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Procalcitonin-Guided Antibiotic Therapy for Acute Respiratory Infections - FPIN's ...

Jul 1, 2016 - A procalcitonin-guided antibiotic therapy algorithm should be used to decrease antibiotic use in adults with acute respiratory infections. The use of a procalcitonin-guided therapy algorithm reduces antibiotic use by 3.47 days without increasing morbidity or mortality in adults with ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/0701/p53.html

Genetic Test Results That Identify Increased Risk Do Not Change Behavior - POEMs - ...

Jul 15, 2016 - Patients informed via genetic test results that they were at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabetes mellitus or hypertension were no more likely to change their diet or increase their physical activity. ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0715/p168.html

Updated Guideline on Diagnosis and Treatment of Intra-Abdominal Infections - Practice ...

Sep 15, 2010 - The Surgical Infection Society and Infectious Diseases Society of America recently updated recommendations for diagnosis and treatment of intra-abdominal infections. Intra-abdominal infections are the second most common cause of infectious mortality in intensive care units. Complicated ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0915/p694.html

What Women and Their Physicians Need to Know About the UKCTOCS Study and Ovarian Cancer...

Jun 1, 2016 - An overview of the recent results from the United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) and implications for clinical practice and public health.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0601/p903.html

Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to ...

Jan 15, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in pregnant women to prevent adverse maternal health and birth outcomes.

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

https://www.aafp.org/afp/2016/0115/p133.html

Screening for Autism Spectrum Disorder in Young Children: Recommendation Statement - ...

May 1, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for autism spectrum disorder (ASD) in young children for whom no concerns of ASD have been raised by their parents or a clinician.

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

https://www.aafp.org/afp/2016/0501/p774.html

Colorectal Cancer Screening Modalities: Variable Uptake, Variable Yield - POEMs - ...

Jun 15, 2016 - Based on the initial round of screening in this randomized trial, it appears that more patients complete fecal immunochemical testing than colonography or colonoscopy. Using the most conservative estimate, the yields of advanced adenomas and advanced neoplasms are similar.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0615/p1032a.html

Evidence Poses a Challenge to Imaging Standards in the Diagnosis of Pneumonia - Letters...

Feb 1, 2018 - Advertisement << Previous article Next article >> Feb 1, 2018 Issue Letters to the Editor Evidence Poses a Challenge to Imaging Standards in the Diagnosis of Pneumonia Am Fam Physician. 2018 Feb 1;97(3):158-159. Original Article: Community-Acquired Pneumonia in Adults: Diagnosis and...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0201/p158.html

Screening for Ovarian Cancer—More Hype Than Hope? - Editorials - American Family Physician

Jun 1, 2016 - In keeping with the principles of the Choosing Wisely campaign, physicians and patients would do well to avoid the pitfalls of overscreening and wait for results that promise more hope than hype.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0601/p906.html

Counseling Women About Breast Cancer Screening - Editorials - American Family Physician

Apr 15, 2016 - Practical strategies can help family physicians and women in their 40s make more informed decisions about breast cancer screening.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0415/p652.html

CDC Updates Interim Guidance on Caring for Women with Possible Exposure to Zika Virus -...

May 15, 2016 - Based on limited evidence on the persistence of Zika virus RNA in blood and semen, the Centers for Disease Control and Prevention (CDC) has updated its interim guidance on caring for reproductive-aged women who may have been exposed to the virus, including those who do not live in areas...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0515/p874.html

Low High-Sensitivity Troponin I Level Accurate in Identifying Patients at Low Risk of ...

Apr 15, 2016 - The high-sensitivity troponin I assay used in this study was fairly accurate in identifying patients with chest pain who are at low risk of cardiac events.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0415/p704a.html

Evaluation of Behavior Change in Patients with Developmental Disabilities - Curbside ...

