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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

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

Using Medicare "Incident-To" Rules -- FPM

Apr 1, 2015 - Nonphysician practitioners can expand practice capacity, but it's vital to follow the billing rules.

Family Practice Management : Articles

https://www.aafp.org/fpm/2015/0300/p15.html

Combined Inhaled Short-Acting Beta2 Agonist and Anticholinergic Agents for Asthma - ...

Jun 1, 2018 - Although the quality of evidence included in this review was low to moderate, the potential benefits of decreased hospitalization and relapse rates and the comparatively mild and limited adverse events suggest that patients presenting with acute asthma exacerbations are likely to ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0601/od1.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

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

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

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

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

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

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

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

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

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

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

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

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

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

FIT More Acceptable with Better Detection Rate Than gFOBT for Colorectal Cancer ...

Jun 15, 2018 - FIT is more sensitive and specific than the older guaiac-based fecal occult blood tests (gFOBTs) when screening for colorectal cancer. We now know that it is also more acceptable to patients and increases uptake in a centrally administered screening program.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p818.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

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

Effectiveness and Safety of Celecoxib for the Treatment of Rheumatoid Arthritis - ...

May 1, 2018 - Compared with placebo, celecoxib improves pain (number needed to treat [NNT] = 4) and clinical symptoms (NNT = 7), but it has no effect on physical function in patients with RA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0501/p573.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

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

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

The Newborn Foot - American Family Physician

Feb 15, 2004 - An examination of the feet is an essential component of an evaluation of a newborn. A thorough examination can be performed quickly. Despite its small size, the newborn foot is a complex structure. Most deformities can be diagnosed easily with physical examination alone, using few ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p865.html

Quality Measurement: A Long Way to Go -- FPM

Aug 1, 2018 - Physician quality shouldn't be subjective. But the current measurement methods need more work.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2018/0700/p4.html

Clostridium difficile Infection: Prevention and Treatment - Implementing AHRQ Effective...

Feb 1, 2018 - How effective are interventions to prevent and treat Clostridium difficile infection?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2018/0201/p196.html

Antibiotic Prophylaxis for COPD Exacerbations - FPIN's Clinical Inquiries - American ...

Apr 15, 2018 - Prophylactic antibiotics may be used to reduce the overall rate of COPD exacerbations and delay their onset. However, the appropriate antibiotic regimen and target population are unclear.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/0415/p527.html

Acute and Chronic Paronychia - American Family Physician

Mar 15, 2001 - Paronychia is one of the most common infections of the hand. Clinically, paronychia presents as an acute or a chronic condition. It is a localized, superficial infection or abscess of the paronychial tissues of the hands or, less commonly, the feet. Any disruption of the seal between ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1113.html

Hemorrhoidectomy for Thrombosed External Hemorrhoids - American Family Physician

Apr 15, 2002 - External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1629.html

Practice Pearls - Jul-Aug 2018 -- FPM

Aug 1, 2018 - Use a video game mouse to beat your EHR | Build a better meeting | Plan your huddles | Improve your EHR speed

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2018/0700/p32.html

Five Mobile Apps for Mindfulness -- FPM

Jun 1, 2018 - Recommend these apps for patients interested in incorporating mindfulness into their care plan.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0500/p21.html

Impairment & Disability Evaluation: The Role of the Family Physician - American Family ...

Jun 15, 2008 - Physicians are frequently involved in the assessment of impairment and disability as the treating physician, in consultation, or as an independent medical examiner. The key elements of this assessment include a comprehensive clinical evaluation and appropriate standardized testing to ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0615/p1689.html

Antibiotics for Otitis Media in Children - Medicine by the Numbers - American Family ...

Jun 15, 2018 - This meta-analysis concludes that the risk of a prolonged course of antibiotics was twice as high for children younger than two years with bilateral acute otitis media than for children two years and older with unilateral acute otitis media, indicating that antibiotics might be ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0615/od3.html

Oral and Dental Injury Prevention in Children and Adolescents - Letters to the Editor -...

Mar 15, 2021 - Mar 15, 2021 Issue Letters to the Editor Oral and Dental Injury Prevention in Children and Adolescents Am Fam Physician. 2021 Mar 15;103(6):328. Original Article: Prevention of Unintentional Childhood Injury Issue Date: October 1, 2020 Available at: htt...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0315/p328.html

Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...

Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0401/p463.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

Combination LABA Inhalers Compared with High-Dose Inhaled Steroids for Adults with ...

Mar 1, 2018 - We designated the use of long-acting beta agonist inhalers for adults with asthma as having no benefits because of a small potential benefit of questionable clinical utility (avoiding a brief burst of oral steroids) and the possibility of a fatal harm. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0301/od1.html

Prevention and Treatment of Sexually Transmitted Diseases: An Update - American Family ...

Dec 15, 2007 - The Centers for Disease Control and Prevention recently published revised guidelines for the prevention and treatment of sexually transmitted diseases. One new treatment strategy is the use of azithromycin as a primary, rather than alternative, medication for pregnant women with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1827.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

Asymptomatic Hyperpigmented Iris Lesion - Photo Quiz - American Family Physician

Jul 1, 2018 - A seven-year-old girl presented with an asymmetric, hyperpigmented lesion that was isolated to the iris of her left eye.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0701/p47.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

Identifying Patients with Newly Diagnosed Acute Pulmonary Embolism Who Are at Low Risk ...

Jun 15, 2018 - Standard management of acute PE includes five days of inpatient treatment with parenteral anticoagulation, followed by long-term oral anticoagulation as an outpatient. However, guidelines from the American College of Chest Physicians state that early discharge before five days can be ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0615/p811.html

Drugs for Chronic Idiopathic Constipation Are Similarly Effective - POEMs - American ...

Jun 15, 2018 - If nondrug measures are unsuccessful for chronic idiopathic constipation, the choice of a pharmacologic agent should be based on cost, tolerability, and long-term adherence rather than efficacy, because the efficacy is similar among drugs and drug classes.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p819a.html

Prostate Cancer Screening: The Continuing Controversy - American Family Physician

Dec 15, 2008 - Prostate cancer is the second most common cancer in men, with a lifetime prevalence of 17 percent. Prostate cancer symptoms generally occur in advanced stages, making early detection desirable. Digital rectal examination and prostate-specific antigen testing are the most commonly used ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1377.html

One-Third of Patients with Anxiety Disorder Will Relapse When Antidepressant Treatment ...

May 1, 2018 - Discontinuing the antidepressant treatment in patients with anxiety disorders will cause a relapse in almost one-third of them. One in six patients previously treated successfully will also relapse despite continued treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0501/p605.html

Chronic Shoulder Pain: Part II. Treatment - American Family Physician

Feb 15, 2008 - Chronic shoulder pain is a common problem in the primary care physician's office. Effective treatment depends on an accurate diagnosis of the more common etiologies: rotator cuff disorders, adhesive capsulitis, acromioclavicular osteoarthritis, glenohumeral osteoarthritis, and ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0215/p493.html

Keeping Up with the Medical Literature: How to Set Up a System - American Family Physician

Jan 1, 2009 - The best way to keep up with the medical literature is to set up a system that delivers valid, relevant information while filtering out extraneous information. Useful information is patient-oriented, practical, and innovative. Good information systems are available that are inexpensive ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p25.html

Potential Drug Interactions in Patients Taking Oral Contraceptive Pills - Letters to ...

Nov 15, 2019 - Advertisement Nov 15, 2019 Issue Letters to the Editor Potential Drug Interactions in Patients Taking Oral Contraceptive Pills Am Fam Physician. 2019 Nov 15;100(10):599-600. Original Article: Clinically Relevant Drug-Drug Interactions in Primary Care Issue Date: May 1, 2019 See...

American Family Physician : Letter

https://www.aafp.org/afp/2019/1115/p599.html

Hyperpronation Method for Reduction of Nursemaid's Elbow - Medicine by the Numbers - ...

May 15, 2018 - Although data are limited, the results have consistently shown a higher rate of success with first attempt reduction of nursemaids' elbow when the hyperpronation method was used. For other outcomes, including pain and adverse effects such as bruising, no conclusions could be drawn ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0515/od2.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 Physical Therapy Prescription - American Family Physician

Dec 1, 2007 - Numerous guidelines recommend physical therapy for the management of musculoskeletal conditions. However, specific recommendations are lacking concerning which exercises and adjunct modalities to use. Physical therapists use various techniques to reduce pain and improve mobility and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1661.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

Assessing Breast Cancer Risk in Women - American Family Physician

Dec 15, 2008 - Understanding modifiable and nonmodifiable factors that increase or decrease breast cancer risk allows family physicians to counsel women appropriately. Nonmodifiable factors associated with increased breast cancer risk include advanced age, female sex, family history of breast cancer, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1361.html

Atypical Antipsychotics for Disruptive Behavior Disorders in Children and Adolescents -...

