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Atrial Fibrillation - American Family Physician

Nov 1, 2020 - This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, antiplatelet therapy, arrhythmias, and palpitations. This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=33

Common Benign Chronic Vulvar Disorders - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p550.html

Eye Emergencies - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments are eye emergencies that can result in permanent vision loss if not treated urgently. Family physicians should be able to recognize the signs and symptoms of each condition and be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p539.html

Antibiotics for Acute Bronchitis - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1101/od2.html

Rebound Bilirubin Levels after Phototherapy in Neonates with Hyperbilirubinemia - ... Restricted content. Login required.

Nov 1, 2020 - Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours after ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1101/od1.html

Metformin to Prevent Diabetes in Patients at Increased Risk - Cochrane for Clinicians -... Restricted content. Login required.

Nov 1, 2020 - In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p531.html

Treatment of Depression in Children and Adolescents - Implementing AHRQ Effective ... Restricted content. Login required.

Nov 1, 2020 - What are the benefits and harms of nonpharmacologic and pharmacologic treatments for depressive disorders in children and adolescents?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/1101/p558.html

Palmar Rash in a Young Child - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2020 - A child presented with with a pruritic rash when on the palms when they were exposed to water.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1101/p565.html

Mechanical Methods of Induction of Labor - Cochrane for Clinicians - American Family ... Restricted content. Login required.

Nov 1, 2020 - Mechanical induction of labor with single or double balloon catheters is similar to induction with vaginal prostaglandin E2 in rates of vaginal delivery achieved within 24 hours, and it has a more favorable safety profile.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p530.html

Accidental Hypothermia: Guidelines from the Wilderness Medical Society - Practice ... Restricted content. Login required.

Nov 1, 2020 - The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1101/p571.html

How to Manage a Patient with Weight Regain - Curbside Consultation - American Family ... Restricted content. Login required.

Nov 1, 2020 - A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/1101/p567.html

KardiaMobile for ECG Monitoring and Arrhythmia Diagnosis - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2020 - KardiaMobile is a mobile single lead ECG device that is FDA approved for detection of atrial fibrillation, bradycardia, and tachycardia.

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

https://www.aafp.org/afp/2020/1101/p562.html

Evidence Against the Routine Use of MRI for Nonoperative Treatment of Chronic ...

Nov 1, 2020 - Physicians should consider the ramifications before ordering an MRI in the setting of chronic pain. An MRI that is not indicated can lead to a procedure that is not necessary as both patient and physician focus on the abnormal study finding. Most patients improve with conservative ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1101/p521.html

Frostbite, Antiplatelet Therapy, Stuttering, Asthma, Cardioversion - AFP Clinical ... Restricted content. Login required.

Nov 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/2020/1101/p525.html

Genitourinary Syndrome of Menopause: What You Should Know - American Family Physician

Nov 1, 2020 - << Previous article Next article >> Nov 1, 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/2020/1101/p550-s1.html

Outpatient Management of COVID-19: Rapid Evidence Review - American Family Physician

Oct 15, 2020 - Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. However, patients may have a wide range of symptoms representing a spectrum of mild to severe illness. Symptoms in children tend to be milder and may include fever, cough, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p478.html

Inguinal Hernias: Diagnosis and Management - American Family Physician Restricted content. Login required.

Oct 15, 2020 - Groin hernias are caused by a defect of the abdominal wall in the groin area and comprise inguinal and femoral hernias. Inguinal hernias are more common in men. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p487.html

Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments - American ... Restricted content. Login required.

Oct 15, 2020 - Chronic low back pain, neck pain, hip and knee osteoarthritis, and fibromyalgia are the most common types of chronic musculoskeletal pain. Because no individual therapy has consistent benefit, a multimodal treatment approach to chronic musculoskeletal pain is recommended. Many ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p465.html

Influenza - American Family Physician

Oct 15, 2020 - This collection features AFP content on influenza and related issues, including influenza vaccination and avian influenza. This collection features AFP content on influenza and related issues, including influenza vaccination and avian influenza.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=14

Acute Diverticulitis: Identifying Patients Unlikely to Have Complications - ... Restricted content. Login required.

