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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

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

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

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

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

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

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

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 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

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

Thyroid Nodules - American Family Physician

Feb 1, 2003 - Palpable thyroid nodules occur in 4 to 7 percent of the population, but nodules found incidentally on ultrasonography suggest a prevalence of 19 to 67 percent. The majority of thyroid nodules are asymptomatic. Because about 5 percent of all palpable nodules are found to be malignant, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p559.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 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

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

Ultrasonography Is Best Initial Imaging for Suspected Kidney Stones - POEMs - American ...

Jan 15, 2015 - Initial point-of-care or radiology department ultrasonography is a safe and accurate approach to the patient with clinically suspected kidney stones, which helps reduce radiation exposure. Although computed tomography (CT) remains the most accurate test overall, a strategy beginning ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p132a.html

Improving Quality by Doing Less: Overdiagnosis - Editorials - American Family Physician

Feb 1, 2015 - The second in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overdiagnosis occurs when a disease is diagnosed and treated, even though that disease never would have harmed the patient if left untreated.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0201/p162.html

Acute Otitis Media: Part 1. Improving Diagnostic Accuracy - American Family Physician

Apr 1, 2000 - Acute otitis media is overdiagnosed. Symptoms are neither sensitive nor specific for the diagnosis of otitis media; fever and ear pain are present in only one half of patients. Undue reliance on one feature--redness of the tympanic membrane--and failure to assess tympanic membrane ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2051.html

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

Jan 15, 2015 - L.M. is a 37-year-old nonsmoking woman who is not taking any medications and has no significant past medical problems. Three of her female relatives have a history of breast cancer: her mother (diagnosed at 49 years of age, before menopause), her paternal grandmother (diagnosed at 72 ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0115/p119.html

Screening and Surveillance for Colorectal Cancer: Avoiding the Pitfalls of ...

Jan 15, 2015 - Although much has been written about the need to encourage colonoscopy in underscreened populations, overscreening for colorectal cancer is now recognized as a problem that can lead to harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0115/p82.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

Improving Quality by Doing Less: Overscreening - Editorials - American Family Physician

Jan 1, 2015 - This editorial is the first in a series of three that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overscreening often leads to overdiagnosis and overtreatment.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0101/p22.html

Getting Medicine Right: Overcoming the Problem of Overscreening, Overdiagnosis, and ...

Jan 1, 2015 - Introduction to AFP’s series of editorials on overscreening, overdiagnosis, and over-treatment, providing practical guidance on reducing unnecessary medical practices.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0101/p18.html

Screening for Glaucoma: Recommendation Statement - U.S. Preventive Services Task Force ...

Oct 15, 2014 - 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 open-angle glaucoma (POAG) in adults.

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

https://www.aafp.org/afp/2014/1015/od1.html

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

May 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis in women 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors.

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

https://www.aafp.org/afp/2011/0515/p1197.html

Accuracy of Fecal DNA and Fecal Immunochemical Test for Colorectal Cancer Detection - ...

Sep 1, 2014 - Fecal DNA testing is more sensitive but less specific than fecal immunochemical testing (FIT), and as a result, has a higher false-positive rate. It is also more expensive than other noninvasive alternatives such as FIT. We do not know which test will be better at reducing mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p326a.html

Self-Administered GBS Testing in Pregnant Women - FPIN's Clinical Inquiries - American ...

Nov 15, 2014 - There is no difference in the sensitivity of swabs for detecting GBS when collected by patients vs. physicians; therefore, either method can be used. Patients do not express a consistent preference for self-collection of samples vs. collection by a physician.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/1115/p729.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment With the...

Dec 15, 2014 - 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 peripheral artery disease (PAD) and cardiovascular disease (CVD) risk assessment with the ankle-brachial index (ABI) in adults.

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

https://www.aafp.org/afp/2014/1215/od1.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the...

Dec 15, 2014 - J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1215/p859.html

Dipstick Urinalysis for the Diagnosis of Acute UTI - FPIN's Clinical Inquiries - ...