Jun 1, 2018 - Risperidone reduces measures of aggression and improves conduct in children with disruptive behavior disorders; however, only short-term use is recommended. Weight gain of 2 to 2.5 kg (4.4 to 5.5 lb) is common. There is insufficient evidence to evaluate the benefits of other ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0601/p715.html

White Spot on the Wrist - Photo Quiz - American Family Physician

Sep 1, 2017 - A woman presented with an asymptomatic white patch on the right wrist that appeared two months earlier.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2017/0901/p329.html

PCI Equal to Sham PCI for Exercise Tolerance in Patients with Stable Angina Plus Severe...

Jul 1, 2018 - In patients with stable angina and severe coronary artery disease (CAD), PCI plus optimal medical treatment does not improve exercise tolerance or angina more than sham PCI plus optimal medical treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0701/p55.html

Screening for Ovarian Cancer - Putting Prevention into Practice - American Family ...

Jun 15, 2018 - A 61-year-old woman presents to your office for a well-woman examination. She had a normal Papanicolaou (Pap) test last year and has no medical problems. She quit smoking 10 years ago, reports a family history significant only for cardiovascular disease, and is sexually active with her ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0615/p813.html

High-Sensitivity Troponin I of Less Than 5 ng per L Has Negative Predictive Value of ...

Mar 15, 2018 - A cardiac troponin I concentration of less than 5 ng per L in adults who present with potential acute coronary syndrome has a negative predictive value (NPV) of at least 99.9% for cardiac death at 30 days and at one year.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0315/p410.html

Diagnosis of Acute Coronary Syndrome - American Family Physician

Jul 1, 2005 - The term 'acute coronary syndrome' encompasses a range of thrombotic coronary artery diseases, including unstable angina and both ST-segment elevation and non-ST-segment elevation myocardial infarction. Diagnosis requires an electrocardiogram and a careful review for signs and symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p119.html

Cerebrospinal Fluid Biomarkers for Detection of Alzheimer Disease in Patients with Mild...

Jun 1, 2018 - There is insufficient evidence to support the routine use of cerebrospinal fluid (CSF) biomarkers for the detection of progressive dementias in patients with mild cognitive impairment (MCI). These tests carry the risk of overdiagnosis of dementia and, therefore, overtreatment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0601/p714.html

Plantar Fasciitis and Other Causes of Heel Pain - American Family Physician

Apr 15, 1999 - The most common cause of heel pain is plantar fasciitis. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. The diagnosis is typically based on the history and the finding of localized tenderness. Treatment consists of medial arch support, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2200.html

Sacubitril/Valsartan (Entresto) for Heart Failure - STEPS - American Family Physician

Oct 15, 2016 - Sacubitril/valsartan provides a small mortality benefit and decreases heart failure–related hospitalizations over and above an ACE inhibitor. It may be used in place of an ACE inhibitor in patients receiving optimal doses of guideline-directed medical therapy that includes ACE ...

American Family Physician : STEPS

https://www.aafp.org/afp/2016/1015/p611.html

Primary Closure of Animal Bites - FPIN's Help Desk Answers - American Family Physician

May 1, 2018 - Dog bites can have a primary closure at the time of injury. Primary closure of dog bites does not increase the rate of wound infections compared with nonclosure.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od2.html

Single-Dose Dexamethasone an Option for Acute Adult Asthma - POEMs - American Family ...

