Diagnosis and Treatment of Plantar Fasciitis - American Family Physician
Sep 15, 2011 - Plantar fasciitis, a self-limiting condition, is a common cause of heel pain in adults. It affects more than 1 million persons per year, and two-thirds of patients with plantar fasciitis will seek care from their family physician. Plantar fasciitis affects sedentary and athletic ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0915/p676.html
Pet-Related Infections - American Family Physician
Nov 15, 2016 - Physicians and veterinarians have many opportunities to partner in promoting the well-being of people and their pets, especially by addressing zoonotic diseases that may be transmitted between a pet and a human family member. Common cutaneous pet-acquired zoonoses are dermatophytosis ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1115/p794.html
Cesarean Delivery: Counseling Issues and Complication Management - American Family ...
Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0201/p178.html
Signs and Symptoms of Childhood Cancer: A Guide for Early Recognition - American Family...
Aug 1, 2013 - Although cancer in children is rare, it is the second most common cause of childhood mortality in developed countries. It often presents with nonspecific symptoms similar to those of benign conditions, leading to delays in the diagnosis and initiation of appropriate treatment. Primary ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0801/p185.html
Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic ...
Aug 15, 2016 - Behavioral and psychological symptoms of dementia pose management challenges for caregivers and clinicians. Firstline nonpharmacologic treatments include eliminating physical and emotional stressors, modifying the patient’s environment, and establishing daily routines. Family members ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0815/p276.html
Corticosteroid Injections for Common Musculoskeletal Conditions - American Family ...
Oct 15, 2015 - Family physicians considering corticosteroid injections as part of a comprehensive treatment plan for musculoskeletal diagnoses will find few high-quality studies to assist with evidence-based decision making. Most studies of corticosteroid injections for the treatment of ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1015/p694.html
Top 20 Research Studies of 2016 for Primary Care Physicians - American Family Physician
May 1, 2017 - This article summarizes the top 20 original research studies and four practice guidelines of 2016, based on regular literature surveillance and as selected by members of the Canadian Medical Association. The studies, known as POEMs (patient-oriented evidence that matters), were rated ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0501/p572.html
Zika Virus: Common Questions and Answers - American Family Physician
Apr 15, 2017 - Since local mosquito-borne transmission of Zika virus was first reported in Brazil in early 2015, the virus has spread rapidly, with active transmission reported in at least 61 countries and territories worldwide, including the United States. Zika virus infection during pregnancy is a ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0415/p507.html
Pharyngitis (Sore Throat) - American Family Physician
Jul 29, 2019 - Advertisement AFP BY TOPIC Pharyngitis (Sore Throat) Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on pharyngitis, sore throat, and strep throat. New research may affect the interpretation and...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=110
Beers Criteria for Inappropriate Medication Use in Older Patients: An Update from the ...
Jan 1, 2020 - The 2019 American Geriatrics Society update of the Beers Criteria uses the five criteria outlined in 2015; these include medications that should typically be avoided in most older patients, medications that should be avoided in older patients with certain conditions, medications that ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2020/0101/p56.html
Common Questions About the Diagnosis and Management of Benign Prostatic Hyperplasia - ...
Dec 1, 2014 - Benign prostatic hyperplasia (BPH) is a common condition that increases in prevalence with age. A history should include onset, duration, and severity of lower urinary tract symptoms and medication use to rule out other causes of symptoms. Physical examination includes a digital rectal ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1201/p769.html
Cat-scratch Disease - American Family Physician
Jan 15, 2011 - Cat-scratch disease is a common infection that usually presents as tender lymphadenopathy. It should be included in the differential diagnosis of fever of unknown origin and any lymphadenopathy syndrome. Asymptomatic, bactere- mic cats with Bartonella henselae in their saliva serve as ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0115/p152.html
Drug Treatments for Polycystic Ovary Syndrome - American Family Physician
Apr 15, 2009 - Polycystic ovary syndrome is a condition present in approximately 5 to 10 percent of women of childbearing age. Diagnosis can be difficult because the signs and symptoms can be subtle and varied. These may include hirsutism, infertility, menstrual irregularities, and biochemical ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0415/p671.html
Update on Prenatal Care - American Family Physician
Feb 1, 2014 - Many elements of routine prenatal care are based on tradition and lack a firm evidence base; however, some elements are supported by more rigorous studies. Correct dating of the pregnancy is critical to prevent unnecessary inductions and to allow for accurate treatment of preterm labor....
