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Evaluation and Management of Galactorrhea - American Family Physician

Jun 1, 2012 - Galactorrhea is commonly caused by hyperprolactinemia, especially when it is associated with amenorrhea. Hyperprolactinemia is most often induced by medication or associated with pituitary adenomas or other sellar or suprasellar lesions. Less common causes of galactorrhea include ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0601/p1073.html

Pediculosis and Scabies: A Treatment Update - American Family Physician

Sep 15, 2012 - Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed by visualization of live lice. Finding nits (louse egg shells) alone indicates a historical infestation. A no nit policy for schools and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p535.html

Role of the Family Physician in the Care of Children with Down Syndrome - American ...

Dec 15, 2014 - Down syndrome is the most common chromosomal abnormality, occurring in one in 691 live births in the United States each year. Prenatally, the sequential contingent test for aneuploidy screening is highly sensitive for Down syndrome and has a low false-positive rate. The diagnosis should...

American Family Physician : Article

https://www.aafp.org/afp/2014/1215/p851.html

Newborn Skin: Part I. Common Rashes - American Family Physician

Jan 1, 2008 - Rashes are extremely common in newborns and can be a significant source of parental concern. Although most rashes are transient and benign, some require additional work-up. Erythema toxicum neonatorum, acne neonatorum, and transient neonatal pustular melanosis are transient ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p47.html

Diagnosis and Treatment of Chlamydia trachomatis Infection - American Family Physician

Apr 15, 2006 - Chlamydia trachomatis infection most commonly affects the urogenital tract. In men, the infection usually is symptomatic, with dysuria and a discharge from the penis. Untreated chlamydial infection in men can spread to the epididymis. Most women with chlamydial infection have minimal or...

American Family Physician : Article

https://www.aafp.org/afp/2006/0415/p1411.html

Treatment of Nongenital Cutaneous Warts - American Family Physician

Aug 1, 2011 - Numerous treatments for nongenital cutaneous warts are available, although no single therapy has been established as completely curative. Watchful waiting is an option for new warts because many resolve spontaneously. However, patients often request treatment because of social stigma or...

American Family Physician : Article

https://www.aafp.org/afp/2011/0801/p288.html

Complications of Adjustable Gastric Banding Surgery for Obesity - American Family ...

May 15, 2014 - Laparoscopic adjustable gastric banding procedures have a favorable risk-benefit profile and are increasingly important as part of the overall management of obesity. These procedures are effective at inducing weight loss and improving comorbid conditions, including diabetes mellitus, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0515/p813.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

E/M Changes for 2021: The Beginning, Not the End -- FPM

Feb 1, 2021 - The E/M coding revisions aren’t perfect, but they represent a huge step forward in reducing physicians’ documentation burden, audit risk, and complexity of code selection.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0100/p8.html

Drug Dosing Adjustments in Patients with Chronic Kidney Disease - American Family ...

May 15, 2007 - Chronic kidney disease affects renal drug elimination and other pharmacokinetic processes involved in drug disposition (e.g., absorption, drug distribution, nonrenal clearance [metabolism]). Drug dosing errors are common in patients with renal impairment and can cause adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1487.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

Somatoform Disorders - American Family Physician

Nov 1, 2007 - The somatoform disorders are a group of psychiatric disorders that cause unexplained physical symptoms. They include somatization disorder (involving multisystem physical symptoms), undifferentiated somatoform disorder (fewer symptoms than somatization disorder), conversion disorder ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1333.html

Dietary Fatty Acids - American Family Physician

Aug 15, 2009 - Fatty acids can be divided into four general categories: saturated, monounsaturated, polyunsaturated, and trans fats. Saturated fatty acids and trans fats are associated with an increased risk of coronary heart disease. Monounsaturated fatty acids and polyunsaturated fatty acids are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0815/p345.html

Identifying and Managing Posttraumatic Stress Disorder - American Family Physician

Dec 15, 2013 - Posttraumatic stress disorder (PTSD) occurs in an estimated 8% of men and 20% of women who are exposed to traumatic events. PTSD is a trauma- and stress-related disorder associated with significant psychosocial morbidity, substance abuse, and other negative physical health outcomes. The...