Mar 15, 2017 - A single dose of 12-mg dexamethasone, which has a longer duration of action than prednisone, is almost as effective as five days of 60-mg prednisone for the prevention of relapse in adults with acute asthma treated in an emergency department.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/od1.html

Ergogenic Aids: Counseling the Athlete - American Family Physician

Mar 1, 2001 - Numerous ergogenic aids that claim to enhance sports performance are used by amateur and professional athletes. Approximately 50 percent of the general population have reported taking some form of dietary supplements, while 76 to 100 percent of athletes in some sports are reported to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p913.html

How the FDA Ensures High-Quality Generic Drugs - Editorials - American Family Physician

Jun 1, 2018 - We want to assure all stakeholders of the rigorous approval process that supports the FDA's commitment to ensuring the high quality of generic drugs marketed in the United States.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0601/p696.html

Evaluating the Child for Sexual Abuse - American Family Physician

Mar 1, 2001 - Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression. Because the examination findings of most child ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p883.html

Strategies for Breastfeeding Success - American Family Physician

Jul 15, 2008 - Breastfeeding provides significant health benefits for infants and mothers. However, the United States continues to fall short of the breastfeeding goals set by the Healthy People 2010 initiative. The American Academy of Family Physicians, the American Academy of Pediatrics, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p225.html

Surgery Equal to No Surgery for Patients with Subacromial Shoulder Pain - POEMs - ...

Jul 1, 2018 - In patients with subacromial shoulder pain of at least three months' duration who receive physical therapy, surgical decompression is no better than arthroscopy without decompression in improving pain or function, and neither is much better than no invasive intervention at all.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0701/p54.html

Epstein-Barr Virus Infectious Mononucleosis - American Family Physician

Oct 1, 2004 - Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with sore throat and significant fatigue, palatal petechiae, posterior cervical or auricular adenopathy, marked adenopathy, or inguinal adenopathy. An atypical lymphocytosis of at least 20 percent...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1279.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 Adolescent Idiopathic Scoliosis - Putting Prevention into Practice - ...

May 15, 2018 - A 10-year-old girl with no significant medical history presents to your clinic for a school physical and well visit. She will begin fifth grade in the fall and actively participated in a summer soccer program at a local sports club. She reports no associated injuries or pain.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0515/p666.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

Genital Herpes: A Review - American Family Physician

Oct 15, 2005 - Genital herpes simplex virus infection is a recurrent, lifelong disease with no cure. The strongest predictor for infection is a person's number of lifetime sex partners. The natural history includes first-episode mucocutaneous infection, establishment of latency in the dorsal root ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1527.html

Injectable Extended-Release Naltrexone Effective for Opioid Use Disorder - POEMs - ...

Jun 15, 2018 - Injectable extended-release naltrexone administered every four weeks is similar in efficacy to daily oral buprenorphine/naloxone for the treatment of opioid use disorder. Patients using extended-release naltrexone reported higher satisfaction with treatment and were more likely to ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0615/p819.html

Normocytic Anemia - American Family Physician

Nov 15, 2000 - Anemia is a common problem that is often discovered on routine laboratory tests. Its prevalence increases with age, reaching 44 percent in men older than 85 years. Normocytic anemia is the most frequently encountered type of anemia. Anemia of chronic disease, the most common normocytic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2255.html

Chlorthalidone vs. Hydrochlorothiazide for Treatment of Hypertension - FPIN's Help Desk...

Dec 1, 2015 - Chlorthalidone produces slightly greater reductions in blood pressure compared with hydrochlorothiazide (HCTZ), but it is associated with greater declines in serum potassium levels. Chlorthalidone lowers the risk of cardiovascular events about 18% more than HCTZ at the same achieved ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/1201/p1015.html

Long-term Benefits of Manipulation for Neck Pain - Letters to the Editor - American ...

Mar 1, 2021 - << Previous article Next article >> Mar 1, 2021 Issue Letters to the Editor Thoracic Outlet Syndrome Is Typically Not an Urgent Condition Am Fam Physician. 2021 Mar 1;103(5):261. Original Article: Neck Pain: Initial Evaluation and Management Issue Date: August 1, 2020 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0301/p261.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

Long-term Benefits of Manipulation for Neck Pain - Letters to the Editor - American ...

Mar 1, 2021 - << Previous article Next article >> Mar 1, 2021 Issue Letters to the Editor Long-term Benefits of Manipulation for Neck Pain Am Fam Physician. 2021 Mar 1;103(5):261-262. Original Article: Neck Pain: Initial Evaluation and Management Issue Date: August 1, 2020 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0301/p261a.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

Diabetes Education and Glycemic Control - FPIN's Clinical Inquiries - American Family ...

