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Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ...

Sep 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...

Sep 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

Climate Change and the Local Environment: Communicating with Your Patients about Health...

Sep 1, 2021 - This case provides an example of how climate change and the environment can have significant impacts on the health of our patients. It also illustrates the complex interaction of local, regional, and global environmental harms. The wide scope of environmental threats to human health ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/1100/p526.html

Nerve Injury, Survivors of Sexual Assault, Obstructive Sleep Apnea, Bipolar Disorder, ...

Sep 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/2021/1100/p453.html

Aptima Assay for Detection of Mycoplasma genitalium Infection - Diagnostic Tests: What ...

Sep 1, 2021 - The Aptima M. genitalium assay is highly sensitive and specific. The Centers for Disease Control and Prevention recommends the use of NAAT testing for M. genitalium infection in men with recurrent nongonococcal urethritis, in women with recurrent cervicitis, and possibly in women with ...

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

https://www.aafp.org/afp/2021/1100/p517.html

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ...

Sep 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

Anticonvulsants, SNRIs, and Rubefacients Are Best Initial Choices for Chronic Pain ...

Sep 1, 2021 - Given the balance of benefits and harms, there is moderately good evidence for anticonvulsants (pregabalin [Lyrica] and gabapentin [Neurontin] were similarly effective and well tolerated) and serotonin-norepinephrine reuptake inhibitors (SNRIs; with duloxetine [Cymbalta] and venlafaxine...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od6.html

Five Days of Antibiotic Therapy Is Comparable with 10 Days in Children with ...

Sep 1, 2021 - In a limited study, children with community-acquired pneumonia who were treated with five days of high-dose amoxicillin had cure rates comparable with those who were treated for 10 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od3.html

Dual Antiplatelet Therapy Is Superior to Aspirin in Preventing Short-Term Recurrent ...

Sep 1, 2021 - If the authors have found all the relevant studies, administering dual antiplatelet therapy within 24 hours of a mild to moderate stroke or TIA is more effective than aspirin at decreasing recurrent stroke over the subsequent 90 days. There is a low overall risk of major bleeding, but ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od5.html

Antibiotic Therapy Does Not Prevent Death or Acute Exacerbations in Adults with ...

Sep 1, 2021 - The study found an increased number of adverse events without any significant benefit from antimicrobial therapy compared with usual care alone for adults with IPF. The study was terminated earlier than planned because of futility and the possibility of significantly increased harm.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1100/od4.html

In-flight Medical Emergencies and Medical Legal Issues - Letters to the Editor - ...

Sep 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Letters to the Editor In-flight Medical Emergencies and Medical Legal Issues Am Fam Physician. 2021 Nov ;104(5):443. Original Article: In-flight Medical Emergencies Issue Date: May 1, 2021 See additional reader comments at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1100/p443.html

Corrections - Nov 01, 2021 - American Family Physician

Sep 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Nov ;104(5):443. Missing reference. In the article Out-of-Hospital Birth, (June 1, 2021, p. 672) the citation for reference 60 was inadvertently omitted (page 679). The citation...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/1100/p443b.html

Corrections - Nov 01, 2021 - American Family Physician

Sep 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Reader Services Corrections Am Fam Physician. 2021 Nov ;104(5):443. Incorrect measurement. In the article Management of Infants Born to Mothers with HIV Infection, (July 2021, p. 58) the HIV RNA load threshold for recommending a...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/1100/p443a.html

Breast Implants - American Family Physician

Sep 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/1100/p500-s1.html

Vocal Cord Dysfunction - American Family Physician

Sep 1, 2021 - << Previous article Next article >> Nov 01, 2021 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2021/1100/p471-s1.html

Agency Rates

Agency, Rates, Subscription Rates

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/offer/agency-rates.html

Anemia - American Family Physician

Aug 12, 2021 - This collection features AFP content on anemia and related issues, including blood transfusions, iron deficiency and iron supplementation, macrocytosis, microcytosis, and thalassemia. This collection features AFP content on anemia and related issues, including blood transfusions, iron ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=2