American Family Physician : Article
https://www.aafp.org/afp/2014/0201/p199.html
Management of Spontaneous Vaginal Delivery - American Family Physician
Aug 1, 2015 - Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. In the first stage of labor, normal birth outcomes can be improved by encouraging the patient to walk and stay in upright positions, waiting until at least 6 cm dilation to ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0801/p202.html
Common Questions About Pressure Ulcers - American Family Physician
Nov 15, 2015 - Patients with limited mobility due to physical or cognitive impairment are at risk of pressure ulcers. Primary care physicians should examine at-risk patients because pressure ulcers are often missed in inpatient, outpatient, and long-term care settings. High-risk patients should use ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1115/p888.html
Management of COPD Exacerbations - American Family Physician
Mar 1, 2010 - Exacerbations of chronic obstructive pulmonary disease contribute to the high mortality rate associated with the disease. Randomized controlled trials have demonstrated the effectiveness of multiple interventions. The first step in outpatient management should be to increase the dosage ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0301/p607.html
Management of Mastitis in Breastfeeding Women - American Family Physician
Sep 15, 2008 - Mastitis occurs in approximately 10 percent of U.S. mothers who are breastfeeding, and it can lead to the cessation of breastfeeding. The risk of mastitis can be reduced by frequent, complete emptying of the breast and by optimizing breastfeeding technique. Sore nipples can precipitate ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0915/p727.html
Treatment of Stable Chronic Obstructive Pulmonary Disease: the GOLD Guidelines - ...
Nov 15, 2013 - Chronic obstructive pulmonary disease (COPD) is a common problem in primary care. COPD is diagnosed with spirometry only in clinically stable patients with a postbronchodilator forced expiratory volume in one second/forced vital capacity ratio of less than 0.70. All patients with COPD ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1115/p655.html
The Pretravel Consultation - American Family Physician
Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...
American Family Physician : Article
https://www.aafp.org/afp/2016/1015/p620.html
Preventing Gaps When Switching Contraceptives - American Family Physician
Mar 1, 2011 - Unintended pregnancy can occur when women stop one birth control method before starting another. To prevent gaps in contraception, physicians should ask women regularly about adverse effects, cost, difficulty remembering the next dose, and other issues that affect adherence. Women who ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0301/p567.html
Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician
Sep 1, 2013 - Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p306.html
Celiac Disease: Diagnosis and Management - American Family Physician
Jan 15, 2014 - Celiac disease is an autoimmune disorder of the gastrointestinal tract. It is triggered by exposure to dietary gluten in genetically susceptible individuals. Gluten is a storage protein in wheat, rye, and barley, which are staples in many American diets. Celiac disease is characterized ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0115/p99.html
Essentials of Skin Laceration Repair - American Family Physician
Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...
