Prolaris Test for Prostate Cancer Risk Assessment - Diagnostic Tests: What Physicians ...
Sep 1, 2019 - The Prolaris test improves the accuracy of prognosis for patients with prostate cancer, especially those with low- or intermediate-grade disease who may be deciding between interventional and noninterventional treatment approaches.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/0901/p311.html
Lung Cancer Screening: Pros and Cons - Lown Right Care: Reducing Overuse and Underuse -...
Jun 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/2019/0615/p740.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
Special Considerations in Interpreting Liver Function Tests - American Family Physician
Apr 15, 1999 - A number of pitfalls can be encountered in the interpretation of common blood liver function tests. These tests can be normal in patients with chronic hepatitis or cirrhosis. The normal range for aminotransferase levels is slightly higher in males, nonwhites and obese persons. Severe ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0415/p2223.html
Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...
Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2019/0815/p246.html
Evaluation of Back Pain in Children and Adolescents - American Family Physician
Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1201/p1669.html
Diagnostic Approach to Tinnitus - American Family Physician
Jan 1, 2004 - Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0101/p120.html
Laboratory-Based Prediction Model Can Rule Out Serious Bacterial Infections in Febrile ...
Oct 1, 2019 - In febrile infants up to 60 days of age, the combination of a normal urinalysis result, an absolute neutrophil count of less than 4,090 per mL (4.1 × 109 per L), and a serum procalcitonin level of less than 1.71 ng per mL is accurate at ruling out serious bacterial infections.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/1001/p440.html
Screening for Adolescent Idiopathic Scoliosis: Recommendation Statement - U.S. ...
May 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0515/od1.html
Radiologic Evaluation of Suspected Renovascular Hypertension - American Family Physician
Aug 1, 2009 - More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p273.html
mSEPT9 (Epi proColon) Blood Test for Colorectal Cancer Screening - Diagnostic Tests: ...
Jul 1, 2019 - Epi proColon is a blood test used for the detection of the methylated septin 9 (mSEPT9) gene. It is approved by the U.S. Food and Drug Administration for colorectal cancer screening in people at average risk who have declined first-line screening tests.
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2019/0701/p10.html
Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with...
Dec 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk with the ankle-brachial index (ABI) in asymptomatic adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/1215/od1.html
Screening for Cervical Cancer - Putting Prevention into Practice - American Family ...
Feb 15, 2019 - P.J., a 48-year-old woman, presents to your office for a well-woman examination. She has been married for eight years, has no history of sexually transmitted diseases, and has nothing remarkable in her medical history.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0215/p253.html
Flexible Sigmoidoscopy or Fecal Occult Blood Testing for Colorectal Cancer Screening in...
Aug 1, 2019 - This meta-analysis provides high-quality evidence that flexible sigmoidoscopy and fecal occult blood testing both reduce the risk of death from colorectal cancer. The study did not provide a clear answer regarding a superior screening modality, so the decision to choose one test over ...
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2019/0801/od1.html
Lung Cancer Screening Recommendations from the ACCP - Practice Guidelines - American ...
Dec 1, 2018 - The American College of Chest Physicians (ACCP) recently published recommendations for lung cancer screening based on key questions developed using the PICO (population, intervention, comparator, and outcome) format.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/1201/p688.html
Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors: ...
Jan 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adding the ankle-brachial index (ABI), high-sensitivity C-reactive protein (hsCRP) level, or coronary artery calcium score to traditional risk assessment for cardiovascular ...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0115/od1.html
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...
Jun 15, 2019 - A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0615/p771.html
Cancer Screening: ACS Releases Annual Summary of Recommendations - Practice Guidelines ...
Jun 1, 2019 - The American Cancer Society (ACS) provides a summary of recommendations for cancer screening each year, including any updates and recent data, and advice for when recommendations cannot be made.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0601/p719.html
What Evidence Do We Need Before Recommending Routine Screening for Social Determinants ...
May 15, 2019 - Social determinants have a large effect on patients' health and well-being. Primary care clinicians need more evidence about their role in addressing social determinants of health, and community resources and public health support are needed to help patients with unmet social needs.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0515/p602.html
Evaluating Diagnostic Tests: Introducing a New Feature in AFP - Editorials - American ...