Abdominal Pain, Acute - American Family Physician

Aug 12, 2021 - This collection features AFP content on acute abdominal pain and related issues, including acute pelvic pain, appendicitis, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), and pancreatitis. This collection features AFP content on acute abdominal pain and related ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=73

Arthritis and Joint Pain - American Family Physician

Aug 12, 2021 - This collection features AFP content on arthritis and joint pain, including arthritis, gout, knee osteoarthritis, monoarthritis, osteoarthritis, polyarticular joint pain, Reiter's syndrome, rheumatoid arthritis, septic arthritis, and shoulder osteoarthritis. This collection features AFP...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=77

Menstrual Disorders - American Family Physician

Aug 12, 2021 - This collection features AFP content on menstrual conditions and related issues, including abnormal uterine bleeding, amenorrhea, dysmenorrhea, endometrial ablation, endometriosis, heavy menstrual bleeding, menorrhagia, premenstrual dysphoric disorder, premenstrual syndrome, and uterine...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=81

Health Maintenance and Counseling - American Family Physician

Aug 12, 2021 - This collection features AFP content on health maintenance and counseling and related issues, including dietary and nutrition guidelines, health maintenance in children, lifestyle counseling, and physical activity. This collection features AFP content on health maintenance and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=64

Care of Special Populations - American Family Physician

Aug 12, 2021 - This collection features AFP content on the care of special populations and related issues, including ethnic minorities; gay, lesbian, bisexual, and transgendered persons; homeless and uninsured persons; and mentally retarded persons. This collection features AFP content on the care of ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=45

Respiratory Tract Infections - American Family Physician

Aug 12, 2021 - Advertisement AFP BY TOPIC Respiratory Tract Infections Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on respiratory tract infections and related issues, including acute bronchitis, acute...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=29

Immunizations (excluding Influenza) - American Family Physician

Aug 12, 2021 - This collection features AFP content on child and adult immunizations (excluding influenza) and related issues, including travel immunizations and specific immunizations (hepatitis A and B, herpes zoster, human papillomavirus, meningococcus, pertussis, pneumococcus, rotavirus, smallpox,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=63

Onychomycosis: Rapid Evidence Review - American Family Physician

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

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

Alcohol Withdrawal Syndrome: Outpatient Management - American Family Physician

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

Osteomyelitis: Diagnosis and Treatment - American Family Physician

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

Diabetes-Related Foot Infections: Diagnosis and Treatment - American Family Physician

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

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

Kawasaki Disease and Multisystem Inflammatory Syndrome in Children: An Overview and ...

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

Medical Advice for Commercial Air Travel - American Family Physician

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

Bioterrorism - American Family Physician

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

Hereditary Hemochromatosis: Rapid Evidence Review - American Family Physician

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

Splenomegaly: Diagnosis and Management in Adults - American Family Physician

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

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

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

Venous Thromboembolism: Management Guidelines from the American Society of Hematology -...

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

Cervical Cancer Screening: Updated Guidelines from the American Cancer Society - ...

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 - ...

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

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

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

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

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ...

Aug 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

Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with...

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

Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ...

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

Neonatal Abstinence Syndrome: A Call for Mother-Infant Dyad Treatment Approach - ...

Aug 1, 2021 - Neonatal abstinence syndrome (NAS) is a constellation of symptoms observed in newborns exposed to opioids during pregnancy. The incidence of NAS has steadily increased during the past decade as more infants have been born to mothers with opioid use disorder (OUD). Pregnancy and the ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p222.html

Screening for Colorectal Cancer - Putting Prevention into Practice - American Family ...

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

Schizophrenia: Use of Antipsychotic Drugs for Maintenance Therapy - Cochrane for ...

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

Growing Mass in an Adolescent - Photo Quiz - American Family Physician

Aug 1, 2021 - A patient presented with a polypoid, unpigmented 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

Diary of a Family Physician - Oct 01, 2021 - American Family Physician

Aug 1, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/1000/p421.html

Using Race with Caution in the ASCVD Calculator - Curbside Consultation - American ...

Aug 1, 2021 - The use of race in clinical decision-making is a source of controversy in U.S. modern medicine. Definitions of race are inconsistent throughout the medical literature and in medical education, and most experts in biology and social sciences agree that race has a limited biologic basis ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0900/p292.html