May 15, 2013 - Approximately two-thirds of women who present with classic symptoms of acute UTI have bacterial infection of the bladder. Dipstick urinalysis moderately improves the accuracy of clinical symptoms in establishing or excluding acute UTI in women.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0515/od2.html

How Should We Manage Incidentalomas? - Editorials - American Family Physician

Dec 1, 2014 - The patient-centered medical home model advocates that diagnostic testing be performed based on shared decision making between the patient and physician. This goal can be challenging when findings are uncertain or incidental to the original reason for ordering the test. For this reason,...

American Family Physician : Editorials

https://www.aafp.org/afp/2014/1201/p758.html

Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism -...

Aug 1, 2007 - Guidelines on newborn screening and therapy for congenital hypothyroidism have been released by the American Academy of Pediatrics (AAP). Congenital hypothyroidism can cause mental retardation unless thyroid therapy is initiated within two weeks of birth.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p439.html

USPSTF Recommendations for Hepatitis B Screening - POEMs - American Family Physician

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends hepatitis B virus screening for human immunodeficiency virus–positive persons, users of illicit injection drugs, men who have sex with men, household contacts or sex partners of infected persons, and persons born in countries ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1201/p795.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

Screening for Lipid Disorders in Adults: Recommendation Statement - U.S. Preventive ...

Dec 1, 2009 - Screening men: The U.S. Preventive Services Task Force (USPSTF) strongly recommends screening men 35 years and older for lipid disorders.

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

https://www.aafp.org/afp/2009/1201/p1273.html

Screening for Glaucoma - Putting Prevention into Practice - American Family Physician

Oct 15, 2014 - A 55-year-old black woman presents to your office for a routine well-woman examination. Her medical history is significant for hypertension, which is well controlled with medication. She mentions that her mother was diagnosed with glaucoma a few years ago and is currently undergoing ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/1015/p569.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 Lung Cancer: Recommendation Statement - U.S. Preventive Services Task ...

Jul 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends annual screening for lung cancer with low-dose computed tomography (CT) in adults 55 to 80 years of age who have a 30 pack-year smoking history and currently smoke or quit within the past 15 years.

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

https://www.aafp.org/afp/2014/0715/od1.html

Screening for Chronic Kidney Disease: Recommendation Statement - U.S. Preventive ...

Feb 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.

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

https://www.aafp.org/afp/2014/0215/od1.html

The Newborn Examination: Part I. Emergencies and Common Abnormalities Involving the ...

Jan 1, 2002 - The routine newborn assessment should include an examination for size, macrocephaly or microcephaly, changes in skin color, signs of birth trauma, malformations, evidence of respiratory distress, level of arousal, posture, tone, presence of spontaneous movements, and symmetry of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0101/p61.html

Testicular Masses - American Family Physician

Feb 15, 1998 - Family physicians often must evaluate patients with testicular pain or masses. The incidental finding of a scrotal mass may also require evaluation. Patients may seek evaluation of a scrotal mass as an incidental finding. An accurate history combined with a complete examination of the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p685.html

Screening for Hepatitis C Virus Infection in Adults: Recommendation Statement - U.S. ...

Sep 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for hepatitis C virus (HCV) infection in persons at high risk of infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965.

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

https://www.aafp.org/afp/2014/0915/od1.html

DVT and Pulmonary Embolism: Part I. Diagnosis - American Family Physician

Jun 15, 2004 - The incidence of venous thromboembolic diseases is increasing as the U.S. population ages. At least one established risk factor is present in approximately 75 percent of patients who develop these diseases. Hospitalized patients and nursing home residents account for one half of all ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2829.html

Diagnosing Pericarditis - American Family Physician

Nov 1, 2002 - Pericarditis, or inflammation of the pericardium, is most often caused by viral infection. It can also develop as a result of bacterial or other infection, autoimmune disease, renal failure, injury to the mediastinal area, and the effects of certain drugs (notably hydralazine and ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1695.html

Screening for Hepatitis C Virus Infection in Adults - Putting Prevention into Practice ...

Sep 15, 2014 - T.S. is a 59-year-old white man born in 1955. He presents as a new patient to request a refill of his cholesterol medication. He has an unremarkable medical history. When you inquire about his social history, he reports that he has been married for 30 years, drinks a moderate amount of ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0915/p405.html

Immunochemical FOBTs Moderately Sensitive and Highly Specific for Colorectal Cancer - ...