Apr 15, 2016 - A mother brought her 19-year-old nonverbal, autistic son to our clinic. She requested medication for him to reduce the number of episodes that include loud vocalizations, thrashing, and head banging. These episodes usually occur in the car. At baseline, the man has difficulty with ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0415/p686.html

Gluten Is Not the Culprit in Many Patients’ Symptoms - POEMs - American Family Physician

May 1, 2016 - Gluten may not be the cause of gastrointestinal symptoms in many patients with nonceliac gluten sensitivity. Only one-third of patients on a gluten-free diet experienced symptoms and correctly identified when they were given gluten-containing flour. Almost one-half (49%) of patients ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0501/p788.html

Best Approaches to Physical Diagnosis of Acute Red Eye - POEMs - American Family Physician

Apr 1, 2016 - Eliciting photophobia via pupillary constriction and the presence of anisocoria (greater than 1 mm) in patients with an acute red eye are the best predictors of serious eye disease (e.g., uveitis, keratitis, corneal abrasion, scleritis) requiring prompt referral. Lack of morning eye ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0401/p594.html

Useful Signs and Symptoms of Severe Intracranial Injury After Minor Head Trauma - POEMs...

Apr 1, 2016 - Specific individual risk factors, clinical signs, and symptoms are useful in identifying adults with minor head trauma who are at risk of severe intracranial injury. The absence of all features of the Canadian CT Head Rule and New Orleans Criteria is also highly accurate for identifying...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0401/p594a.html

Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to ...

Jan 15, 2016 - A 28-year-old woman presents for a routine antepartum visit. She is 33 weeks pregnant and also has a four-year-old son. She has no particular problems, and the findings from your examination are unremarkable. She asks if her blood iron level should be tested.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0115/p137.html

Screening for Chlamydia and Gonorrhea: Recommendation Statement - U.S. Preventive ...

Apr 1, 2015 - The USPSTF recommends screening for chlamydia in sexually active women aged 24 years or younger and in older women who are at increased risk for infection.

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

https://www.aafp.org/afp/2015/0401/od1.html

Screening for Iron Deficiency Anemia in Young Children: Recommendation Statement - U.S....

Dec 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in children ages 6 to 24 months.

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

https://www.aafp.org/afp/2015/1215/od1.html

Radiographic Assessment of Osteoarthritis - American Family Physician

Jul 15, 2001 - Osteoarthritis is one of the most prevalent and disabling chronic conditions affecting older adults and a significant public health problem among adults of working age. As the bulk of the U.S. population ages, the prevalence of osteoarthritis is expected to rise. Although the incidence ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0715/p279.html

Detection and Evaluation of Chronic Kidney Disease - American Family Physician

Nov 1, 2005 - Chronic kidney disease affects approximately 19 million adult Americans, and its incidence is increasing rapidly. Diabetes and hypertension are the underlying causes in most cases of chronic kidney disease. Evidence suggests that progression to kidney failure can be delayed or prevented...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1723.html

Evaluation and Prevention of Diabetic Neuropathy - American Family Physician

Jun 1, 2005 - Diabetic neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2123.html

Evaluation of Poststreptococcal Illness - American Family Physician

May 15, 2005 - Group A beta-hemolytic streptococcal pharyngitis, scarlet fever, and rarely asymptomatic carrier states are associated with a number of poststreptococcal suppurative and nonsuppurative complications. As in streptococcal pharyngitis, acute rheumatic fever, pediatric autoimmune ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1949.html

Routine CT Scans for Occult Malignancy Not Useful in Patients with Unprovoked VTE - ...

Jan 1, 2016 - There is no advantage to adding CT of the abdomen and pelvis to a basic screening protocol for occult malignancy in patients with unprovoked VTE.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0101/p59a.html

Transient Ischemic Attacks: Part I. Diagnosis and Evaluation - American Family Physician

Apr 1, 2004 - Transient ischemic attack is no longer considered a benign event but, rather, a critical harbinger of impending stroke. Failure to quickly recognize and evaluate this warning sign could mean missing an opportunity to prevent permanent disability or death. The 90-day risk of stroke after...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1665.html

Screening for Iron Deficiency Anemia in Young Children - Putting Prevention into ...

Dec 15, 2015 - C.C., a 32-year-old white woman, presents to your office with her nine-month-old son for a routine well-child visit. She is preparing to switch him from breast milk to formula and had noted that most formulas contain iron. She wonders if her son should be screened for iron deficiency ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/1215/p1103.html

Diagnosis of Gastrointestinal Bleeding in Adults - American Family Physician

Apr 1, 2005 - The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding. Patients presenting with upper gastrointestinal or massive lower gastrointestinal bleeding, postural hypotension, or hemodynamic instability ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1339.html

Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...

