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Structural MRI for the Early Diagnosis of Alzheimer Disease in Patients with MCI - ... Restricted content. Login required.

Mar 1, 2021 - There is insufficient evidence to recommend structural brain magnetic resonance imaging to diagnose Alzheimer disease in patients with mild cognitive impairment.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p273.html

How to Identify, Understand, and Unlearn Implicit Bias in Patient Care -- FPM

Aug 1, 2019 - Taking steps to recognize and correct unconscious assumptions toward groups can promote health equity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0700/p29.html

Rethinking Aspirin for the Primary Prevention of Cardiovascular Disease - Editorials - ...

Jun 1, 2019 - Aspirin's routine use for primary prevention has been the subject of controversy because of questionable benefits and increased bleeding risk. Aspirin therapy may reduce the relative risk of a first heart attack or stroke, but this benefit could be outweighed by the risk of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0601/p670.html

Helping Patients Cope with Grief - Curbside Consultation - American Family Physician

Jul 1, 2019 - The loss of a loved one, especially a spouse or a child, is perhaps one of the most difficult events a person will experience in a lifetime. The resulting grief can be overwhelming and incapacitating for a time. Family physicians can be sources of comfort to those who grieve the loss of...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0701/p54.html

Coding & Documentation - Mar-Apr 2021 -- FPM Restricted content. Login required.

Apr 1, 2021 - Alternative codes for chronic care management | Online digital E/M by non-physicians | Remote monitoring with CCM | Retinal imaging

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0300/p37.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

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

Enhancing Diabetes Self-Management Education and Support in Clinical Practice - ...

Mar 1, 2021 - Health systems and family physicians should mobilize to ensure that all people with type 2 diabetes have access to diabetes self-management education and support, including nutritional, physical, and emotional support.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0301/p265.html

Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder -... Restricted content. Login required.

Mar 1, 2021 - Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0301/p272.html

Lemborexant (Dayvigo) for the Treatment of Insomnia - STEPS - American Family Physician Restricted content. Login required.

Feb 15, 2021 - Lemborexant (Davigo) is labeled for adults with insomnia to improve with sleep onset and maintenance.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0215/p241.html

Coding & Documentation - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0700/p36.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

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Erosions and Vesicles in a Febrile Infant - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2021 - A five-month-old child with a history of dry skin presented with a spreading rash and fever.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0301/p305.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

ACIP Approves 2021 Adult and Child/ Adolescent Immunization Schedules - Practice ... Restricted content. Login required.

Feb 15, 2021 - The 2021 adult and child/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p250.html

Coding & Documentation - Jan-Feb 2021 -- FPM Restricted content. Login required.

Feb 1, 2021 - Providing E/M services and a preventive physical | Discussing data with an external physician | Warfarin monitoring | E/M over the phone

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0100/p35.html

Caring for the Physician Affected by Substance Use Disorder - Curbside Consultation - ... Restricted content. Login required.

Mar 1, 2021 - A 34-year-old physician, H.M., is an established patient in my practice. H.M. presents for a follow-up visit after finishing inpatient treatment for opioid use disorder.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0301/p302.html

Bone Mineral Density Testing: One and Done - POEMs - American Family Physician Restricted content. Login required.

Mar 1, 2021 - Rechecking bone mineral density (BMD) after three years does not add additional prognostic information. Serial BMD testing is not useful in estimating fracture risk and assessing the need for treatment because BMD does not change much within three years.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311.html

Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis - FPIN's ... Restricted content. Login required.

Mar 1, 2021 - Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0301/p307.html

Serum Lactate Testing to Predict Mortality in Patients with Sepsis - Diagnostic Tests: ... Restricted content. Login required.

Mar 1, 2021 - Management of patients with sepsis is challenging and mortality is high. Early diagnosis and prompt initiation of therapy are essential. Higher lactate levels correlate with increased risk of mortality, particularly with lactate levels greater than 4.0 mmol per L and in the setting of ...

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

https://www.aafp.org/afp/2021/0301/p309.html

Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services...

Feb 15, 2021 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for high blood pressure in children and adolescents.

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

https://www.aafp.org/afp/2021/0215/od1.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

Point-of-Care Ultrasound: A Practical Guide for Primary Care -- FPM Restricted content. Login required.

Dec 1, 2020 - Ultrasound has head-to-toe applications for primary care, and the newest machines are portable and affordable enough to fit into almost any practice.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p33.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

Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ... Restricted content. Login required.

Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0301/od1.html

Employment and Contract Considerations for Family Physicians in the Era of COVID-19 -- FPM Restricted content. Login required.

Feb 1, 2021 - Family physicians may encounter unfamiliar employment challenges in the short-term, but long-term job prospects remain promising.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p11.html

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.

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

https://www.aafp.org/afp/2020/0615/od1.html

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

A Method for Establishing Patient Rapport -- FPM Restricted content. Login required.

Apr 1, 2021 - It starts with being mindful - not only of what we say, but also of how it is being heard.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/0300/p42.html

Antidepressants for Older People, Point-of-Care Ultrasonograpy, BRCA Testing, ... Restricted content. Login required.

Mar 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/2021/0301/p270.html

Practice Pearls - Mar-Apr 2021 -- FPM Restricted content. Login required.