Oct 15, 2020 - Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/1015/p495.html

Formal Training in POCUS Can Positively Impact Family Medicine Practices - Letters to ...

Oct 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/1015/p454.html

Terbinafine and Itraconazole Are Most Effective for Toenail Onychomycosis - POEMs - ... Restricted content. Login required.

Oct 15, 2020 - For toenail onychomycosis, continuous terbinafine (Lamisil), 250 mg, and continuous itraconazole (Sporanox), 200 mg, for 12 to 24 weeks are the preferred therapies.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od5.html

Trifarotene (Aklief) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Oct 15, 2020 - Trifarotene is a monotherapy option for acne affecting the face and trunk and offers an alternative to topical antibiotics or anti-inflammatory agents for the management of moderate inflammatory and noninflammatory acne.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1015/p499.html

Influenza Vaccination: Updated 2020-2021 Recommendations from ACIP - Practice ...

Oct 15, 2020 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has released its recommendations for routine influenza vaccination in the 2020–2021 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1015/p505.html

C-Reactive Protein Is the Most Useful Biomarker for Diagnosis of Outpatient CAP - POEMs... Restricted content. Login required.

Oct 15, 2020 - This review found that the best evidence supports C-reactive protein as the most useful and accurate biomarker for diagnosing CAP in adults presenting with lower respiratory tract symptoms.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od6.html

AFP 2020: Reflections, New Fellows, Updates, and AFP Statistics - Editorials - American...

Oct 15, 2020 - This editorial highlights the top 20 AFP articles of 2019, provides an update on AFP's statistics for print circulation and website visits, and thanks our peer reviewers.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1015/p457.html

Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, ... Restricted content. Login required.

Oct 15, 2020 - M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1015/p493.html

School-Based Asthma Management Programs - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Oct 15, 2020 - Comprehensive public school–based programs providing supervised administration of asthma medication and/or education for staff, children, and parents markedly decrease asthma-related ED visits for school-aged children.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/1015/od2.html

Pruritic Rash on the Hand of a Home Gardener - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 15, 2020 - A patient presented with a pruritic rash on the hand after working in the garden.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1015/p497.html

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

Oct 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/2020/1015/p460.html

Primary Care–Based Interventions to Prevent Illicit Drug Use: Recommendation Statement ...

Oct 15, 2020 - The U.S. Preventive Services Task Force concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care–based behavioral counseling interventions to prevent illicit drug use, including nonmedical use of prescription drugs, in children, ...

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

https://www.aafp.org/afp/2020/1015/od1.html

Cycled Hyperbaric Oxygen Improves the Healing of Diabetic Foot Ulcers - POEMs - ... Restricted content. Login required.

Oct 15, 2020 - Hyperbaric oxygen provided with a device that cycles oxygen from high pressure to low pressure increased the likelihood of complete healing of diabetic foot ulcers when combined with standard dressing and an offloading boot.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od3.html

Increased Daily Steps Associated with Reduced All-Cause Mortality - POEMs - American ... Restricted content. Login required.

Oct 15, 2020 - This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od4.html

Learning Disorders, Perinatal Depression, Infants with GERD, Kidney Injury, Amblyopia -... Restricted content. Login required.

Oct 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/2020/1015/p463.html

Inguinal (Groin) Hernias - American Family Physician

Oct 15, 2020 - << Previous article Next article >> Oct 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/2020/1015/p487-s1.html

Persistent Night Sweats: Diagnostic Evaluation - American Family Physician Restricted content. Login required.

Oct 1, 2020 - Night sweats are a nonspecific symptom that patients commonly experience but rarely discuss with their physicians without prompting. Although many life-threatening causes such as malignancies or infections have been described, most patients who report persistent night sweats in the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p427.html

Pregnancy Myths and Practical Tips - American Family Physician Restricted content. Login required.

Oct 1, 2020 - For many patients, pregnancy is a highly anticipated and exciting phase of life, but it can also be anxiety provoking. Family physicians can resolve some of this anxiety and promote maternal and fetal health by making specific recommendations at prenatal visits. A daily prenatal vitamin...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p420.html

Prevention of Unintentional Childhood Injury - American Family Physician Restricted content. Login required.