American Family Physician : Article
https://www.aafp.org/afp/2008/1015/p945.html
Treatment of Adult Obesity with Bariatric Surgery - American Family Physician
Jan 1, 2016 - In 2013, approximately 179,000 bariatric surgery procedures were performed in the United States, including the laparoscopic sleeve gastrectomy (42.1%), Roux-en-Y gastric bypass (34.2%), and laparoscopic adjustable gastric banding (14.0%). Choice of procedure depends on the medical ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0101/p31.html
Thyroid Nodules - American Family Physician
Aug 1, 2013 - Thyroid nodules are a common finding in the general population. They may present with symptoms of pressure in the neck or may be discovered during physical examination. Although the risk of cancer is small, it is the main reason for workup of these lesions. Measurement of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0801/p193.html
A Systematic Approach to the Evaluation of a Limping Child - American Family Physician
Nov 15, 2015 - A limp is defined as a deviation from a normal age-appropriate gait pattern resulting in an uneven, jerky, or laborious gait. It can be caused by pain, weakness, or deformity as a result of a variety of conditions. Transient synovitis is the most common diagnosis. Other causes of acute ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1115/p908.html
Dyspareunia in Women - American Family Physician
Oct 1, 2014 - Dyspareunia is recurrent or persistent pain with sexual activity that causes marked distress or interpersonal conflict. It affects approximately 10% to 20% of U.S. women. Dyspareunia can have a significant impact on a woman’s mental and physical health, body image, relationships with ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1001/p465.html
Weighing the Risks and Benefits of Chronic Opioid Therapy - American Family Physician
Jun 15, 2016 - Evidence supports the use of opioids for treating acute pain. However, the evidence is limited for the use of chronic opioid therapy for chronic pain. Furthermore, the risks of chronic therapy are significant and may outweigh any potential benefits. When considering chronic opioid ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0615/p982.html
Emerging Vector-Borne Diseases - American Family Physician
Oct 1, 2016 - Several mosquito-borne viral infections have recently emerged in North America; West Nile virus is the most common in the United States. Although West Nile virus generally causes a self-limited, flulike febrile illness, a serious neuroinvasive form may occur. Dengue is the most common ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1001/p551.html
Noninfectious Penile Lesions - American Family Physician
Jan 15, 2010 - Family physicians commonly diagnose and manage penile cutaneous lesions. Noninfectious lesions may be classified as inflammatory and papulosquamous (e.g., psoriasis, lichen sclerosus, angiokeratomas, lichen nitidus, lichen planus), or as neoplastic (e.g., carcinoma in situ, invasive ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0115/p167.html
Health Literacy in Primary Care Practice - American Family Physician
Jul 15, 2015 - Health literacy includes a set of skills needed to make appropriate health decisions and successfully navigate the health care system. These skills include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. National data indicate that more ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0715/p118.html
Prostate Cancer Screening - American Family Physician
Oct 15, 2015 - Among American men, prostate cancer is the most commonly diagnosed cancer and the second leading cause of cancer-related death. Although prostate-specific antigen (PSA) testing has been used to screen for prostate cancer for more than 25 years, the test has low sensitivity and ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1015/p683.html
Cholesterol Management: ACC/AHA Updates Guideline - Practice Guidelines - American ...
May 1, 2019 - The American College of Cardiology/American Heart Association (ACC/AHA) task force on clinical practice guidelines has updated its 2013 cholesterol guideline.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0501/p589.html
Common Questions About Cognitive Behavior Therapy for Psychiatric Disorders - American ...