Apr 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked.

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

https://www.aafp.org/afp/2015/0415/od1.html

The Evaluation of Common Breast Problems - American Family Physician

Apr 15, 2000 - The most common breast problems for which women consult a physician are breast pain, nipple discharge and a palpable mass. Most women with these complaints have benign breast disease. Breast pain alone is rarely a presenting symptom of cancer, and imaging studies should be reserved for ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2371.html

ACP Releases Best Practice Advice on Screening for Cervical Cancer - Practice ...

Dec 15, 2015 - Based on the best available evidence, the American College of Physicians (ACP) has released best practice advice on cervical cancer screening in average-risk, asymptomatic women 21 years or older. This advice is targeted to all clinicians, and refers to screening for cervical ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/1215/p1107.html

Should Family Physicians Routinely Screen Patients for Hepatitis C? No: One-time ...

Jan 1, 2016 - Given current scientific uncertainties, limited resources, and evolving guidelines, a reasonable middle ground would be to focus HCV testing and therapy on patients who are most likely to have long-term complications from the infection.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2016/0101/p17.html

Should Family Physicians Routinely Screen Patients for Hepatitis C? Yes: Screening ...

Jan 1, 2016 - For patients to receive appropriate care for their chronic infection and receive curative treatment, they must first know they are infected, and it all begins with screening.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2016/0101/p15.html

Screening for Thyroid Dysfunction - Putting Prevention into Practice - American Family ...

Oct 15, 2015 - A 40-year-old woman presents for a routine well-woman examination. She is not pregnant, is in good health, reports no symptoms, and her physical examination is unremarkable. After seeing a health news segment on television, she asks if she should have her thyroid function checked.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/1015/p717.html

Screening for Vitamin D Deficiency in Adults: Recommendation Statement - U.S. ...

May 1, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for vitamin D deficiency in asymptomatic adults.

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

https://www.aafp.org/afp/2015/0501/od2.html

Screening for Speech and Language Delay and Disorders in Children Five Years and ...

Nov 15, 2015 - A two-year-old girl presents to your office for a routine well-child visit. She has had one ear infection in the past year but is otherwise healthy. Her mother has no specific concerns about her speech and language development. There is no family history of congenital disorders or ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/1115/p923.html

Diagnosis of Systemic Lupus Erythematossus - American Family Physician

Dec 1, 2003 - Systemic lupus erythematosus is a multisystem inflammatory disease that is often difficult to diagnose. Before the diagnosis can be established, four of 11 clinical and laboratory criteria must be met. Antinuclear antibody titer is the primary laboratory test used to diagnose systemic ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2179.html

CCTA and Radionuclide Stress Testing Similar for Evaluation of Chest Pain - POEMs - ...

Dec 1, 2015 - For the evaluation of chest pain in intermediate-risk patients, CCTA is comparable with myocardial perfusion imaging in its ability to select patients for invasive management. Both modalities are also similar when it comes to downstream resource use and adverse cardiovascular events. ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1022.html

What to Do at Well-Child Visits: The AAFP’s Perspective - Editorials - American Family ...

Mar 15, 2015 - Well-child visits provide the best opportunities to deliver evidence-based preventive services. Family physicians have limited time at these visits and therefore should prioritize preventive services that have strong evidence of net benefit.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0315/p362.html

CT Coronary Angiography in Patients with Suspected CAD: No Short-Term Benefit, ...

Nov 15, 2015 - For patients with suspected stable CAD, adding CT coronary angiography had no short-term effect on patient symptoms or hospitalizations but increased the number of coronary angiograms. Additionally, more patients who had CT coronary angiography underwent preventive treatment and ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1115/p928.html

Diagnostic and Therapeutic Injection of the Hip and Knee - American Family Physician

May 15, 2003 - Joint injection of the hip and knee regions is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedure for the greater trochanteric bursa, the knee joint, the pes anserine bursa, the iliotibial band, and the prepatellar bursa is ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2147.html

Prostate Cancer Screening: The Pendulum Has Swung, and the Burden of Proof Is with ...

