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Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ... Restricted content. Login required.

May 15, 2020 - A 65-year-old man with no significant medical history presents to your clinic for a wellness visit. His social history includes smoking periodically in his 20s, and his family history includes a father who died from an abdominal aortic aneurysm (AAA) in his 60s. The patient wants to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0515/p621.html

Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain - ... Restricted content. Login required.

Jul 15, 2020 - Using mindfulness, meditation, hypnosis, therapeutic suggestion, and cognitive behavior therapy, in addition to opioid treatment of acute or chronic pain, provides an additional benefit to patients by reducing pain scores.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p119.html

Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth - AFP Clinical Answers - ... Restricted content. Login required.

Jul 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/2020/0715/p83.html

Screening for Syphilis In Pregnant Women: Recommendation Statement - U.S. Preventive ...

Apr 15, 2019 - The USPSTF recommends early screening for syphilis infection in all pregnant women.

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

https://www.aafp.org/afp/2019/0415/od2.html

A Practical Guide to Anaphylaxis - American Family Physician

Oct 1, 2003 - Anaphylaxis is a life-threatening reaction with respiratory, cardiovascular, cutaneous, or gastrointestinal manifestations resulting from exposure to an offending agent, usually a food, insect sting, medication, or physical factor. It causes approximately 1,500 deaths in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1325.html

Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician Restricted content. Login required.

May 1, 2020 - A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0501/p567.html

Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...

Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

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

https://www.aafp.org/afp/2020/0115/p112.html

Radiologic Evaluation of Chronic Neck Pain - American Family Physician

Oct 15, 2010 - For many years, there were no guidelines for evaluating patients with chronic neck pain. However, in the past 15 years, considerable research has led to recommendations regarding whiplash-associated disorders. This article summarizes the American College of Radiology Appropriateness ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1015/p959.html

No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies - POEMs ... Restricted content. Login required.

Jul 15, 2020 - In infants at increased risk of atopy, restricting cow's milk supplementation for the first three days of life is associated with a significantly lower risk of developing a cow's milk allergy or food allergies by 24 months of age.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0715/p118.html

Welcoming AFP's Patient Partners - Editorials - American Family Physician

Jun 15, 2020 - We would like to welcome Helen Haskell and John James in their new roles on American Family Physician’s (AFP’s) Editorial Advisory Board, in which they will serve as AFP’s first-ever official patient partners.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0615/p713.html

Diagnosing VTE: Guidelines from the American Society of Hematology - Practice ... Restricted content. Login required.

Dec 1, 2019 - The American Society of Hematology has published recommendations for determining the optimal diagnostic strategy based on pretest risk.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1201/p716.html

PAULA’s Test for Lung Cancer Screening - Diagnostic Tests: What Physicians Need to Know... Restricted content. Login required.

Jul 1, 2020 - Because of insufficient evidence of benefit, no recommendations can be made regarding PAULA's test. Prospective cohort studies of a screening population and randomized controlled trials comparing cancer mortality outcomes using PAULA's test vs. low-dose CT and no screening are needed ...

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

https://www.aafp.org/afp/2020/0701/p53.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

Common Dental Infections in the Primary Care Setting - American Family Physician

Mar 15, 2008 - Family physicians commonly encounter patients with dental infections, such as dental caries and periodontal disease. Dental caries is caused by bacteria that destroy the enamel and dentin; it can be detected by an oral examination that shows stained pits or fissures on the tooth ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p797.html

Case Report: Flavored Vaping–Associated Hypokalemia - Letters to the Editor - American ...

Jul 15, 2020 - Letters to the Editor from AFP reader regarding flavored vaping–associated hypokalemia.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0715/p74.html

Family Physicians Play Key Role in Bridging the Gap in Access to Opioid Use Disorder ...

Jul 1, 2020 - Buprenorphine prescribing in primary care is a key bottleneck in the access to medications for opioid use disorder (OUD). In a Medicare claims study including family medicine, internal medicine, general practice, and psychiatry, the largest share of buprenorphine prescribers were family...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2020/0701/p10.html

Potential of Fetal Fibronectin Testing to Prevent Preterm Birth - Cochrane for ... Restricted content. Login required.

Jun 1, 2020 - Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p652.html

Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease - ...

Sep 15, 2010 - Pulmonary rehabilitation is a nonpharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p655.html

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.html

Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician Restricted content. Login required.

Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0615/p755.html

Ovarian Cancer: An Overview - American Family Physician

Sep 15, 2009 - Although ovarian cancer may occur at any age, it is more common in patients older than 50 years. Patients often present with nonspecific pelvic or abdominal symptoms. Initial diagnostic tests include transvaginal ultrasonography and serum cancer antigen 125 measurement; however, these ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0915/p609.html

Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ... Restricted content. Login required.

Apr 15, 2020 - Parenteral ketorolac is as effective as parenteral morphine for short-term pain relief in patients with long bone fractures, and it results in fewer adverse effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0415/p495.html

Evaluation of the Solitary Pulmonary Nodule - American Family Physician

Oct 15, 2009 - Solitary pulmonary nodules are common radiologic findings, typically discovered incidentally through chest radiography or computed tomography of the neck, chest, and abdomen. Primary care physicians must decide how to pursue an evaluation of a nodule once it has been identified. The ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p827.html

Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ... Restricted content. Login required.

May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0515/p618.html

Autism Screening with Follow-Up Overidentifies Autism Spectrum Disorder - POEMs - ... Restricted content. Login required.

May 15, 2020 - Screening for ASD with the Modified Checklist for Autism in Toddlers with Follow-Up is effective in ruling out ASD in children who screen positive (negative predictive value of 98.6% at 2.2% prevalence).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630.html

Stuttering: An Overview - American Family Physician

May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1271.html

Ozenoxacin (Xepi) for the Treatment of Impetigo - STEPS - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Ozenoxacin is an effective and safe topical quinolone treatment for bullous and nonbullous impetigo in patients as young as two months. However, it is expensive and some patients may have limited access because it is only available through a physician or hospital.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0615/p760.html

Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician

Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p29.html

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ... Restricted content. Login required.

Jun 1, 2020 - Adding a muscle relaxant to treatment with ibuprofen does not improve functional outcomes or pain, or lessen the number of people reporting moderate to severe back pain one week after starting treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695.html

General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ... Restricted content. Login required.

Dec 1, 2019 - General health check visits have no benefit on cardiovascular morbidity or on total, cardiovascular, or cancer-related mortality. There is also no evidence that they cause patient harm.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p676.html

Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive ... Restricted content. Login required.

Jun 1, 2020 - Chronic obstructive pulmonary disease (COPD) is a progressive lung disease characterized by hyperinflation of the lungs, including emphysema and chronic bronchitis. Learn more about the benefits and harms of using noninvasive positive pressure ventilation for exacerbation of COPD.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0601/od1.html

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

Dec 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath 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/2019/1215/p742.html

A Physician’s Guide to Navigating a Bureaucracy -- FPM Restricted content. Login required.

Jun 1, 2020 - To get what you need to create a more ideal practice, you must learn to navigate the bureaucracy of your organization. Here’s how.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p26.html

Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis - Photo... Restricted content. Login required.

Jun 1, 2020 - A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0601/p689.html

Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness... Restricted content. Login required.

Apr 15, 2020 - Acute altitude illness comprises acute mountain sickness, high altitude cerebral edema, and high altitude pulmonary edema. The Wilderness Medical Society has updated prevention and treatment guidelines on acute altitude illness.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0415/p505.html

Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - American Family...

Sep 1, 2006 - Cirrhosis and chronic liver failure are leading causes of morbidity and mortality in the United States, with the majority of preventable cases attributed to excessive alcohol consumption, viral hepatitis, or nonalcoholic fatty liver disease. Cirrhosis often is an indolent disease; most ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0901/p756.html

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer ... Restricted content. Login required.

Jun 1, 2020 - Supplemental MRI screening for women with very dense breasts compared with mammography alone every two years significantly reduces the likelihood of an interval cancer, from 5 per 1,000 to 2.5 per 1,000 in the intention-to-treat population and to 0.8 per 1,000 in the per-protocol ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p695a.html

Recognizing Neoplastic Skin Lesions: A Photo Guide - American Family Physician

Sep 15, 1998 - Malignant lesions of the skin are common. Patients who develop squamous cell carcinoma and malignant melanoma often have recognizable precursor conditions. A few skin lesions resemble malignancies. Lesions that are growing, spreading or pigmented, or those that occur on exposed areas of...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p873.html

Initial Evaluation of Vertigo - American Family Physician

Jan 15, 2006 - Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Meniere's disease cause most cases of vertigo; however, family physicians must consider other causes including cerebrovascular disease, migraine, psychological disease, perilymphatic fistulas, multiple sclerosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p244.html

Severely Callused Hands and Feet - Photo Quiz - American Family Physician Restricted content. Login required.

