Restricted content. Login required.

Dec 1, 2021 - In patients with acute perineal pain at four hours' postpartum, a single dose of an oral NSAID and a single dose of oral acetaminophen are each effective at achieving adequate pain relief. Both NSAIDs and acetaminophen are effective at reducing the need for further analgesia. It is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1200/p575.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

Firm Nodule on the Ear - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2021 - A patient presented with a crusted papule on the antihelix of the ear that had grown slowly over several years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1100/p521.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

Malpractice -- FPM Topic Collection

Jul 1, 2012 - This article collection features popular FPM content on the subject of malpractice -- from defending your care in a deposition to ensuring you have the right malpractice insurance policy. This article collection features popular FPM content on the subject of malpractice -- from ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=41

Dietary Guidelines for Americans 2020-2025: Recommendations from the U.S. Departments ... Restricted content. Login required.

Nov 1, 2021 - The U.S. Departments of Agriculture and Health and Human Services published updated guidelines for healthy eating across a person's lifespan.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1100/p533.html

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

Jul 1, 2021 - More comparative data are needed to justify the use of clascoterone over less expensive, currently available therapies for moderate to severe acne. However, systemic absorption of clascoterone is low, and it may serve as a safe alternative for patients 12 years and older who saw ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0700/p93.html

Management of Falls in Older Persons: A Prescription for Prevention - American Family ...

Dec 1, 2011 - Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1267.html

Managing Adverse Birth Outcomes: Helping Parents and Families Cope - American Family ...

May 1, 2012 - Unexpected adverse fetal and neonatal outcomes (e.g., stillbirth, birth trauma, congenital anomalies) present a crisis for the family and the medical care team. In cases of stillbirth, the family physician should be flexible in supporting the parents’ choices, validate the loss, and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0501/p900.html

Facial Rash in a Newborn - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2021 - An infant is born with a yellowish linear plaque on the cheek.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1100/p523.html

Surfer with Photodistributed Erythematous, Scaling Eruption - Photo Quiz - American ... Restricted content. Login required.

Dec 1, 2021 - A surfer presents with a worsening rash with erythema and scaling after treatment with a topical medication.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1200/p647.html

Over-the-Counter Medications in Pregnancy - American Family Physician

Jun 15, 2003 - Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus. The safety profile of some medications may change according to the gestational age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2517.html

Insertion and Removal of Intrauterine Devices - American Family Physician

Jan 1, 2005 - The intrauterine device (IUD) is an effective contraceptive for many women. The copper-releasing IUD can be used for 10 years before replacement and is a good choice for women who cannot, or choose not to, use hormone-releasing contraceptives. However, some women experience an increase ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p95.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

Provided Infant Carriers Increase the Rate of Sustained Breastfeeding - POEMs - ... Restricted content. Login required.

Jan 1, 2022 - Giving an infant carrier to mothers before or at delivery increases sustained breastfeeding from three to six months following birth. The authors speculate that this outcome is caused by increased physical contact.

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0100/p93a.html

Tinnitus, HIV Infection, Joint Hypermobility Disorders, Drug-Resistant Epilepsy, Cancer... Restricted content. Login required.

Dec 1, 2021 - 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/2021/1200/p566.html

Racial Disparities at the End of Life - Editorials - American Family Physician

Oct 1, 2021 - The COVID-19 pandemic has drawn greater attention to the continuing discrimination that racial minorities face within the medical system. Often these disparities are considered in the context of patients who are not actively dying. However, care delivered at the end of life is also ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1000/p346.html

Amiodarone: Guidelines for Use and Monitoring - American Family Physician

Dec 1, 2003 - Amiodarone is a potent antiarrhythmic agent that is used to treat ventricular arrhythmias and atrial fibrillation. The drug prevents the recurrence of life-threatening ventricular arrhythmias and produces a modest reduction of sudden deaths in high-risk patients. Amiodarone is more ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2189.html

Neonatal Abstinence Syndrome: A Call for Mother-Infant Dyad Treatment Approach - ...

Sep 1, 2021 - Neonatal abstinence syndrome (NAS) is a constellation of symptoms observed in newborns exposed to opioids during pregnancy. The incidence of NAS has steadily increased during the past decade as more infants have been born to mothers with opioid use disorder (OUD). Pregnancy and the ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p222.html

Taking Team-Based Care to the Next Level -- FPM Restricted content. Login required.

Jun 1, 2022 - The need to delegate tasks to other members of the health care team has never been more urgent. Here’s how to move toward advanced team-based care.

Family Practice Management : Articles

https://www.aafp.org/fpm/2022/0500/p25.html

Coding & Documentation - May-Jun 2021 -- FPM

Jun 1, 2021 - Home health or hospice care supervision | Advance care planning via telehealth | Ambulatory blood pressure monitoring | Counseling patients about foreign travel | Catching up on children's vaccines

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0500/p34.html

Fallacies and Dangers of Practicing Race-Based Medicine - Editorials - American Family ...

Aug 1, 2021 - Race does not have a biologic definition, but rather a political and social one that is fluid and independent of science. Nevertheless, the medical community uses race as a scientific variable in several prominent clinical situations, including calculation of atherosclerotic ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0800/p122.html

Is Artificial Intelligence the Key to Reclaiming Relationships in Primary Care? - ...

Dec 1, 2021 - Over the past decade, artificial intelligence (i.e., technologies that perform tasks that normally require human intelligence) has been integrated into clinical decision support systems to provide timely information at the point of care and inform medical decision-making. Today, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1200/p558.html

Eosinophilic Esophagitis: Management Guidelines from the AGA and JTF - Practice ... Restricted content. Login required.

May 1, 2021 - The American Gastroenterological Association (AGA) and the Joint Task Force on Allergy-Immunology Practice Parameters (JTF) published guidelines for treatment of eosinophilic esophagitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0501/p573.html

Translating the 2020-2025 U.S. Dietary Guidelines into Clinical Practice - Editorials -...

Nov 1, 2021 - The U.S. Department of Agriculture's Dietary Guidelines for Americans is where many look for guidance in answering the question,

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1100/p448.html

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