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Dyspareunia in Women - American Family Physician Restricted content. Login required.

May 15, 2021 - Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress. It affects approximately 10% to 20% of U.S. women. Dyspareunia may be superficial, causing pain with attempted vaginal insertion, or deep. Women with sexual pain are at increased risk of sexual ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0515/p597.html

Degenerative Cervical Myelopathy: Recognition and Management - American Family Physician Restricted content. Login required.

Dec 15, 2020 - Degenerative cervical myelopathy encompasses a collection of pathologic conditions that result in progressive spinal cord dysfunction secondary to cord compression. Patients are typically male (3: 1 male-to-female ratio), and the average age of presentation is 64 years. The exact ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1215/p740.html

Clostridioides difficile Infection: Update on Management - American Family Physician Restricted content. Login required.

Feb 1, 2020 - Guidelines for the diagnosis and treatment of Clostridioides difficile infection have recently been updated. Risk factors include recent exposure to health care facilities or antibiotics, especially clindamycin. C. difficile infection is characterized by a wide range of symptoms, from ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p168.html

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

May 1, 2021 - Urethritis refers to inflammation of the urethra and is classified as gonococcal (caused by Neisseria gonorrhoeae) or nongonococcal in origin (most commonly caused by Chlamydia trachomatis, Mycoplasma genitalium, or Trichomonas vaginalis). The most common signs and symptoms include ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p553.html

Sepsis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Apr 1, 2020 - Guidelines published in 2016 provide a revised definition of sepsis: life-threatening organ dysfunction caused by a dysregulated host response to infection. The guidelines define septic shock as sepsis with circulatory, cellular, and metabolic dysfunction that is associated with a ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0401/p409.html

Post-ICU Care in the Outpatient Setting - American Family Physician Restricted content. Login required.

May 15, 2021 - More than 5 million patients in the United States are admitted to intensive care units (ICUs) annually, and an increasing percentage of patients treated in the ICU survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should...

American Family Physician : Article

https://www.aafp.org/afp/2021/0515/p590.html

Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments - American ... Restricted content. Login required.

Oct 15, 2020 - Chronic low back pain, neck pain, hip and knee osteoarthritis, and fibromyalgia are the most common types of chronic musculoskeletal pain. Because no individual therapy has consistent benefit, a multimodal treatment approach to chronic musculoskeletal pain is recommended. Many ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p465.html

Chronic Dyspnea: Diagnosis and Evaluation - American Family Physician Restricted content. Login required.

May 1, 2020 - Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0501/p542.html

Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ... Restricted content. Login required.

Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p30.html

Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment - American ... Restricted content. Login required.

Sep 15, 2020 - Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p339.html

Atrial Fibrillation - American Family Physician

Nov 1, 2020 - This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, antiplatelet therapy, arrhythmias, and palpitations. This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=33

Common Benign Chronic Vulvar Disorders - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p550.html

Endometrial Biopsy: Tips and Pitfalls - American Family Physician Restricted content. Login required.

May 1, 2020 - Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0501/p551.html

Menopause - American Family Physician

Feb 1, 2020 - This collection features AFP content on menopause and related issues, including estrogen and progestogen therapy, hormone therapy, hot flashes, mood symptoms, sexual difficulties, and postmenopause. This collection features AFP content on menopause and related issues, including estrogen...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=59

Benign Anorectal Conditions: Evaluation and Management - American Family Physician Restricted content. Login required.

Jan 1, 2020 - Common anorectal conditions include hemorrhoids, perianal pruritus, anal fissures, functional rectal pain, perianal abscess, condyloma, rectal prolapse, and fecal incontinence. Although these are benign conditions, symptoms can be similar to those of cancer, so malignancy should be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0101/p24.html

Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ... Restricted content. Login required.

Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p206.html

Paget Disease of Bone for Primary Care - American Family Physician Restricted content. Login required.

Aug 15, 2020 - Paget disease of bone is a benign disorder characterized by focal areas of increased bone turnover in one or more skeletal sites. It usually affects older adults, and men are at a higher risk than women. Any bone may be affected, but the disease has a high preference for the pelvis, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0815/p224.html

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

Jul 1, 2021 - << Previous article Next article >> Jul 01, 2021 Issue Costochondritis: Rapid Evidence Review TIMOTHY MOTT, MD; GREGORY JONES, MD; and KIMBERLY ROMAN, MD, South Baldwin Regional Medical Center Family Medicine Residency Program, Foley, Alabama Am Fam Physician. 2021 Jul ;104(1):73-78....

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p73.html

Sleep Disorders in Adults - American Family Physician

Oct 15, 2021 - Advertisement AFP BY TOPIC Sleep Disorders in Adults Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on sleep disorders in adults and related issues, including continuous positive airway pressure...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=83

Occupational Health - American Family Physician

Feb 1, 2021 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on occupational health, including back pain and injuries, impairment and disability evaluations,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Key Recommendations on Managing Dyslipidemia for Cardiovascular Risk Reduction: ...

Apr 15, 2021 - In June 2020, the third iteration of the U.S. Department of Veterans Affairs and Department of Defense guidelines on managing dyslipidemia was published. These recommendations create a simple, pragmatic, evidence-based approach that can be valuable to family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0415/p455.html

FM/a Blood Test for Diagnosis of Fibromyalgia - Diagnostic Tests: What Physicians Need ... Restricted content. Login required.

May 1, 2021 - Limited data suggest that the FM/a test accurately differentiates patients with fibromyalgia from healthy controls and has some ability to differentiate fibromyalgia from other rheumatologic diseases.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0501/p566.html

Dyslipidemia Management for Cardiovascular Disease Prevention: Guidelines from the ... Restricted content. Login required.

