ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, ...
Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0915/p376.html
Management of Influenza - American Family Physician
Nov 1, 2010 - Influenza is a contagious airborne viral illness characterized by abrupt onset of symptoms. Fever, myalgia, headache, rhinitis, sore throat, and cough are commonly reported symptoms. The diagnosis should be made clinically, and the decision to begin antiviral therapy should not be ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1101/p1087.html
Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic -...
Sep 1, 2020 - In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0901/p312.html
Managing a Telephone Encounter: Five Tips for Effective Communication -- FPM
Jun 1, 2020 - Doctoring by phone is a skill I never thought I’d have to learn.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0500/p4.html
Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Mar 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0315/p370.html
Four Coding and Payment Opportunities You Might Be Missing -- FPM
Jun 1, 2016 - You’re likely already doing the work, so why not get paid for it?
Family Practice Management : Articles
https://www.aafp.org/fpm/2016/0500/p30.html
Transitioning to Direct Primary Care -- FPM
Aug 1, 2020 - Imagine practicing medicine without all the administrative burdens related to billing insurance. Here’s how one physician made the switch.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p29.html
Colorectal Cancer Screening: BMJ Rapid Recommendation - Practice Guidelines - American ...
Aug 15, 2020 - Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0815/p253.html
Antidepressants Plus Benzodiazepines for Adults with Major Depression - Cochrane for ...
May 1, 2020 - A combination of tricyclic antidepressants and benzodiazepines is more effective for major depression in adults than tricyclic antidepressants alone in the first four weeks of treatment.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p527.html
Keys to High-Quality, Low-Cost Care: Empanelment, Attribution, and Risk Stratification ...
Oct 1, 2020 - Understand attribution and alignment methodologies in VBP arrangements to know which patients are assigned to you. Use empanelment and risk stratification to better understand where to expend a practice's care management and care coordination resources.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0900/p37.html
Otitis Media, COVID-19 and Hydroxychloroquine, Postoperative Pulmonary Risk, ...
Sep 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0901/p266.html
Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ...
Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0901/p272.html
Obsessive Compulsive Disorder: Diagnosis and Management - American Family Physician
Aug 1, 2009 - Obsessive-compulsive disorder is an illness that can cause marked distress and disability. It often goes unrecognized and is undertreated. Primary care physicians should be familiar with the various ways obsessive-compulsive disorder can present and should be able to recognize clues to ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p239.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
Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - STEPS - American ...
Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...
American Family Physician : STEPS
https://www.aafp.org/afp/2014/0415/p672.html
2020 National Residency Match Program Results: Where Does Family Medicine Stand and ...
Aug 15, 2020 - Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0815/p202.html
Benefits of Teaching Medical Students: Perspectives from a Community Physician ...
Aug 1, 2020 - There is a need for more enthusiastic community family physician mentors to improve the shortage of medical students going into primary care and to reach the goal of 25% of students choosing family medicine by 2030.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0801/p140.html
Recognition and Management of Acute Medication Poisoning - American Family Physician
Feb 1, 2010 - Poisoning is a common cause of morbidity and mortality in the United States, with several million episodes reported annually. Acute medication poisonings account for nearly one half of all poisonings reported in the United States and should be considered in persons with an acute change ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0201/p316.html
Interventions for Reducing Childhood Obesity - Cochrane for Clinicians - American ...
Apr 1, 2020 - Individual dietary interventions alone fail to change body mass index or the standardized BMI z-score across all age groups. The impact of regular physical activity or combined dietary and physical activity interventions is modest at best.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0401/p394.html
Acetaminophen for Pain Relief in Osteoarthritis - FPIN's Help Desk Answers - American ...
Jul 15, 2020 - Acetaminophen is no better than placebo for relief of hip or knee pain due to osteoarthritis. Although acetaminophen does provide some pain relief, the effect is small and not clinically significant.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2020/0715/p113.html
Two Habits of a Healthy Team: Managing Conflict and Practicing Gratitude -- FPM
Aug 1, 2020 - Most teams try to avoid conflict, yet can’t stop focusing on the negative. Healthy teams do the opposite.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p11.html
The Promise and Challenge of Home Health Services During the COVID-19 Pandemic - ...
Jul 1, 2020 - The COVID-19 pandemic presents family physicians with unique opportunities to work with home health providers to combat the pandemic, provide quality care, and ease the burden of fear among patients.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0701/p8.html
VTE, Antiplatelet Therapy, Treatment for Veterans, HIV Prophylaxis, Diabetes Mellitus ...