Oct 1, 2020 - Unintentional injury accounts for one-third of deaths in children and adolescents each year, primarily from motor vehicle crashes. Children younger than 13 years should be restrained in the back seat, and infants and toddlers should remain rear-facing until at least two years of age. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p411.html

Countdown to the E/M Coding Changes -- FPM Restricted content. Login required.

Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p29.html

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Coding & Documentation - Sep-Oct 2020 -- FPM Restricted content. Login required.

Oct 1, 2020 - Coding for COVID-19 when testing isn't available | Diagnosis codes for recovered patients| Coding symptoms that linger | Diagnosis codes for antibody testing| CPT codes for antigen testing

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0900/p41.html

Racism in Health Care: Creating a More Equitable Health Care Experience -- FPM

Oct 1, 2020 - Imagine how it would feel to walk into a doctor’s office and see that everyone else looks different from you.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0900/p3.html

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians ...

Oct 1, 2020 - We must use the lessons of the coronavirus disease 2019 (COVID-19) pandemic to better prepare for the next one and address the shortcomings in our health care system.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2020/1001/p389.html

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians ...

Oct 1, 2020 - Expansion of Medicare or private insurance would not address the deeper problems in our health care system.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2020/1001/p392.html

Patellofemoral Pain: Guidelines from the American Physical Therapy Association - ... Restricted content. Login required.

Oct 1, 2020 - The American Physical Therapy Association released guidelines for the diagnosis and management of patellofemoral pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1001/p442.html

Acute Appendicitis: Computed Tomography for Diagnosis in Adults - Cochrane for ... Restricted content. Login required.

Oct 1, 2020 - In a nonpregnant adult with clinical signs and symptoms of appendicitis, computed tomography has a sensitivity of 95% and specificity of 94%.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1001/p403.html

PID Treatment, Low Back Pain, Opioids, Plasma Injections, Sphygmomanometry - AFP ... Restricted content. Login required.

Oct 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/2020/1001/p398.html

Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma - ... Restricted content. Login required.

Oct 1, 2020 - Inhaled fluticasone (Flovent; 200 mcg per day) is associated with a greater linear growth velocity when compared with beclomethasone (400 mcg per day; an equivalent dose).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1001/p404.html

Enlarging Leg Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 1, 2020 - A patient presented with an enlarging, nonpainful, nonpruritic nodule just below the right knee where he sustained minor trauma twelve years earlier.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1001/p439.html

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ... Restricted content. Login required.

Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p20.html

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work ... Restricted content. Login required.

Oct 1, 2020 - These simple tools can help you respond effectively when you feel emotionally hijacked by difficult people or circumstances.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p9.html

Antibiotic Prophylaxis for Operative Vaginal Delivery - Medicine by the Numbers - ... Restricted content. Login required.

Oct 1, 2020 - Current guidelines from the World Health Organization do not recommend routine antibiotic prophylaxis for operative vaginal birth because of insufficient evidence of effectiveness.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1001/od2.html

Practice Pearls - Sep-Oct 2020 -- FPM Restricted content. Login required.

Oct 1, 2020 - Provide patient letters describing the diagnosis rather than the need for accommodation |Reduce pain of deltoid injection | Test your staff's phone etiquette by calling your own office |Prevent staff burnout due to COVID-19

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/0900/p43.html

How to Handle Misinformation in the Age of Dr. Google -- FPM Restricted content. Login required.

Oct 1, 2020 - Sometimes the medical information patients find on the internet is correct. But when it’s not, we need to practice a new skillset.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/0900/p48.html

Keys to High-Quality, Low-Cost Care: Empanelment, Attribution, and Risk Stratification ... Restricted content. Login required.

Oct 1, 2020 - Understand attribution and alignment methodologies in VBP arrangements to know which patients are assigned to you. Use empanelment and risk stratification to better understand where to expend a practice's care management and care coordination resources.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p37.html

Building an Outdoor Urgent Care Clinic During a Pandemic: One Clinic's Experience -- FPM Restricted content. Login required.