Jul 1, 2019 - This new feature cuts through the hype and provides independent, objective assessments of new diagnostic tests that readers are considering incorporating into their practices.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0701/p8.html
Depression After ACS Events: AAFP Releases Updated Guidelines - Practice Guidelines - ...
Jun 15, 2019 - The American Academy of Family Physicians has released a guideline focusing on depression in adults within three months of an ACS event (unstable angina or myocardial infarction). The guideline is based on a systematic review of randomized controlled trials and observational studies and...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0615/p785.html
Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults - ...
May 15, 2019 - A.F., a 32-year-old woman, presents for a health maintenance visit. It has been more than a year since she was last seen. She has no significant medical history and has never used tobacco, alcohol, or any other substances.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0515/p649.html
Radiologic Evaluation of Hematuria: Guidelines from the American College of Radiology's...
Aug 1, 2008 - Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0801/p347.html
Ocular Manifestations of Autoimmune Disease - American Family Physician
Sep 15, 2002 - Rheumatoid arthritis, juvenile rheumatoid arthritis, Sjögren's syndrome, the seronegative spondyloarthropathies, systemic lupus erythematosus, multiple sclerosis, giant cell arteritis, and Graves' disease are autoimmune disorders commonly encountered by family physicians. These ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0915/p991.html
Evaluation of a First Seizure - American Family Physician
May 1, 2007 - Seizure is a common presentation in the emergency care setting, and new-onset epilepsy is the most common cause of unprovoked seizures. The patient history and physical examination should direct the type and timing of laboratory and imaging studies. No single sign, symptom, or test ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0501/p1342.html
Identification and Management of Latent Tuberculosis Infection - American Family Physician
May 15, 2009 - Latent tuberculosis infection (LTBI) is a condition in which a person is infected with Mycobacterium tuberculosis, but does not currently have active tuberculosis disease. An estimated 10 to 15 million persons in the United States have LTBI. Because 5 to 10 percent of persons with LTBI ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0515/p879.html
Diagnosing Night Sweats - American Family Physician
Mar 1, 2003 - Night sweats are a common outpatient complaint, yet literature on the subject is scarce. Tuberculosis and lymphoma are diseases in which night sweats are a dominant symptom, but these are infrequently found to be the cause of night sweats in modern practice. While these diseases remain ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p1019.html
Evaluation of Palpable Breast Masses - American Family Physician
May 1, 2005 - Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy. A thorough clinical breast examination, imaging, and tissue sampling are needed for a definitive diagnosis. Fine-needle aspiration is fast, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0501/p1731.html
Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP - Practice ...
May 15, 2019 - To address the high prevalence of bronchiolitis, the effects of chronic cough on patients' quality of life, and adverse effects from inappropriate use of medications, an expert panel from the American College of Chest Physicians performed systematic reviews to develop several ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0515/p654.html
Applying HIV Testing Guidelines in Clinical Practice - American Family Physician
Dec 15, 2009 - An estimated one fourth of persons with human immunodeficiency virus (HIV) are not aware they are infected. Early diagnosis of HIV has the potential to ensure optimal outcomes for infected persons and to limit the spread of the virus. Important barriers to testing among physicians ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1215/p1441.html
Colorectal Cancer Screening: ACS Updates Guideline for Adults with Average Risk - ...
Jan 15, 2019 - To support early identification and treatment, the American Cancer Society (ACS) has updated its 2008 guidance on counseling and referring patients at average risk of colorectal cancer (CRC) based on new evidence regarding screening options and the ever-changing risk of CRC.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0115/p129.html
Screening for Cardiovascular Disease Risk with Electrocardiography: Recommendation ...
Sep 15, 2018 - The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0915/od1.html
FIT Has Similar Yield as Colonoscopy for Colorectal Cancer and Advanced Adenoma Over 10...
May 15, 2019 - Over a 10-year period, the rates of detection of colorectal cancer (CRC) and advanced adenomas using FIT are similar to those seen in studies of screening colonoscopy. This does not prove that FIT reduces morbidity and mortality due to CRC as effectively as colonoscopy.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0515/od5.html
Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns - Cochrane ...
Apr 1, 2019 - Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects is low, and ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2019/0401/p421.html
Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...
May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0515/od3.html
Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...
Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0315/p354.html
Screening for Atrial Fibrillation with Electrocardiography - Putting Prevention into ...
