Ambulatory Blood Pressure Important for Decision-Making About Treatment - POEMs - ...
Oct 15, 2018 - This study supports the guidelines recommending that treatment decisions be based on ambulatory blood pressure measurements rather than in-office blood pressure results. The difference between the two measurements in this cohort was 19/11 mm Hg, which is enough to change the decision to...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1015/od5.html
Interventions to Prevent Falls in Community-Dwelling Older Adults: Recommendation ...
Aug 15, 2018 - The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0815/od1.html
How to Have a Good Goodbye -- FPM
Oct 1, 2018 - When it's time to move on because of a new job, retirement, or a life change, these six things can help you say goodbye well.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2018/0900/p40.html
Interventions for Increasing Fruit and Vegetable Consumption in Children Five Years and...
Oct 1, 2018 - Child feeding interventions are effective in the short term (i.e., less than 12 months) for increasing a child's intake of fruits and vegetables, but only by less than 5% of the recommended daily allowance. Conversely, parental nutrition education and multicomponent interventions, such ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/1001/p419.html
Patient Inducements: The New Dos and Don'ts -- FPM
Aug 1, 2018 - The limits on giving free goods and services to Medicare and Medicaid patients are complex. Here’s how to avoid regulatory trouble.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p16.html
Screening for Cardiovascular Disease Risk with Electrocardiography - Putting Prevention...
Sep 15, 2018 - A 55-year-old man presents for an annual visit. He has no history of hypertension, cardiovascular disease (CVD), or diabetes mellitus; has never smoked; and has no family history of CVD. His lipid panel results from one year ago were normal, and he has no current symptoms of CVD.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0915/p375.html
Influenza Vaccination Recommendations for 2018-2019: Updates from ACIP - Practice ...
Oct 15, 2018 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2018–2019 season.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/1015/p541.html
How Service Agreements Can Improve Referrals and Shrink the Medical Neighborhood -- FPM
Oct 1, 2018 - Defining expectations with consultants can make referrals easier for both you and your patients.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0900/p18.html
Omega-3 Fatty Acids and Cardiovascular Disease - Implementing AHRQ Effective Health ...
May 1, 2018 - What is the effect of omega-3 fatty acid supplementation on cardiovascular outcomes?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2018/0501/p562.html
Radon: A Leading Environmental Cause of Lung Cancer - Editorials - American Family ...
Sep 1, 2018 - Protracted exposure to radon is the leading environmental cause of cancer deaths in the United States. Family physicians play a key role in informing patients about the health risks.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0901/p280.html
Lifitegrast Ophthalmic Solution 5% (Xiidra) for Dry Eye Disease - STEPS - American ...
Jul 15, 2018 - Studies have shown that lifitegrast will reduce the symptoms of dry eye disease in some patients, although the benefit is borderline clinically significant. It is much more expensive than over-the-counter ointments, artificial tears, and lubricant eye drops.
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0715/p119.html
An Osteopathic Approach to Neck Pain - Letters to the Editor - American Family Physician
Mar 1, 2021 - Mar 1, 2021 Issue Letters to the Editor An Osteopathic Approach to Neck Pain Am Fam Physician. 2021 Mar 1;103(5):262-263. Original Article: Neck Pain: Initial Evaluation and Management Issue Date: August 1, 2020 See additional reader comments at: https:...
American Family Physician : Letter
https://www.aafp.org/afp/2021/0301/p262.html
Antibiotic Prophylaxis in Patients with Cirrhosis and Upper Gastrointestinal Bleeding -...
May 1, 2017 - Antibiotics should be used for prophylaxis in hospitalized patients with cirrhosis and upper gastrointestinal bleeding. Prophylaxis reduces all-cause mortality by 21%, as well as bacterial infections and rebleeding.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2017/0501/p582.html
Cannabinoids Somewhat Helpful for Nausea, Maybe Helpful for Spasticity, Probably Not ...