Oct 15, 2015 - Before primary care physicians consider reintroducing the PSA test, they must have proof that it improves outcomes. The task will be to show in a future randomized study whether any PSA screening algorithm can improve survival or quality of life compared with what is now the standard of...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/1015/p678.html

Evaluation of Newborns with Preauricular Skin Lesions - FPIN's Clinical Inquiries - ...

May 15, 2012 - All newborns should be screened for hearing loss, whether or not they have preauricular skin lesions. Newborns with these anomalies may be at increased risk of hearing impairment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0515/p993.html

ECG, Echocardiography, or MPI for Cardiac Screening: Guidance from the ACP - Practice ...

Sep 15, 2015 - In the United States, one in three deaths is from cardiovascular disease; coronary heart disease is the leading cause of death. This guideline from the American College of Physicians (ACP) provides recommendations on cardiac screening using these modalities.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0915/p531.html

Diagnosis of Lyme Disease - American Family Physician

Jul 15, 2005 - The use of serologic testing and its value in the diagnosis of Lyme disease remain confusing and controversial for physicians, especially concerning persons who are at low risk for the disease. The approach to diagnosing Lyme disease varies depending on the probability of disease (based...

American Family Physician : Article

https://www.aafp.org/afp/2005/0715/p297.html

Diagnostic Evaluation of Dyspnea - American Family Physician

Feb 15, 1998 - Dyspnea is a common symptom and, in most cases, can be effectively managed in the office by the family physician. The differential diagnosis is composed of four general categories: cardiac, pulmonary, mixed cardiac or pulmonary, and noncardiac or nonpulmonary. Most cases of dyspnea are ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p711.html

Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or ...

Aug 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children aged 5 years or younger.

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

https://www.aafp.org/afp/2015/0815/od1.html

Pharmacogenetic Testing—An Unfulfilled Promise - Editorials - American Family Physician

Oct 1, 2015 - Family physicians should not naively accept a new technology because it is the latest trend. We need to assess the clinical utility of potential applications of genetic information, adopting them when they improve patient-oriented outcomes and avoiding them when they simply add costs ...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/1001/p558.html

Physician Assessment of COPD Does Not Match Spirometry Results - POEMs - American ...

Oct 1, 2015 - Using immediate, in-office spirometry results as the reference standard, seasoned physicians accurately identified COPD severity in approximately one in three patients, underestimating severity in 41% of patients and overestimating severity in 29% of patients. This mismatch seems to be ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1001/p635a.html

Diagnosis of Stridor in Children - American Family Physician

Nov 15, 1999 - Stridor is a sign of upper airway obstruction. In children, laryngomalacia is the most common cause of chronic stridor, while croup is the most common cause of acute stridor. Generally, an inspiratory stridor suggests airway obstruction above the glottis while an expiratory stridor is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2289.html

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2015 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

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

https://www.aafp.org/afp/2015/0515/od1.html

Should Preparticipation Cardiovascular Screening of Athletes Include ECG? Yes: ...

Sep 1, 2015 - Cardiovascular screening with ECG is a valid, cost-effective, and worthwhile endeavor in the preparticipation sports evaluation.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0901/p338.html

Should Preparticipation Cardiovascular Screening of Athletes Include ECG? No: There Is ...

Sep 1, 2015 - Although there are many reasons to conduct preparticipation sports examinations, there is insufficient evidence to support cardiac screening with ECG.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0901/p343.html

Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ...

Jul 15, 2015 - Acute coronary syndrome (ACS), a term that encompasses a range of conditions, is caused when blood flow to the heart is suddenly reduced. The American College of Cardiology (ACC), with the American Heart Association (AHA), has provided recommendations for managing non–ST elevation ACS.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0715/p151.html

Spirituality and Medical Practice: Using the HOPE Questions as a Practical Tool for ...

Jan 1, 2001 - The relationship between spirituality and medicine has been the focus of considerable interest in recent years. Studies suggest that many patients believe spirituality plays an important role in their lives, that there is a positive correlation between a patient's spirituality or ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0101/p81.html

Diagnostic and Therapeutic Injection of the Ankle and Foot - American Family Physician

Oct 1, 2003 - Joint and soft tissue injection of the ankle and foot region is a useful diagnostic and therapeutic tool for the family physician. This article reviews the injection procedure for the plantar fascia, ankle joint, tarsal tunnel, interdigital space, and first metatarsophalangeal joint. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1356.html

Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults - ...