Feb 15, 2018 - Counseling by a diabetes educator or a team of educators delivered in a variety of formats may reduce A1C levels by 0.2% to 0.8% compared with usual care alone. Diabetes educators should be considered for patients who have higher baseline A1C levels (8% to 9%) because this group had ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2018/0215/p269.html

Pharmacologic Management of Heart Failure Caused by Systolic Dysfunction - American ...

Apr 1, 2008 - Heart failure caused by systolic dysfunction affects more than 5 million adults in the United States and is a common source of outpatient visits to primary care physicians. Mortality rates are high, yet a number of pharmacologic interventions may improve outcomes. Other interventions, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p957.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results, and has no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0415/p541.html

Cancer Screening in the Older Patient - American Family Physician

Dec 15, 2008 - Although there are clear guidelines that advise at what age to begin screening for various cancers, there is less guidance concerning when it may be appropriate to stop screening. The decision to stop screening must take into account patients' age; overall health and life expectancy; ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1215/p1369.html

The Mirror Lies: Body Dysmorphic Disorder - American Family Physician

Jul 15, 2008 - Body dysmorphic disorder is an increasingly recognized somatoform disorder, clinically distinct from obsessive-compulsive disorder, eating disorders, and depression. Patients with body dysmorphic disorder are preoccupied with an imagined deficit in the appearance of one or more body ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p217.html

DPP-4 Inhibitors and GLP-1 Receptor Agonists for Prevention or Delay of Type 2 Diabetes...

Apr 1, 2018 - There is only limited-quality evidence that at-risk patients taking GLP-1 receptor agonists are less likely to progress to diabetes (number needed to treat [NNT] = 23). Serious adverse events were more likely in patients taking GLP-1 receptor agonists than in patients taking placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0401/p437.html

Maternal Obesity and Labor Induction - FPIN's Help Desk Answers - American Family ...

May 15, 2018 - Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with cervical ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0515/p671.html

Hidradenitis Suppurativa: A Treatment Challenge - American Family Physician

Oct 15, 2005 - Hidradenitis suppurativa is a chronic, recurrent, debilitating disease that presents with painful, inflamed lesions in the apocrine-gland-bearing areas of the body, most commonly the axillary, inguinal, and anogenital areas. Etiology traditionally has been attributed to occlusion of the...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1547.html

Managing Pain in the Dying Patient - American Family Physician

Feb 1, 2000 - End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Starting with an appropriate assessment and following recommended guidelines on the use of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p755.html

What Needs to Change to Make Deprescribing Doable -- FPM

Jun 1, 2018 - Polypharmacy constitutes a real patient-safety issue. Recognizing that is the first step toward change.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2018/0500/p5.html

NSAIDs for Postpartum Perineal Pain - FPIN's Help Desk Answers - American Family Physician

Jun 1, 2018 - Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od3.html

AFP 2018: How We’re Doing - Editorials - American Family Physician

Jun 15, 2018 - This editorial updates and adds to previous reports on statistics for American Family Physician (AFP).

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0615/p772.html

Screening and Management of High BP in Children and Adolescents: An Updated Guideline ...

Apr 15, 2018 - The American Academy of Pediatrics (AAP) previously published guidance on screening for and managing high blood pressure (BP) in children and adolescents in 2004. An updated guideline was released by the AAP to address increased interest in childhood hypertension (HTN) and an updated ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0415/p543.html

Ultrasound Is Reasonably Accurate in Detecting Synovitis in Patients with Rheumatoid ...

Jun 1, 2018 - In this systematic review of patients with rheumatoid arthritis, ultrasonography was reasonably accurate compared with magnetic resonance imaging (MRI) in detecting synovitis in fingers and wrists. The use of MRI as a reference standard is convenient, but problematic.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0601/p755.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.

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

https://www.aafp.org/afp/2018/0415/od1.html

How to Be Happy in Practice for 30-Plus Years -- FPM

Jun 1, 2018 - These eight lessons can help you avoid burnout and enjoy medicine.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2018/0500/p40.html

Life Expectancy with Hospice Care - FPIN's Help Desk Answers - American Family Physician

Mar 1, 2018 - Patients with terminal lung, pancreatic, or metastatic melanoma receiving hospice care have a minimally increased life expectancy. Receiving at least one day of hospice care may increase life expectancy by up to three months.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0301/od2.html

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