Mar 15, 2019 - M.T. is a 67-year-old woman who presents to your office requesting electrocardiography (ECG). Her brother was recently diagnosed with atrial fibrillation after screening with ECG, and she is concerned that she may have the same condition.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0315/p383.html
Acute Abdominal Pain in Children - American Family Physician
Jun 1, 2003 - Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0601/p2321.html
Radiologic Evaluation of Suspected Congenital Heart Disease in Adults - American Family...
Sep 15, 2009 - The population of adults with congenital heart disease is increasing in North America. Radiologic imaging is critical for the initial assessment and for surveillance in this population. Chest radiography and echocardiography are valuable first-line tools for evaluation. However, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0915/p597.html
Point-of-Care Ultrasonography in Family Medicine - Editorials - American Family Physician
Aug 15, 2018 - There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0815/p200.html
Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis - ...
Sep 1, 2003 - Knee pain is a common presenting complaint with many possible causes. An awareness of certain patterns can help the family physician identify the underlying cause more efficiently. Teenage girls and young women are more likely to have patellar tracking problems such as patellar ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0901/p917.html
Guideline, with No Evidence, Suggests Annual Screening for Urinary Incontinence in ...
Apr 1, 2019 - The goal of screening is to identify a disorder before it becomes symptomatic if early treatment has the potential for greater benefit than waiting until symptoms are reported. Despite the failure to meet this definition, this guideline suggests annual screening of women for urinary ...
American Family Physician : POEMs
https://www.aafp.org/afp/2019/0401/p459.html
Food Insecurity: How You Can Help Your Patients - Editorials - American Family Physician
Aug 1, 2018 - Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0801/p143.html
Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...
Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0315/od1.html
Screening for Osteoporosis to Prevent Fractures - Putting Prevention into Practice - ...
Nov 15, 2018 - A 57-year-old postmenopausal woman comes to your clinic for a wellness visit. She has no significant medical problems. She broke her left forearm as a child by falling out of a tree but has had no other fractures. She currently smokes one pack of cigarettes per day, rarely drinks one ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/1115/p593.html
Counseling Patients About Prostate Cancer Screening - Editorials - American Family ...
Oct 15, 2018 - The AAFP finds that the net benefit of population screening for prostate cancer is small at best, and it does not recommend routinely discussing PSA-based screening if the patient does not request it.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/1015/p478.html
Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors - Putting ...
Jan 15, 2019 - A 46-year-old Asian American woman with no significant medical history presents to your clinic for the first time for a pre-employment physical examination.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0115/p123.html
Leukocytosis: Basics of Clinical Assessment - American Family Physician
Nov 1, 2000 - Leukocytosis, a common laboratory finding, is most often due to relatively benign conditions (infections or inflammatory processes). Much less common but more serious causes include primary bone marrow disorders. The normal reaction of bone marrow to infection or inflammation leads to ...
American Family Physician : Article
https://www.aafp.org/afp/2000/1101/p2053.html
Stumbling onto Cancer: Avoiding Overdiagnosis of Renal Cell Carcinoma - Editorials - ...
Feb 1, 2019 - We all need to test wisely and weigh the risks and benefits of diagnostic imaging. Imaging—and testing in general—has real downsides, such as stumbling onto things you wish you had not.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0201/p145.html
Knee Joint Aspiration and Injection - American Family Physician
Oct 15, 2002 - Knee joint aspiration and injection are performed to aid in diagnosis and treatment of knee joint diseases. The knee joint is the most common and the easiest joint for the physician to aspirate. One approach involves insertion of a needle 1 cm above and 1 cm lateral to the superior ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1015/p1497.html
Diagnosing Heel Pain in Adults - American Family Physician
Jul 15, 2004 - Heel pain is a common condition in adults that may cause significant discomfort and disability. A variety of soft tissue, osseous, and systemic disorders can cause heel pain. Narrowing the differential diagnosis begins with a history and physical examination of the lower extremity to ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0715/p332.html
Tuberculosis: Guidelines for Diagnosis from the ATS, IDSA, and CDC - Practice ...
Jan 1, 2018 - Persons with Mycobacterium tuberculosis infection may have no clinical evidence of disease and present asymptomatically, known as latent tuberculosis infection (LTBI) or symptomatically, known as tuberculosis (TB). The American Thoracic Society (ATS), Infectious Diseases Society of ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0101/p56.html
Overuse of Cardiac Testing - Lown Right Care: Reducing Overuse and Underuse - American ...