Oct 15, 2018 - This umbrella review found a modest benefit of cannabinoids for the treatment of neuropathic pain; a greater benefit for the treatment of spasticity and nausea and vomiting; and substantial harms. The studies were extremely heterogeneous in terms of the comparators, dose, duration, and ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1015/od3.html
How to Excel at Access -- and Why It Matters -- FPM
Oct 1, 2018 - Patients do better and cost less when they have ready access to primary care, but could your practice be thinking about access all wrong?
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0900/p27.html
Six Mobile Apps to Get Patients Started Exercising -- FPM
Oct 1, 2018 - Patients have many reasons for not being active. These apps can help push past some of those obstacles.
Family Practice Management : SPPACES: App Reviews
https://www.aafp.org/fpm/2018/0900/oa1.html
Aging Well: Poetry Can Help - Close-ups - American Family Physician
Oct 1, 2018 - Poems written by a 102-year-old living independently.
American Family Physician : Close-ups
https://www.aafp.org/afp/2018/1001/p451.html
Interventions for Treatment of Overweight and Obese Children - Cochrane for Clinicians ...
Aug 1, 2018 - Interventions that include combinations of diet, physical activity, and behavior changes may reduce weight, body mass index (BMI), and BMI z-score (equivalent to BMI-for-age percentile) in overweight and obese children six to 11 years of age.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0801/p151.html
The Role of Proton Pump Inhibitor Therapy in Patients with Functional Dyspepsia - ...
Aug 1, 2018 - There is moderate-quality evidence that PPIs are more effective than placebo at relieving overall symptoms in patients with functional dyspepsia (number needed to treat [NNT] = 11). Low-quality evidence suggests a small benefit of PPI therapy compared with prokinetics, and little to no ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0801/p152.html
Evaluating and Understanding Articles About Treatment - American Family Physician
Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0415/p668.html
A Painless Facial Nodule - Photo Quiz - American Family Physician
Sep 1, 2018 - A man presented with a solitary erythematous nodule on his chin that had persisted for three months despite antibiotic treatment.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0901/p317.html
Interventions to Prevent Falls and Fractures in Community-Dwelling Older Adults - ...
Aug 15, 2018 - Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0815/p253.html
Outpatient Management of Anticoagulation Therapy - American Family Physician
Apr 1, 2007 - The Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy provides guidelines for outpatient management of anticoagulation therapy. The ACCP guidelines recommend short-term warfarin therapy, with the goal of maintaining an ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0401/p1031.html
Rifaximin (Xifaxan) for Irritable Bowel Syndrome - STEPS - American Family Physician
Feb 15, 2017 - Rifaximin has good overall tolerability. A relatively short course of treatment results in sustained clinical benefit for at least 10 weeks, eliminating the need for continued therapy, with an NNT of 10. However, it is expensive and should be reserved for patients who cannot tolerate or...
American Family Physician : STEPS
https://www.aafp.org/afp/2017/0215/p258.html
The Female Athlete Triad: Recommendations for Management - Editorials - American Family...
Apr 15, 2018 - Family physicians should be familiar with recommendations regarding the female athlete triad, because prevention and early intervention can significantly reduce morbidity from this disorder.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0415/p499.html
Diagnosis of Acute Coronary Syndrome - FPIN's Help Desk Answers - American Family ...
Aug 1, 2018 - The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0801/od2.html
Violence in the Health Care Setting: What Can We Do? - Curbside Consultation - American...
Sep 15, 2018 - n July 2017, Dr. Todd Graham was fatally shot by his patient's husband when Dr. Graham denied his patient's request for opioids. This case highlights that, according to the Bureau of Labor Statistics, health care professions are one of the most dangerous industries of employment in the ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0915/p381.html
Getting to No: How to Respond to Inappropriate Patient Requests -- FPM
Feb 1, 2018 - The five-step FAVER approach can help you say no to uncomfortable requests while preserving the patient relationship.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0100/p25.html
Quality Measures: How to Get Them Right -- FPM
Aug 1, 2018 - Pay-for-performance programs have produced disappointing results. Fewer and more appropriate, evidence-based quality measures could help.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p23.html
Management of Vaginitis - American Family Physician
Dec 1, 2004 - Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Vaginitis also can occur because of atrophic changes. Bacterial vaginosis is caused by proliferation of Gardnerella vaginalis, Mycoplasma hominis, and anaerobes. The diagnosis...