Apr 1, 2021 - Coordinate care of high-risk patients with regular team check-ins | Respond to positive and negative online reviews | This guide helps diabetic patients fast safely

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2021/0300/p38.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

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

HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive... Restricted content. Login required.

Mar 1, 2021 - HPV vaccination is associated with a significant reduction in the likelihood of invasive cervical cancer.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312.html

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical ... Restricted content. Login required.

Feb 15, 2021 - The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p252.html

Severely Pruritic, Whip-like Dermatitis - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 15, 2021 - A patient presented with fever, headache, cough, sore throat, and a widespread pruritic rash two days after ingestion of shiitake mushrooms.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0215/p243.html

Low-Dose Edoxaban Effective for Stroke Prevention in Older Patients with Atrial ... Restricted content. Login required.

Mar 1, 2021 - A lower dose of edoxaban is effective in decreasing stroke and systemic embolism in older patients with atrial fibrillation compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312a.html

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Children and Adults - ... Restricted content. Login required.

Feb 15, 2021 - Patients who received intravenous magnesium sulfate for acute asthma exacerbation in the emergency department had decreased hospital admissions and no serious adverse effects.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0215/p245.html

Gabapentinoids for Pain: Potential Unintended Consequences - Editorials - American ...

Dec 1, 2019 - The widespread and often indiscriminate prescribing of gabapentinoids is not supported by robust evidence, and it carries known and unknown risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1201/p672.html

Better Primary Care Continuity Is Associated with Lower Mortality Risk - POEMs - ... Restricted content. Login required.

Mar 1, 2021 - Most studies in this systematic review found a protective effect of greater primary care continuity and all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p311a.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

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

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

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

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

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

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.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

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

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI ...

May 15, 2019 - Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/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

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

Ten EHR Strategies for Efficient Documentation -- FPM Restricted content. Login required.

Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p5.html

Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ... Restricted content. Login required.

Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0701/p58.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

Breast Cancer Screening, Plantar Warts, IUD Insertion, Osteoporosis, Anal Fissures - ... Restricted content. Login required.

Feb 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/2021/0215/p207.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

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

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

Building Community Well-being Through Emotional Intelligence and Cognitive Reframing --... Restricted content. Login required.

Feb 1, 2021 - With communities facing so much unrest, here are two skills you can apply to help promote healing.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p23.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

Compression Reduces Recurrent Cellulitis in Patients with Chronic Leg Edema - POEMs - ... Restricted content. Login required.

Feb 15, 2021 - Adding compression to patient education reduces the likelihood of recurrent cellulitis in patients with chronic leg edema.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p247.html

Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ... Restricted content. Login required.

May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/0501/p557.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

"Quick, Grab the Naloxone": Overdose Preparedness for Ambulatory Clinics -- FPM Restricted content. Login required.

Feb 1, 2021 - With opioid overdoses rising, practices should consider stocking this safe rescue drug alongside other emergency devices and medications.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p17.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

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

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

Practice Pearls - Jan-Feb 2021 -- FPM Restricted content. Login required.

Feb 1, 2021 - Try this mental status exam for telehealth visits | Use personal stories to prepare patients for a COVID-19 vaccine | Send orders directly to patients' preferred labs or imaging centers

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2021/0100/p36.html

Diary of a Family Physician - Feb 15, 2021 - American Family Physician Restricted content. Login required.

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

Attention Deficit/Hyperactivity Disorder: Screening and Evaluation - FPIN's Help Desk ...

Jun 1, 2019 - The Conners Abbreviated Symptom Questionnaire has the best combination of positive and negative likelihood ratios.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0601/p712.html

Negative Colonoscopy Result Predicts No Colon Cancer for More Than 10 Years - POEMs - ... Restricted content. Login required.

Feb 15, 2021 - Following a high-quality colonoscopy (adequate bowel preparation, full visualization, and high rates of detection by the colonoscopist), patients at average risk with no neoplasm found on examination had the same rate of developing colorectal cancer or dying from it in the 10- to ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p247a.html

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone - POEMs -... Restricted content. Login required.

Feb 15, 2021 - For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p249.html

Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...

Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0415/p458.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

Equivalent Pain Relief with Different Doses of Ibuprofen - POEMs - American Family ... Restricted content. Login required.

May 15, 2020 - Higher doses of ibuprofen for acute pain relief offer no more benefit at 60 minutes than a single 400-mg dose. The same has been shown for chronic treatment of osteoarthritis. A higher, anti-inflammatory dose is not needed.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p631.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

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

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

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

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

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

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

Feb 1, 2021 - Today there is a renewed call to action for family medicine to both confront systemic racism and eliminate health disparities.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0100/p5.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

The Ultimate Balancing Act -- FPM Restricted content. Login required.

Feb 1, 2021 - Balancing a family and a career in medicine isn’t easy, but these tips can help.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2021/0100/p40.html

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

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

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

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...

Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...

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

https://www.aafp.org/afp/2020/0215/p233.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

What Can a Scribe Do for You? -- FPM Restricted content. Login required.

Dec 1, 2020 - Evidence suggests that documentation support provided by scribes can help relieve physician burnout and increase practice productivity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p17.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

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

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

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

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

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

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

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

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