Aug 15, 2014 - Immunochemical FOBTs, such as OC-Micro, OC-Sensor, or OC-Light, are moderately sensitive (73% to 89%) and highly specific (92% to 95%) for identifying colorectal cancer. In comparison, Hemoccult Sensa has a lower sensitivity (64% to 80%) and specificity (87% to 90%). Immunochemical ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0815/od4.html

Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations? No:...

Jul 15, 2014 - There is still considerable uncertainty about the true magnitude of benefit from annual lung cancer screening, as well as the financial and psychological costs; therefore, the scope of the recommendation should be limited to one of individualized, shared decision making.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0715/od3.html

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

Jul 15, 2014 - M.B., a woman with diabetes mellitus, presents to your office for an annual well visit. M.B. reports having smoked one and a half packs of cigarettes daily for 20 years. Her neighbor was recently diagnosed with lung cancer, and M.B. requests to be tested for lung cancer, too.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0715/p117.html

Breast Cyst Aspiration - American Family Physician

Nov 15, 2003 - The breast mass is a clinical problem commonly encountered by family physicians. Fine-needle and core biopsy techniques require training and cytopathologist support. In contrast, breast cyst aspiration using a 21- or 22-gauge needle is a simple, cost-effective, minimally invasive ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1983.html

Diagnosis of Stable Ischemic Heart Disease: Recommendations from the ACP - Practice ...

Oct 1, 2013 - The American College of Physicians (ACP), in collaboration with the American College of Cardiology Foundation, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, and Society of Thoracic Surgeons, has developed a guideline...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1001/p469.html

Should Family Physicians Routinely Screen for Lung Cancer in High-Risk Populations? ...

Jul 15, 2014 - When offered to the appropriate population in the appropriate context, CT-based lung cancer screening will reduce the number of deaths caused by this difficult disease.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0715/od2.html

One in Five Patients Overdiagnosed with Lung Cancer Screening - POEMs - American Family...

Jul 15, 2014 - In patients screened for lung cancer using low-dose computed tomography (LDCT), more than 18% of all lung cancers found are slow-growing and will not cause symptoms or harm during an average 6.4 years of follow-up. This risk of overdiagnosis should be part of the discussion regarding ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0715/p112.html

Efficient Identification of Adults with Depression and Dementia - American Family ...

Sep 15, 2004 - Family physicians must decide how to screen for depression or dementia and which patients to screen. Mental health questionnaires can be helpful. In practice-based screening, questionnaires are administered to all patients, regardless of risk status. In case-finding screening, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1101.html

Tremor - American Family Physician

Oct 15, 2003 - Tremor, a rhythmic, involuntary, oscillatory movement of body parts, is the most common movement disorder. Tremors are classified as rest or action tremors. Rest tremor occurs when the affected body part is completely supported against gravity. Action tremors are produced by voluntary ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1545.html

Hand and Wrist Injuries: Part II. Emergent Evaluation - American Family Physician

Apr 15, 2004 - Primary care physicians must be able to recognize wrist and hand injuries that require immediate attention. A complete history and physical examination, including assessment of distal limb function, are essential. Hemorrhage control is necessary in patients with vessel lacerations and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1949.html

Asthma Update: Part I. Diagnosis, Monitoring, and Prevention of Disease Progression - ...

Sep 1, 2004 - Despite increased scientific knowledge about asthma and improved therapeutic options, the disease continues to cause significant morbidity and mortality. The National Asthma Education and Prevention Program Expert Panel has updated its clinical guidelines on asthma medications, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p893.html

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...

Jun 15, 2014 - A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he goes out drinking every weekend with his friends.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0615/p971.html

AAP Releases Report on the Evaluation of Children When Sexual Abuse Is Suspected - ...

May 15, 2014 - Childhood sexual abuse is common and can lead to lifelong physical and psychological problems. The American Academy of Pediatrics (AAP) has released a report to assist physicians in evaluating children who may have been sexually abused, determining when to report the case, and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0515/p830.html

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...