American Family Physician : Article
https://www.aafp.org/afp/2004/1201/p2125.html
Physician-Patient Communication: A Family Medicine Strength -- FPM
Oct 1, 2018 - But there is always room for improvement.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2018/0900/p4.html
A Persistent Lip Ulcer - Photo Quiz - American Family Physician
Aug 1, 2018 - A man with a history of HIV, chlamydia, and genital herpes presented with a painful lip ulcer.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0801/p185.html
Outpatient Care of the Premature Infant - American Family Physician
Oct 15, 2007 - An increasing number of infants in the United States are born prematurely, with current statistics estimating about 13 percent of all births. Although survival rates and outcomes for premature infants have dramatically improved in recent decades, morbidity and mortality are still ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1015/p1159.html
Febuxostat Increases All-Cause and Cardiovascular Mortality Compared with Allopurinol -...
Sep 15, 2018 - For patients with gout who require treatment to lower their uric acid level, allopurinol is a safer option than febuxostat.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0915/p385.html
Chronic Pelvic Pain in Women - American Family Physician
Jun 1, 2008 - The etiology of chronic pelvic pain in women is poorly understood. Although a specific diagnosis is not found in the majority of cases, some common diagnoses include endometriosis, adhesions, irritable bowel syndrome, and interstitial cystitis. The initial history and physical ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0601/p1535.html
Lower Extremity Erythema - Photo Quiz - American Family Physician
Jul 15, 2018 - A man who lived a hermit lifestyle presented with an open eschar over the left medial malleolus.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0715/p107.html
Implantable Buprenorphine (Probuphine) for Maintenance Treatment of Opioid Use Disorder...
May 15, 2018 - Implantable buprenorphine is an expensive alternative for patients on a stable dosage of transmucosal buprenorphine. Based on current research and guidance, implantable buprenorphine should not be used as initial treatment for opioid dependence or as a substitute for medication-assisted...
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0515/p668.html
Coding & Documentation - Sep-Oct 2018 -- FPM
Oct 1, 2018 - Initiating visits for chronic care management | Flu vaccine coding | Fish hook removal
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2018/0900/p34.html
Practice Pearls - Sep-Oct 2018 -- FPM
Oct 1, 2018 - Add a monitor to improve your productivity | Forget the feedback sandwich | Wipe your computer clean, literally | Track your time to look for efficiencies
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2018/0900/p35.html
Can My Primary Care Doctor Treat My Cancer? - Close-ups - American Family Physician
Aug 1, 2018 - The primary care physician's role in cancer treatment.
American Family Physician : Close-ups
https://www.aafp.org/afp/2018/0801/p147.html
Chewing Gum for Reducing Post-Cesarean Section Ileus - Medicine by the Numbers - ...
Sep 1, 2018 - Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0901/od2.html
Nonopioids Equivalent to Opioids for Severe Chronic Back, Hip, or Knee Pain with Fewer ...
Sep 1, 2018 - Nonopioid medications were at least as effective as opioid medications for improving pain-related function over 12 months in adults with severe chronic back pain or knee or hip osteoarthritis pain. The evidence that opioids are not superior to nonopioid medications for chronic and acute...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0901/p316.html
Liraglutide (Saxenda) for Weight Loss - STEPS - American Family Physician
Jul 15, 2016 - Liraglutide, combined with lifestyle counseling, produces a clinically significant and sustained weight loss that continues as long as it is used. Nausea and vomiting, however, are common adverse effects, and about one in 10 patients will discontinue treatment.
American Family Physician : STEPS
https://www.aafp.org/afp/2016/0715/p161.html
Diagnosis: Making the Best Use of Medical Data - American Family Physician
Mar 15, 2009 - To take the best possible care of patients, physicians must understand the basic principles of diagnostic test interpretation. Pretest probability is an important factor in interpreting test results. Some tests are useful for ruling in disease when positive or ruling out disease when ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0315/p478.html
Delafloxacin (Baxdela) for Skin Infections - STEPS - American Family Physician
Aug 15, 2018 - Delafloxacin is a new fluoroquinolone antibiotic available in intravenous and oral formulations for the treatment of serious skin and skin structure infections in patients requiring initial intravenous therapy. It is effective for infections caused by MRSA or P. aeruginosa, in addition ...