May 15, 2020 - A man presented with a long history of an uncontrollable, proliferating skin callus formation on both hands and feet.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0515/p623.html

Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome - ... Restricted content. Login required.

Jun 1, 2020 - No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0601/p687.html

Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ... Restricted content. Login required.

Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0315/p339.html

Coding for Hypertension: Painting a Picture of the Severity of Illness -- FPM Restricted content. Login required.

Apr 1, 2020 - As risk-adjustment scoring increases, the pressure is on to code hypertension correctly. Here’s an overview using common patient scenarios.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p23.html

Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ... Restricted content. Login required.

Apr 1, 2020 - Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0401/p434.html

Decompression Surgery, Fabric Masks, Heat Stroke, e-Cigarette Use - AFP Clinical ... Restricted content. Login required.

Jun 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/2020/0601/p648.html

Gout: An Update - American Family Physician

Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p801.html

AFP's Approach to COVID-19 - Editorials - American Family Physician

May 1, 2020 - AFP is adapting to meet reader needs and has developed a new COVID-19 resource page. We are also continuing to cover a variety of topics to meet the needs of the specialty of family medicine.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0501/p518.html

Otitis Externa: A Practical Guide to Treatment and Prevention - American Family Physician

Mar 1, 2001 - Otitis externa is most commonly caused by infection (usually bacterial, although occasionally fungal), but it may also be associated with a variety of noninfectious systemic or local dermatologic processes. The most characteristic symptom is discomfort that is limited to the external ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p927.html

Useful Signs and Symptoms for Diagnosing Hip Osteoarthritis - POEMs - American Family ... Restricted content. Login required.

Jun 1, 2020 - Although plain radiographs are often used to diagnose hip OA, the correlation between radiographic indicators of hip arthritis and hip pain is low.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p696.html

Predicting the Likelihood of a Recurrent Febrile Seizure - Point-of-Care Guides - ... Restricted content. Login required.

Apr 15, 2020 - In children presenting with a simple febrile seizure, is it possible to determine the likelihood of a recurrent febrile seizure?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0415/p497.html

Guideline for Chronic Diarrhea: Screening for IBD and Celiac Disease Is In, Screening ... Restricted content. Login required.

Mar 1, 2020 - Although an algorithm to guide the workup is not offered, the American Gastroenterological Association suggests the following tests for patients with chronic diarrhea (i.e., watery diarrhea for at least four weeks): fecal calprotectin or fecal lactoferrin to screen for inflammatory ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p310a.html

Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease - ... Restricted content. Login required.

Jan 15, 2020 - Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use should be ...

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0115/p121.html

Resources on Environmental Exposures for Military Veterans - Letters to the Editor - ...

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

American Family Physician : Letter

https://www.aafp.org/afp/2020/0615/p709.html

Late Pregnancy Bleeding - American Family Physician

Apr 15, 2007 - Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1199.html

Frostbite: Recommendations for Prevention and Treatment from the Wilderness Medical ... Restricted content. Login required.

Apr 1, 2020 - Recommendations for prevention and treatment of frostbite from the Wilderness Medical Society.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0401/p440.html

Billing & Claims -- FPM Topic Collection

Jul 23, 2010 - This article collection features popular FPM content on the subjects of billing, claims, collections, and other ways to maximize revenue -- from reducing denials to implementing patient payment policies. This article collection features popular FPM content on the subjects of billing, ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=50

Progressive Rash Involving the Hands and Feet - Photo Quiz - American Family Physician

Jun 15, 2018 - A man presented in late fall with a progressive rash on his hands, arms, back, chest, and feet after a hiking trip.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0615/p815.html

Management of Status Epilepticus - American Family Physician

Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p469.html

The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...

Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/1101/p575.html

The Older Driver - Curbside Consultation - American Family Physician Restricted content. Login required.

May 15, 2020 - Advancing age on its own is not a reason to stop driving. The ability to drive may enable older adults to maintain family and social interactions and to promote independence by accessing community resources, services, and volunteer opportunities.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0515/p625.html

Neuropsychological Evaluation in Primary Care - American Family Physician

Sep 1, 2010 - Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient’s medical history, laboratory tests, and imaging studies; an ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p495.html

Sexual Health Communication Strategies for Breast Cancer Survivors - Letters to the ...

