Treatment of Recurrent Vulvovaginal Candidiasis - American Family Physician
Jun 1, 2000 - Vulvovaginal candidiasis is considered recurrent when at least four specific episodes occur in one year or at least three episodes unrelated to antibiotic therapy occur within one year. Although greater than 50 percent of women more than 25 years of age develop vulvovaginal candidiasis ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0601/p3306.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
Clinical Diagnosis of Acute Bacterial Rhinosinusitis - Point-of-Care Guides - American ...
Jun 15, 2020 - Which patients with symptoms of acute rhinosinusitis have bacterial infection?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2020/0615/p758.html
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
Similar Long-Term Morbidity and Mortality with Human Insulin and Analogue Insulin - ...
Sep 15, 2020 - This study found no difference in long-term patient-oriented outcomes between human and analogue insulins in adults with type 2 diabetes.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0915/p375.html
Revefenacin (Yupelri) for the Treatment of Chronic Obstructive Pulmonary Disease - ...
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
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
Fasting and Nonfasting Lipid Levels Similarly Predict Cardiovascular Disease Risk - ...
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
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
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
Tympanometry - American Family Physician
Nov 1, 2004 - Tympanometry provides useful quantitative information about the presence of fluid in the middle ear, mobility of the middle ear system, and ear canal volume. Its use has been recommended in conjunction with more qualitative information (e.g., history, appearance, and mobility of the ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1101/p1713.html
Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations - Practice ...
May 15, 2020 - The American College of Obstetricians and Gynecologists (ACOG) has new recommendations and conclusions about menstrual bleeding disorders in adolescents.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0515/p633.html
Acute Pancreatitis: Diagnosis, Prognosis, and Treatment - American Family Physician
May 15, 2007 - Mild acute pancreatitis has a low mortality rate, but patients with severe acute pancreatitis are more likely to develop complications and have a much higher death rate. Although serum amylase and lipase levels remain the most widely used diagnostic assays for acute pancreatitis, other ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1513.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
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
Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level ...
Feb 1, 2020 - Some of the top family physicians on social media share their best practices for building a following and avoiding common pitfalls.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p19.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
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
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
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
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
IDSA Guidelines on the Treatment of MRSA Infections in Adults and Children - Practice ...
Aug 15, 2011 - The prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in the United States continues to increase, with more than 94,000 cases of invasive disease reported in 2005. The Infectious Diseases Society of America (IDSA) has released its first evidence-based guidelines on the ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0815/p455.html
Case Report: Gonorrhea as a Cause of Exudative Tonsillitis - Letters to the Editor - ...
Jan 15, 2019 - Letters to the Editor from AFP reader regarding a case report of gonorrhea as a cause of exudative tonsillitis.
American Family Physician : Letter
https://www.aafp.org/afp/2019/0115/p77.html
2020 National Residency Match Program Results: Where Does Family Medicine Stand and ...
Aug 15, 2020 - Although overshadowed by the coronavirus disease 2019 (COVID-19) pandemic, results of the 2020 National Residency Match Program (The Match) are in.
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0815/p202.html
Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ...
May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2020/0501/p557.html
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
Vitamin D Supplementation and All-Cause Mortality - Medicine by the Numbers - American ...
Jul 1, 2020 - Observational studies have shown that those with low vitamin D levels have higher cancer and cardiovascular mortality. Read more to learn about the effect of vitamin D supplementation on all-cause mortality.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0701/od1.html
Treatment of Hypothyroidism - American Family Physician
Nov 15, 2001 - Thyroid disease affects up to 0.5 percent of the population of the United States. Its prevalence is higher in women and the elderly. The management of hypothyroidism focuses on ensuring that patients receive appropriate thyroid hormone replacement therapy and monitoring their response. ...
American Family Physician : Article
https://www.aafp.org/afp/2001/1115/p1717.html
Operationalizing Virtual Visits During a Public Health Emergency -- FPM
Jun 1, 2020 - Providing options for remote access to care can keep your practice running and your patients healthy when an infectious disease outbreak prevents you from seeing them in person.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0500/p5.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
Galcanezumab (Emgality) for Migraine and Cluster Headaches - STEPS - American Family ...
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
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
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
Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American...
Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0701/p17.html
A Practical Approach to Screening for Social Determinants of Health -- FPM
Jun 1, 2018 - Screening patients to understand their social context is the gateway to addressing barriers and improving health.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0500/p7.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
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
Hirsutism, Amphetamines, COVID-19 Viral Shedding, Hand-Foot-and-Mouth Disease - AFP ...
