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Slow-Growing, Painless Periungual Nodule - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a painless, slow-growing lesion on her finger that had been present for several years.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p299.html

Hyperpigmentation of the Hands, Feet, and Tongue - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a painless, non-pruritic rash involving his palms, soles, and tongue after undergoing chemotherapy.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0900/p301.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

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

FMLA Does Not Need to Be a Four-Letter Word -- FPM Restricted content. Login required.

Aug 1, 2021 - These tips can help you complete FMLA paperwork quickly and accurately.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p12.html

Melatonin to Treat Insomnia in Older Adults - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

Aug 1, 2021 - Melatonin preparations reduce sleep-onset latency, increase total sleep time, and slightly improve sleep efficiency. Prolonged-release melatonin reduces sleep-onset latency in older adults and has rates of adverse effects similar to those of placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0900/p297.html

A Step-by-Step Time-Saving Approach to Coding Office Visits -- FPM Restricted content. Login required.

Aug 1, 2021 - Follow these four steps to code quickly and accurately, while reducing the need to count up data points.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p21.html

Reducing Saturated Fat Intake to Decrease the Risk of Cardiovascular Disease - Cochrane... Restricted content. Login required.

Aug 1, 2021 - Reducing saturated fat in the diet for at least two years decreases the risk of combined cardiovascular events. However, there is little to no effect on cardiovascular mortality, all-cause mortality, or individual cardiovascular events.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p235.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

Remdesivir (Veklury) for the Treatment of COVID-19 in Hospitalized Patients - STEPS - ... Restricted content. Login required.

Aug 1, 2021 - Although remdesivir has been shown to be safe and well tolerated, there is a lack of consistency in clinical trial results and guideline recommendations.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0900/p311.html

Chronic Musculoskeletal Pain, NAFLD, Peripheral Neuropathy, Myocardial Infarction - AFP... 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/2021/0900/p232.html

Efficient Approach to the Evaluation of Syncope - Lown Right Care: Reducing Overuse and... Restricted content. Login required.

Aug 1, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2021/0900/p305.html

Pelvic Floor Muscle Training to Prevent and Treat Urinary and Fecal Incontinence in ... Restricted content. Login required.

Aug 1, 2021 - Structured PFMT beginning early in pregnancy prevents the onset of urge incontinence later in pregnancy and in the postpartum period compared with no intervention. There is no evidence that PFMT improves urinary incontinence later in pregnancy or in the postpartum period in pregnant ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0900/p234.html

Fecal Calprotectin for the Evaluation of Inflammatory Bowel Disease - Diagnostic Tests:... Restricted content. Login required.

Aug 1, 2021 - Fecal calprotectin measurement is an accurate, simple, cost-effective test that can aid in selecting which patients presenting with possible IBD can be safely observed in the primary care setting.

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

https://www.aafp.org/afp/2021/0900/p303.html

Using Race with Caution in the ASCVD Calculator - Curbside Consultation - American ... Restricted content. Login required.

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

Applying a Clinical Prediction Rule to Distinguish Lower Extremity Cellulitis from Its ... Restricted content. Login required.

Aug 1, 2021 - How can the clinician best determine whether a patient with lower leg erythema has cellulitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2021/0900/p309.html

Diary of a Family Physician - Sep 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/2021/0900/p313.html

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

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

Parasitic Infections: Do Not Neglect Strongyloidiasis - Editorials - American Family ...

Aug 1, 2021 - Although the intestinal roundworm Strongyloides stercoralis is not on the Centers for Disease Control and Prevention's list of neglected parasitic infections, it deserves increased awareness. There are an estimated 30 million to 100 million infections from S. stercoralis worldwide and a...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0900/p224.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

Coding & Documentation - Jul-Aug 2021 -- FPM Restricted content. Login required.

Aug 1, 2021 - Staff documentation of the patient history | Modifiers for multiple procedures | Counting data for medical decision making | AWV work by medical assistants | What counts when ordering and reviewing tests

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0700/p32.html

Addressing Administrative Simplification -- FPM

Aug 1, 2021 - Physicians are spending too much time on paperwork and EHR-related tasks, but what can be done?

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2021/0700/p5.html

In Older Adults, Aspirin Increases the Risk of Metastatic or Stage 4 Cancers and Cancer... Restricted content. Login required.

Aug 1, 2021 - In this large trial, older adults who received aspirin had higher rates of metastatic cancer, stage 4 cancer, and cancer mortality than those who received placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od4.html

The Quest for Administrative Simplification: What's Being Done -- FPM Restricted content. Login required.

Aug 1, 2021 - Progress has been made on several fronts, including prior authorization reform and reducing documentation burdens. But there’s more work to do.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p8.html

Epidural Corticosteroid Injections Provide Minimal, If Any, Benefit in Low Back Pain ... Restricted content. Login required.

Aug 1, 2021 - Epidural corticosteroid injections provide a small and probably clinically insignificant reduction in leg and back pain in the immediate term (less than two weeks), and a small to moderate reduction in disability in the short and intermediate terms.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od2.html

The Risk of Progression from Prediabetes to Diabetes in Older Adults Is Low - POEMs - ... Restricted content. Login required.

Aug 1, 2021 - Older patients generally will not progress to diabetes; they will either, over an average of 6.5 years, stay at the prediabetic levels or revert to normal levels. If a patient makes it to their mid-70s without a diagnosis of diabetes, it is unlikely to occur.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od3.html

Take-and-Hold Prescriptions for Children with Respiratory Tract Infections Decrease ... Restricted content. Login required.

