The Commercial Motor Vehicle Driver Medical Examination: Practical Issues - American ...
Apr 15, 2010 - The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p975.html
Positional Therapy for Obstructive Sleep Apnea - Cochrane for Clinicians - American ...
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
Bringing Behavioral Health Into Your Practice Through a Psychiatric Collaborative Care ...
Dec 1, 2019 - Learn how to implement an integrated behavioral health program that will more than pay for itself while increasing patients’ access to care.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p11.html
Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ...
Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p249.html
Increased Readmissions and Adverse Events with Intensification of Antihypertensive ...
Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0215/p248a.html
Physician Well-Being: Prioritizing Your Own Health Through a Personal Health ...
Feb 1, 2020 - You can’t take care of others optimally unless you first take care of yourself. Start today.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p27.html
Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults - ...
Feb 1, 2020 - The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0201/p145.html
Seven Habits for Reducing Work After Clinic -- FPM
Jun 1, 2019 - Imagine shutting your office door at the end of the day and not having any work that you need to take home. These shifts in practice can help you reclaim your time.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0500/p10.html
Exercise to Reduce Falls in Older Adults - FPIN's Clinical Inquiries - American Family ...
Jan 1, 2020 - Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2020/0101/p42.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
Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride ...
Feb 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/2020/0215/p205.html
Primary Care First: Practice Assessment Checklist -- FPM
Feb 1, 2020 - Starting in 2021, PCF will be open to primary care clinicians practicing in 26 participating states and regions. Use this checklist to assess your practice’s readiness to participate in PCF, including care delivery capabilities, data infrastructure, and potential financial impact.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/0100/p25.html
Practice Pearls - Jan-Feb 2020 -- FPM
Feb 1, 2020 - Navigate patients’ anxiety about pelvic exams | Ask older patients these questions to assess dementia risk | Tell patients up front how much time you have
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2020/0100/p34.html
Risks Associated with Long-Term Benzodiazepine Use - Editorials - American Family ...
Aug 15, 2013 - Many patients underestimate the degree of impairment caused by benzodiazepines. Benzodiazepines increase the risk of addiction, withdrawal, cognitive decline, motor vehicle crashes, and hip fracture. The risk of overdose is particularly great when combined with sedative drugs such as ...
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0815/p224.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
Minimal Excision Technique for Epidermoid (Sebaceous) Cysts - American Family Physician
Apr 1, 2002 - Epidermoid cysts are asymptomatic, dome-shaped lesions that often arise from a ruptured pilosebaceous follicle. The minimal excision technique for epidermoid cyst removal is less invasive than complete surgical excision and does not require suture closure. The procedure is easy to ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0401/p1409.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
Renin-Angiotensin System Inhibitors vs. Other Antihypertensive Drug Classes for ...
Nov 1, 2019 - RAS inhibitors, which include angiotensin receptor blockers, angiotensin-converting enzyme inhibitors, and renin inhibitors, should not be used as first-line agents.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/1101/p540.html
Addition of Steroids Improves Outcomes in Children and Adults with CAP - POEMs - ...
Jan 1, 2020 - Adding corticosteroid treatment to the management of CAP is beneficial for children and adults. Treatment decreases clinical failures, time in the hospital, and the risk of death in adults with severe pneumonia.
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p55.html
Why Family Physicians Should Not Just Be Family Physicians: Rethinking Roles in ...
Feb 1, 2020 - In some settings, the cause of burnout isn’t having too much work - it’s having the wrong type of work.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2020/0100/p5.html
Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...
Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0901/p279.html
C-Reactive Protein Guidance Safely Reduces Antibiotic Use in Patients with Acute ...
Jan 1, 2020 - CRP guidance, regarding the likelihood that antibiotics will be helpful for patients with acute exacerbation of COPD, safely reduces antibiotic use (number needed to treat = 5).
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p54.html
Screening for Pancreatic Cancer: Recommendation Statement - U.S. Preventive Services ...
Dec 15, 2019 - The USPSTF recommends against screening for pancreatic cancer in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/1215/od1.html
Thank You, FPM Peer Reviewers (2019) -- FPM
Feb 1, 2020 - We would like to thank the following peer reviewers for their valuable contributions to FPM during 2019.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0100/p4.html
Listening to the Little Voice Inside -- FPM
Feb 1, 2020 - That nagging little voice can sometimes save you from a medical mistake, so don’t ignore it.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2020/0100/p38.html
Goal-Setting Theory for the New Year -- FPM
Feb 1, 2020 - Research points to four factors that will help make your goals more effective.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2020/0100/p3.html
Screening for Hepatitis B Virus in Pregnant Women - Putting Prevention into Practice - ...
