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Recalcitrant Annular Rash - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2021 - A patient presented with a pruritic, nonscaly, ring-like rash on the dorsa of both hands.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/1000/p415.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

High-Dose Amoxicillin/Clavulanate No Better than Standard Dose for Acute Sinusitis in ... Restricted content. Login required.

Aug 1, 2021 - This study found no significant difference between the standard-dose and high-dose regimens of amoxicillin/clavulanate for treating acute sinusitis in adults. It is important to note that both doses are minimally superior to placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p423.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

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

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

Depression, Cervical Myelopathy, Diagnostic Imaging, Eating Disorders, Vitamin K ... 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/2021/1000/p354.html

Does Light Therapy Decrease Depression in Older Adults? - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Aug 1, 2021 - Light therapy appears to be mildly effective in treating depression in older adults, but ideal wavelength, intensity, and length of treatment are unknown.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1000/p417.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

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

Racial Disparities at the End of Life - Editorials - American Family Physician

Aug 1, 2021 - The COVID-19 pandemic has drawn greater attention to the continuing discrimination that racial minorities face within the medical system. Often these disparities are considered in the context of patients who are not actively dying. However, care delivered at the end of life is also ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/1000/p346.html

Screening for Ovarian Cancer with CA 125 and Ultrasound Algorithm Does Not Reduce ... Restricted content. Login required.

Aug 1, 2021 - Like the U.S. Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial, this large and long U.K. study found no reduction in ovarian cancer mortality with screening using ultrasonography or a multimodal CA 125–based screening strategy.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p422a.html

Community Vision Screening in Older Adults - FPIN's Help Desk Answers - American Family... Restricted content. Login required.

Aug 1, 2021 - The available evidence does not support screening adults 65 years and older for visual impairment in the primary care setting.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/1000/p419.html

For Patients with Type 2 Diabetes Mellitus Who Are Taking a GLP-1 Receptor Agonist, an ... Restricted content. Login required.

Aug 1, 2021 - This propensity score–matched analysis (not funded by industry) concluded that an SGLT2 inhibitor is preferred over a sulfonylurea for patients with type 2 diabetes who are already taking a GLP-1 receptor agonist, with favorable effects on the likelihood of hospitalization for ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p424.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

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

Physician Employment Eclipses Practice Ownership: The Ongoing Trend and Its Effect on ...

Aug 1, 2021 - In 2016, for the first time, less than one-half of practicing physicians had an ownership stake in their own practices. The most recent American Medical Association Physician Practice Benchmark Survey reveals that this trend continues. More physicians are identifying as employees ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/1000/p351.html

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

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

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 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

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

Ultrasound Guidance for the Placement of Peripheral Intravenous Catheters - Medicine by... Restricted content. Login required.

Aug 1, 2021 - Learn more about ultrasound guidance for the placement of peripheral intravenous catheters.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1000/od2.html

No Difference in Cognitive Decline in Older Patients with Coronary Artery Disease ... Restricted content. Login required.

Aug 1, 2021 - The study found no significant difference in the rate of memory decline among older adults with CAD who are undergoing coronary revascularization with CABG or PCI.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1000/p422.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

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

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

Case Report: Second-Trimester Maternal COVID-19 Infection and Tetralogy of Fallot - ...

Aug 1, 2021 - << Previous article Next article >> Oct 01, 2021 Issue Letters to the Editor Case Report: Second-Trimester Maternal COVID-19 Infection and Tetralogy of Fallot Am Fam Physician. 2021 Oct ;104(4):331. Published online August 9, 2021. To the Editor: A 28-year-old woman delivered a male...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p331.html

Previous ECG Criteria (Including STEMI Criteria) Overlook Too Many Acute MIs Due to ...

Aug 1, 2021 - << Previous article Next article >> Oct 01, 2021 Issue Letters to the Editor Previous ECG Criteria (Including STEMI Criteria) Overlook Too Many Acute MIs Due to Acute Coronary Occlusion Am Fam Physician. 2021 Oct ;104(4):333-334. Original Article: Acute Chest Pain in Adults:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p333.html

Case Report: Disseminated HSV Infection in a Well-Appearing Neonate - Letters to the ...

Aug 1, 2021 - << Previous article Next article >> Oct 01, 2021 Issue Letters to the Editor Case Report: Disseminated HSV Infection in a Well-Appearing Neonate Am Fam Physician. 2021 Oct ;104(4):332-333. To the Editor: A 12-day-old infant with no significant birth history presented with several...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p332.html

Management of Syphilis in People with HIV Infection - Letters to the Editor - American ...

Aug 1, 2021 - << Previous article Next article >> Oct 01, 2021 Issue Letters to the Editor Management of Syphilis in People with HIV Infection Am Fam Physician. 2021 Oct ;104(4):335. Original Article: HIV Infection in Adults: Initial Management Issue Date: April 1, 2021 Available at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p335.html

Administering COVID-19 Vaccines During Preparticipation Physical Examinations - Letters...

Aug 1, 2021 - << Previous article Next article >> Oct 01, 2021 Issue Letters to the Editor Administering COVID-19 Vaccines During Preparticipation Physical Examinations Am Fam Physician. 2021 Oct ;104(4):331-332. Published online September 15, 2021. To the Editor: During the SARS-CoV-2 pandemic,...

American Family Physician : Letter

https://www.aafp.org/afp/2021/1000/p331a.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

Osteomyelitis: What You Should Know - American Family Physician

Aug 1, 2021 - << Previous article Next article >> Oct 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/2021/1000/p395-s1.html

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

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

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

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

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

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

Pharmacologic Therapy for Acute Pain - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Pharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p63.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

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

Complex Regional Pain Syndrome - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Complex regional pain syndrome (CRPS) is a rare, chronic pain disorder. It is challenging for patients and physicians because it leads to significant morbidity due to chronic pain that may last for years. CRPS typically develops four to six weeks after direct trauma, such as an injury ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p49.html

Pertussis: Common Questions and Answers - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Pertussis, also known as whooping cough, remains a public health concern despite expanded immunization recommendations over the past three decades. The presentation of pertussis, which is variable and evolves over the course of the disease, includes nonspecific symptoms in the catarrhal...

American Family Physician : Article

https://www.aafp.org/afp/2021/0800/p186.html

Top 20 Research Studies of 2020 for Primary Care Physicians - American Family Physician Restricted content. Login required.

Jul 1, 2021 - This article summarizes the top 20 research studies of 2020 identified as POEMs (patient-oriented evidence that matters), including the two most highly rated guidelines of the year on gout and chronic obstructive pulmonary disease (COPD). Regarding COVID-19, handwashing and social ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p41.html

Management of Infants Born to Mothers with HIV Infection - American Family Physician Restricted content. Login required.

Jul 1, 2021 - In the United States, approximately 5,000 women living with HIV infection give birth each year. HIV can be transmitted from a mother to her child at any time during pregnancy, labor and delivery, and breastfeeding. Because of effective preventive measures, the transmission rate from ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p58.html

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

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

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