Aug 1, 2021 - A strategy of providing education about the natural history of respiratory symptoms in children combined with giving a take-and-hold prescription (to be filled only if symptoms persisted) resulted in one in four of those children eventually receiving an antibiotic.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0900/od5.html

Talking About Vaccines During Pregnancy -- FPM

Aug 1, 2021 - Immunization is a vital component of prenatal care, offering protection from preventable diseases to patients who are pregnant and their fetuses. The Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommends immunizing every patient ...

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p17.html

A Compassionate Communication Refresher for Clinicians Experiencing COVID Fatigue -- FPM Restricted content. Login required.

Aug 1, 2021 - If the stress of the pandemic has challenged your patient communication skills, here’s how you can reestablish rapport.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/oa1.html

Practice Pearls - Jul-Aug 2021 -- FPM Restricted content. Login required.

Aug 1, 2021 - Use dedicated staff to ease prior authorizations | Leverage your EHR to save time on drug recalls | Use reminder slips to simplify follow-up appointment scheduling

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2021/0700/p34.html

Prioritizing Primary Care Can Save the U.S. Health Care System -- FPM

Aug 1, 2021 - Payers are being asked to commit to a change in primary care financing in the next two years.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0700/p6.html

Checking Your Blood Pressure at Home - American Family Physician

Aug 1, 2021 - << Previous article Next article >> Sep 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/2021/0900/p237-s1.html

Skin Conditions - American Family Physician

Jul 15, 2021 - This collection features AFP content on common skin conditions and related issues, including acne, dermatitis, dermatologic emergencies, generalized rash, lichen planus, nail disorders, newborn skin, office procedures, premalignant lesions, and psoriasis. This collection features AFP ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=21

Chronic Obstructive Pulmonary Disease - American Family Physician

Jul 15, 2021 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32

Musculoskeletal Care - American Family Physician

Jul 15, 2021 - This collection features AFP content on musculoskeletal care and related issues, including fracture management, joint aspiration, joint injections, pain in various parts of the body (foot and ankle; neck and back; hip; knee; arm and shoulder; and wrist and hand). This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=17

Dementia - American Family Physician

Jul 15, 2021 - This collection features AFP content on dementia and related issues, including Alzheimer’s, Binswanger’s type, dementia, and dementia with Lewy bodies. This collection features AFP content on dementia and related issues, including Alzheimer’s, Binswanger’s type, dementia, and dementia ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=5

Pain: Chronic - American Family Physician

Jul 15, 2021 - This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy. This collection features AFP content on chronic pain and related issues, including end-of-life care, NSAIDs, and opioid therapy.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=61

HIV/AIDS - American Family Physician

Jul 15, 2021 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11

Coronavirus Disease 2019 (COVID-19) -- FPM Topic Collection

Jul 13, 2021 - Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that was declared a pandemic by the World Health Organization on March 11, 2020. Common symptoms include fever, cough, and shortness of breath. The ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=113

Topic Collections -- FPM

Jul 13, 2021 - FPM editors' choice of best available content for family physicians.

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewAll.htm

Practice Efficiency -- FPM Topic Collection

Jul 13, 2021 - This article collection features popular FPM content on the subject of practice efficiency. This article collection features popular FPM content on the subject of practice efficiency.

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=44

Physician Burnout & Work-Life Balance -- FPM Topic Collection

Jul 13, 2021 - This article collection features popular FPM content on the subject of life balance -- from finding joy in your work to blending work and family. This article collection features popular FPM content on the subject of life balance -- from finding joy in your work to blending work and ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=43

Administrative Simplification -- FPM Topic Collection

Jul 13, 2021 - The documentation, paperwork, and quality reporting burden on physicians is immense. What can physicians do to reduce their administrative hassles, and what are organizations doing on their behalf? This FPM topic collection explores these issues. The documentation, paperwork, and ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=112

Electronic Health Records -- FPM Topic Collection

Jul 13, 2021 - This article collection features popular FPM content on the subject of electronic health records -- from selecting an EHR system to optimizing an EHR in your practice. This article collection features popular FPM content on the subject of electronic health records -- from selecting an ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=34

Care of the College Student - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Approximately 19 million students attend college in the United States. Although they are generally healthy, about 20% of youth have special health care needs, including asthma, diabetes mellitus, and learning, mental health, and substance use disorders. Physicians can facilitate the ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p141.html

Dysmenorrhea - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Dysmenorrhea is common and usually independent of, rather than secondary to, pelvic pathology. Dysmenorrhea occurs in 50% to 90% of adolescent girls and women of reproductive age and is a leading cause of absenteeism. Secondary dysmenorrhea as a result of endometriosis, pelvic anatomic ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p164.html

Human Papillomavirus: Screening, Testing, and Prevention - American Family Physician Restricted content. Login required.

Jul 1, 2021 - With more than 200 types identified, human papillomavirus (HPV) commonly causes infections of the skin and mucosa. HPV infection is the most common sexually transmitted infection in the United States. Although most HPV infections are transient and subclinical, some lead to clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p152.html

Unintentional Weight Loss in Older Adults - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Unintentional weight loss in people older than 65 years is associated with increased morbidity and mortality. Nonmalignant diseases are more common causes of unintentional weight loss in this population than malignant causes. However, malignancy accounts for up to one-third of cases of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p34.html

Sinus Node Dysfunction - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Sinus node dysfunction, previously known as sick sinus syndrome, describes disorders related to abnormal conduction and propagation of electrical impulses at the sinoatrial node. An abnormal atrial rate may result in the inability to meet physiologic demands, especially during periods ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p179.html

Breast Cancer Treatment - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Breast cancer is the leading cause of death from cancer in women worldwide, and the second most common cause of death from cancer in women in the United States. Risk assessment tools can identify the risk of breast cancer, and patients at high risk may be candidates for risk-reducing ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p171.html

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