Jan 15, 2020 - A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2020/0115/p115.html
Maintenance Intravenous Fluids in Children: AAP Provides Recommendations - Practice ...
Aug 15, 2019 - The American Academy of Pediatrics has created an evidence-based guideline recommending the use of isotonic fluids for patients 28 days to 18 years of age to reduce the risk of developing hyponatremia.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0815/p251.html
One Month of Dual Antiplatelet Therapy Followed by Clopidogrel Alone is Superior to 12 ...
Dec 15, 2019 - This study found that one month of dual antiplatelet therapy (aspirin plus clopidogrel or prasugrel [Effient]) followed by clopidogrel monotherapy for up to five years is both noninferior and superior to 12 months of dual antiplatelet therapy followed by aspirin for up to five years for...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od5.html
Shoulder Dystocia - American Family Physician
Apr 1, 2004 - Shoulder dystocia can be one of the most frightening emergencies in the delivery room. Although many factors have been associated with shoulder dystocia, most cases occur with no warning. Calm and effective management of this emergency is possible with recognition of the impaction and ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0401/p1707.html
LASIK: A Primer for Family Physicians - American Family Physician
Jan 1, 2010 - Surgical correction of vision is becoming increasingly popular. Laser-assisted in situ keratomileusis (LASIK) is the most popular method of corneal refractive surgery. LASIK is usually limited to adults who have stable refraction. Contraindications include the use of certain ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0101/p42.html
Predicting the Risk of Postoperative Pulmonary Complications - Point-of-Care Guides - ...
Oct 15, 2019 - What is the best approach to evaluate postoperative pulmonary risk?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/1015/p499.html
New-Onset Full-Body Rash Following Sore Throat in a Child - Photo Quiz - American ...
May 1, 2019 - A five-year-old presented with numerous small erythematous plaques throughout her body but sparing the palms and soles. Treatment with topical antibiotic cream was unsuccessful.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0501/p575.html
Type 2 Diabetes Mellitus: ACP Releases Updated Guidance Statement on A1C Targets for ...
Nov 1, 2018 - This guidance statement from the American College of Physicians (ACP) aims to help physicians achieve appropriate A1C targets via medication for nonpregnant patients with type 2 diabetes based on a review of six health care organization guidelines.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/1101/p613.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
Primary Care for Children with Autism - American Family Physician
Feb 15, 2010 - The earliest sign of autism in children is the delayed attainment of social skill milestones, including joint attention, social orienting, and pretend play. Language impairment is a common, but less specific, sign of autism. Repetitive behaviors and restricted interests may not be noted...
American Family Physician : Article
https://www.aafp.org/afp/2010/0215/p453.html
Diagnosing Dementia and Clarifying Goals of Care - Lown Right Care: Reducing Overuse ...
Sep 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/2019/0915/p369.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
Screening for HIV Infection and Preexposure Prophylaxis for the Prevention of HIV ...
Nov 15, 2019 - J.S., a 29-year-old transgender woman, presents for her first maintenance visit with a new family physician. It has been three years since her previous visit with a primary care physician. She has no chronic illnesses, stopped using tobacco products four years ago, and reports that she ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/1115/p637.html
Depression After ACS, Amenorrhea, Physical Activity, Heart Failure, Erythema Multiforme...
Jan 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/2020/0115/p75.html
Warfarin Dosages, PCOS, Varicose Veins, Gastroenteritis in Children, Plantar Fasciitis ...
Jan 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/2020/0101/p10.html
Trigger Points: Diagnosis and Management - American Family Physician
Feb 15, 2002 - Trigger points are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive microtrauma may lead to the development of stress on ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0215/p653.html
Combined Hormonal Contraceptives for Heavy Menstrual Bleeding - Cochrane for Clinicians...
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
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
A Shrinking Primary Care Workforce in Puerto Rico - Graham Center Policy One-Pagers - ...