American Family Physician : Article

https://www.aafp.org/afp/2013/1215/p827.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

Risks and Benefits of Pacifiers - American Family Physician

Apr 15, 2009 - Physicians are often asked for guidance about pacifier use in children, especially regarding the benefits and risks, and when to appropriately wean a child. The benefits of pacifier use include analgesic effects, shorter hospital stays for preterm infants, and a reduction in the risk of...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p681.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - Dec 1, 2020 Issue Letters to the Editor Case Reports: Rhabdomyolysis Associated with COVID-19 Am Fam Physician. 2020 Dec 1;102(11):645-648. Published online September 25, 2020. To the Editor: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645a.html

Clinical Management of Urinary Incontinence in Women - American Family Physician

May 1, 2013 - Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. A stepped-care approach that advances from least invasive (behavioral modification) to more invasive (surgery) interventions is recommended. Bladder retraining and pelvic floor ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0501/p634.html

Evaluation of Macrocytosis - American Family Physician

Feb 1, 2009 - Macrocytosis, generally defined as a mean corpuscular volume greater than 100 fL, is frequently encountered when a complete blood count is performed. The most common etiologies are alcoholism, vitamin B12 and folate deficiencies, and medications. History and physical examination, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p203.html

Subacute Management of Ischemic Stroke - American Family Physician

Dec 15, 2011 - Ischemic stroke is the third leading cause of death in the United States and a common reason for hospitalization. The subacute period after a stroke refers to the time when the decision to not employ thrombolytics is made up until two weeks after the stroke occurred. Family physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1383.html

Screening for Cancer: Concepts and Controversies - American Family Physician

Nov 1, 2014 - Early detection of cancer is a core task in family medicine, and patients have come to expect screening tests, sometimes out of proportion to what evidence can justify. To understand the controversies surrounding screening and to provide sound advice to patients, family physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1101/p625.html

Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA - Practice ... Restricted content. Login required.

Jul 15, 2020 - The American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) recently updated their recommendations on the diagnosis and treatment of community-acquired pneumonia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0715/p121.html

The Limping Child: A Systematic Approach to Diagnosis - American Family Physician

Feb 1, 2009 - Deviations from a normal age-appropriate gait pattern can be caused by a wide variety of conditions. In most children, limping is caused by a mild, self-limiting event, such as a contusion, strain, or sprain. In some cases, however, a limp can be a sign of a serious or even ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p215.html

Gynecologic Procedures: Colposcopy, Treatments of Cervical Intraepithelial Neoplasia, ...

Jun 15, 2013 - Women who have abnormal Papanicolaou test results may undergo colposcopy to determine the biopsy site for histologic evaluation. Traditional grading systems do not accurately assess lesion severity because colposcopic impression alone is unreliable for diagnosis. The likelihood of ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0615/p836.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

Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Adults - ...

May 1, 2012 - Attention-deficit/hyperactivity disorder in childhood can persist into adulthood in at least 30 percent of patients, with 3 to 4 percent of adults meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., diagnostic criteria. A number of conditions, such as thyroid ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0501/p890.html

Management of Common Sleep Disorders - American Family Physician

Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p231.html

Functional Decline in Older Adults - American Family Physician

Sep 15, 2013 - Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p388.html

Anaphylaxis: Recognition and Management - American Family Physician

Nov 15, 2011 - Anaphylaxis is a severe, life-threatening, systemic allergic reaction that is almost always unanticipated and may lead to death by airway obstruction or vascular collapse. Anaphylaxis occurs as the result of an allergen response, usually immunoglobulin E–mediated, which leads to mast ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1111.html

Identification and Treatment of Amblyopia - American Family Physician

Mar 1, 2013 - Amblyopia is the leading cause of vision loss in children. It is treatable if diagnosed early, making identification of affected children critical. The American Association for Pediatric Ophthalmology and Strabismus and the American Academy of Pediatrics recommend that clinicians ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p348.html

Osteochondrosis: Common Causes of Pain in Growing Bones - American Family Physician

Feb 1, 2011 - Osteochondrosis is a term used to describe a group of disorders that affect the growing skeleton. These disorders result from abnormal growth, injury, or overuse of the developing growth plate and surrounding ossification centers. The exact etiology of these disorders is unknown, but ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p285.html

Epididymitis and Orchitis: An Overview - American Family Physician

Apr 1, 2009 - Epididymitis and orchitis are commonly seen in the outpatient setting. Men between 14 and 35 years of age are most often affected, and Chlamydia trachomatis and Neisseria gonorrhoeae are the most common pathogens in this age group. In other age groups, coliform bacteria are the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p583.html