Nov 1, 2015 - Cognitive behavior therapy (CBT) is a time-limited, goal-oriented psychotherapy that has been extensively researched and has benefits in a number of psychiatric disorders, including anxiety, depression, posttraumatic stress disorder, attention-deficit/hyperactivity disorder, autism, ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1101/p807.html
Provision of Contraception: Key Recommendations from the CDC - American Family Physician
May 1, 2015 - The Centers for Disease Control and Prevention has released comprehensive recommendations for provision of family planning services. Contraceptive services may be addressed in five steps, and counseling may be provided in a tiered approach, whereby the most effective options are ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0501/p625.html
Guillain-Barre Syndrome - American Family Physician
Feb 1, 2013 - Guillain-Barré syndrome consists of a group of neuropathic conditions characterized by progressive weakness and diminished or absent myotatic reflexes. The estimated annual incidence in the United States is 1.65 to 1.79 per 100,000 persons. Guillain-Barré syndrome is believed to result ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0201/p191.html
Urinalysis: Case Presentations for the Primary Care Physician - American Family Physician
Oct 15, 2014 - Urinalysis is useful in diagnosing systemic and genitourinary conditions. In patients with suspected microscopic hematuria, urine dipstick testing may suggest the presence of blood, but results should be confirmed with a microscopic examination. In the absence of obvious causes, the ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1015/p542.html
Diagnosis and Treatment of Acute Bronchitis - American Family Physician
Dec 1, 2010 - Cough is the most common symptom bringing patients to the primary care physician’s office, and acute bronchitis is usually the diagnosis in these patients. Acute bronchitis should be differentiated from other common diagnoses, such as pneumonia and asthma, because these conditions may ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1345.html
Evaluation of Fever in Infants and Young Children - American Family Physician
Feb 15, 2013 - Febrile illness in children younger than 36 months is common and has potentially serious consequences. With the widespread use of immunizations against Streptococcus pneumoniae and Haemophilus influenzae type b, the epidemiology of bacterial infections causing fever has changed. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0215/p254.html
Common Questions About the Initial Management of Hypertension - American Family Physician
Feb 1, 2015 - Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0201/p172.html
Treatment of Childhood and Adolescent Depression - American Family Physician
Sep 1, 2012 - Major depressive disorder in children and adolescents is a common condition that affects physical, emotional, and social development. Risk factors include a family history of depression, parental conflict, poor peer relationships, deficits in coping skills, and negative thinking. ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0901/p442.html
Options for Women with Unintended Pregnancy - American Family Physician
Apr 15, 2015 - Unintended pregnancy refers to unwanted, unplanned, or mistimed pregnancies. One-half of all pregnancies in the United States are unintended, and family physicians are often asked to provide counseling, support, and resources for women with unintended pregnancies. Options include ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0415/p544.html
The Physician's Role in Managing Acute Stress Disorder - American Family Physician
Oct 1, 2012 - Acute stress disorder is a psychiatric diagnosis that may occur in patients within four weeks of a traumatic event. Features include anxiety, intense fear or helplessness, dissociative symptoms, reexperiencing the event, and avoidance behaviors. Persons with this disorder are at ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1001/p643.html
Complementary/Integrative Therapies That Work: A Review of the Evidence - American ...
Sep 1, 2016 - Significant evidence supports the effectiveness and safety of several complementary or integrative treatment approaches to common primary care problems. Acupuncture is effective in the management of chronic low back pain. Mind-body interventions such as cognitive behavior therapy, yoga,...
American Family Physician : Article
https://www.aafp.org/afp/2016/0901/p369.html
Outpatient Burns: Prevention and Care - American Family Physician
Jan 1, 2012 - Most burn injuries can be managed on an outpatient basis by primary care physicians. Prevention efforts can significantly lower the incidence of burns, especially in children. Burns should be managed in the same manner as any other trauma, including a primary and secondary survey. ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0101/p25.html
Diagnosis and Management of Hepatitis C - American Family Physician
Jun 15, 2015 - Hepatitis C virus (HCV) infection, a major cause of chronic liver disease and cirrhosis, is predominantly transmitted by exposure to blood or body fluids. The infection progresses to a chronic state in 80% of patients, whereas the virus clears completely after the acute infection in 20%...
