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Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of ... Restricted content. Login required.

Feb 15, 2021 - Based on population registry data, bariatric surgery is associated with lower all-cause mortality and a lower risk of developing many subsequent obesity-related conditions.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p248.html

Diary of a Family Physician - Feb 15, 2021 - American Family Physician

Feb 15, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0215/p240.html

Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis - Letters to ...

Feb 15, 2021 - << Previous article Next article >> 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...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0215/p200.html

Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis - Letters to ...

Feb 15, 2021 - << Previous article Next article >> Feb 15, 2021 Issue Letters to the Editor Case Report: Back Pain as a Presenting Symptom of Systemic Mastocytosis Am Fam Physician. 2021 Feb 15;103(4):200-201. To the Editor: A 51-year-old man with a history of hypertension, depression, and anxiety...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0215/p200a.html

Broad Screening Is Needed for All Patients at Risk of Syphilis - Letters to the Editor ...

Feb 15, 2021 - << Previous article Next article >> Feb 15, 2021 Issue Letters to the Editor Broad Screening Is Needed for All Patients at Risk of Syphilis Am Fam Physician. 2021 Feb 15;103(4):199-200. Original Article: Syphilis: Far from Ancient History Issue Date: July 15, 2020 Available at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0215/p199.html

Case Report: Limitations of Virtual Care in Older Adults with Functional and Cognitive ...

Feb 15, 2021 - << Previous article Next article >> Feb 15, 2021 Issue Letters to the Editor Case Report: Limitations of Virtual Care in Older Adults with Functional and Cognitive Impairment Am Fam Physician. 2021 Feb 15;103(4):201. To the Editor: An 85-year-old patient with hypertension, coronary...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0215/p201.html

Telemedicine Management of Musculoskeletal Issues - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Telemedicine can provide patients with cost-effective, quality care. The coronavirus disease 2019 pandemic has highlighted the need for alternative methods of delivering health care. Family physicians can benefit from using a standardized approach to evaluate and diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p147.html

Sexual Assault of Women - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Sexual violence is a major public health and human rights issue affecting more than 40% of women in the United States during their lifetimes. Although men and women experience sexual assault, women are at greatest risk. Populations uniquely impacted by sexual assault include ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p168.html

Targeted Cancer Therapies - American Family Physician Restricted content. Login required.

Feb 1, 2021 - Targeted cancer therapies involve chemotherapeutic agents that attack, directly or indirectly, a specific genetic biomarker found in a given cancer. Targeted oncology includes monoclonal antibodies, small molecule inhibitors, antibody-drug conjugates, and immunotherapy. For example, the...

American Family Physician : Article

https://www.aafp.org/afp/2021/0201/p155.html

Occupational Health - American Family Physician

Feb 1, 2021 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Widening Disease Definitions: What Can Physicians Do? - Editorials - American Family ...

Feb 1, 2021 - Disease definitions are often broadened over time to include milder and earlier cases. A strong driver for such definitional changes is the belief that they will benefit patients by preventing more severe disease or future complications.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0201/p138.html

Slow-Growing Thumb Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 1, 2021 - A patient presented with a small, firm nodule on the volar aspect of the interphalangeal joint of the left thumb.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0201/p179.html

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ... Restricted content. Login required.

Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0201/p183.html

Chronic Pelvic Pain in Women: ACOG Updates Recommendations - Practice Guidelines - ... Restricted content. Login required.

Feb 1, 2021 - The American College of Obstetricians and Gynecologists has new recommendations for managing chronic pelvic pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0201/p186.html

Topical and Device-Based Treatment of Toenail Onychomycosis - Cochrane for Clinicians -... Restricted content. Login required.

Feb 1, 2021 - Topical antifungal drugs, including efinaconazole 10% solution (Jublia), tavaborole 5% solution (Kerydin), and ciclopirox 8% lacquer and hydrolacquer, are beneficial in treating mild to moderate toenail onychomycosis. Potential adverse effects are mild and include dermatitis and vesicles.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p145.html

QuantiFERON-TB Gold+ for the Diagnosis of Mycobacterium tuberculosis Infection - ... Restricted content. Login required.