Apr 15, 2021 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and management of dyslipidemia to prevent cardiovascular disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0415/p507.html

Iron Deficiency Anemia: Guidelines from the American Gastroenterological Association - ... Restricted content. Login required.

Aug 1, 2021 - The American Gastroenterological Association developed guidelines for the evaluation of IDA in adults.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0800/p211.html

The Case Against Coronary Artery Calcium Scoring for Cardiovascular Disease Risk ...

Dec 15, 2019 - Although coronary artery calcium testing may slightly improve future risk prediction, this theoretical benefit is outweighed by its potential harms.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1215/p734.html

Beers Criteria for Inappropriate Medication Use in Older Patients: An Update from the ... Restricted content. Login required.

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

Screening for Vitamin D Deficiency in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Nov 1, 2021 - A 49-year-old Black man with a history of hypertension, type 2 diabetes mellitus, and class I obesity (body mass index of 31.4 kg per m2) presents for a wellness examination. The patient's hypertension and diabetes are well controlled with lisinopril and metformin; they do not take any ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1100/p515.html

Acute Treatments for Episodic Migraine in Adults - Implementing AHRQ Effective Health ... Restricted content. Login required.

Nov 1, 2021 - How effective are pharmacologic and nonpharmacologic acute treatments for episodic migraine in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/1100/p509.html

Coenzyme Q10 for Heart Failure - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Nov 1, 2021 - In patients with chronic heart failure, supplementation with coenzyme Q10 may reduce all-cause mortality. Adverse effects are generally mild and may be only slightly increased with coenzyme Q10 supplementation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p458.html

GeneSight Psychotropic Genetic Testing for Psychiatric Medication Selection - ... Restricted content. Login required.

Jul 1, 2021 - The GeneSight test may assist in drug selection and dosing for individuals having difficulty finding an effective option or who have had intolerable adverse effects after trials of several drugs. However, because only a small population of patients are expected to have genetic ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2021/0700/p89.html

Basal Cell Carcinoma: Comparison of Surgical and Nonsurgical Interventions - Cochrane ... Restricted content. Login required.

Nov 1, 2021 - The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have acceptably ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p459.html

Colonoscopy Follow-up: U.S. Multi-Society Task Force on Colorectal Cancer Updates ... Restricted content. Login required.

Mar 1, 2021 - Screening colonoscopy findings define the future risk of colorectal cancer and the need for repeat screening. The U.S. Multi-Society Task Force on Colorectal Cancer updated recommended follow-up intervals after screening colonoscopy in average-risk individuals.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0301/p314.html

Management of Gout: Update from the American College of Rheumatology - Practice ... Restricted content. Login required.

Aug 1, 2021 - The American College of Rheumatology published updated guidelines for gout management focused on improving prevention of flare-ups.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0800/p209.html

Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...

May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.

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

https://www.aafp.org/afp/2020/0515/od1.html

Screening for Hypertension in Adults - Putting Prevention into Practice - American ... Restricted content. Login required.

Aug 1, 2021 - A 23-year-old patient, M.C., comes to your office for a wellness visit with no concerns. On reviewing the patient's medical record, you note that M.C. has a history of polycystic ovary syndrome, blood pressure of 110/70 mm Hg from a visit one year ago, and a body mass index of 28.2 kg ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0800/p193.html

Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ... Restricted content. Login required.

Nov 1, 2021 - Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1100/p513.html

Tirbanibulin (Klisyri) for the Treatment of Actinic Keratosis - STEPS - American Family... Restricted content. Login required.

Nov 1, 2021 - The cost and effectiveness profile of tirbanibulin make it a last-line option compared with current first-line therapies such as fluorouracil and imiquimod, which are less expensive and have a higher clearance rate of AK lesions. Further trials comparing the effectiveness of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/1100/p519.html

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

Oct 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

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

Sep 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

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

Sep 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

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ... Restricted content. Login required.

Nov 1, 2021 - Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1100/od2.html

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology... Restricted content. Login required.

Jan 15, 2021 - The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0115/p120.html

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ... Restricted content. Login required.

Sep 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0900/od1.html

Treatment of Chronic Obstructive Pulmonary Disease: Guidelines from the VA/DoD - ... Restricted content. Login required.

Jul 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense published guidelines for the primary care management of COPD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p98.html

Treatment of Subclinical Hypothyroidism: BMJ Rapid Recommendation - Practice Guidelines... Restricted content. Login required.

Sep 1, 2020 - Previous guidelines suggested that levothyroxine treatment may be appropriate with hypothyroid symptoms or a TSH level exceeding 10 mIU per L based on limited evidence. A recent large trial in older adults suggests that treatment shows no benefit in many areas and possible harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0901/p316.html

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

Oct 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

SGLT2 Inhibitors or GLP-1 Receptor Agonists Reduce Cardiovascular Outcomes in Patients ... Restricted content. Login required.

Aug 1, 2021 - SGLT2 inhibitors, the diabetes medications ending in -flozin, and GLP-1 receptor agonists, the -tide medications, decrease cardiovascular and renal outcomes to a greater extent than placebo or other treatments. They should be considered in addition to metformin and other ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p206.html

Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption -...

Jun 1, 2020 - Although continuous glucose monitoring may benefit patients with type 1 diabetes mellitus, there is limited evidence that it offers similar benefits in patients with type 2 diabetes, regardless of whether they are taking insulin.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0601/p646.html

Diagnosis and Initial Management of Acute Colonic Diverticulitis - Implementing AHRQ ... Restricted content. Login required.

Aug 1, 2021 - What are the benefits and harms of diagnostic testing, and what is the effectiveness of treatment options for acute colonic diverticulitis?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0800/p195.html

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