Depression, HPV Immunizations, Coccidioidomycosis, Upper GI Bleeding, Headaches - AFP ...
Mar 15, 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/2021/0315/p333.html
House Calls - American Family Physician
Apr 15, 2011 - House calls provide a unique perspective on patients’ environment and health problems. The demand for house calls is expected to increase considerably in future decades as the U.S. population ages. Although study results have been inconsistent, house calls involving multidisciplinary ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0415/p925.html
Buffering Lidocaine 1%/ Epinephrine with Sodium Bicarbonate in a 3:1 Ratio Is as ...
Jan 15, 2021 - Lido/Epi buffered with NaHCO3 in a 3:1 ratio is significantly less painful during infiltration than unbuffered Lido/Epi and buffered Lido/Epi in a 9:1 ratio.
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0115/od4.html
Diagnosis and Treatment of Bladder Cancer - American Family Physician
Oct 1, 2009 - Bladder cancer is the sixth most prevalent malignancy in the United States. The most common type of bladder cancer is urothelial (transitional cell) carcinoma, and cystoscopy remains the mainstay of diagnosis and surveillance. Fluorescence cystoscopy offers improvement in the detection ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1001/p717.html
Common Adverse Effects of Antiretroviral Therapy for HIV Disease - American Family ...
Jun 15, 2011 - Family physicians are treating patients infected with human immunodeficiency virus in their practices more often. Long-term complications of this disease are multifactorial and can be related to the virus itself or to adverse effects of antiretroviral therapy. Each drug class has side ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0615/p1443.html
Coding & Documentation - Jul-Aug 2020 -- FPM
Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2020/0700/p36.html
Perioperative Cardiac Risk Reduction - American Family Physician
Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0201/p239.html
Coding & Documentation - Mar-Apr 2021 -- FPM
Apr 1, 2021 - Alternative codes for chronic care management | Online digital E/M by non-physicians | Remote monitoring with CCM | Retinal imaging
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2021/0300/p37.html
Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder -...
Mar 1, 2021 - Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2021/0301/p272.html
Enhancing Diabetes Self-Management Education and Support in Clinical Practice - ...
Mar 1, 2021 - Health systems and family physicians should mobilize to ensure that all people with type 2 diabetes have access to diabetes self-management education and support, including nutritional, physical, and emotional support.
American Family Physician : Editorials
https://www.aafp.org/afp/2021/0301/p265.html
Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...
Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/1115/p649.html
Clinical Vignettes in Geriatric Depression - American Family Physician
Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1115/p1149.html
Nausea and Vomiting in Pregnancy - American Family Physician
Jul 1, 2003 - Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and...
American Family Physician : Article
https://www.aafp.org/afp/2003/0701/p121.html
Primary Care Clinicians Can Effectively Treat Depression in Children and Adolescents - ...
Aug 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.
American Family Physician : Letter
https://www.aafp.org/afp/2020/0815/p198.html
Management of Staphylococcus aureus Infections - American Family Physician
Dec 15, 2005 - Because of high incidence, morbidity, and antimicrobial resistance, Staphylococcus aureus infections are a growing concern for family physicians. Strains of S. aureus that are resistant to vancomycin are now recognized. Increasing incidence of unrecognized community-acquired ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1215/p2474.html
Tympanometry - American Family Physician
Nov 1, 2004 - Tympanometry provides useful quantitative information about the presence of fluid in the middle ear, mobility of the middle ear system, and ear canal volume. Its use has been recommended in conjunction with more qualitative information (e.g., history, appearance, and mobility of the ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1101/p1713.html
Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...
Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0801/p265.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
Chronic Pelvic Pain in Women: ACOG Updates Recommendations - Practice Guidelines - ...
Feb 1, 2021 - The American College of Obstetricians and Gynecologists has new recommendations for managing chronic pelvic pain.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/0201/p186.html
Coding & Documentation - Jan-Feb 2021 -- FPM
Feb 1, 2021 - Providing E/M services and a preventive physical | Discussing data with an external physician | Warfarin monitoring | E/M over the phone
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2021/0100/p35.html
Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at...