Jan 1, 2020 - In 2018, two-thirds of primary care physicians in Puerto Rico were older than 55 years, compared with 43% nationwide. Meanwhile, only four out of every 10 graduates of family medicine residencies from 2011 to 2017 remained on the island in 2018, placing Puerto Rico’s new family ...
American Family Physician : Graham Center Policy One-Pagers
https://www.aafp.org/afp/2020/0101/p13.html
General Health Checks in Adults for Reducing Disease-Related Morbidity and Mortality - ...
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
Diagnostic Approach to Palpitations - American Family Physician
Feb 15, 2005 - Palpitations-sensations of a rapid or irregular heartbeat-are most often caused by cardiac arrhythmias or anxiety. Most patients with arrhythmias do not complain of palpitations. However, any arrhythmia, including sinus tachycardia, atrial fibrillation, premature ventricular ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0215/p743.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
Breast Implant—Associated Anaplastic Large Cell Lymphoma - Editorials - American Family...
Jan 1, 2020 - In October 2019, the FDA released draft guidance offering numerous recommendations to help ensure women have access to breast implant benefit and risk information, including that manufacturers incorporate a boxed warning and patient decision checklist in the device’s labeling, and ...
American Family Physician : Editorials
https://www.aafp.org/afp/2020/0101/p8.html
Foot Blisters in a 30-Pack-Year Smoker - Photo Quiz - American Family Physician
Nov 1, 2019 - A woman presented with blisters on the sole of her foot.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/1101/p579.html
Secnidazole (Solosec) for Bacterial Vaginosis - STEPS - American Family Physician
Aug 15, 2019 - Secnidazole is much more expensive than generic metronidazole and other available treatments. However, it is a safe option for women who desire a single-dose treatment or for patients in whom treatment compliance is a concern.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0815/p242.html
Branched-chain Amino Acids for Patients with Hepatic Encephalopathy - Medicine by the ...
Jan 1, 2020 - Hepatic encephalopathy is a brain dysfunction that can be mild with minimal confusion, or overt and severe with coma. Learn more about branched-chain amino acids for the treatment of hepatic encephalopathy.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2020/0101/od1.html
Augmentation of Antidepressant Treatment Offers Little Benefit - POEMs - American ...
Dec 15, 2019 - The available evidence that treatment-resistant depression (depression that is unresponsive to two different treatments of adequate dose and length) responds well to augmentation treatment (i.e., adding psychotherapy, lithium, or aripiprazole [Abilify] to current treatment) is weak.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od3.html
Practical Ways to Address Physician Burnout and Improve Joy in Practice -- FPM
Dec 1, 2019 - It starts with one simple principle: Get rid of stupid stuff in your practice. Here’s how.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/1100/p7.html
ACC/AHA Guideline Update for the Management of ST-Segment Elevation Myocardial ...
Jun 15, 2009 - The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0615/p1080.html
Enlarging Nodule on the Tongue - Photo Quiz - American Family Physician
Sep 15, 2019 - A man presented with a nodule on his tongue that had been growing slowly for three years.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2019/0915/p367.html
Adding Ultrasonography to Mammography Increases False-Positive Findings Without an ...
Jan 1, 2020 - Adding ultrasonography to screening mammography in women younger than 50 years at low, intermediate, or high breast cancer risk is not associated with an increase in breast cancer detection. It is associated with increased unnecessary biopsy recommendations and results in more frequent ...
American Family Physician : POEMs
https://www.aafp.org/afp/2020/0101/p53a.html
Care of the Returning Veteran - American Family Physician
Jul 1, 2010 - Of the 23.8 million military veterans living in the United States, approximately 3 million have served in Operation Enduring Freedom or Operation Iraqi Freedom. The injuries and illnesses that affect veterans returning from combat are predictable. Blast injuries are common and most ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0701/p43.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
Office-Based Strategies for the Management of Obesity - American Family Physician
Jun 15, 2010 - Roughly two thirds of U.S. adults are overweight or obese. Obesity increases the risk of hypertension, type 2 diabetes mellitus, hyperlipidemia, heart disease, pulmonary disease, hepatobiliary disease, cancer, and a number of psychosocial complications. Physicians often feel unprepared ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0615/p1449.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
Nursing Home Care: Part II. Clinical Aspects - American Family Physician
May 15, 2010 - Understanding the distinctions between the management of clinical problems in nursing homes compared with the community setting helps improve the overall care of nursing home residents. Liberalizing diets helps avoid unintentional weight loss in nursing home residents, although the use ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0515/p1229.html
Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...
Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/0701/p49.html
Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ...
Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2020/0101/p17.html
Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...
Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2019/0801/p134.html
Topical Treatment of Common Superficial Tinea Infections - American Family Physician
May 15, 2002 - Tinea infections are superficial fungal infections caused by three species of fungi collectively known as dermatophytes. Commonly these infections are named for the body part affected, including tinea corporis (general skin), tinea cruris (groin), and tinea pedis (feet). Accurate ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0515/p2095.html
Evaluation and Treatment of Constipation in Infants and Children - American Family ...
Feb 1, 2006 - Constipation in children usually is functional and the result of stool retention. However, family physicians must be alert for red flags that may indicate the presence of an uncommon but serious organic cause of constipation, such as Hirschsprung's disease (congenital aganglionic ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0201/p469.html
Noninvasive Diagnostic Tests for Helicobacter pylori Infection - Cochrane for ...
Jul 1, 2019 - When compared with serology or stool antigen tests, the urea breath test has the highest diagnostic accuracy to identify H. pylori infection in patients without a history of gastrectomy or recent use of antibiotics or proton pump inhibitors.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0701/p16.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
Case Report: Thrombotic Thrombocytopenia after COVID-19 Janssen Vaccination - Letters ...
Jun 1, 2021 - << Previous article Next article >> Jun 1, 2021 Issue Letters to the Editor Case Report: Thrombotic Thrombocytopenia after COVID-19 Janssen Vaccination Am Fam Physician. 2021 Jun 1;103(11):646-647. Published online April 30, 2021. To the Editor: Nearly 7 million doses of Johnson and...
American Family Physician : Letter
https://www.aafp.org/afp/2021/0601/p646.html
Transitional Care Management: Practical Processes for Your Practice -- FPM
Jun 1, 2019 - Helping patients safely bridge the gap from acute care to ambulatory care is good for patients and practices too.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0500/p27.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
Incivility in Health Care: Strategies for De-escalating Troubling Encounters -- FPM
Oct 1, 2019 - With rudeness, discrimination, and violence on the rise, how do we take care of our patients while protecting ourselves?
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p8.html
Screening for Pancreatic Cancer - Putting Prevention into Practice - American Family ...
Dec 15, 2019 - A 71-year-old woman comes to your office for a regularly scheduled visit. She has type 2 diabetes mellitus and a 50-pack-year smoking history, and had non-ulcer dyspepsia two years ago. Her body mass index is 32 kg per m2, and her blood pressure is normal.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/1215/p771.html
Baloxavir Marboxil (Xofluza) for Influenza - STEPS - American Family Physician
Dec 15, 2019 - Single-dose baloxavir should be limited to ill patients who cannot tolerate or comply with a course of oseltamivir. For otherwise healthy adults with confirmed influenza or influenza-like illness, the high cost of baloxavir may not justify the one-day reduction in symptoms of a ...
American Family Physician : STEPS
https://www.aafp.org/afp/2019/1215/p776.html
Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis - STEPS - American Family ...
Sep 15, 2019 - Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0915/p372.html
Child Passenger Safety: AAP Updates Best Practice Recommendations - Practice Guidelines...
Apr 15, 2019 - There has been an increase in scientific evidence supporting the use of child safety and booster seats. The American Academy of Pediatrics (AAP) has updated best practice recommendations on child passenger safety based on this evidence.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0415/p525.html
Baloxavir Reduces Symptom Duration Similar to Oseltamivir, Primarily Within 24 Hours of...
Dec 15, 2019 - Baloxavir has similar efficacy to oseltamivir (Tamiflu) (33-hour reduction in duration of symptoms compared with placebo) and, like oseltamivir, is most effective when given within 24 hours of the onset of symptoms.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od4.html
Four Evidence-Based Communication Strategies to Enhance Patient Care -- FPM
Oct 1, 2018 - These communication skills will increase patient engagement and satisfaction without slowing you down.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0900/p13.html
As-Needed Budesonide/Formoterol Similar to Maintenance Budesonide Plus SABA in Patients...
Nov 15, 2019 - In these patients with mild asthma (more than one-half used a short-acting beta-agonist [SABA] such as albuterol two or fewer times per week), as-needed use of a combined budesonide/formoterol (Symbicort) inhaler was as effective at preventing exacerbations as daily maintenance ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1115/p646a.html
Aspirin for Colon Cancer Risk Prevention - FPIN's Clinical Inquiries - American Family ...