American Family Physician : STEPS
https://www.aafp.org/afp/2018/0815/p246.html
HPV Testing Better Than Cytology for Women Vaccinated Against HPV - POEMs - American ...
Sep 15, 2018 - In women who had received the HPV vaccine, screening for HPV every five years, with cytology and colposcopy follow-up as needed, resulted in higher rates of identification of high-grade pre-cancerous disease than standard liquid-based cytology every 2.5 years with HPV follow-up ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0915/p384.html
Effect of Dietary Changes on IBS Symptoms - FPIN's Help Desk Answers - American Family ...
Sep 1, 2018 - A diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FOD-MAPs) decreases IBS symptoms and improves quality of life compared with usual diet.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0901/od1.html
Supplements and Sports - American Family Physician
Nov 1, 2008 - Use of performance-enhancing supplements occurs at all levels of sports, from professional athletes to junior high school students. Although some supplements do enhance athletic performance, many have no proven benefits and have serious adverse effects. Anabolic steroids and ephedrine ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1039.html
Urinary Tract Infection in Children - American Family Physician
Dec 15, 2005 - Up to 7 percent of girls and 2 percent of boys will have a symptomatic, culture-confirmed urinary tract infection by six years of age. Urinary tract infection may be suspected because of urinary symptoms in older children or because of fever, nonspecific symptoms, or failure to thrive ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1215/p2483.html
Chronic Pancreatitis - American Family Physician
Dec 1, 2007 - Chronic pancreatitis is the progressive and permanent destruction of the pancreas resulting in exocrine and endocrine insufficiency and, often, chronic disabling pain. The etiology is multifactorial. Alcoholism plays a significant role in adults, whereas genetic and structural defects ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1201/p1679.html
Behavioral Counseling to Prevent Skin Cancer: Recommendation Statement - U.S. ...
Jul 15, 2018 - The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0715/od1.html
Individual Behavioral Counseling for Smoking Cessation - Cochrane for Clinicians - ...
Jul 1, 2018 - Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0701/p21.html
Solitary Ulcerated Lesion on the Arm - Photo Quiz - American Family Physician
Aug 15, 2018 - A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0815/p251.html
Methamphetamine Abuse - American Family Physician
Oct 15, 2007 - Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1015/p1169.html
The Psychiatric Review of Symptoms: A Screening Tool for Family Physicians - American ...
Nov 1, 1998 - The psychiatric review of symptoms is a useful screening tool for identifying patients who have psychiatric disorders. The approach begins with a mnemonic encompassing the major psychiatric disorders: depression, personality disorders, substance abuse disorders, anxiety disorders, ...
American Family Physician : Article
https://www.aafp.org/afp/1998/1101/p1617.html
Bleeding with Anticoagulants: ACC Releases Expert Consensus Decision Pathway to Guide ...
Jul 1, 2018 - This Expert Consensus Decision Pathway from the American College of Cardiology (ACC) aims to provide physicians with decision-making assistance for managing bleeding events in patients taking anticoagulants.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0701/p57.html
Acute Dyspnea in the Office - American Family Physician
Nov 1, 2003 - Respiratory difficulty is a common presenting complaint in the outpatient primary care setting. Because patients may first seek care by calling their physician's office, telephone triage plays a role in the early management of dyspnea. Once the patient is in the office, the initial goal...
American Family Physician : Article
https://www.aafp.org/afp/2003/1101/p1803.html
Effects of Prenatal Yoga on Labor Pain - FPIN's Help Desk Answers - American Family ...