May 1, 2016 - The Adult Preventive Health Care Schedule provides a concise and informative visual representation of USPSTF recommendations.
American Family Physician : Editorials
https://www.aafp.org/afp/2016/0501/p738.html
Topical and Device-Based Treatment of Toenail Onychomycosis - Cochrane for Clinicians -...
Feb 1, 2021 - Topical antifungal drugs, including efinaconazole 10% solution (Jublia), tavaborole 5% solution (Kerydin), and ciclopirox 8% lacquer and hydrolacquer, are beneficial in treating mild to moderate toenail onychomycosis. Potential adverse effects are mild and include dermatitis and vesicles.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2021/0201/p145.html
Erythema Multiforme - American Family Physician
Dec 1, 2006 - Erythema multiforme is a skin condition considered to be a hypersensitivity reaction to infections or drugs. It consists of a polymorphous eruption of macules, papules, and characteristic
American Family Physician : Article
https://www.aafp.org/afp/2006/1201/p1883.html
Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...
Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2017/0115/od1.html
Disease Management: Asthma -- FPM Toolbox
Nov 16, 2009 - Download encounter forms, chart reminders, and patient self-assessments to help you manage asthma care.
Family Practice Management : FPM Toolbox : Disease Management: Asthma
https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=9
Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...
Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2020/0615/od1.html
ACIP Approves 2021 Adult and Child/ Adolescent Immunization Schedules - Practice ...
Feb 15, 2021 - The 2021 adult and child/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/0215/p250.html
Erosions and Vesicles in a Febrile Infant - Photo Quiz - American Family Physician
Mar 1, 2021 - A five-month-old child with a history of dry skin presented with a spreading rash and fever.
American Family Physician : Photo Quiz
https://www.aafp.org/afp/2021/0301/p305.html
Management of Epistaxis - American Family Physician
Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0115/p305.html
ACC/AHA Release Updated Guideline on the Treatment of Blood Cholesterol to Reduce ASCVD...
Aug 15, 2014 - The Blood Cholesterol Expert Panel from the American College of Cardiology (ACC) and the American Heart Association (AHA) issued an updated evidence-based guideline in 2013 that addresses the use of fixed doses of cholesterol-lowering drugs (statins) to reduce the risk of ASCVD in ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2014/0815/p260.html
The Abnormal Fontanel - American Family Physician
Jun 15, 2003 - The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0615/p2547.html
A Clinical Approach to Diagnosing Wrist Pain - American Family Physician
Nov 1, 2005 - A detailed history alone may lead to a specific diagnosis in approximately 70 percent of patients who have wrist pain. Patients who present with spontaneous onset of wrist pain, who have a vague or distant history of trauma, or whose activities consist of repetitive loading could be ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1101/p1753.html
Testosterone Therapy for Age-Related Low Testosterone: Guidelines from the ACP - ...
Jan 1, 2021 - The American College of Physicians published guidelines for testosterone therapy in cis gender men with age-related low testosterone based on a systematic review.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2021/0101/p60.html
Bone Mineral Density Testing: One and Done - POEMs - American Family Physician
Mar 1, 2021 - Rechecking bone mineral density (BMD) after three years does not add additional prognostic information. Serial BMD testing is not useful in estimating fracture risk and assessing the need for treatment because BMD does not change much within three years.
American Family Physician : POEMs
https://www.aafp.org/afp/2021/0301/p311.html
Amenorrhea: Evaluation and Treatment - American Family Physician
Apr 15, 2006 - A thorough history and physical examination as well as laboratory testing can help narrow the differential diagnosis of amenorrhea. In patients with primary amenorrhea, the presence or absence of sexual development should direct the evaluation. Constitutional delay of growth and puberty...