Sep 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0915/p332.html
Keratinocyte Carcinomas: Should We Screen for Them? - Editorials - American Family ...
Sep 15, 2020 - Keratinocyte carcinoma, which includes basal cell and cutaneous squamous cell carcinomas, is common, and the incidence is increasing.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0915/p330.html
Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD - Cochrane for ...
Jul 1, 2020 - Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0701/p16.html
Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ...
Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p248.html
Sudden Cardiac Death and Implantable Cardioverter-Defibrillators - American Family ...
Dec 1, 2010 - Sudden cardiac death is a major public health problem, affecting 500,000 patients in the United States annually. An implantable cardioverter-defibrillator (ICD) can terminate malignant ventricular arrhythmias and has been shown to improve survival in high-risk populations. Although ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1357.html
Primary Care for Refugees - American Family Physician
Feb 15, 2011 - Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0215/p429.html
Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica - ...
Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of Dermatobia hominis after travel to Costa Rica.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0915/p326a.html
Mirtazapine: A Newer Antidepressant - American Family Physician
Jan 1, 1999 - Mirtazapine is a newer antidepressant that exhibits both noradrenergic and serotonergic activity. It is at least as effective as the older antidepressants for treating mild to severe depression. Sedation is the most common side effect. Although agranulocytosis is the most serious side ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0101/p159.html
Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: ...
Jul 15, 2020 - The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0715/p105.html
We’re Listening and Taking Action on Racism and Health Inequities - Letters to the ...
Sep 1, 2020 - Letter to the Editor from the AFP Editor about taking action on racism and health inequities.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0901/p261.html
Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ...
Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0901/p269.html
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
Frontotemporal Dementia: A Review for Primary Care Physicians - American Family Physician
Dec 1, 2010 - Frontotemporal dementia (FTD) is one of the most common forms of dementia in persons younger than 65 years. Variants include behavioral variant FTD, semantic dementia, and progressive nonfluent aphasia. Behavioral and language manifestations are core features of FTD, and patients have ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1372.html
Emergency Contraception: Safety and Effectiveness - Cochrane for Clinicians - American ...
Jun 1, 2020 - Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0601/p651.html
Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ...
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
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
Facial Rash with Oral Lesions - Photo Quiz - American Family Physician
Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0815/p243.html
Peripheral Vascular Disease: Diagnosis and Treatment - American Family Physician
Jun 1, 2006 - Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. The most common symptom of peripheral vascular disease is intermittent claudication. At other times, peripheral vascular disease ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0601/p1971.html
Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ...
Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0301/p302.html
Diagnosis and Treatment of Bladder Cancer - American Family Physician
Oct 1, 2009 - Bladder cancer is the sixth most prevalent malignancy in the United States. The most common type of bladder cancer is urothelial (transitional cell) carcinoma, and cystoscopy remains the mainstay of diagnosis and surveillance. Fluorescence cystoscopy offers improvement in the detection ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1001/p717.html
Case Report: Wernicke Encephalopathy Following Roux-en-Y Gastric Bypass - Letters to ...
Aug 15, 2020 - Letters to the Editor from AFP reader regarding Wernicke encephalopathy following Roux-en-Y gastric bypass.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0815/p197.html
Sarecycline (Seysara) for the Treatment of Acne - STEPS - American Family Physician
Aug 15, 2020 - Sarecycline is a once-daily oral medication for patients with moderate to severe non-nodular acne. Its benefit over less expensive options has not been demonstrated.
American Family Physician : STEPS
https://www.aafp.org/afp/2020/0815/p245.html
Secondary Prevention of Coronary Artery Disease - American Family Physician
Feb 1, 2010 - Coronary artery disease is the leading cause of mortality in the United States. In patients who have had a myocardial infarction or revascularization procedure, secondary prevention of coronary artery disease by comprehensive risk factor modification reduces mortality, decreases ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0201/p289.html
Developing Your Professional Career Plan -- FPM
Aug 1, 2020 - The key to a fulfilling career is to know what’s important to you - from your mission, identity, and direction to family, fun, and finances - and then pursue that.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p21.html
Acute Stroke Diagnosis - American Family Physician
Jul 1, 2009 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of ischemic stroke diagnosis. The most common presenting symptoms for ischemic stroke are ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0701/p33.html
Benzodiazepines for Panic Disorder in Adults - Medicine by the Numbers - American ...