American Family Physician : Article
https://www.aafp.org/afp/2015/0615/p835.html
Pharmacologic Management of Pain at the End of Life - American Family Physician
Jul 1, 2014 - Although many patients experience debilitating pain at the end of life, there are many options to improve analgesia and quality of life. Pain assessment using a validated tool, with attention to patient function and specific goals, helps tailor individual treatment plans. The World ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0701/p26.html
Common Questions About the Evaluation of Acute Pelvic Pain - American Family Physician
Jan 1, 2016 - Acute pelvic pain is defined as lower abdominal or pelvic pain of less than three months’ duration. It is a common presentation in primary care. Evaluation can be challenging because of a broad differential diagnosis and because many associated signs and symptoms are nonspecific. The ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0101/p41.html
Chronic Daily Headache: Diagnosis and Management - American Family Physician
Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0415/p642.html
Diagnosis of Urinary Incontinence - American Family Physician
Apr 15, 2013 - Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician’s office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p543.html
Treatment of the Common Cold in Children and Adults - American Family Physician
Jul 15, 2012 - The common cold, or upper respiratory tract infection, is one of the leading reasons for physician visits. Generally caused by viruses, the common cold is treated symptomatically. Antibiotics are not effective in children or adults. In children, there is a potential for harm and no ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0715/p153.html
Oral Manifestations of Systemic Disease - American Family Physician
Dec 1, 2010 - Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1201/p1381.html
The Spiritual Assessment - American Family Physician
Sep 15, 2012 - More than 80 percent of Americans perceive religion as important. Issues of belief can affect the health care encounter, and patients may wish to discuss spirituality with their physician. Many physicians report barriers to broaching the subject of spirituality, including lack of time ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0915/p546.html
Childhood Eye Examination - American Family Physician
Aug 15, 2013 - Vision screening in children is an ongoing process, with components that should occur at each well-child visit. The purpose is to detect risk factors and visual abnormalities that necessitate treatment and to identify those patients who require referral to an ophthalmologist skilled in ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0815/p241.html
Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign - ...
Oct 1, 2016 - The authors applied a novel method to identify recent clinical studies that showed results consistent with the principles of the Choosing Wisely campaign. The method, based on crowdsourcing studies known as POEMs (patientoriented evidence that matters), involved analyzing POEM ratings ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1001/p566.html
Cancer Screening in Older Patients - American Family Physician
Apr 15, 2016 - Although cancer is the second leading cause of death among persons 65 years and older, there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the heterogeneous nature of the older population, cancer screening in these ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0415/p659.html
Common Questions About the Diagnosis and Management of Fibromyalgia - American Family ...
Apr 1, 2015 - Fibromyalgia has a distinct pathophysiology involving central amplification of peripheral sensory signals. Core symptoms are chronic widespread pain, fatigue, and sleep disturbance. Most patients with fibromyalgia have muscle pain and tenderness, forgetfulness or problems concentrating,...
American Family Physician : Article
https://www.aafp.org/afp/2015/0401/p472.html
High Blood Pressure: ACC/AHA Releases Updated Guideline - Practice Guidelines - ...
Mar 15, 2018 - The American College of Cardiology (ACC) and American Heart Association (AHA) recently updated their guideline on the prevention, detection, evaluation, and treatment of high BP in adults. The ACC/AHA recommendations were based on a systematic review that addressed four questions ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2018/0315/p413.html
Perioperative Antiplatelet Therapy - American Family Physician
Dec 15, 2010 - Aspirin is recommended as a lifelong therapy that should never be interrupted for patients with cardiovascular disease. Clopidogrel therapy is mandatory for six weeks after placement of bare-metal stents, three to six months after myocardial infarction, and at least 12 months after ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1215/p1484.html
Working With Insurers -- FPM Topic Collection
Sep 1, 2016 - This article collection features popular FPM content on the subject of working productively with health plans -- from avoiding health plan denials to evaluating whether individual health plan contracts should be renegotiated or terminated. This article collection features popular FPM ...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=54
Bell's Palsy: Diagnosis and Management - American Family Physician
Oct 1, 2007 - Bell's palsy is a peripheral palsy of the facial nerve that results in muscle weakness on one side of the face. Affected patients develop unilateral facial paralysis over one to three days with forehead involvement and no other neurologic abnormalities. Symptoms typically peak in the ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1001/p997.html
Peripheral Nerve Entrapment and Injury in the Upper Extremity - American Family Physician
Jan 15, 2010 - Peripheral nerve injury of the upper extremity commonly occurs in patients who participate in recreational (e.g., sports) and occupational activities. Nerve injury should be considered when a patient experiences pain, weakness, or paresthesias in the absence of a known bone, soft ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0115/p147.html
Hirsutism in Women - American Family Physician
Feb 15, 2012 - Hirsutism is excess terminal hair that commonly appears in a male pattern in women. Although hirsutism is generally associated with hyperandrogenemia, one-half of women with mild symptoms have normal androgen levels. The most common cause of hirsutism is polycystic ovary syndrome, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0215/p373.html
The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse ...