Feb 1, 2021 - QuantiFERON-TB Gold+ testing for the diagnosis of active or latent TB is easily interpreted and more specific than tuberculin skin testing in BCG-vaccinated populations. In environments with an easily accessible laboratory, it may be a preferred option for diagnosing latent TB.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0201/p177.html

Symphysiotomy for Shoulder Dystocia - Letters to the Editor - American Family Physician

Feb 1, 2021 - Letter to the Editor explaining the reasons why symphysiotomy may be lifesaving for the baby, the mother, or both.

American Family Physician : Letter

https://www.aafp.org/afp/2021/0201/p136.html

Exercise vs. No Exercise for the Occurrence, Severity, and Duration of Acute ... Restricted content. Login required.

Feb 1, 2021 - For adults, regular exercise may reduce the overall severity of acute respiratory tract infections and the number of days with symptoms, but there is no evidence that exercise reduces the overall occurrence or duration of these infections.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0201/p144.html

Screening for Cervical Intraepithelial Neoplasia with Patient-Collected HPV Samples - ... Restricted content. Login required.

Feb 1, 2021 - How useful are patient-collected human papillomavirus vaginal swabs as a screening test for cervical intraepithelial neoplasia?

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0201/p181.html

C. difficile, Migraines, Gastrointestinal Bleeding, Reducing Falls, Neurologic ... Restricted content. Login required.

Feb 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0201/p143.html

Sexual Assault of Women - American Family Physician

Feb 1, 2021 - << Previous article Next article >> Feb 1, 2021 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0201/p168-s1.html

Hip Pain in Adults: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Adults commonly present to their family physicians with hip pain, and diagnosing the cause is important for prescribing effective therapy. Hip pain is usually located anteriorly, laterally, or posteriorly. Anterior hip pain includes referred pain from intra-abdominal or intrapelvic ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p81.html

Dysphagia: Evaluation and Collaborative Management - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p97.html

Labor Dystocia in Nulliparous Women - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dystocia (abnormally slow or protracted labor) accounts for 25% to 55% of primary cesarean deliveries. The latent phase of labor begins with onset of regular, painful contractions and continues until 6 cm of cervical dilation. Current recommendations are to avoid admission to labor and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p90.html

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology... Restricted content. Login required.

Jan 15, 2021 - The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0115/p120.html

Buffering Lidocaine 1%/ Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as ... Restricted content. Login required.

Jan 15, 2021 - Lido/Epi buffered with NaHCO3 in a 3:1 ratio is significantly less painful during infiltration than unbuffered Lido/Epi and buffered Lido/Epi in a 9:1 ratio.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od4.html

Screening for Unhealthy Drug Use: Recommendation Statement - U.S. Preventive Services ...

Jan 15, 2021 - The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

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

https://www.aafp.org/afp/2021/0115/p107.html

Twenty-Year Follow-Up of Women's Health Initiative Trials: Lower Breast Cancer ... Restricted content. Login required.

Jan 15, 2021 - The cumulative 20-year follow-up report from the Women's Health Initiative hormone therapy trials found significantly lower breast cancer incidence and mortality among postmenopausal women who previously took conjugated equine estrogen (CEE; Premarin) alone (with a prior hysterectomy) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od1.html

Icosapent Ethyl (Vascepa) for Hyperlipidemia/Hypercholesterolemia to Reduce Risk of ... Restricted content. Login required.

Jan 15, 2021 - Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0115/p117.html

COVID-19, Scoliosis, Muscle Weakness, Preterm Birth, Fecal Incontinence - AFP Clinical ... Restricted content. Login required.

Jan 15, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0115/p78.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Fever and Rash After Travel to the Philippines - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 15, 2021 - A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0115/p113.html

Evidence Lacking to Support Universal Unhealthy Drug Use Screening - Editorials - ...