Jun 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen adults 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse.

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

https://www.aafp.org/afp/2014/0615/od1.html

Evaluation and Differential Diagnosis of Dyspareunia - American Family Physician

Apr 15, 2001 - Dyspareunia is genital pain associated with sexual intercourse. Although this condition has historically been defined by psychologic theories, the current treatment approach favors an integrated pain model. Identification of the initiating and promulgating factors is essential to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0415/p1535.html

HPV Screening Every Five Years Equal to Pap Smear Every Three Years - POEMs - American ...

Jun 1, 2014 - A single HPV test provides the same degree of protection over five years as a Papanicolaou (Pap) smear does for three years. We may soon see a recommendation for HPV testing as a stand-alone screen, with cytology reserved for women who have an HPV-positive result. We may also be able to...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0601/p907a.html

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? Yes: ...

Jun 1, 2014 - Being able to anticipate and mitigate the potentially adverse outcomes of hospitalization in these patients should be reason enough to screen for cognitive impairment in the primary care setting.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p861.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

Should Family Physicians Routinely Screen Patients for Cognitive Impairment? No: ...

Jun 1, 2014 - Dementia screening should not be exempt from the requirement that it first be shown to improve outcomes before being implemented in practice.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2014/0601/p864.html

AUA Releases Guideline on Early Detection of Prostate Cancer - Practice Guidelines - ...

Jan 15, 2014 - In April 2013, the American Urological Association (AUA) released a guideline on early detection of prostate cancer, namely to reduce prostate cancer mortality.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0115/p137.html

No Increased Survival Benefit to Intensive Follow-Up After Colorectal Cancer Surgery - ...

May 1, 2014 - Compared with minimal follow-up after surgery for colorectal cancer, intensive follow-up with regular computed tomography (CT), carcinoembryonic antigen (CEA) testing, or both results in more patients undergoing repeat surgery but no reduction in overall mortality or disease-specific ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0501/p752.html

Screening for HIV: Recommendation Statement - U.S. Preventive Services Task Force - ...

Apr 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen for human immunodeficiency virus (HIV) infection in adolescents and adults 15 to 65 years of age. Younger adolescents and older adults who are at increased risk should also be screened.

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

https://www.aafp.org/afp/2014/0415/od1.html

Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...

Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0415/od2.html

AAFP Recommends Universal Screening for HIV Infection Beginning at 18 Years of Age - ...

Apr 15, 2014 - The AAFP recommends delaying the start of routine HIV screening until 18 years of age, and screening all patients 18 to 65 years of age. The AAFP notes that screening younger patients may still be beneficial based on high-risk behaviors.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0415/p614.html

Screening for HIV - Putting Prevention into Practice - American Family Physician

Apr 15, 2014 - A 19-year-old woman presents to the university health clinic for a well-woman examination. She reports no problems and mentions that she is sexually active with one male partner, who usually uses condoms. She has never been screened for a sexually transmitted infection.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0415/p665.html

Diagnosis of Eating Disorders in Primary Care - American Family Physician

Jan 15, 2003 - Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women. Eating disorders are associated with devastating medical and psychologic consequences, including death, osteoporosis, growth ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p297.html

ACP Publishes Recommendations on Upper Endoscopy for Gastroesophageal Reflux Disease - ...

Dec 15, 2013 - Data suggest that upper endoscopy in patients with symptoms of gastroesophageal reflux disease (GERD) is useful only in certain situations. To help physicians avoid the overuse of interventions that have little effect on health outcomes, the American College of Physicians (ACP) recently...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1215/p865.html

Evaluation of the Patient with Chronic Cough - American Family Physician

May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2159.html

Screening for Chronic Kidney Disease - Putting Prevention into Practice - American ...

Feb 15, 2014 - A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0215/p293.html

AHA Releases Recommendation on Ankle-Brachial Index Measurement and Interpretation - ...

Dec 15, 2013 - The ankle-brachial index (ABI) is the ratio of the systolic blood pressure at the ankle to the systolic blood pressure at the brachial artery. The American Heart Association (AHA) released a scientific statement on the measurement and interpretation of ABI, including standardization of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1215/p866.html

ACOG Releases Guidelines on Cervical Cancer Screening - Practice Guidelines - American ...