Aug 1, 2007 - Cytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0801/p391.html
Hospital/Inpatient Care -- FPM Topic Collection
Jun 24, 2019 - Advertisement Topic Collection Hospital/Inpatient Care Editors' Choice of Best Available Content How can you provide efficient care to your hospitalized patients? This article collection features popular FPM content on this topic and more. Categories Clinical Issues...
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=103
Diagnosis and Management of IBS in Adults - American Family Physician
Sep 1, 2012 - Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0901/p419.html
Getting Paid -- FPM Topic Collection
Jul 13, 2016 - Getting paid in a fair and timely manner can be a challenge in today's practice environment. The following articles can help you improve your billing, coding, and reimbursement. Getting paid in a fair and timely manner can be a challenge in today's practice environment. The following ...
- Payment and Reimbursement
- Collections
- Billing & Claims
- Coding
- Documentation
- Working With Health Plans
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=93
Diagnosis and Treatment of Otitis Media - American Family Physician
Dec 1, 2007 - Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear ...
American Family Physician : Article
https://www.aafp.org/afp/2007/1201/p1650.html
Nonalcoholic Fatty Liver Disease: Diagnosis and Management - American Family Physician
Jul 1, 2013 - Nonalcoholic fatty liver disease is characterized by excessive fat accumulation in the liver (hepatic steatosis). Nonalcoholic steatohepatitis is characterized by steatosis, liver cell injury, and inflammation. The mechanism of nonalcoholic fatty liver disease is unknown but involves ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p35.html
Arthropod Bites - American Family Physician
Dec 15, 2013 - The phylum Arthropoda includes arachnids and insects. Although their bites typically cause only local reactions, some species are venomous or transmit disease. The two medically important spiders in the United States are widow spiders (Latrodectus), the bite of which causes intense ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1215/p841.html
Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM
Feb 1, 2021 - Determining whether the visit you’ve just finished should be coded as a level 4 could be as simple as asking yourself three questions.
Family Practice Management : Articles
https://www.aafp.org/fpm/2021/0100/p27.html
Diabetes Mellitus: Diagnosis and Screening - American Family Physician
Apr 1, 2010 - Based on etiology, diabetes is classified as type 1 diabetes mellitus, type 2 diabetes mellitus, latent autoimmune diabetes, maturity-onset diabetes of youth, and miscellaneous causes. The diagnosis is based on measurement of A1C level, fasting or random blood glucose level, or oral ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0401/p863.html
Acute and Chronic Paronychia - American Family Physician
Feb 1, 2008 - Paronychia is an inflammation of the folds of tissue surrounding the nail of a toe or finger. Paronychia may be classified as either acute or chronic. The main factor associated with the development of acute paronychia is direct or indirect trauma to the cuticle or nail fold. This ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0201/p339.html
Psoriasis - American Family Physician
May 1, 2013 - Psoriasis is a chronic inflammatory skin condition that is often associated with systemic manifestations. It affects about 2 percent of U.S. adults, and can significantly impact quality of life. The etiology includes genetic and environmental factors. Diagnosis is based on the typical ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0501/p626.html
Recognition and Management of Motor Delay and Muscle Weakness in Children - American ...