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

American Family Physician : Letter

https://www.aafp.org/afp/2020/0601/p644.html

Tranexamic Acid for Postpartum Hemorrhage - Medicine by the Numbers - American Family ... Restricted content. Login required.

May 1, 2020 - Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0501/od2.html

Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ... Restricted content. Login required.

Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0315/p378.html

OnabotulinumtoxinA for Prevention of Migraine in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Feb 1, 2020 - OnabotulinumtoxinA reduces the number of migraine days per month by two days compared with placebo in adults with chronic migraines.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0201/p144.html

Music Therapy for Depression - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p273.html

Practical Selection of Antiemetics - American Family Physician

Mar 1, 2004 - An understanding of the pathophysiology of nausea and the mechanisms of antiemetics can help family physicians improve the cost-effectiveness and efficacy of therapy. Nausea and vomiting are mediated primarily by visceral stimulation through dopamine and serotonin, by vestibular and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1169.html

Evaluation and Management of Toe Fractures - American Family Physician

Dec 15, 2003 - Fractures of the toe are one of the most common lower extremity fractures diagnosed by family physicians. Toe fractures most frequently are caused by a crushing injury or axial force such as stubbing a toe. Joint hyperextension and stress fractures are less common. Most patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2413.html

Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and ... Restricted content. Login required.

May 15, 2020 - Nonpharmacologic approaches to agitation or aggression in patients with dementia are more effective than medication (e.g., haloperidol). Outdoor activities, multidisciplinary care, and massage and touch therapy with or without music are all effective.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p631a.html

Protecting Family Well-Being Through Social Connectivity and Time Management -- FPM Restricted content. Login required.

Jun 1, 2020 - Families are a physician’s core source of support. Making time to nurture family connections is crucial to keeping that support system strong.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p13.html

Practice Pearls - May-Jun 2020 -- FPM Restricted content. Login required.

Jun 1, 2020 - Check for COVID-19 updates on home isolation and work notes | Ask patients to submit vitals before telehealth | Adapt your documentation setup for telehealth

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0500/p32.html

Diagnosing Rhinitis: Allergic vs. Nonallergic - American Family Physician

May 1, 2006 - Allergic rhinitis, the most common type of rhinitis, generally can be differentiated from the numerous types of nonallergic rhinitis through a thorough history and physical examination. Allergic rhinitis may be seasonal, perennial, or occupational. The most common cause of nonallergic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0501/p1583.html

Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ... Restricted content. Login required.

Jan 1, 2020 - Guidelines recommend checking lipid levels in nonfasting patients. They are easier to obtain and are equally predictive of subsequent cardiac events. Although triglyceride levels may be higher in nonfasting patients, cholesterol levels will be similar whether the patient was fasting or ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0101/p53.html

Caring for Me Is Caring for You: The Power of Self-Care and Personal Transformation -- FPM Restricted content. Login required.

Apr 1, 2020 - Want to see change in your team, your organization, or beyond? Start by filling your own tank.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p17.html

Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ... Restricted content. Login required.

Apr 15, 2020 - In otherwise healthy adults with severe and frequent migraine or cluster headaches, galcanezumab may provide a modest reduction in debilitating headache frequency in the short term.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0415/p502.html

Nursing Home Care: Part I. Principles and Pitfalls of Practice - American Family Physician

May 15, 2010 - Approximately 1.5 million Americans reside in nursing homes. A family physician often leads the interdisciplinary team that provides for the medical, functional, emotional, nutritional, social, and environmental needs of these patients. The treatment of nursing home residents is a ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1219.html

Identification and Evaluation of Mental Retardation - American Family Physician

Feb 15, 2000 - Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1059.html

Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis - FPIN's ... Restricted content. Login required.

Apr 1, 2020 - Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0401/p432.html

Blood Pressure Readings, Tonsillectomy in Children, Venous Ulcers, Opioids, Pelvic ... Restricted content. Login required.

May 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/2020/0501/p521.html

Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ... Restricted content. Login required.

Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0315/p373.html

Results of Fecal Immunochemical Tests for Colorectal Cancer Screening Not Affected by ... Restricted content. Login required.

Apr 1, 2020 - The use of aspirin, NSAIDs, and oral anticoagulants has no clinically important effects on the positive predictive value of FIT in a screening population.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0401/p435.html

Why the Stress-Disease Connection Matters and How to Respond - Editorials - American ...