Dec 1, 2013 - The incidence of cervical cancer, as well as mortality rates from the disease, has decreased over the past 30 years because of widespread screening with cervical cytology. Screening technologies and risk-benefit considerations for different age groups continue to evolve. The American ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/1201/p776.html

Recognizing Spinal Cord Emergencies - American Family Physician

Aug 15, 2001 - Physicians who work in primary care settings and emergency departments frequently evaluate patients with neck and back pain. Spinal cord emergencies are uncommon, but injury must be recognized early so that the diagnosis can be quickly confirmed and treatment can be instituted to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p631.html

Screening Echocardiography Not Beneficial - POEMs - American Family Physician

Feb 1, 2014 - Population-based screening for heart disease or valve disease with echocardiography will identify cardiac pathology in patients but does not decrease mortality, myocardial infarction risk, or stroke risk.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0201/p224.html

Pediatric Vision Screening for the Family Physician - American Family Physician

Sep 1, 1998 - Advertisement << Previous article Next article >> Sep 1, 1998 Issue Pediatric Vision Screening for the Family Physician PETER BRODERICK, M.D., Stanislaus County Family Practice Residency, Modesto, California Am Fam Physician. 1998 Sep 1;58(3):691-700. See related patient information...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p691.html

The Impact of Personalized Risk Communication on Screening Decisions - Cochrane for ...

Feb 1, 2014 - Patients presented with personalized risk information are more likely to make informed decisions about screening than patients who are presented with generic risk information. Individualizing risk appears to improve the accuracy of patients' risk perception and decrease anxiety.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0201/p175.html

Screening for Coronary Heart Disease with Electrocardiography: Recommendation Statement...

Jan 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends against screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk of CHD events.

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

https://www.aafp.org/afp/2014/0115/od1.html

Screening for Coronary Heart Disease with Electrocardiography - Putting Prevention into...

Jan 15, 2014 - A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2014/0115/p79.html

Taking a Nutrition History: A Practical Approach for Family Physicians - American ...

Mar 15, 1999 - The association between nutrition and health has been clearly documented. Primary care physicians are expected to address nutrition and dietary behavior issues with their patients in the context of a brief clinical encounter. This article proposes the use of a short interview form, with...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1521.html

Health Care Screening for Men Who Have Sex with Men - American Family Physician

May 1, 2004 - Men who have sex with men often do not reveal their sexual practices or sexual orientation to their physician. Lack of disclosure from the patient, discomfort or inadequate training of the physician, perceived or real hostility from medical staff, and insufficient screening guidelines ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2149.html

ACS Releases Guideline on Screening for Lung Cancer with Low-Dose Computed Tomography -...

Jan 1, 2014 - In late 2010, results from the National Lung Screening Trial showed that lung cancer mortality was significantly reduced in high-risk adults who received annual screenings using low-dose computed tomography (CT). After these results were announced, the American Cancer Society (ACS) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0101/p56.html

A Simple Cough Algorithm for Children with Chronic Cough - POEMs - American Family ...

Nov 15, 2013 - In children with chronic cough, a simple approach of ruling out specific indicators of cause, followed by treating a wet cough with antibiotics, results in a significant decrease in the duration of cough. Some of the causes of chronic cough were reactive airway disease, bronchiectasis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1115/od1.html

Two Views on the New DSM-5: DSM-5: A Diagnostic Guide Relevant to Both Primary Care and...

Oct 15, 2013 - We are optimistic that by having welcomed an extensive review process and taken active steps to make DSM-5 more applicable to all of medicine, we have generated an approach that signifies a much improved future for the diagnosis and classification of mental disorders.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1015/od2.html

Repeat BMD Testing: Little, If Any, Value in Older Men and Women - POEMs - American ...

Dec 15, 2013 - This study found little, if any, additional benefit to repeat BMD screening at four years beyond baseline BMD testing in older men and women. A recent similar study (Gourlay ML, Fine JP, Preisser JS, et al. N Engl J Med. 2012;366(3):225–233) recommended a baseline examination at 65 ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1215/p864.html

Two Views on the DSM-5: The Need for Caution in Diagnosing and Treating Mental ...