Jul 1, 2018 - Participation in a prenatal yoga program may help reduce labor pain, but reported effects vary from modest to moderate.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0701/p49.html
Update on Helicobacter pylori Treatment - American Family Physician
Feb 1, 2007 - One half of the world's population has Helicobacter pylori infection, with an estimated prevalence of 30 percent in North America. Although it is unclear whether eradication of H. pylori improves symptoms in patients with nonulcer dyspepsia, there is strong evidence that eradication of ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0201/p351.html
It's Not Hard to Be Humble: The Role of Humility in Leadership -- FPM
Jun 1, 2018 - Here’s how to keep ego from getting in the way of effective teamwork.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0500/p25.html
Duration of Bisphosphonate Therapy - FPIN's Help Desk Answers - American Family Physician
Apr 1, 2018 - Oral bisphosphonates significantly reduce clinical fracture risk at four years in women with postmenopausal osteoporosis (T-score less than −2.5). Treatment beyond five years is associated with further reductions in fractures in women with persistent femoral neck T-scores less than −2.5.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0401/od1.html
An Algorithm for the Evaluation of Peripheral Neuropathy - American Family Physician
Feb 15, 1998 - The diagnosis of peripheral neuropathies can be frustrating, time consuming and costly. Careful clinical and electrodiagnostic assessment, with attention to the pattern of involvement and the types of nerve fibers most affected, narrows the differential diagnosis and helps to focus the ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0215/p755.html
Procalcitonin to Guide Antibiotic Therapy in Acute Respiratory Infections - Cochrane ...
Jul 1, 2018 - Procalcitonin-guided antibiotic therapy, when compared with routine treatments, results in decreased mortality in patients with acute respiratory infections (absolute risk reduction [ARR] = 1.4%; number needed to treat [NNT] = 71).
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0701/p20.html
Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety ...
Aug 15, 2018 - The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0815/p258.html
How to Find Answers to Clinical Questions - American Family Physician
Feb 15, 2009 - Many barriers exist to finding answers to physicians' clinical questions. Lack of time, resources, and computer skills, as well as physicians' environment and attitudes about problem solving, all contribute to unanswered questions. Making use of computer-based information resources can ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0215/p293.html
Aspirin No Different Than Rivaroxaban for Prevention of VTE After TKA or THA - POEMs - ...
Aug 15, 2018 - Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0815/p248.html
A Team-Based Care Model That Improves Job Satisfaction -- FPM
Apr 1, 2018 - Expanding the role of medical assistants to better support providers can improve not only traditional outcomes but also job satisfaction.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0300/p6.html
Appropriate Prescribing of Oral Beta-Lactam Antibiotics - American Family Physician
Aug 1, 2000 - Beta-lactam antibiotics include penicillins, cephalosporins and related compounds. As a group, these drugs are active against many gram-positive, gram-negative and anaerobic organisms. Information based on
American Family Physician : Article
https://www.aafp.org/afp/2000/0801/p611.html
Staples vs. Sutures After Cesarean Delivery - FPIN's Help Desk Answers - American ...
Jul 1, 2018 - Patients believe that staples and subcuticular sutures provide similar cosmetic outcomes after cesarean deliveries. However, the risk of wound complications (e.g., infection, separation, hematoma, seroma) is doubled with staples.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0701/p50.html
Colorectal Cancer: A Summary of the Evidence for Screening and Prevention - American ...
Dec 15, 2008 - Colorectal cancer causes significant morbidity and mortality in the United States. The incidence of colorectal cancer can be reduced with increasing efforts directed at mass screening of average-risk adults 50 years and older. Currently, fecal occult blood test and flexible ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1215/p1385.html
Initiating Hormonal Contraception - American Family Physician
Jul 1, 2006 - Most women can safely begin taking hormonal birth control products immediately after an office visit, at any point in the menstrual cycle. Because hormonal contraceptives do not accelerate cervical neoplasia or interfere with cervical cytology, women who have not had a recent ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0701/p105.html
Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment - POEMs - ...
Aug 15, 2018 - Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but does not ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0815/p249.html
Antiepileptic Drug Monotherapy for Epilepsy - Cochrane for Clinicians - American Family...