Jan 15, 2021 - To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and older by ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0115/p72.html

Short-Term Low Back Pain Relief with Placebo - POEMs - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od3.html

Triple Inhaled Therapy Provides a Small Reduction in Moderate COPD Exacerbations, No ... Restricted content. Login required.

Jan 15, 2021 - Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days) more than ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od2.html

Newborn Circumcision Techniques and Medical Ethics - Letters to the Editor - American ...

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Letters to the Editor Newborn Circumcision Techniques and Medical Ethics Am Fam Physician. 2021 Jan 15;103(2):69-70. Original Article: Newborn Circumcision Techniques Issue Date: June 1, 2020 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p69.html

Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding ...

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Letters to the Editor Blood Transfusion Decisions in Adults with Nonvariceal Upper Gastrointestinal Bleeding Am Fam Physician. 2021 Jan 15;103(2):68-69. Original Article: Upper Gastrointestinal Bleeding in Adults: Evaluation and...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p68a.html

Corrections - Jan 15, 2021 - American Family Physician

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Jan 15;103(2):70. Inaccurate disease description. In the Practice Guidelines Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA (July 15, 2020, p. 121),...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0115/p70a.html

Corrections - Jan 15, 2021 - American Family Physician

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Jan 15;103(2):70. Updated recommendation. The article Upper Gastrointestinal Bleeding in Adults: Evaluation and Management, (March 1, 2020, p. 294) referenced a recommendation...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0115/p70.html

Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents - ...

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Letters to the Editor Low Specificity Limits Use of Test for Spondylolysis in Children and Adolescents Am Fam Physician. 2021 Jan 15;103(2):68. Original Article: Back Pain in Children and Adolescents Issue Date: July 1, 2020 See...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0115/p68.html

Hip Pain in Adults - American Family Physician

Jan 15, 2021 - << Previous article Next article >> Jan 15, 2021 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0115/p81-s1.html

Eating Disorders in Primary Care: Diagnosis and Management - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behaviors that impair physical health and psychosocial functioning. Early intervention may decrease the risk of long-term pathology and disability. Clinicians should ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p22.html

Breast Cancer Screening: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Breast cancer is the most common nonskin cancer in women and accounts for 30% of all new cancers in the United States. The highest incidence of breast cancer is in women 70 to 74 years of age. Numerous risk factors are associated with the development of breast cancer. A risk assessment ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p33.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Medications for Treatment-Resistant Depression in Adults - Cochrane for Clinicians - ... Restricted content. Login required.

Jan 1, 2021 - In patients with treatment-resistant depression, augmenting therapy with atypical antipsychotics can be effective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p16.html

Testosterone Therapy for Age-Related Low Testosterone: Guidelines from the ACP - ... Restricted content. Login required.

Jan 1, 2021 - The American College of Physicians published guidelines for testosterone therapy in cis gender men with age-related low testosterone based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0101/p60.html

Treatment of Distal DVT - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Jan 1, 2021 - Vitamin K antagonists reduce the recurrence of DVT and VTE (number needed to treat [NNT] = 17; 95% CI, 13 to 48) but not pulmonary embolism (PE) compared with no anticoagulation or placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0101/p18.html

Persistent Submandibular Abscess - Photo Quiz - American Family Physician Restricted content. Login required.

Jan 1, 2021 - A patient presented with a nonhealing wound on the jaw.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0101/p51.html

CT Colonography for Colorectal Cancer Screening - Diagnostic Tests: What Physicians ... Restricted content. Login required.

Jan 1, 2021 - Computed tomography colonography performs well for colorectal cancer screening. Long-term studies are needed to demonstrate its impact on patient morbidity and mortality, as well as to determine the risks, benefits, and costs.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0101/p55.html

Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ... Restricted content. Login required.

Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0101/od1.html

Systemic Racism and Health Disparities: A Statement from Editors of Family Medicine ...