Oct 15, 2013 - Primary care physicians should not blindly follow DSM-5's lead toward looser psychiatric diagnoses and should exercise much greater caution in the prescription of psychotropic drugs.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/1015/od1.html

Evaluation of Overuse Elbow Injuries - American Family Physician

Feb 1, 2000 - The evaluation of elbow pain can be challenging because of the complexity of the joint and its central location in the upper extremity. Diagnosing the injury correctly requires an understanding of the anatomy of the elbow, which includes three articulations, two ligament complexes, four...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p691.html

The Woman with Dysuria - American Family Physician

May 1, 1998 - Bacterial cystitis is the most common bacterial infection occurring in women. Thirty percent of women will experience at least one episode of cystitis during their lifetime. About one third of patients presenting with symptoms of cystitis have upper urinary tract infection. A careful ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2155.html

Routine Stress Testing After Negative Biomarker Testing Is Seldom Helpful - POEMs - ...

Nov 15, 2013 - Fewer than 1% of patients who undergo routine provocative cardiac testing after having two sets of negative serum troponin results following an episode of acute chest pain are identified as having potential benefit from revascularization (American Heart Association [AHA] class I or ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1115/od2.html

General Health Checks for Reducing Morbidity and Mortality - Cochrane for Clinicians - ...

Oct 1, 2013 - Although general health checks increase the number of new diagnoses, they do not decrease total, cardiovascular-related, or cancer-related morbidity or mortality. The studies in this Cochrane review have limited applicability to the current recommended practice of providing selective, ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/1001/p432.html

Screening for Developmental Dysplasia of the Hip - American Family Physician

Jul 1, 1999 - Screening programs relying primarily on physical examination techniques for the early detection and treatment of congenital hip abnormalities have not been as consistently successful as expected. Since the 1980s, increased attention has been given to ultrasound imaging of the hip in ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p177.html

Evaluation of Clumsiness in Children - American Family Physician

Oct 15, 2002 - Parents and physicians often dismiss seemingly minor motor difficulties in children. Approximately 6 percent of school-aged children have coordination problems serious enough to interfere with academic performance and social integration. These problems often arise during the early ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1435.html

The 2001 Bethesda System Terminology - American Family Physician

Nov 15, 2003 - The 2001 Bethesda System for reporting cervical or vaginal cytologic diagnoses is an incremental change in the uniform terminology introduced in 1988 and revised in 1991. The 2001 Bethesda System includes specific statements about specimen adequacy, general categorization, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1992.html

Diagnostic Evaluation of Erectile Dysfunction - American Family Physician

Jan 1, 2000 - Erectile dysfunction, the persistent inability to attain or maintain penile erection sufficient for sexual intercourse, affects millions of men to various degrees. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p95.html

Pulmonary Embolism Rule-Out Criteria: A Clinical Decision Rule That Works - AFP Journal...

Jul 15, 2013 - A number of clinical decision rules have been released recently. The PERC rule is an example of one that works well because it was derived from a large number of patients, and it was internally and externally validated.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2013/0715/p98.html

Fever in the Returned Traveler - American Family Physician

Oct 1, 2003 - With the rising popularity of international travel to exotic locations, family physicians are encountering more febrile patients who recently have visited tropical countries. In the majority of cases, the fever is caused by a common illness such as tracheobronchitis, pneumonia, or ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1343.html

New AHA Recommendations for Blood Pressure Measurement - Practice Guidelines - American...

Oct 1, 2005 - The American Heart Association (AHA) has published a new set of recommendations for the measurement of blood pressure to increase accuracy of clinic readings, and in recognition of major changes over the past 10 years (including the prohibition of mercury in many countries).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1001/p1391.html

A Primary Care Approach to the Patient with Claudication - American Family Physician

Feb 15, 2000 - Peripheral arterial occlusive disease occurs in about 18 percent of persons over 70 years of age. Usually, patients who have this disease present with intermittent claudication with pain in the calf, thigh or buttock that is elicited by exertion and relieved with a few minutes of rest. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1027.html

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