May 15, 2020 - Emotional health and physical health are deeply intertwined, and patients who have experienced difficult events or persistent stressors may struggle to cope in a healthy way. Helping our patients recognize the connection between physical and mental well-being allows us to validate ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0515/p585.html

Screening for Asymptomatic Bacteriuria in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Apr 15, 2020 - A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0415/p493.html

Infantile Hemangioma: AAP Releases Guideline for Management - Practice Guidelines - ...

Aug 1, 2019 - Infantile hemangiomas are the most common benign tumors of childhood, occurring in up to approximately 5% of infants. These benign vascular tumors are small, self-resolving, and do not require treatment.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0801/p186.html

Hoarseness in Adults - American Family Physician

Aug 15, 2009 - Numerous conditions can cause hoarseness, ranging from simple inflammatory processes to more serious systemic, neurologic, or cancerous conditions involving the larynx. Evaluation of a patient with hoarseness includes a careful history, physical examination, and in many cases, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0815/p363.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...

Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.

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

https://www.aafp.org/afp/2019/1015/od1.html

Megestrol for Palliative Care in Patients with Cancer - FPIN's Clinical Inquiries - ... Restricted content. Login required.

May 1, 2020 - Megestrol may be considered as a component of palliative care nutritional support in patients with cancer.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0501/od1.html

Pelvic Floor Muscle Training vs. Control for Urinary Incontinence in Women - Cochrane ... Restricted content. Login required.

Apr 1, 2020 - Use of pelvic floor muscle training to treat women with all subtypes of urinary incontinence results in improvement or cure vs. no treatment (number needed to treat [NNT] = 2.5; 95% CI, 1.4 to 5.4). Treatment with pelvic floor muscle training also results in one fewer episode of leakage...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0401/p393.html

Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians... Restricted content. Login required.

Dec 1, 2019 - Combined oral contraceptives decrease the number of women reporting menorrhagia over six months compared with placebo (absolute risk reduction = 36.7%; number needed to treat = 2.7).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1201/p677.html

Management of Acute Renal Failure - American Family Physician

Nov 1, 2005 - Acute renal failure is present in 1 to 5 percent of patients at hospital admission and affects up to 20 percent of patients in intensive care units. The condition has prerenal, intrarenal, and postrenal causes, with prerenal conditions accounting for 60 to 70 percent of cases. The cause...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1739.html

Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins - POEMs - American... Restricted content. Login required.

May 15, 2020 - For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630a.html

Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ... Restricted content. Login required.

Jan 1, 2020 - Positional therapy for OSA reduces scores on the apnea-hypopnea index (AHI) and Epworth Sleepiness Scale compared with no treatment. Although continuous positive airway pressure (CPAP) improves AHI scores more than positional therapy, patients seem to better tolerate positional therapy ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p16.html

Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...

Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0315/p330.html

Persistent Infraorbital Plaque - Photo Quiz - American Family Physician Restricted content. Login required.

Apr 1, 2020 - A woman presents with a pruritic mass under one eye that had been growing slowly for three years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0401/p429.html

Child with Swollen Eyes - Photo Quiz - American Family Physician

Sep 1, 2019 - A six-year-old child presented with eye swelling, cold-like symptoms, and fever.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0901/p313.html

Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0115/p119.html

Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ... Restricted content. Login required.

Mar 1, 2020 - Vitamin and mineral supplementation has little to no beneficial effect on preserving cognitive functioning or preventing dementia in cognitively healthy adults 40 years and older.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p272.html

Is This Some Kind of Joke? Understanding and Using Humor in the Clinical Setting -- FPM Restricted content. Login required.

Apr 1, 2020 - The wrong joke at the wrong time can shatter the doctor-patient relationship, but humor used wisely has health benefits and strengthens bonds in stressful situations.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0300/p11.html

Weight Loss Maintenance - American Family Physician

Sep 15, 2010 - Successful long-term weight loss maintenance can be achieved by various means. A combination of dietary and physical activity interventions, along with one or more behavioral approaches, has proven successful in some persons, as documented by the National Weight Control Registry, but is...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p630.html

Aortic Stenosis: Diagnosis and Treatment - American Family Physician

Sep 15, 2008 - Aortic stenosis is the most important cardiac valve disease in developed countries, affecting 3 percent of persons older than 65 years. Although the survival rate in asymptomatic patients with aortic stenosis is comparable to that in age- and sex-matched control patients, the average ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p717.html

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