Oct 1, 2020 - When an infectious disease outbreak strikes, an outdoor clinic can reduce the risk of transmission and conserve personal protective equipment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p14.html

Maternal Immunization Task Force for Pregnant Women: A Call to Action -- FPM

Oct 1, 2020 - << Racism in Health Care: ... Previous article Emotional Intelligence ... Next article >> Sep-Oct 2020 Issue SUPPLEMENT Maternal Immunization Task Force for Pregnant Women: A Call to Action Download in PDF format Supplement sponsors: American Academy of Family Physicians; American...

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p5.html

Preventing Accidental Injuries in Children - American Family Physician

Oct 1, 2020 - << Previous article Next article >> Oct 1, 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/2020/1001/p411-s1.html

Management of Hypertriglyceridemia: Common Questions and Answers - American Family ... Restricted content. Login required.

Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p347.html

Anaphylaxis: Recognition and Management - American Family Physician Restricted content. Login required.

Sep 15, 2020 - Anaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. Most anaphylactic reactions occur outside the hospital setting. Urticaria, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p355.html

Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment - American ... Restricted content. Login required.

Sep 15, 2020 - Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p339.html

Opioid Epidemic - Key Resources - American Family Physician

Sep 15, 2020 - Advertisement AFP BY TOPIC Opioid Epidemic - Key Resources Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on the opioid epidemic and related issues, including chronic opioid therapy, chronic pain...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=106

Case Report: Handwashing-Induced Dermatitis During the COVID-19 Pandemic - Letters to ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of dermatitis during the COVID-19 pandemic.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p327.html

Chronic Kidney Disease: Evaluation and Treatment Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 15, 2020 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and treatment of chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0915/p378.html

Lefamulin (Xenleta) for the Treatment of Community-Acquired Bacterial Pneumonia - STEPS... Restricted content. Login required.

Sep 15, 2020 - Lefamulin may be considered for patients hospitalized with community-acquired bacterial pneumonia.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0915/p373.html

Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Sep 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/2020/0915/p335.html

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375a.html

Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome - POEMs - American ... Restricted content. Login required.

Sep 15, 2020 - This is the largest and best study to date of fecal microbiota transplant for irritable bowel syndrome —with impressive results.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p377.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults: Recommendation ...

Sep 15, 2020 - The USPSTF recommends screening for hepatitis C virus infection in adults aged 18 to 79 years.

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

https://www.aafp.org/afp/2020/0915/p363.html

Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease - ... Restricted content. Login required.

Sep 15, 2020 - Is it possible to determine which patients with acute abdominal pain are likely to have diverticulitis and therefore do not require imaging?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0915/p371.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults - Putting ... Restricted content. Login required.

Sep 15, 2020 - M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0915/p367.html

ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p376.html

Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica - ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of Dermatobia hominis after travel to Costa Rica.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p326.html

Case Report: Multisystem Inflammatory Syndrome in a Child Presenting with Rash and ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of multisystem inflammatory syndrome in a child presenting with rash and fever.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p325.html

Persistent Asymptomatic Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 15, 2020 - A soldier deployed to Afghanistan presented with an asymptomatic ulcerated lesion on the arm.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0915/p369.html

Similar Long-Term Morbidity and Mortality with Human Insulin and Analogue Insulin - ... Restricted content. Login required.

Sep 15, 2020 - This study found no difference in long-term patient-oriented outcomes between human and analogue insulins in adults with type 2 diabetes.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375.html

Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica - ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of Dermatobia hominis after travel to Costa Rica.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p326a.html

VTE, Antiplatelet Therapy, Treatment for Veterans, HIV Prophylaxis, Diabetes Mellitus ... Restricted content. Login required.

Sep 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/2020/0915/p332.html

Keratinocyte Carcinomas: Should We Screen for Them? - Editorials - American Family ...

