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Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from ... Restricted content. Login required.

Dec 1, 2020 - The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1201/p697.html

Blood Lead Levels, Urinary Incontinence, Back Pain, Hemorrhoids, Contraceptives, Lipid ... Restricted content. Login required.

Dec 15, 2020 - 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/2020/1215/p718.html

Chronic Kidney Disease: Evaluation and Treatment Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 15, 2020 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and treatment of chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0915/p378.html

Lasmiditan (Reyvow) for the Treatment of Acute Migraine - STEPS - American Family ... Restricted content. Login required.

Dec 15, 2020 - Lasmiditan is a costly alternative to other more extensively studied medications for acute migraine. It should be reserved for those patients who lack relief with other available agents or who cannot tolerate other abortive medications.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1215/p756.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

Shoulder Pain and Stiffness with Abnormal Imaging Findings - Photo Quiz - American ... Restricted content. Login required.

Dec 1, 2020 - A 51-year-old patient presented with several years of diffuse shoulder pain and abnormal imaging findings.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1201/p695.html

Beta Blockers for Suspected or Diagnosed Acute Myocardial Infarction - Cochrane for ... Restricted content. Login required.

Dec 1, 2020 - Compared with placebo, beta-blocker use in patients with acute MI reduces short-term (less than three months) risk of MI and long-term (more than three months) risk of cardiovascular mortality and all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1201/p666.html

Metformin to Prevent Diabetes in Patients at Increased Risk - Cochrane for Clinicians -... Restricted content. Login required.

Nov 1, 2020 - In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p531.html

Misoprostol Dosing for First-Trimester Abortion - FPIN's Clinical Inquiries - American ... Restricted content. Login required.

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

Low-Protein Diets for Adults Without Diabetes Mellitus Who Have CKD - Cochrane for ... Restricted content. Login required.

Dec 1, 2020 - In patients without diabetes mellitus who have chronic kidney disease, is a low-protein diet effective at preventing progression to end-stage renal disease or the need for dialysis?

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1201/p665.html

Antibiotics for Acute Bronchitis - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1101/od2.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Diary of a Family Physician - Dec 15, 2020 - American Family Physician Restricted content. Login required.

Dec 15, 2020 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2020/1215/p758.html

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Recurrent Facial Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 15, 2020 - A patient presented with a facial rash that was initially painless but developed a burning sensation.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1115/p625.html

Fecal Occult Blood Testing Is Inaccurate as Part of Diagnostic Workup - POEMs - ... Restricted content. Login required.

Dec 1, 2020 - In this well-conducted systematic review, FOBT, although useful in screening for colorectal cancer, is not highly accurate in evaluating patients with clinical indications.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p692.html

Oral Semaglutide (Rybelsus) for the Treatment of Type 2 Diabetes Mellitus - STEPS - ... Restricted content. Login required.

Nov 15, 2020 - Oral semaglutide (Rybelsus) is labeled as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1115/p627.html

Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics - ... Restricted content. Login required.

Nov 15, 2020 - The American Academy of Pediatrics has published updated guidelines for diagnosis and treatment of autism spectrum disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1115/p629.html

Some Drugs Slightly Improve Cognition in People with Dementia; Effects on Behavioral or... Restricted content. Login required.

Dec 1, 2020 - Some treatments can improve cognition on research scales, but daily function will not be affected in a noticeable way. Managing behavioral or psychological issues with medication is not supported by current evidence

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p694.html

Cirrhosis, Ureteral Stones, Depression, Sleep Apnea, Scoliosis - AFP Clinical Answers -... Restricted content. Login required.

Dec 1, 2020 - 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/2020/1201/p664.html

Easy Rule Identifies Patients with Low-Risk Penicillin Allergies - POEMs - American ... Restricted content. Login required.

Dec 1, 2020 - A label of penicillin allergy clears the shelves of many effective treatments for various infections. A simple rule outlined in the synopsis effectively identifies (without allergy testing) low-risk penicillin allergies in patients with a history of a penicillin allergy event.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p692a.html

Acute Diverticulitis: Identifying Patients Unlikely to Have Complications - ... Restricted content. Login required.

Oct 15, 2020 - Can a clinical prediction rule accurately identify patients at low risk of complicated acute diverticulitis, defined as diverticulitis accompanied by abscess or peritonitis?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/1015/p495.html

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.html

Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Sep 15, 2020 - 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/2020/0915/p335.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections - ... Restricted content. Login required.

Nov 15, 2020 - A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1115/p623.html

Vaginal Bleeding Decreases over Time with a Levonorgestrel Intrauterine System - POEMs ... Restricted content. Login required.

Dec 1, 2020 - Bleeding decreased over time for most women after the insertion of a levonorgestrel-releasing intrauterine system.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1201/p693.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

Lefamulin (Xenleta) for the Treatment of Community-Acquired Bacterial Pneumonia - STEPS... Restricted content. Login required.