Jan 1, 2015 - Diagnosis of neuromuscular disorders in young children is often delayed for years after symptoms emerge, resulting in missed opportunities for therapy and genetic counseling. Identification of the weak child begins with careful attention to caregiver concerns and developmental ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0101/p38.html
Evaluation of Scrotal Masses - American Family Physician
May 1, 2014 - Scrotal masses are caused by a variety of disorders, ranging from benign conditions to those requiring emergent surgical intervention. Painful scrotal masses require urgent evaluation. Characteristics that suggest testicular torsion include rapid symptom onset, nausea and vomiting, high...
American Family Physician : Article
https://www.aafp.org/afp/2014/0501/p723.html
Primary Care of the Prostate Cancer Survivor - American Family Physician
May 1, 2016 - This summary of the American Cancer Society Prostate Cancer Survivorship Care Guidelines targets primary care physicians who coordinate care of prostate cancer survivors with subspecialists. Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0501/p764.html
Multiple Sclerosis: A Primary Care Perspective - American Family Physician
Nov 1, 2014 - Multiple sclerosis (MS) is the most common permanently disabling disorder of the central nervous system in young adults. Relapsing remitting MS is the most common type, and typical symptoms include sensory disturbances, Lhermitte sign, motor weakness, optic neuritis, impaired ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1101/p644.html
Incidentalomas: Initial Management - American Family Physician
Dec 1, 2014 - Incidentalomas are increasingly common findings on radiologic studies, causing worry for physicians and patients. Physicians should consider the risk of discovering incidentalomas when contemplating imaging. Patients may assume that incidentalomas are cancer, and may not be aware of the...
American Family Physician : Article
https://www.aafp.org/afp/2014/1201/p784.html
Disability Evaluations: More Than Completing a Form - American Family Physician
Jan 15, 2015 - According to the World Health Organization, more than 1 billion persons worldwide have a disability. In the United States, more than 56 million American workers have some form of disability; of these, more than 38 million persons have a severe disability. Blacks and Hispanics are among ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0115/p102.html
Common Questions About Developmental Dysplasia of the Hip - American Family Physician
Dec 15, 2014 - Developmental dysplasia of the hip is a common musculoskeletal condition in newborns. Infants with developmental dysplasia of the hip, whether treated or untreated, have a higher incidence of early-onset hip osteoarthritis in adulthood. Evidence to support universal screening by ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1215/p843.html
Common Questions About Pneumonia in Nursing Home Residents - American Family Physician
Oct 1, 2015 - Pneumonia in older adults residing in nursing homes can be challenging to diagnose and treat. Pneumococcal and influenza immunizations decrease the risk of pneumonia and are recommended for all nursing home patients. Older adults with pneumonia may not display classic signs and symptoms...
American Family Physician : Article
https://www.aafp.org/afp/2015/1001/p612.html
Primary Care of the Solid Organ Transplant Recipient - American Family Physician
Feb 1, 2016 - The advancing science of transplantation has led to more transplants and longer survival. As a result, primary care physicians are more involved in the care of transplant recipients. Immunosuppressive therapy has significantly decreased rates of transplant rejection but accounts for ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0201/p203.html
Misoprostol Dosing for First-Trimester Abortion - FPIN's Clinical Inquiries - American ...
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
Speech and Language Delay in Children - American Family Physician
May 15, 2011 - Speech and language delay in children is associated with increased difficulty with reading, writing, attention, and socialization. Although physicians should be alert to parental concerns and to whether children are meeting expected developmental milestones, there currently is ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0515/p1183.html
Common Questions About the Management of Gastroesophageal Reflux Disease - American ...