Jan 1, 2021 - The editors of several North American family medicine publications have come together to address a call to action for family medicine to confront systemic racism and health disparities and share resources on racism across our readerships.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0101/p10.html

Electronic Cigarettes for Smoking Cessation - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Jan 1, 2021 - e-Cigarettes with nicotine can be used to encourage smoking cessation, but continued use after cessation may be a risk factor for relapse.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0101/p53.html

Making Recommendations to Reduce Noise Exposure - Curbside Consultation - American ... Restricted content. Login required.

Jan 1, 2021 - A 23-year-old patient, M.P., presents to your office with upper respiratory symptoms. When you enter the room, M.P. is using earbuds to listen to music on a personal listening device. The volume is loud enough for you to hear the music but not distinguish details. After addressing the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0101/p57.html

Increasing Share of Practicing Female Family Physicians, 2010-2020 - Graham Center ...

Jan 1, 2021 - The growing role of women in family medicine is increasingly apparent—more than 50% of U.S. medical students are women, and higher shares of women are entering and graduating from family medicine residency programs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/0101/p12.html

Mammography, Lymphomas, Hypertension in Pregnancy, Dyspepsia - AFP Clinical Answers - ... Restricted content. Login required.

Jan 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/0101/p15.html

Beware of the Differing Definitions for the False-Positive Rate - Letters to the Editor...

Jan 1, 2021 - << Previous article Next article >> Jan 1, 2021 Issue Letters to the Editor Beware of the Differing Definitions for the False-Positive Rate Am Fam Physician. 2021 Jan 1;103(1):7-8. Original Article: Beware of False-Positive Results with SARS-CoV-2 Antibody Tests [Letter to the...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p7.html

Intimate Partner Violence During the COVID-19 Pandemic - Letters to the Editor - ...

Jan 1, 2021 - << Previous article Next article >> Jan 1, 2021 Issue Letters to the Editor Intimate Partner Violence During the COVID-19 Pandemic Am Fam Physician. 2021 Jan 1;103(1):6-7. To the Editor: The coronavirus disease 2019 (COVID-19) pandemic is exacerbating domestic violence in the United...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p6.html

Chronic Dyspnea - Letters to the Editor - American Family Physician

Jan 1, 2021 - << Previous article Next article >> Jan 1, 2021 Issue Letters to the Editor Chronic Dyspnea Am Fam Physician. 2021 Jan 1;103(1):8. Original Article: Chronic Dyspnea: Diagnosis and Evaluation Issue Date: May 1, 2020 See additional reader comments at: htt...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0101/p8.html

Corrections - Jan 1, 2021 - American Family Physician Restricted content. Login required.

Jan 1, 2021 - << Previous article Next article >> Jan 1, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Jan 1;103(1):8. Incorrect listing of a state. In the Editorial Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis, (July 15, 2020, p. 78), the sixth sentence of...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0101/p8b.html

Corrections - Jan 1, 2021 - American Family Physician

Jan 1, 2021 - << Previous article Next article >> Jan 1, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Jan 1;103(1):8. Inaccurate statistic. In the Lown Right Care Appropriate Use of Opioids for Chronic Pain, (September 15, 2020, p. 335), the second sentence of the Clinical...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0101/p8a.html

Mammogram Screening for Breast Cancer - American Family Physician

Jan 1, 2021 - << Previous article Next article >> Jan 1, 2021 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/0101/p33-s1.html

Acute Chest Pain in Adults: Outpatient Evaluation - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Approximately 1% of primary care office visits are for chest pain, and 2% to 4% of these patients will have unstable angina or myocardial infarction. Initial evaluation is based on determining whether the patient needs to be referred to a higher level of care to rule out acute coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p721.html

Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p732.html

Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p740.html

Long COVID: A Primer for Family Physicians - Editorials - American Family Physician

Dec 15, 2020 - As the United States struggles with a prolonged wave of acute coronavirus disease 2019 (COVID-19; see article recently published in American Family Physician), family physicians need to be prepared to care for patients presenting with postacute (one to three months) or chronic (beyond ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1215/p716.html

Preoperative Evaluation and Frailty Assessment in Older Patients - Lown Right Care: ... Restricted content. Login required.