Aug 15, 2015 - P.N. is a 35-year-old man whose parents were born in southeast Asia. Although he was born in the United States, P.N. does not have any vaccination records from his childhood. During an office visit, he mentions that a relative was recently diagnosed with hepatitis B virus (HBV) ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0815/p301.html

Evaluation of Chronic Dyspnea - American Family Physician

Apr 15, 2005 - Chronic dyspnea is defined as dyspnea lasting more than one month. In approximately two thirds of patients presenting with dyspnea, the underlying cause is cardiopulmonary disease. Establishing an accurate diagnosis is essential because treatment differs depending on the underlying ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1529.html

Early Imaging for Low Back Pain in Older Adults Raises Costs Without Improving Quality ...

Aug 15, 2015 - Among adults 65 years or older who present to primary care clinicians for a new episode of back pain, early imaging (before six weeks) resulted in no improved outcomes at one year, but increased overall health care costs by almost 30%.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0815/p310.html

Common Hyperpigmentation Disorders in Adults: Part II. Melanoma, Seborrheic Keratoses, ...

Nov 15, 2003 - Nevi, or moles, are localized nevocytic tumors. The American Cancer Society's ABCD rules are useful for differentiating a benign nevus from malignant melanoma. While acanthosis nigricans may signal an underlying malignancy (e.g., gastrointestinal tumor), it more often is associated with...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1963.html

AAO-HNSF Releases Guideline on Managing Tinnitus - Practice Guidelines - American ...

Jul 1, 2015 - Tinnitus, the perception of sound without an external source, can be caused by a variety of conditions. Prevalence in the United States is approximately 10% to 15%. It can be categorized as primary (idiopathic and accompanied by or not by sensorineural hearing loss) and secondary ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0701/p65.html

Diagnostic and Therapeutic Injection of the Elbow Region - American Family Physician

Dec 1, 2002 - Joint injection of the elbow is a useful diagnostic and therapeutic tool for the family physician. In this article, the injection procedures for the elbow joint, medial and lateral epicondylitis, and olecranon bursitis are reviewed. Persistent pain related to inflammatory conditions ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2097.html

Two-Hour Algorithm to Rule In or Rule Out Acute MI - POEMs - American Family Physician

Aug 1, 2015 - A simple rule (see synopsis) using high-sensitivity cardiac troponin levels measured on presentation and two hours later is an effective way to identify patients with or without MI. This rule was developed in one group of patients and validated in a second group. At a prevalence of 9%, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0801/p228a.html

Diagnosis of Streptococcal Pharyngitis - Point-of-Care Guides - American Family Physician

Jun 15, 2014 - Sore throat was the chief symptom in 1.3% of all outpatient office visits in 2010, and is even more common in primary care practice. An Australian study found that among families with at least one child three to 12 years of age, the incidence of sore throat was 33 and 14 episodes per ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2014/0615/p976.html

Screening for Suicide Risk in Adolescents, Adults, and Older Adults in Primary Care: ...

Feb 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in adolescents, adults, and older adults in primary care.

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

https://www.aafp.org/afp/2015/0201/od2.html

Common Anorectal Conditions: Part II. Lesions - American Family Physician

Jul 1, 2001 - Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting. A high index of suspicion for cancer should be maintained and all patients should be questioned about relevant family history or other indications for ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0701/p77.html

Acute Bacterial Rhinosinusitis in Adults: Part I. Evaluation - American Family Physician

Nov 1, 2004 - Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory practice. Although often caused by viruses, it sometimes is caused by bacteria, a condition that is called acute bacterial rhinosinusitis. The signs and symptoms of acute bacterial ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1685.html

Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -...

Jul 15, 2015 - N.D. is a 72-year-old white man who presents for a preventive visit. He smokes, and his medical history is significant for essential hypertension, which is stable and well controlled with medication. N.D.'s close friend was recently diagnosed with dementia, and N.D. is concerned that he...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0715/p125.html

Screening for Carotid Artery Stenosis - Putting Prevention into Practice - American ...