May 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
American Family Physician : AFP Clinical Answers
https://www.aafp.org/afp/2020/0515/p589.html
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
Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...
Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0415/p458.html
Acute Altitude Illness: Updated Prevention and Treatment Guidelines from the Wilderness...
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
Understanding Value-Based Payment: A Primer for Family Physicians -- FPM
Aug 1, 2020 - Public and private payers are transitioning away from fee-for-service and emphasizing value-based payment models. This supplement from the American Academy of Family Physicians describes what you need to know about the transition and how it may affect you and your practice.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0700/p25.html
Ten Tips for Cultivating Patience During Uncertain Times -- FPM
Aug 1, 2020 - It’s easy to feel impatient with ourselves and others these days. But research suggests impatience can be bad for our health. Here’s a better way to respond.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0700/p43.html
Single-Dose Oral Dexamethasone Decreases Sore Throat Pain - POEMs - American Family ...
Feb 15, 2018 - Sore throats are rarely fatal anymore, but there is really no such thing as just a sore throat. Whereas antibiotics have no analgesic activity, a single low dose of a corticosteroid such as oral dexamethasone—0.6 mg per kg for children at least five years of age and up to 10 mg for ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0215/od1.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
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
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
Pharmacologic Management of Adult Depression - American Family Physician
Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0315/p785.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
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
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
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
Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...
Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0615/p753.html
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
Severely Callused Hands and Feet - Photo Quiz - American Family Physician
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
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
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
No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies - POEMs ...
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
Ketorolac vs. Morphine for Pain Relief After Fractures - FPIN's Help Desk Answers - ...
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
Practice Pearls - Jul-Aug 2020 -- FPM
Aug 1, 2020 - Use EHR sticky notes to connect with patients personally | Talking your team through a crisis | Get credit for pre- and post-exam work
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0700/p38.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
Maintaining Patient Relationships in the Age of Hospitalists, Urgent Care, and a ...
Aug 1, 2020 - It was already difficult to get enough face-to-face time with patients before COVID-19 hit. Bonding with them now takes even more effort.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0700/p4.html
Tuberculosis Screening, Testing, and Treatment in U.S. Health Care Professionals: CDC ...
Mar 1, 2020 - According to 1995–2007 surveillance data reported to the Centers for Disease Control and Prevention and National Tuberculosis Controllers Association work group, tuberculosis incidence rates in health care professionals were similar to those in the general population.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0301/p312.html
Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: ...
May 15, 2019 - The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0515/od1.html
Alcohol Withdrawal Syndrome - American Family Physician
Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0315/p1443.html
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
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
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
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
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
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
Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...
Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.
American Family Physician : Lown Right Care: Reducing Overuse and Underuse
https://www.aafp.org/afp/2020/0615/p748.html
Respiratory Tract Infections - American Family Physician
Aug 12, 2021 - Advertisement AFP BY TOPIC Respiratory Tract Infections Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on respiratory tract infections and related issues, including acute bronchitis, acute...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=29
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
Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain - ...
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
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
Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ...
Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0701/p51.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
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
Management of Benign Aphthous Ulcers - American Family Physician
Jul 1, 2000 - Aphthous ulcers are a common and painful problem. Benign aphthae tend to be small (less than 1 cm in diameter) and shallow. Aphthous ulcers that occur in conjunction with symptoms of uveitis, genital ulcerations, conjunctivitis, arthritis, fever or adenopathy should prompt a search for ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0701/p149.html
Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth - AFP Clinical Answers - ...
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
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
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
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
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
Advance Care Planning: How to Have the Conversation You Want With Your Patients -- FPM
Dec 1, 2019 - More patients are receiving intensive care in their last days of life, even though studies show that most don’t want it. Family physicians are uniquely positioned to make sure patients’ wishes are recorded and respected.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p18.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
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
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
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
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
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
Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician
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
Traveler's Diarrhea - American Family Physician
Jun 1, 2005 - Acute diarrhea affects millions of persons who travel to developing countries each year. Food and water contaminated with fecal matter are the main sources of infection. Bacteria such as enterotoxigenic Escherichia coli, enteroaggregative E. coli, Campylobacter, Salmonella, and Shigella...
American Family Physician : Article
https://www.aafp.org/afp/2005/0601/p2095.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
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
The COVID-19 Pandemic Is a Battle Against Disease, Fear, and Misinformation - Letters ...
Jul 1, 2020 - Letters to the Editor from AFP reader regarding COVID-19.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0701/p5.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
Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome - ...
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
Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician
Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0415/p1961.html