Dec 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/1215/p753.html

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.html

Off-Label Use and Misuse of Hormone Supplements: AACE and ACE Position Statement - ... Restricted content. Login required.

Dec 15, 2020 - The American Association of Clinical Endocrinologists and the American College of Endocrinology developed a summary of known risks of using off-label hormone treatments.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1215/p759.html

Diary of a Family Physician - Dec 15, 2020 - American Family Physician

Dec 15, 2020 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2020/1215/p758.html

Blood Lead Levels, Urinary Incontinence, Back Pain, Hemorrhoids, Contraceptives, Lipid ... Restricted content. Login required.

Dec 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/1215/p718.html

Penile Swelling - Photo Quiz - American Family Physician Restricted content. Login required.

Dec 15, 2020 - << Previous article Next article >> Dec 15, 2020 Issue Photo Quiz Penile Swelling DIANA LADKANY, MD, and JONATHAN E. DAVIS, MD, Georgetown University and MedStar Health, Washington, District of Columbia Am Fam Physician. 2020 Dec 15;102(12):751-752. A 34-year-old patient presented...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1215/p751.html

Degenerative Cervical Myelopathy - American Family Physician

Dec 15, 2020 - << Previous article Next article >> Dec 15, 2020 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/1215/p740-s1.html

Parkinson Disease - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p679.html

Seasonal Affective Disorder: Common Questions and Answers - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Seasonal affective disorder is a mood disorder that is a subtype or qualifier of major depressive disorder or bipolar disorder in the Diagnostic and Statistical Manual of Mental Disorders. It is characterized by depressive symptoms that occur at a specific time of year (typically fall ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p668.html

Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely Campaign - ... Restricted content. Login required.

Dec 1, 2020 - In this article, we discuss the POEMs (patient-oriented evidence that matters) of 2019 judged to be most consistent with the principles of Choosing Wisely, an international campaign to reduce unnecessary testing and treatments. We selected these POEMs through a crowdsourcing strategy of...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p673.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - << Previous article Next article >> Dec 1, 2020 Issue Letters to the Editor Case Reports: Rhabdomyolysis Associated with COVID-19 Am Fam Physician. 2020 Dec 1;102(11):645-648. Related letter: Mild Creatine Kinase Elevations Do Not Necessarily Reflect Rhabdomyolysis Published online...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645a.html

Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from ... Restricted content. Login required.

Dec 1, 2020 - The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1201/p697.html

Fecal Occult Blood Testing Is Inaccurate as Part of Diagnostic Workup - POEMs - ... Restricted content. Login required.

Dec 1, 2020 - In this well-conducted systematic review, FOBT, although useful in screening for colorectal cancer, is not highly accurate in evaluating patients with clinical indications.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p692.html

Beta Blockers for Suspected or Diagnosed Acute Myocardial Infarction - Cochrane for ... Restricted content. Login required.

Dec 1, 2020 - Compared with placebo, beta-blocker use in patients with acute MI reduces short-term (less than three months) risk of MI and long-term (more than three months) risk of cardiovascular mortality and all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1201/p666.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

Low-Protein Diets for Adults Without Diabetes Mellitus Who Have CKD - Cochrane for ... Restricted content. Login required.

Dec 1, 2020 - In patients without diabetes mellitus who have chronic kidney disease, is a low-protein diet effective at preventing progression to end-stage renal disease or the need for dialysis?

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1201/p665.html

Easy Rule Identifies Patients with Low-Risk Penicillin Allergies - POEMs - American ... Restricted content. Login required.

Dec 1, 2020 - A label of penicillin allergy clears the shelves of many effective treatments for various infections. A simple rule outlined in the synopsis effectively identifies (without allergy testing) low-risk penicillin allergies in patients with a history of a penicillin allergy event.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p692a.html

Shoulder Pain and Stiffness with Abnormal Imaging Findings - Photo Quiz - American ... Restricted content. Login required.