May 15, 2015 - N.C. is a 65-year-old woman who presents for her yearly checkup. She walks one to two miles daily, is in generally good health, has no significant cardiovascular history, and has no health concerns at today's visit.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0515/p717.html

PSA Screening for Prostate Cancer - Medicine by the Numbers - American Family Physician

May 1, 2015 - Studies show no deaths were prevented and 1 in 5 underwent a prostate biopsy for a false-positive test. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/0501/od3.html

Diagnosis and Nonsurgical Treatment of DDH in Infants Up to Six Months of Age: ...

Jun 15, 2015 - The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance, based on limited and moderate evidence, on diagnosing and nonsurgical treatments for developmental dysplasia of the hip in infants up to six months of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0615/p882.html

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

Mar 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment.

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

https://www.aafp.org/afp/2015/0315/od2.html

Back-up Culture Not Needed for Negative Rapid Strep Test Results - POEMs - American ...

May 1, 2015 - Although rheumatic heart disease due to group A streptococcal infection has all but disappeared in wealthy countries, some countries still go to great lengths to test for streptococcal throat infections, including the United States. As a result, we spend more than $8 million per each ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0501/p643a.html

ACP Provides Guidance on Screening Pelvic Examination in Women - Practice Guidelines - ...

May 15, 2015 - This guideline from the American College of Physicians (ACP) provides evidence on the use of pelvic examination to screen for pathology in average-risk, non-pregnant women. This guideline concentrates on screening in women without symptoms; a pelvic examination with bimanual examination...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0515/p732.html

Initial Evaluation of the Patient with Suspected Dementia - American Family Physician

May 1, 2005 - Dementia is a common disorder among older persons, and projections indicate that the number of patients with dementia in the United States will continue to grow. Alzheimer's disease and vascular dementia account for the majority of cases of dementia. After a thorough history and ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0501/p1745.html

Evaluation and Management of Apparent Life-Threatening Events in Children - American ...

Jun 15, 2005 - Apparent life-threatening event syndrome predominantly affects children younger than one year. This syndrome is characterized by a frightening constellation of symptoms in which the child exhibits some combination of apnea, change in color, change in muscle tone, coughing, or gagging. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2301.html

Prealbumin: A Marker for Nutritional Evaluation - American Family Physician

Apr 15, 2002 - Determining the level of prealbumin, a hepatic protein, is a sensitive and cost-effective method of assessing the severity of illness resulting from malnutrition in patients who are critically ill or have a chronic disease. Prealbumin levels have been shown to correlate with patient ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1575.html

USPSTF Recommendations That Were New or Updated in 2014 - Editorials - American Family ...

May 15, 2015 - Recommendations from the USPSTF are intended to guide the clinical preventive services provided by primary care clinicians in the outpatient setting, or referable from that setting. We highlight the new and updated USPSTF recommendations from 2014.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0515/p686.html

Screening for Oral Cancer: Recommendation Statement - U.S. Preventive Services Task ...

Mar 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for oral cancer in asymptomatic adults.

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

https://www.aafp.org/afp/2015/0315/od1.html

Diagnosing the Patient with Abdominal Pain and Altered Bowel Habits: Is it Irritable ...

May 15, 2003 - Diagnosing a patient who presents with abdominal pain and altered bowel habits can be challenging. Although serious organic illnesses can cause these symptoms, irritable bowel syndrome is commonly responsible. It can be difficult to properly evaluate these patients without overusing ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2157.html

Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults: ...

Apr 15, 2015 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in persons at high risk for infection.

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

https://www.aafp.org/afp/2015/0415/od2.html

Screening for Abdominal Aortic Aneurysm - Putting Prevention into Practice - American ...

Apr 15, 2015 - C.S. is an older patient who presents to your office for an annual well visit. C.S. was advised by a relative, who is a physician, to be screened for an abdominal aortic aneurysm (AAA).

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0415/p563.html

Should Family Physicians Screen for Testosterone Deficiency in Men? Yes: Screening for ...

Feb 15, 2015 - With the possible exception of patients with cardiovascular disease, testosterone replacement therapy remains a potentially beneficial option in improving health-related quality of life in men.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p220.html

Pitfalls of Direct-to-Consumer Vascular Screening Tests - Editorials - American Family ...

Apr 15, 2015 - As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and significant.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0415/p518.html

No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes - POEMs -...