Apr 1, 2020 - Should benzodiazepeines continue to be prescribed during the initiation phase of selective serotonin reuptake inhibitors for acute relief of panic attacks? Find out more.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0401/od1.html
COVID-19 and Remdesivir, Insulin Analogues, Opioid Use Disorder, Urinary Incontinence -...
Jul 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/2020/0701/p14.html
Smoking Cessation with Text Messaging and App-Based Interventions - Cochrane for ...
Aug 1, 2020 - Automated text messaging interventions are more effective than minimal smoking cessation support (absolute risk reduction [ARR] = 3%; 95% CI, 1% to 5%).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0801/p148.html
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
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
Ocular Emergencies - American Family Physician
Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0915/p829.html
Management of Genital Warts - American Family Physician
Dec 15, 2004 - Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed. Biopsy, viral typing, acetowhite staining, and other diagnostic measures are not routinely ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1215/p2335.html
Coding & Documentation - Jan-Feb 2020 -- FPM
Feb 1, 2020 - Vaping-related illness | Billing Qualified Medicare Beneficiaries | Electrocardiogram recorded by a Holter monitor | Lung function tests
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2020/0100/p33.html
Differential Diagnosis of Muscle Weakness in Adults - Letters to the Editor - American ...
Jul 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0715/p73.html
Treating Onychomycosis - American Family Physician
Feb 15, 2001 - Onychomycosis accounts for one third of fungal skin infections. Because only about one half of nail dystrophies are caused by fungus, the diagnosis should be confirmed by potassium hydroxide preparation, culture or histology before treatment is started. Newer, more effective antifungal ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0215/p663.html
Acupuncture for Knee Osteoarthritis - FPIN's Clinical Inquiries - American Family ...
Aug 1, 2020 - Electroacupuncture can be used to improve pain and physical function in adults with knee osteoarthritis.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0801/p184.html
Shared Decision-Making for Administering PCV13 in Older Adults - Editorials - American ...
Feb 1, 2020 - In June 2019, the Advisory Committee on Immunization Practices approved a change from its age-based 13-valent pneumococcal conjugate vaccine recommendations to a shared clinical decision-making process.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0201/p134.html
Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ...
Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0301/od2.html
IDx-DR for Diabetic Retinopathy Screening - Diagnostic Tests: What Physicians Need to ...
Mar 1, 2020 - IDx-DR is a reliable screening tool used to diagnose diabetic retinopathy in the primary care office and may reduce barriers to screening and improve gaps in eye care for those with diabetes.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0301/p307.html
Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ...
Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p247.html
Rates of Adverse Effects of Treatment for Otitis Media Vary by Antibiotic and Dose - ...
Aug 1, 2020 - The rates of diarrhea and rashes associated with the treatment of children with acute otitis media vary depending on each specific antibiotic and its dosing. The rates of diarrhea and generalized rash were highest with amoxicillin/clavulanate (Augmentin) and high-dose amoxicillin, and ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0801/p186.html
Lithium for Acute Mania - Cochrane for Clinicians - American Family Physician
May 1, 2020 - Lithium is more effective at inducing a reduction of at least 50% on the validated Young Mania Rating Scale compared with placebo (number needed to treat [NNT] = 6; 95% CI, 5 to 8; six studies; n = 1,707).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0501/p528.html
Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment - American Family...
Aug 15, 2010 - Pulmonary arterial hypertension is defined as a mean pulmonary arterial pressure greater than 25 mm Hg at rest or 30 mm Hg during physical activity. Pulmonary arterial hypertension is classified into subgroups, including idiopathic, heritable, and pulmonary arterial hypertension ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p370.html
Medical Therapy for Asthma: Updates from the NAEPP Guidelines - American Family Physician
Nov 15, 2010 - Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1115/p1242.html
Pruritic Rash on the Hands and Feet - Photo Quiz - American Family Physician
Dec 1, 2018 - A woman presents with a pruritic rash that is associated with peeling and cracking of the palmar and plantar surfaces of her hands and feet.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/1201/p685.html
Fetal Fibronectin Testing in Threatened Preterm Labor - Medicine by the Numbers - ...
Aug 1, 2020 - Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0801/p145.html
Increasing the D-dimer Threshold for Patients with Low Clinical Pretest Probability ...
Jul 15, 2020 - The Pulmonary Embolism Graduated d-Dimer strategy increases the number of patients in the emergency department and outpatient setting who have PE ruled out via d-dimer testing, thus decreasing the need for chest imaging.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0715/p117a.html
Gastrointestinal Complications of Diabetes - American Family Physician
Jun 15, 2008 - Gastrointestinal complications of diabetes include gastroparesis, intestinal enteropathy (which can cause diarrhea, constipation, and fecal incontinence), and nonalcoholic fatty liver disease. Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0615/p1697.html
Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ...