Diagnosis and Management of Pancreatic Cancer - American Family Physician

Apr 15, 2014 - Pancreatic cancer remains the fourth leading cause of cancer-related deaths in the United States. Risk factors include family history, smoking, chronic pancreatitis, obesity, diabetes mellitus, heavy alcohol use, and possible dietary factors. Because more than two-thirds of ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p626.html

Fatigue: An Overview - American Family Physician

Nov 15, 2008 - Fatigue, a common presenting symptom in primary care, negatively impacts work performance, family life, and social relationships. The differential diagnosis of fatigue includes lifestyle issues, physical conditions, mental disorders, and treatment side effects. Fatigue can be classified...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1173.html

Evaluation of the Patient with Chronic Cough - American Family Physician

Oct 15, 2011 - Initial evaluation of the patient with chronic cough (i.e., of more than eight weeks’ duration) should include a focused history and physical examination, and in most patients, chest radiography. Patients who are taking an angiotensin-converting enzyme inhibitor should switch to a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p887.html

Dermatologic Conditions in Skin of Color: Part I. Special Considerations for Common ...

Jun 15, 2013 - Skin of color traditionally refers to that of persons of African, Asian, Native American, Middle Eastern, and Hispanic backgrounds. Differences in cutaneous structure and function can result in skin conditions with distinct presentations and varying prevalence that require unique ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0615/p850.html

Geriatric Assistive Devices - American Family Physician

Aug 15, 2011 - Disability and mobility problems increase with age. Assistive devices such as canes, crutches, and walkers can be used to increase a patient’s base of support, improve balance, and increase activity and independence, but they are not without significant musculoskeletal and metabolic ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p405.html

Hyperkalemia - American Family Physician

Jan 15, 2006 - Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors. Acute episodes of hyperkalemia commonly are ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p283.html

Henoch-Schönlein Purpura - American Family Physician

Oct 1, 2009 - Henoch-Schönlein purpura is an acute, systemic, immune complex-mediated, leukocytoclastic vasculitis. It is characterized by a triad of palpable purpura (without thrombocytopenia), abdominal pain, and arthritis. Most patients have an antecedent upper respiratory illness. More than 90 ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1001/p697.html

Adolescent Health Screening and Counseling - American Family Physician

Dec 15, 2012 - Serious health problems, risky behavior, and poor health habits persist among adolescents despite access to medical care. Most adolescents do not seek advice about preventing leading causes of morbidity and mortality in their age group, and physicians often do not find ways to provide ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1215/p1109.html

Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician

Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0701/p25.html

Surveillance of the Adult Cancer Survivor - American Family Physician

Jan 1, 2015 - The term cancer survivor refers to anyone living with a diagnosis of cancer. As the U.S. population ages, cancer screening increases, and cancer treatments improve, millions more Americans will be classified as cancer survivors in the future. Although many survivors wish to continue ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0101/p29.html

Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ... Restricted content. Login required.

Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0615/p762.html

Dermatologic Conditions in Skin of Color: Part II. Disorders Occurring Predominately in...

Jun 15, 2013 - Several skin conditions are more common in persons with skin of color, including dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids. Dermatosis papulosa nigra is a common benign condition characterized by skin lesions that do not require treatment,...

American Family Physician : Article

https://www.aafp.org/afp/2013/0615/p859.html

Antidepressant Discontinuation Syndrome - American Family Physician

Aug 1, 2006 - Antidepressant discontinuation syndrome occurs in approximately 20 percent of patients after abrupt discontinuation of an antidepressant medication that was taken for at least six weeks. Typical symptoms of antidepressant discontinuation syndrome include flu-like symptoms, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0801/p449.html

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p913.html

A Primary Care Approach to Substance Misuse - American Family Physician

Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p113.html

Promoting Smoking Cessation - American Family Physician

Mar 15, 2012 - Cigarette smoking causes significant morbidity and mortality in the United States. Physicians can use the five A’s framework (ask, advise, assess, assist, arrange) to promote smoking cessation. All patients should be asked about tobacco use and assessed for motivation to quit at every ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0315/p591.html

Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician

Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0415/p554.html

An Update on Emergency Contraception - American Family Physician

Apr 1, 2014 - Emergency contraception decreases the risk of unintended pregnancy after unprotected sexual intercourse or after suspected failure of routine contraception (e.g., a condom breaking). Oral methods include combined contraceptive pills (i.e., Yuzpe method), single- or split-dose ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0401/p545.html

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