Sep 15, 2020 - Lefamulin may be considered for patients hospitalized with community-acquired bacterial pneumonia.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0915/p373.html

Treatment of Depression in Children and Adolescents - Implementing AHRQ Effective ... Restricted content. Login required.

Nov 1, 2020 - What are the benefits and harms of nonpharmacologic and pharmacologic treatments for depressive disorders in children and adolescents?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/1101/p558.html

Formal Training in POCUS Can Positively Impact Family Medicine Practices - Letters to ...

Oct 15, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/1015/p454.html

Antibiotic and Corticosteroid Treatment Effective for Acute Exacerbations of COPD - ... Restricted content. Login required.

Nov 15, 2020 - Short-term antibiotic treatment and short-term systemic corticosteroids are both associated with a faster resolution of COPD symptoms and fewer treatment failures.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od2.html

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much ... Restricted content. Login required.

Sep 15, 2020 - This meta-analysis found no evidence that the monoclonal antibody denosumab reduces the risk of fracture more than bisphosphonates.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p375a.html

Influenza Vaccination: Updated 2020-2021 Recommendations from ACIP - Practice ...

Oct 15, 2020 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has released its recommendations for routine influenza vaccination in the 2020–2021 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1015/p505.html

Evidence to Avoid Overtesting and Overuse in Diabetes Mellitus and Other Diseases - ...

Nov 15, 2020 - What can physicians do to avoid overuse? Start by asking the right questions.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1115/p583.html

Terbinafine and Itraconazole Are Most Effective for Toenail Onychomycosis - POEMs - ... Restricted content. Login required.

Oct 15, 2020 - For toenail onychomycosis, continuous terbinafine (Lamisil), 250 mg, and continuous itraconazole (Sporanox), 200 mg, for 12 to 24 weeks are the preferred therapies.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od5.html

A Specific Probiotic Decreases Crying in Infants Younger than Two Months with Colic - ... Restricted content. Login required.

Nov 15, 2020 - Is probiotic supplementation effective in decreasing crying in infants with colic?

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od5.html

How to Manage a Patient with Weight Regain - Curbside Consultation - American Family ... Restricted content. Login required.

Nov 1, 2020 - A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/1101/p567.html

VTE in Patients with Cancer: Guidelines from the American Society of Clinical Oncology ... Restricted content. Login required.

Aug 1, 2020 - The American Society of Clinical Oncology has updated recommendations for the prevention and treatment of venous thromboembolism (VTE) in patients with cancer.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0801/p188.html

Mechanical Methods of Induction of Labor - Cochrane for Clinicians - American Family ... Restricted content. Login required.

Nov 1, 2020 - Mechanical induction of labor with single or double balloon catheters is similar to induction with vaginal prostaglandin E2 in rates of vaginal delivery achieved within 24 hours, and it has a more favorable safety profile.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p530.html

Accidental Hypothermia: Guidelines from the Wilderness Medical Society - Practice ... Restricted content. Login required.

Nov 1, 2020 - The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1101/p571.html

Patellofemoral Pain: Guidelines from the American Physical Therapy Association - ... Restricted content. Login required.

Oct 1, 2020 - The American Physical Therapy Association released guidelines for the diagnosis and management of patellofemoral pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1001/p442.html

KardiaMobile for ECG Monitoring and Arrhythmia Diagnosis - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2020 - KardiaMobile is a mobile single lead ECG device that is FDA approved for detection of atrial fibrillation, bradycardia, and tachycardia.

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

https://www.aafp.org/afp/2020/1101/p562.html

Immunogenicity of Childhood Vaccines after Pediatric Cancer - FPIN's Clinical Inquiries... Restricted content. Login required.

Dec 1, 2020 - Children treated for cancer do not retain full immunity from previous vaccinations; therefore, it is likely beneficial for children who survive cancer to be revaccinated six to 12 months after immunosuppressive therapy.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1201/od1.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

Augmentation Therapy, Menstrual Bleeding, VTE, Pancreatic Cancer, Acute Kidney Injury -... Restricted content. Login required.

Nov 15, 2020 - 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/2020/1115/p587.html

Rebound Bilirubin Levels after Phototherapy in Neonates with Hyperbilirubinemia - ... Restricted content. Login required.

Nov 1, 2020 - Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours after ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1101/od1.html

Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: ...

Nov 15, 2020 - The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

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

https://www.aafp.org/afp/2020/1115/od1.html

Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, ... Restricted content. Login required.

Oct 15, 2020 - M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1015/p493.html

Acute Appendicitis: Computed Tomography for Diagnosis in Adults - Cochrane for ... Restricted content. Login required.

Oct 1, 2020 - In a nonpregnant adult with clinical signs and symptoms of appendicitis, computed tomography has a sensitivity of 95% and specificity of 94%.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1001/p403.html

Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease - ... Restricted content. Login required.

Sep 15, 2020 - Is it possible to determine which patients with acute abdominal pain are likely to have diverticulitis and therefore do not require imaging?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0915/p371.html

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