Dec 1, 2020 - A 51-year-old patient presented with several years of diffuse shoulder pain and abnormal imaging findings.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1201/p695.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Some Drugs Slightly Improve Cognition in People with Dementia; Effects on Behavioral or... Restricted content. Login required.

Dec 1, 2020 - Some treatments can improve cognition on research scales, but daily function will not be affected in a noticeable way. Managing behavioral or psychological issues with medication is not supported by current evidence

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p694.html

Cirrhosis, Ureteral Stones, Depression, Sleep Apnea, Scoliosis - AFP Clinical Answers -... Restricted content. Login required.

Dec 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/1201/p664.html

Immunogenicity of Childhood Vaccines after Pediatric Cancer - FPIN's Clinical Inquiries... Restricted content. Login required.

Dec 1, 2020 - Children treated for cancer do not retain full immunity from previous vaccinations; therefore, it is likely beneficial for children who survive cancer to be revaccinated six to 12 months after immunosuppressive therapy.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1201/od1.html

Vaginal Bleeding Decreases over Time with a Levonorgestrel Intrauterine System - POEMs ... Restricted content. Login required.

Dec 1, 2020 - Bleeding decreased over time for most women after the insertion of a levonorgestrel-releasing intrauterine system.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p693.html

Is Cutaneous Cryosurgery the Best Treatment Option for Cutaneous Warts? - Letters to ...

Dec 1, 2020 - << Previous article Next article >> Dec 1, 2020 Issue Letters to the Editor Is Cutaneous Cryosurgery the Best Treatment Option for Cutaneous Warts? Am Fam Physician. 2020 Dec 1;102(11):648. Original Article: Cutaneous Cryosurgery for Common Skin Conditions Issue Date: April 1, 2020...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p648.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - << Previous article Next article >> Dec 1, 2020 Issue Letters to the Editor Case Report: Need for Vigilance in Recognizing Neurologic Presentations of COVID-19 Am Fam Physician. 2020 Dec 1;102(11):645. To the Editor: Case reports and clinical studies have suggested neurologic...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645.html

Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and ... Restricted content. Login required.

Nov 15, 2020 - Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p603.html

ADHD in Children: Common Questions and Answers - American Family Physician Restricted content. Login required.

Nov 15, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is a multidimensional chronic neurodevelopmental condition that affects 8.4% of U.S. children between two and 17 years of age and may pose long-term morbidity if untreated. The evaluation for ADHD begins when parents or caregivers present ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p592.html

Attention-Deficit/Hyperactivity Disorder - American Family Physician

Nov 15, 2020 - This collection features AFP content on attention-deficit/hyperactivity disorder (ADHD) and related issues, including the diagnosis, evaluation, and treatment of adults and children with ADHD. This collection features AFP content on attention-deficit/hyperactivity disorder (ADHD) and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=68

Oral Manifestations of Commonly Prescribed Drugs - American Family Physician Restricted content. Login required.

Nov 15, 2020 - Drugs are being prescribed with more frequency and in higher quantities. A serious adverse drug event from prescribed medications constitutes 2.4% to 16.2% of all hospital admissions. Many of the adverse drug events present intraorally or periorally in isolation or as a clinical symptom...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p613.html

Recurrent Facial Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 15, 2020 - A patient presented with a facial rash that was initially painless but developed a burning sensation.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1115/p625.html

Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics - ... Restricted content. Login required.

Nov 15, 2020 - The American Academy of Pediatrics has published updated guidelines for diagnosis and treatment of autism spectrum disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1115/p629.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: ...

Nov 15, 2020 - The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

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

https://www.aafp.org/afp/2020/1115/od1.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections - ... Restricted content. Login required.

Nov 15, 2020 - A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1115/p623.html

Oral Semaglutide (Rybelsus) for the Treatment of Type 2 Diabetes Mellitus - STEPS - ... Restricted content. Login required.

Nov 15, 2020 - Oral semaglutide (Rybelsus) is labeled as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1115/p627.html

Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ... Restricted content. Login required.

Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od2.html

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