Sep 15, 2020 - Keratinocyte carcinoma, which includes basal cell and cutaneous squamous cell carcinomas, is common, and the incidence is increasing.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0915/p330.html

Virtual Visits -- FPM Topic Collection

Sep 10, 2020 - Advertisement Topic Collection Virtual Visits Editors' Choice of Best Available Content Categories Virtual Visits Virtual Visits During COVID-19 Other Resources Last Update: 09/10/2020 Virtual Visits 08/01/2015 Should You Treat Patients Virtually?...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=116

Urinary Tract Infections/Dysuria - American Family Physician

Sep 1, 2020 - This collection features AFP content on urinary tract infections/dysuria and related issues, including asymptomatic bacteriuria, bladder infections, cystitis, painful bladder syndrome, pyelonephritis, urinalysis, and urine dipstick testing. This collection features AFP content on ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=30

Urinary Tract Infections in Young Children and Infants: Common Questions and Answers - ... Restricted content. Login required.

Sep 1, 2020 - Urinary tract infections (UTIs) are common in children and are associated with significant short- and long-term morbidity. They have a high recurrence rate and are associated with anatomic and functional abnormalities. The decision to test for UTI is based on risk factors and the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p278.html

Thyroid Nodules: Advances in Evaluation and Management - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Thyroid nodules can be detected by ultrasonography in up to 68% of the general population. They are typically benign and are often discovered incidentally. The primary goal of thyroid nodule evaluation is to determine whether it is malignant. After thyroid ultrasonography has been ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p298.html

Esophageal Motility Disorders - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Esophageal motility disorders can cause chest pain, heartburn, or dysphagia. They are diagnosed based on specific patterns seen on esophageal manometry, ranging from the complete absence of contractility in patients with achalasia to unusually forceful or disordered contractions in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p291.html

Pneumonia - American Family Physician

Sep 1, 2020 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

End-of-Life Care - American Family Physician

Sep 1, 2020 - This collection features AFP content on end-of-life care and related issues, including advance directives, hospice care, legal and ethical issues, nursing home care, palliative care, and terminal illness. This collection features AFP content on end-of-life care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=57

Dyspepsia - American Family Physician

Sep 1, 2020 - This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD. This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=8

Treatment of Subclinical Hypothyroidism: BMJ Rapid Recommendation - Practice Guidelines... Restricted content. Login required.

Sep 1, 2020 - Previous guidelines suggested that levothyroxine treatment may be appropriate with hypothyroid symptoms or a TSH level exceeding 10 mIU per L based on limited evidence. A recent large trial in older adults suggests that treatment shows no benefit in many areas and possible harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0901/p316.html

Misoprostol Dosing for First-Trimester Abortion - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Sep 1, 2020 - Vaginal, oral, and sublingual misoprostol in single doses of 600 to 800 mcg are equally effective for promoting completed abortion in patients with an incomplete first-trimester spontaneous abortion.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0901/od1.html

Cloudy Pleural Fluid on Thoracentesis - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2020 - A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0901/p307.html

Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0901/od2.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Health Equity in Preventive Services: The Role of Primary Care - Editorials - American ...

Sep 1, 2020 - Groups that are least likely to receive preventive screening or to have timely, high-quality follow-up include those with limited or no health insurance, limited education and literacy, and no regular source of care, as well as those who are subject to discrimination based on racial, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0901/p264.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic -... Restricted content. Login required.

Sep 1, 2020 - In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0901/p312.html

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

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

https://www.aafp.org/afp/2020/0901/p269.html

Otitis Media, COVID-19 and Hydroxychloroquine, Postoperative Pulmonary Risk, ... Restricted content. Login required.

Sep 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/2020/0901/p266.html

We’re Listening and Taking Action on Racism and Health Inequities - Letters to the ...

Sep 1, 2020 - Letter to the Editor from the AFP Editor about taking action on racism and health inequities.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0901/p261.html

UTIs in Children: What to Expect - American Family Physician

Sep 1, 2020 - << Previous article Next article >> Sep 1, 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/2020/0901/p278-s1.html

Care Management -- FPM Topic Collection

Aug 19, 2020 - Care management activities facilitate coordinated patient care across the health care system, leading to increased patient satisfaction, improved outcomes, and reduced costs through avoidance of unnecessary hospital and emergency department utilization. Care management activities ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=115

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