May 15, 2015 - Common questions that arise regarding treatment of gastroesophageal reflux disease (GERD) include which medications are most effective, when surgery may be indicated, which patients should be screened for Barrett esophagus and Helicobacter pylori infection, and which adverse effects ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0515/p692.html
Diagnosis and Management of Dehydration in Children - American Family Physician
Oct 1, 2009 - The most useful individual signs for identifying dehydration in children are prolonged capillary refill time, abnormal skin turgor, and abnormal respiratory pattern. However, clinical dehydration scales based on a combination of physical examination findings are better predictors than ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1001/p692.html
Top 20 Research Studies of 2015 for Primary Care Physicians - American Family Physician
May 1, 2016 - In 2015, a group of primary care clinicians with expertise in evidence-based practice performed monthly surveillance of more than 110 English-language clinical research journals. They identified 251 studies that addressed a primary care question and had the potential to change practice ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0501/p756.html
Evaluation of Occult Gastrointestinal Bleeding - American Family Physician
Mar 15, 2013 - Occult gastrointestinal bleeding is defined as gastrointestinal bleeding that is not visible to the patient or physician, resulting in either a positive fecal occult blood test, or iron deficiency anemia with or without a positive fecal occult blood test. A stepwise evaluation will ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0315/p430.html
High-Dose Amoxicillin/Clavulanate No Better than Standard Dose for Acute Sinusitis in ...
Oct 1, 2021 - This study found no significant difference between the standard-dose and high-dose regimens of amoxicillin/clavulanate for treating acute sinusitis in adults. It is important to note that both doses are minimally superior to placebo.
American Family Physician : POEMs
https://www.aafp.org/afp/2021/1000/p423.html
Atopic Dermatitis: An Overview - American Family Physician
Jul 1, 2012 - Atopic dermatitis, also known as atopic eczema, is a chronic pruritic skin condition affecting approximately 17.8 million persons in the United States. It can lead to significant morbidity. A simplified version of the U.K. Working Party’s Diagnostic Criteria can help make the diagnosis....
American Family Physician : Article
https://www.aafp.org/afp/2012/0701/p35.html
Diagnosis and Management of Upper Gastrointestinal Bleeding - American Family Physician
Mar 1, 2012 - Upper gastrointestinal bleeding causes significant morbidity and mortality in the United States, and has been associated with increasing nonsteroidal anti-inflammatory drug use and the high prevalence of Helicobacter pylori infection in patients with peptic ulcer bleeding. Rapid ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0301/p469.html
Pelvic Inflammatory Disease - American Family Physician
Apr 15, 2012 - Pelvic inflammatory disease is a polymicrobial infection of the upper genital tract. It primarily affects young, sexually active women. The diagnosis is made clinically; no single test or study is sensitive or specific enough for a definitive diagnosis. Pelvic inflammatory disease ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0415/p791.html
Diabetic Foot Infection - American Family Physician
Jul 1, 2008 - Foot infections are common in patients with diabetes and are associated with high morbidity and risk of lower extremity amputation. Diabetic foot infections are classified as mild, moderate, or severe. Gram-positive bacteria, such as Staphylococcus aureus and beta-hemolytic ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0701/p71.html
Preventive Health Care for Men Who Have Sex with Men - American Family Physician
Jun 15, 2015 - Men who have sex with men (MSM) comprise at least 4% of males in the United States. MSM may describe themselves as gay, bisexual, or heterosexual. Because current medical practice does not always facilitate discussion of sexual behaviors, this group of men may face barriers to receiving...
American Family Physician : Article
https://www.aafp.org/afp/2015/0615/p844.html
Choosing a Skeletal Muscle Relaxant - American Family Physician
Aug 1, 2008 - Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or nonsteroidal ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0801/p365.html
Diagnosis and Management of Physical Abuse in Children - American Family Physician
Nov 15, 2013 - Child abuse is the third leading cause of death in children between one and four years of age, and almost 20% of child homicide victims have contact with a health care professional within a month of their death. Therefore, family physicians are in an ideal position to detect and ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1115/p669.html
Azithromycin for Treatment of COVID-19 - Medicine by the Numbers - American Family ...
Mar 1, 2022 - Learn more about azithromycin for treatment of COVID-19.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2022/0300/od2.html
Sudden Infant Death Syndrome - American Family Physician
Jun 1, 2015 - Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation. The incidence of SIDS has decreased more than 50% in the ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0601/p778.html