American Family Physician : Article
https://www.aafp.org/afp/2006/0415/p1374.html
A Practical Approach to Hypercalcemia - American Family Physician
May 1, 2003 - Hypercalcemia is a disorder commonly encountered by primary care physicians. The diagnosis often is made incidentally in asymptomatic patients. Clinical manifestations affect the neuromuscular, gastrointestinal, renal, skeletal, and cardiovascular systems. The most common causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0501/p1959.html
Serum Lactate Testing to Predict Mortality in Patients with Sepsis - Diagnostic Tests: ...
Mar 1, 2021 - Management of patients with sepsis is challenging and mortality is high. Early diagnosis and prompt initiation of therapy are essential. Higher lactate levels correlate with increased risk of mortality, particularly with lactate levels greater than 4.0 mmol per L and in the setting of ...
American Family Physician : Diagnostic Tests: What Physicians Need to Know
https://www.aafp.org/afp/2021/0301/p309.html
Screening for High Blood Pressure in Children and Adolescents: U.S. Preventive Services...
Feb 15, 2021 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for high blood pressure in children and adolescents.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2021/0215/od1.html
Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...
Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2019/0915/p378.html
Diagnosis of Acute Abdominal Pain in Older Patients - American Family Physician
Nov 1, 2006 - Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in presentation, and physical and social barriers. The physical examination can be misleadingly ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1101/p1537.html
Caring for the Physician Affected by Substance Use Disorder - Curbside Consultation - ...
Mar 1, 2021 - A 34-year-old physician, H.M., is an established patient in my practice. H.M. presents for a follow-up visit after finishing inpatient treatment for opioid use disorder.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2021/0301/p302.html
Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ...
Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2021/0201/p183.html
Initial Evaluation of Vertigo - American Family Physician
Jan 15, 2006 - Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Meniere's disease cause most cases of vertigo; however, family physicians must consider other causes including cerebrovascular disease, migraine, psychological disease, perilymphatic fistulas, multiple sclerosis, and...
American Family Physician : Article
https://www.aafp.org/afp/2006/0115/p244.html
Point-of-Care Ultrasound: A Practical Guide for Primary Care -- FPM
Dec 1, 2020 - Ultrasound has head-to-toe applications for primary care, and the newest machines are portable and affordable enough to fit into almost any practice.
Family Practice Management : Articles
https://www.aafp.org/fpm/2020/1100/p33.html
How to Document and Code for Hypertensive Diseases in ICD-10 -- FPM
Apr 1, 2014 - This installment in FPM's ICD-10 series explains the guidelines for coding hypertension.
Family Practice Management : Articles
https://www.aafp.org/fpm/2014/0300/p5.html
Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA - ...
Mar 1, 2021 - After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased major hemorrhages.
American Family Physician : Medicine by the Numbers
https://www.aafp.org/afp/2021/0301/od1.html
Dermatologic Emergencies - American Family Physician
Oct 1, 2010 - Life-threatening dermatologic conditions include Rocky Mountain spotted fever; necrotizing fasciitis; toxic epidermal necrolysis; and Stevens-Johnson syndrome. Rocky Mountain spotted fever is the most common rickettsial disease in the United States, with an overall mortality rate of 5 ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p773.html
Platelet-Rich Plasma vs. Corticosteroids for Refractory Plantar Fasciitis - FPIN's ...
Mar 1, 2021 - Platelet-rich plasma injections are similar to corticosteroids for pain relief and improvement in function in patients with refractory plantar fasciitis lasting less than 12 weeks.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2021/0301/p307.html
Health Effects of Hawthorn - American Family Physician
Feb 15, 2010 - Hawthorn medicinal extract has long been a favored herbal remedy in Europe. The active components of this slow-acting cardiotonic agent are thought to be flavonoids and oligomeric procyanidins. The most studied hawthorn extracts are WS 1442 and LI 132. Reviews of placebo-controlled ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0215/p465.html
A Method for Establishing Patient Rapport -- FPM
Apr 1, 2021 - It starts with being mindful - not only of what we say, but also of how it is being heard.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2021/0300/p42.html