Nov 1, 2019 - Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/1101/od2.html
Allopurinol Hypersensitivity Assay HLA-B*58:01 Genotyping - Diagnostic Tests: What ...
Nov 1, 2019 - The allopurinol hypersensitivity assay, or HLA-B*58:01 test, is a blood test to detect the presence of a human leukocyte antigen B (HLA-B) genetic variant that increases the risk of life-threatening, severe cutaneous adverse reactions in patients taking allopurinol.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/1101/p530.html
A Practical Approach to Reducing Patients' Prescription Costs -- FPM
Jun 1, 2019 - A single screening question and an arsenal of cost-reducing strategies can help you help your patients afford their medications.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0500/p5.html
Communication Tips for Caring for Survivors of Sexual Assault -- FPM
Aug 1, 2019 - You can support your patients’ recovery from sexual assault by interacting with them in an empowering, compassionate manner.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0700/p19.html
Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test ...
May 1, 2019 - Using the INTERCHEST chest pain decision rule to decide next steps when a patient presents to a primary care physician with chest pain.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0501/p584.html
Platelet-Rich Plasma is Equal to Saline for Patients with Patellar Tendinopathy - POEMs...
Dec 15, 2019 - In this study, platelet-rich plasma injections were no better than saline injections in improving pain or activity in patients with patellar tendinopathy. It did not matter whether the plasma was leukocyte rich or leukocyte poor.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1215/od2.html
Peptic Ulcers, Blood Lead Levels in Children, Diabetic Kidney Disease, VTE, Endometrial...
Dec 15, 2019 - 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/2019/1215/p740.html
Ectopic Pregnancy - American Family Physician
Feb 15, 2000 - Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester. Greater awareness of risk factors and improved technology (biochemical markers and ultrasonography) allow ectopic pregnancy to be ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0215/p1080.html
Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...
Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2019/0415/p519.html
Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician
Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0701/p57.html
Thickened Feedings for Infants with Gastroesophageal Reflux - FPIN's Help Desk Answers ...
Oct 1, 2019 - Bottle-fed infants with gastroesophageal reflux should be given thickened formula feedings.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2019/1001/p437.html
Coding & Documentation - Sep-Oct 2019 -- FPM
Oct 1, 2019 - Established vs. new patient codes | Office visits for immunization | Advance care planning and time
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2019/0900/p32.html
High-Dose vs. Standard-Dose Heparin for VTE Prophylaxis in Obese Patients - FPIN's Help...
Jun 1, 2018 - In most patients weighing more than 220 lb (100 kg), high-dose heparin prophylaxis (7,500 units subcutaneously three times per day) does not further reduce the risk of VTE compared with standard-dose heparin (5,000 units subcutaneously two or three times per day).
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0601/od2.html
Human Trafficking: How Family Physicians Can Recognize and Assist Victims - Editorials ...
Aug 15, 2019 - Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0815/p202.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
Diagnosis and Management of Ectopic Pregnancy - American Family Physician
Nov 1, 2005 - Ectopic pregnancy is a high-risk condition that occurs in 1.9 percent of reported pregnancies. The condition is the leading cause of pregnancy-related death in the first trimester. If a woman of reproductive age presents with abdominal pain, vaginal bleeding, syncope, or hypotension, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1101/p1707.html
The Feasibility of Screening for Social Determinants of Health: Seven Lessons Learned ...
Oct 1, 2019 - If addressing patients’ social needs sounds overwhelming, the results of this pilot project might surprise you.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0900/p13.html
Semaglutide (Ozempic) for Type 2 Diabetes Mellitus - STEPS - American Family Physician
Jul 15, 2019 - Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.
American Family Physician : STEPS
https://www.aafp.org/afp/2019/0715/p116.html
Taking the Fear Out of Error Disclosure -- FPM
Dec 1, 2019 - What if we could talk about medical mistakes without fear of judgment or punishment?
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2019/1100/p36.html
Coding & Documentation - Nov-Dec 2019 -- FPM
Dec 1, 2019 - Work relative value units | Vaccination refusal | Marijuana use | Lesion treatment for new patients | Patient discharge without seeing patient
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2019/1100/p30.html