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Onychomycosis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Onychomycosis is a chronic fungal infection of the fingernail or toenail bed leading to brittle, discolored, and thickened nails. Onychomycosis is not just a cosmetic problem. Untreated onychomycosis can cause pain, discomfort, and physical impairment, negatively impacting quality of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p359.html

Home Blood Pressure Monitoring - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Home blood pressure monitoring provides important diagnostic information beyond in-office blood pressure readings and offers similar results to ambulatory blood pressure monitoring. Home blood pressure monitoring involves patients independently measuring their blood pressure with an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p237.html

Diabetes-Related Foot Infections: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Diabetes-related foot infections occur in approximately 40% of diabetes-related foot ulcers and cause significant morbidity. Clinicians should consider patient risk factors (e.g., presence of foot ulcers greater than 2 cm, uncontrolled diabetes mellitus, poor vascular perfusion, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p386.html

Hepatitis A - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Hepatitis A is a common viral infection worldwide that is transmitted via the fecal-oral route. The incidence of infection in the United States decreased by more than 90% after an effective vaccine was introduced, but the number of cases has been increasing because of large community ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p368.html

Medical Advice for Commercial Air Travel - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Air travel is generally safe, but the flight environment poses unique physiologic challenges such as relative hypoxia that may trigger adverse myocardial or pulmonary outcomes. To optimize health outcomes, communication must take place between the traveler, family physician, and airline...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p403.html

Alcohol Withdrawal Syndrome: Outpatient Management - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p253.html

Bioterrorism - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Bioterrorism is the deliberate release of viruses, bacteria, toxins, or fungi with the goal of causing panic, mass casualties, or severe economic disruption. From 1981 to 2018, there were 37 bioterrorist attacks worldwide. The Centers for Disease Control and Prevention (CDC) lists ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p376.html

Osteomyelitis: Diagnosis and Treatment - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Osteomyelitis is an inflammatory condition of bone secondary to an infectious process. Osteomyelitis is usually clinically diagnosed with support from imaging and laboratory findings. Bone biopsy and microbial cultures offer definitive diagnosis. Plain film radiography should be ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1000/p395.html

Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: An Overview and ... Restricted content. Login required.

Aug 1, 2021 - Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C) are inflammatory conditions that present diagnostic and therapeutic challenges to the physician. Although many of their features overlap, they are two distinct conditions. KD is a febrile illness most ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p244.html

Splenomegaly: Diagnosis and Management in Adults - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Splenomegaly can be due to several mechanisms but is almost always a sign of a systemic condition. Patient habits, travel, and medical conditions can increase risk of splenomegaly and suggest etiology. Symptoms can suggest infectious, malignant, hepatic, or hematologic causes. Physical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p271.html

Hereditary Hemochromatosis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Hereditary hemochromatosis is an autosomal recessive disorder that disrupts iron homeostasis, resulting in systemic iron overload. It is the most common inherited disorder among people of northern European ancestry. Despite the high prevalence of the gene mutation, there is a low and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p263.html

Neglected Parasitic Infections: What Family Physicians Need to Know—A CDC Update - ... Restricted content. Login required.

Aug 1, 2021 - Chagas disease, cysticercosis, and toxoplasmosis affect millions of people in the United States and are considered neglected parasitic diseases. Few resources are devoted to their surveillance, prevention, and treatment. Chagas disease, transmitted by kissing bugs, primarily affects ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p277.html

Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Aug 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published updated guidelines for the treatment of headache disorders based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p316.html

Venous Thromboembolism: Management Guidelines from the American Society of Hematology -... Restricted content. Login required.

Aug 1, 2021 - The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p429.html

Growing Mass in an Adolescent - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a polypoid, flesh-colored mass on the top of the head that was raised and asymmetrical with slightly irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p413.html

Recalcitrant Annular Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a pruritic, nonscaly, ring-like rash on the dorsa of both hands.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p415.html

Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with... Restricted content. Login required.

Aug 1, 2021 - A 36-year-old patient, L.B., with a history of hypertension presents for a wellness visit. The patient's mother had a stroke at 65 years of age and the patient's older brother recently had a heart attack. L.B. has an estimated 10-year cardiovascular risk of 6%, and L.B.'s body mass ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1000/p411.html

Physicians Should Refuse Pharmaceutical Industry Gifts - Editorials - American Family ...

Aug 1, 2021 - Knowing that the high price of drugs is a major detriment to public health in the United States and that the pharmaceutical industry spends vast sums marketing to health care professionals, physicians should refuse visits, gifts, payments, and drug samples from pharmaceutical ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1000/p348.html

Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ... Restricted content. Login required.

Aug 1, 2021 - Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p356.html

Cervical Cancer Screening: Updated Guidelines from the American Cancer Society - ... Restricted content. Login required.

Aug 1, 2021 - The American Cancer Society (ACS) has released new guidelines for cervical cancer screening.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p314.html

Neonatal Resuscitation: Updated Guidelines from the American Heart Association - ... Restricted content. Login required.

Aug 1, 2021 - The American Heart Association released minor updates to neonatal resuscitation recommendations with only minor changes to the previous algorithm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p425.html

Schizophrenia: Use of Antipsychotic Drugs for Maintenance Therapy - Cochrane for ... Restricted content. Login required.

Aug 1, 2021 - Compared with placebo, using antipsychotic drugs for maintenance therapy in patients with schizophrenia is associated with relapse prevention at seven to 12 months.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p355.html

Depression, Cervical Myelopathy, Diagnostic Imaging, Eating Disorders, Vitamin K ... Restricted content. Login required.

Aug 1, 2021 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2021/1000/p354.html

Does Light Therapy Decrease Depression in Older Adults? - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Aug 1, 2021 - Light therapy appears to be mildly effective in treating depression in older adults, but ideal wavelength, intensity, and length of treatment are unknown.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1000/p417.html

Screening for Colorectal Cancer - Putting Prevention into Practice - American Family ... Restricted content. Login required.

Aug 1, 2021 - A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of colorectal cancer. The patient's body mass index is 29 kg per m2, and the A1C level at ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0900/p295.html

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