Nov 15, 2018 - This is the first of a new collaboration between AFP and the Lown Institute. This new feature 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/2018/1115/p561.html
Breast Cancer Screening with MRI: More False-Positives, More Biopsies - POEMs - ...
Nov 15, 2018 - Screening with MRI is not for everyone. Women who undergo breast cancer screening with MRI are much more likely to be referred for biopsy— that will ultimately be negative—than if they have screening mammography alone.
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1115/od5.html
Incidental Findings Are Common with Chest CT and MRI of the Spine and Brain - POEMs - ...
Dec 1, 2018 - The risks of imaging, in addition to radiation exposure, include the identification of incidentalomas, which can lead to patient anxiety, further testing, and overtreatment. There is little research to guide what to do when they pop up on an imaging report (as the famous dodge clinical ...
American Family Physician : POEMs
https://www.aafp.org/afp/2018/1201/p682.html
Fetal Chromosomal Abnormalities: Antenatal Screening and Diagnosis - American Family ...
Jan 15, 2009 - Pregnant women of all ages should be offered screening and invasive diagnostic testing for chromosomal abnormalities before 20 weeks' gestation. New developments in screening methods have increased the number of options for patients. Diagnostic options include chorionic villus sampling ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0115/p117.html
Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician
Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0801/p558.html
Radiologic Evaluation of Chronic Foot Pain - American Family Physician
Oct 1, 2007 - Chronic foot pain is a common and often disabling clinical complaint that can interfere with a patient's routine activities. Despite careful and detailed clinical history and physical examination, providing an accurate diagnosis is often difficult because chronic foot pain has a broad ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1001/p975.html
Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm - ...
Feb 15, 2018 - Evidence for vitamin D screening and supplementation in adults shows that these commonplace practices have virtually no established health benefits.
American Family Physician : Editorials
https://www.aafp.org/afp/2018/0215/p226.html
Ruling Out Pulmonary Embolism in the Primary Care Setting - Point-of-Care Guides - ...
Jun 1, 2018 - What is the best approach to evaluate patients with suspected pulmonary embolism in the outpatient, primary care setting?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0601/p750.html
Cancer Screening Recommendations from the ACS: A Summary of the 2017 Guidelines - ...
Feb 1, 2018 - Each year, the American Cancer Society (ACS) releases guidelines for health care professionals and patients on current cancer screening recommendations. The annual report updates previous recommendations, provides data on cancer screening rates, and discusses issues relating to early ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0201/p208.html
Screening for Prostate Cancer - Putting Prevention into Practice - American Family ...
Oct 15, 2018 - A.E., a 57-year-old black man, comes to your office for an annual visit. He has a history of diabetes mellitus, has never smoked, and has no family history of prostate cancer. He is current with preventive services, including screening for colorectal cancer and counseling for a healthy ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2018/1015/p537.html
Screening for Obesity in Children and Adolescents: Recommendation Statement - U.S. ...
Oct 15, 2017 - The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older, and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2017/1015/od4.html
Atypical Presentations of Gastroesophageal Reflux Disease - American Family Physician
Aug 15, 2008 - Gastroesophageal reflux disease typically manifests as heartburn and regurgitation, but it may also present with atypical or extraesophageal symptoms, including asthma, chronic cough, laryngitis, hoarseness, chronic sore throat, dental erosions, and noncardiac chest pain. Diagnosing ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0815/p483.html
Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...
Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0815/p256.html
Syncope Evaluation and Treatment Guidelines from ACC, AHA, and HRS - Practice ...
Apr 1, 2018 - The American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS) have released guidelines to assist physicians in evaluating and treating syncope.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0401/p478.html
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
Screening for Preeclampsia: Recommendation Statement - U.S. Preventive Services Task ...
Jan 15, 2018 - The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2018/0115/od1.html
Cushing's Disease: Clinical Manifestations and Diagnostic Evaluation - American Family ...