May 1, 2018 - In patients with partial-onset (focal) seizures, levetiracetam (Keppra), lamotrigine (Lamictal), and carbamazepine (Tegretol) were associated with the longest time to treatment withdrawal (i.e., the recommended patient-oriented outcome measure that balances tolerability with ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2018/0501/p572.html
Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis - Letters to ...
Feb 15, 2021 - Feb 15, 2021 Issue Letters to the Editor Case Report: DKA with Lower-than-Expected Blood Glucose in the Setting of SGLT2 Inhibitor Use Am Fam Physician. 2021 Feb 15;103(4):200. To the Editor: A 45-year-old patient presented to the emergency department after three days of generalized...
American Family Physician : Letter
https://www.aafp.org/afp/2021/0215/p200.html
Diagnosis and Management of Endometriosis - American Family Physician
Aug 15, 2006 - Signs and symptoms of endometriosis are nonspecific, and an acceptably accurate noninvasive diagnostic test has yet to be reported. Serum markers do not provide adequate diagnostic accuracy. The preferred method for diagnosis of endometriosis is surgical visual inspection of pelvic ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0815/p594.html
Medications Ineffective to Prevent Cognitive Decline or Dementia - POEMs - American ...
Aug 15, 2018 - None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0815/p248a.html
Pulmonary Embolism Rule-Out Criteria Reduces the Need for CT Pulmonary Angiography in ...
Aug 15, 2018 - Use of the PERC clinical decision rule significantly reduces the need for CT pulmonary angiography in adults with an initial low-risk clinical estimate of suspected PE.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0815/p250.html
Effectiveness of Pneumococcal Vaccines - FPIN's Help Desk Answers - American Family ...
May 1, 2018 - The 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) decreases the relative risk of community-acquired pneumonia in adults by 13%. The risk is reduced by 28% in the population that includes adults older than 65 years, those with lung disease, and those living in a ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0501/od3.html
Screening for Ovarian Cancer: Recommendation Statement - U.S. Preventive Services Task ...
Jun 15, 2018 - The USPSTF recommends against screening for ovarian cancer in asymptomatic women.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0615/od1.html
HIPAA: Answers to Your Frequently Asked Questions -- FPM
Apr 1, 2018 - Does your organization interpret HIPAA too strictly, too loosely, or just right? Find out with these FAQs.
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0300/p12.html
Short Courses of Antibiotics as Effective as Longer Courses for Outpatient Infections -...
Jul 1, 2018 - Just about every time someone asks, Can I get away with a shorter course of antibiotics, the answer is, Yes, you can. Shorter courses reduce cost and may reduce the likelihood of adverse events.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0701/p56.html
Five Ways to Cultivate Resilience -- FPM
Aug 1, 2018 - Resilience is a powerful weapon against burnout.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2018/0700/p38.html
Geometric Rash on the Leg - Photo Quiz - American Family Physician
Apr 15, 2018 - A healthy 62-year-old woman presented with a pruritic rash on her ankle three days after applying a lidocaine patch.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2018/0415/p531.html
Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...
Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2017/1001/p465.html
The Risk of Cardiovascular Disease, Fracture, Dementia, and Cancer After Long-Term ...
Jul 15, 2018 - Long-term hormone therapy decreased the risk of all fractures, including hip and vertebral fractures. However, the risks far outweighed the benefits of this intervention.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2018/0715/p117.html
Hepatitis B Virus Vaccination and Screening: Best Practices from the ACP and CDC - ...
Jul 15, 2018 - The American College of Physicians and Centers for Disease Control and Prevention highlights the consensus among these recommendations, with recent evidence, to develop a best practice advice statement for vaccination, screening, care, and treatment of patients at risk of or who ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0715/p121.html
How to Create a Culture of Well-Being in Your Practice -- FPM
Aug 1, 2018 - Every organization has a culture, either by default or by design. Why not cultivate one that helps people thrive?
Family Practice Management : Articles
https://www.aafp.org/fpm/2018/0700/p11.html
Five Mobile Apps to Help Patients With Anxiety and Depression -- FPM
Apr 1, 2018 - When patients need some assistance coping with mental distress, consider these apps.