Apr 15, 2015 - Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0415/p566.html

Diagnosis of Heart Failure in Adults - American Family Physician

Dec 1, 2004 - Heart failure is a common, progressive, complex clinical syndrome with high morbidity and mortality. Coronary artery disease is its most common cause. The evaluation of symptomatic patients with suspected heart failure is directed at confirming the diagnosis, determining the cause, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2145.html

Screening for Primary Hypertension in Children and Adolescents: Recommendation ...

Feb 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for primary hypertension in asymptomatic children and adolescents to prevent subsequent cardiovascular disease in childhood or ...

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

https://www.aafp.org/afp/2015/0215/od1.html

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

Jan 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an ...

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

https://www.aafp.org/afp/2015/0115/od1.html

Evaluation of Constipation - American Family Physician

Jun 1, 2002 - Constipation is the reason for 2.5 million physician visits per year in the United States, with more than one half of these visits to primary care physicians. Patients and physicians frequently define constipation differently. To determine the underlying cause of constipation, it is ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2283.html

Essentials of the Diagnosis of Heart Failure - American Family Physician

Mar 1, 2000 - Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1319.html

Screening for Oral Cancer - Putting Prevention into Practice - American Family Physician

Mar 15, 2015 - A.C. is a 35-year-old man with a 15-year history of using chewing tobacco. He quit five years ago at his wife's urging. Although A.C. has no current symptoms, his wife asked him to make an appointment to get screened for oral cancer.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0315/p387.html

Lung Cancer Screening Is Cost-Effective, but Only If Done Correctly - POEMs - American ...

Mar 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) gave lung cancer screening a B recommendation on the basis of the reductions in disease-specific mortality and all-cause mortality seen in the National Lung Screening Trial (NLST). The NLST does not consider cost or cost-effectiveness in ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0301/p328.html

Screening for Hereditary Cancer Syndromes - Curbside Consultation - American Family ...

Jan 15, 2015 - Family physicians play a key role in identifying patients in need of increased cancer surveillance because of a personal or family history of cancer. How does one know if a patient warrants genetic testing for hereditary cancer predisposition?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0115/p125.html

Evaluation of Dysuria in Adults - American Family Physician

Apr 15, 2002 - Dysuria, defined as pain, burning, or discomfort on urination, is more common in women than in men. Although urinary tract infection is the most frequent cause of dysuria, empiric treatment with antibiotics is not always appropriate. Dysuria occurs more often in younger women, probably ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1589.html

Endometrial Biopsy - American Family Physician

Mar 15, 2001 - Endometrial biopsy is an office procedure that serves as a helpful tool in diagnosing various uterine abnormalities. The technique is fairly easy to learn and may be performed without assistance. The biopsy is obtained through the use of an endometrial suction catheter that is inserted ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1131.html

Electrocardiographic Manifestations and Differential Diagnosis of Acute Pericarditis - ...

Feb 15, 1998 - Acute pericarditis has many potential etiologies and typically presents as a sharp central chest pain that worsens with recumbency and is relieved by leaning forward. The pathognomonic physical finding of acute pericarditis is the pericardial friction rub, which is usually auscultated ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p699.html

Screening for Primary Hypertension in Children and Adolescents - Putting Prevention ...

Feb 15, 2015 - L.S. is a 14-year-old black adolescent who presents for a routine school physical examination. Her mother tells you that she and her husband have hypertension, and they worry about their daughter's blood pressure. She asks you whether L.S. should be periodically checked for high blood ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0215/p257.html

Diagnosis of Vaginitis - American Family Physician

Sep 1, 2000 - Vaginitis is the most common gynecologic diagnosis in the primary care setting. In approximately 90 percent of affected women, this condition occurs secondary to bacterial vaginosis, vulvovaginal candidiasis or trichomoniasis. Vaginitis develops when the vaginal flora has been altered ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1095.html

Should Family Physicians Screen for Testosterone Deficiency in Men? No: Screening May ...

Feb 15, 2015 - Testosterone testing leads to testosterone treatment, which is inappropriate for the vast majority of patients. Testosterone treatment should be reserved for patients who are truly hypogonadal.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p226.html

Early Diagnosis of Dementia - American Family Physician

Feb 15, 2001 - Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p703.html

Screening for Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

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

https://www.aafp.org/afp/2014/1201/od1.html

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