Sep 1, 2000 - The most common endogenous cause of Cushing's syndrome is Cushing's disease. Frequent clinical findings include weight gain, truncal obesity, striae, hypertension, glucose intolerance and infections. Cranial nerve II may be affected by enlarging pituitary adenomas in Cushing's disease; ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0901/p1119.html
Diagnostic and Therapeutic Injection of the Shoulder Region - American Family Physician
Mar 15, 2003 - The shoulder is the site of multiple injuries and inflammatory conditions that lend themselves to diagnostic and therapeutic injection. Joint injection should be considered after other therapeutic interventions such as nonsteroidal anti-inflammatory drugs, physical therapy, and ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0315/p1271.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
Health Maintenance for Postmenopausal Women - American Family Physician
Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0901/p583.html
Acute Knee Effusions: A Systematic Approach to Diagnosis - American Family Physician
Apr 15, 2000 - Knee effusions may be the result of trauma, overuse or systemic disease. An understanding of knee pathoanatomy is an invaluable part of making the correct diagnosis and formulating a treatment plan. Taking a thorough medical history is the key component of the evaluation. The most ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0415/p2391.html
Differential Diagnosis of Annular Lesions - American Family Physician
Jul 15, 2001 - Although most annular lesions will be typical of a dermatophytosis, physicians must consider other possible diagnoses. Tinea corporis can often be diagnosed on the basis of a positive potassium hydroxide examination. Topical and systemic antifungals are usually curative. Pityriasis ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0715/p289.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
Evaluation of Patients Presenting with Knee Pain: Part I. History, Physical ...
Sep 1, 2003 - Family physicians frequently encounter patients with knee pain. Accurate diagnosis requires a knowledge of knee anatomy, common pain patterns in knee injuries, and features of frequently encountered causes of knee pain, as well as specific physical examination skills. The history should...
American Family Physician : Article
https://www.aafp.org/afp/2003/0901/p907.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
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
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
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
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
Diagnosis of Urinary Tract Infections in Children - Point-of-Care Guides - American ...
Feb 15, 2018 - A recent observational study found that 2.2% of acutely ill children younger than five years met criteria for a UTI when their urine was cultured. However, in the same study, overall clinician impression that a UTI was present (fairly to very certain) identified only 28 out of 60 ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0215/p273.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
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
Clinical Utility of the Erythrocyte Sedimentation Rate - American Family Physician
Oct 1, 1999 - The erythrocyte sedimentation rate (ESR) determination is a commonly performed laboratory test with a time-honored role. However, the usefulness of this test has decreased as new methods of evaluating disease have been developed. The test remains helpful in the specific diagnosis of a ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1443.html
Evaluating Dysphagia - American Family Physician
Jun 15, 2000 - Dysphagia is a problem that commonly affects patients cared for by family physicians in the office, as hospital inpatients and as nursing home residents. Familiar medical problems, including cerebrovascular accidents, gastroesophageal reflux disease and medication-related side effects, ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0615/p3639.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
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
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
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
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
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
Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...
Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2018/0101/p45.html
Evaluation of Syncope - American Family Physician
Oct 15, 2005 - Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1015/p1492.html
USPSTF Recommendations for STI Screening - American Family Physician
Mar 15, 2008 - Since 2000, the U.S. Preventive Services Task Force (USPSTF) has issued eight clinical recommendation statements on screening for sexually transmitted infections. This article, written on behalf of the USPSTF, is an overview of these recommendations. The USPSTF recommends that women at ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0315/p819.html
Imaging for Suspected Appendicitis - American Family Physician
Jan 1, 2005 - Acute appendicitis is the most common reason for emergency abdominal surgery and must be distinguished from other causes of abdominal pain. Family physicians play a valuable role in the early diagnosis and management of this condition. However, the overall diagnostic accuracy achieved ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0101/p71.html
Screening for High Blood Pressure in Adults: Recommendation Statement - U.S. Preventive...
Feb 15, 2016 - The USPSTF recommends screening for high blood pressure in adults aged 18 years or older.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2016/0215/p300.html
Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...
Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1101/p1052.html
Screening for Lipid Disorders in Children and Adolescents - Putting Prevention into ...
Oct 15, 2017 - A healthy 12-year-old boy presents for a school physical and well visit. His family history reveals that his maternal grandfather had a heart attack at 75 years of age and that his 52-year-old father has started taking a medication for elevated cholesterol levels.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2017/1015/p529.html
Clinical and Personal Utility of Genetic Risk Testing - Curbside Consultation - ...
May 1, 2018 - On April 6, 2017, the U.S. Food and Drug Administration (FDA) approved marketing of the 23andMe Personal Genome Service, the first direct-to-consumer genetic test. This test uses genomic DNA collected from mail-in saliva collection kits to provide information on a patient's genetic risk...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2018/0501/p600.html