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
Postpartum Care, COVID-19, Augmentation Therapy, Vitamin D Supplementation - AFP ...
Aug 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0815/p209.html
COVID-19, Acne Treatment, Threatened Miscarriage, Pilonidal Disease - AFP Clinical ...
Aug 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/2020/0801/p142.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
A Primary Care Approach to Adverse Childhood Experiences - Curbside Consultation - ...
Jul 1, 2020 - A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2020/0701/p55.html
No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low ...
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
Evaluation and Treatment of Enuresis - American Family Physician
Aug 15, 2008 - Enuresis is defined as repeated, spontaneous voiding of urine during sleep in a child five years or older. It affects 5 to 7 million children in the United States. Primary nocturnal enuresis is caused by a disparity between bladder capacity and nocturnal urine production and failure of ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0815/p489.html
Oseltamivir of Uncertain Benefit in Patients with Flulike Symptoms - POEMs - American ...
Aug 15, 2020 - Although the authors report that compared with usual care oseltamivir shortens the duration of symptoms, the methodologic biases in this study make their conclusions suspect.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0815/p248a.html
PAULA’s Test for Lung Cancer Screening - Diagnostic Tests: What Physicians Need to Know...
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
PLAC Test for Lp-PLA2 Activity to Predict Coronary Heart Disease - Diagnostic Tests: ...
Jan 1, 2020 - The PLAC test is a blood test used to measure serum activity of lipoprotein-associated phospholipase A2 (Lp-PLA2), an enzyme that breaks down oxidized low-density lipoprotein in the vascular wall.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0101/p44.html
The 2020 Medicare Documentation, Coding, and Payment Update -- FPM
Feb 1, 2020 - The Centers for Medicare and Medicaid Services is trying to make Medicare documentation less burdensome and planning more changes that should result in a pay raise for family physicians in the future.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p8.html
Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis - Editorials - ...
Jul 15, 2020 - Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0715/p78.html
Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM
Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p19.html
Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...
Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p801.html
Increasing Pneumococcal Immunization Rates -- FPM
Aug 1, 2020 - This supplement from the American Academy of Family Physicians shares learnings from state chapter quality improvement initiatives designed to increase adult pneumococcal vaccination rates. The project was supported by a grant from Pfizer Independent Grants for Learning and Change.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p17.html
Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ...
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
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/p74a.html
For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs...
Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0601/p698.html
Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis - Photo...
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
Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer ...
Jul 15, 2020 - Mailed outreach significantly increases rates of colorectal cancer screening, with four tests needing to be mailed to screen one person.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0715/p117.html
Importance of Appropriate Diagnosis Before Prescribing Corticosteroids - Letters to the...
Jul 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0715/p76.html
Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ...
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
Music Therapy for Depression - Cochrane for Clinicians - American Family Physician
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
IBSchek for Irritable Bowel Syndrome - Diagnostic Tests: What Physicians Need to Know -...
May 1, 2020 - IBSchek is a blood test marketed to assist in the diagnosis of irritable bowel syndrome with predominant diarrhea (IBS-D) or with mixed bowel habits (IBS-M) in adults.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2020/0501/p564.html
Short Courses of Oral Corticosteroids: Lack of Benefit and Potential Harms for Common ...
Jul 1, 2018 - A short course of oral corticosteroids is appropriate for many patients with specific conditions. However, widespread use of corticosteroids in patients with non-pneumonia lower respiratory tract infection, nonsevere sore throat, or low back pain is inappropriate and not worth the risk ...
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0701/p12.html
Knee Bruising and Swelling in a Teenager - Photo Quiz - American Family Physician
Jul 1, 2020 - A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0701/p49.html
ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...
Feb 15, 2020 - The 2020 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0215/p251.html
Helping Patients Cope with Grief - Curbside Consultation - American Family Physician
Jul 1, 2019 - The loss of a loved one, especially a spouse or a child, is perhaps one of the most difficult events a person will experience in a lifetime. The resulting grief can be overwhelming and incapacitating for a time. Family physicians can be sources of comfort to those who grieve the loss of...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2019/0701/p54.html
Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ...
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
Inflamed, Purulent Axillary Nodules - Photo Quiz - American Family Physician
Jul 15, 2020 - A man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2020/0715/p111.html