Family Practice Management : SPPACES: App Reviews
https://www.aafp.org/fpm/2018/0300/oa1.html
Food Allergies: Detection and Management - American Family Physician
Jun 15, 2008 - Family physicians play a central role in the suspicion and diagnosis of immunoglobulin E-mediated food allergies, but they are also critical in redirecting the evaluation for symptoms that patients are falsely attributing to allergies. Although any food is a potential allergen, more ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0615/p1678.html
Cognitive Therapy for Depression - American Family Physician
Jan 1, 2006 - Cognitive therapy is a treatment process that enables patients to correct false self-beliefs that can lead to negative moods and behaviors. The fundamental assumption is that a thought precedes a mood; therefore, learning to substitute healthy thoughts for negative thoughts will improve...
American Family Physician : Article
https://www.aafp.org/afp/2006/0101/p83.html
Physical Therapy for Low Back Pain - FPIN's Clinical Inquiries - American Family Physician
Jul 15, 2018 - There is some evidence that early physical therapy may decrease posttreatment health care utilization for low back pain.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2018/0715/p115.html
Counseling Parents and Adolescents About Marijuana - Editorials - American Family ...
Jul 15, 2018 - Physicians are increasingly likely to be asked by adolescents or their parents whether recreational marijuana use is safe. Although many adults view marijuana as benign, there are major concerns about its use in adolescents because all illicit drug use, including marijuana, may have ...
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0715/p80.html
Screening for Thyroid Cancer: Recommendation Statement - U.S. Preventive Services Task ...
Mar 15, 2018 - The USPSTF recommends against screening for thyroid cancer in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0315/od1.html
Paraphimosis: Current Treatment Options - American Family Physician
Dec 15, 2000 - Paraphimosis is a urologic emergency, occurring in uncircumcised males, in which the foreskin becomes trapped behind the corona and forms a tight band of constricting tissue. Often iatrogenically induced, paraphimosis can be prevented by returning the prepuce to cover the glans ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1215/p2623.html
High Demand, Low Supply: Health Centers and the Recruitment of Family Physicians - ...
Aug 1, 2018 - Expansion of the Health Centers Program has been associated with persistent workforce challenges for this critical component of the primary care safety net. In a national survey, 69% of health centers had a family physician (FP) vacancy. Those with FP vacancies reported spending an ...
American Family Physician : Graham Center Policy One-Pagers
https://www.aafp.org/afp/2018/0801/p146.html
Behavioral Counseling to Prevent Skin Cancer - Putting Prevention into Practice - ...
Jul 15, 2018 - A 25-year-old Irish American woman presents for a wellness visit for herself and her two young children, a two-year-old boy and a seven-month-old girl. All three have fair skin, red hair, and freckles. She reports that she is looking forward to an upcoming family vacation to the ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/0715/p105.html
Gender-Dysphoric/Gender-Incongruent Persons: Treatment Recommendations from the ...
May 1, 2018 - Gender-dysphoric/gender-incongruent persons require a safe and effective hormone regimen. These recommendations are an update to the clinical practice guideline on endocrine treatment of transsexual persons published in 2009 by the Endocrine Society.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0501/p608.html
Screening for Social Determinants of Health: An Opportunity or Unreasonable Burden? -- FPM
Jun 1, 2018 - Socioeconomic and environmental factors are the largest contributors to patient health, so is it our duty to address them?
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2018/0500/p3.html
Diagnosis and Management of Syphilis - American Family Physician
Jul 15, 2003 - Syphilis is a sexually transmitted disease with varied and often subtle clinical manifestations. Primary syphilis typically presents as a solitary, painless chancre, whereas secondary syphilis can have a wide variety of symptoms, especially fever, lymphadenopathy, rash, and genital or ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0715/p283.html
Lorazepam Added to Haloperidol Effective for Agitated Delirium in End-of-Life Cancer ...
Feb 15, 2018 - Using a single dose of lorazepam in combination with haloperidol decreases agitation in end-of-life patients with cancer who had persistent agitated delirium despite scheduled haloperidol. A recent POEM reported that haloperidol increases symptoms of distress in patients with cancer and...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/0215/od4.html