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Inhaled Budesonide Reduces the Risk of Emergency Department Evaluation or ... Restricted content. Login required.

Jul 1, 2021 - Inhaled budesonide, 800 mcg twice daily, significantly reduces the likelihood that patients with early COVID-19 will require emergency department evaluation or hospitalization (number needed to treat = 7 to 8). This is a widely available, relatively inexpensive drug with the potential ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p207.html

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

Jul 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

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

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

Jul 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

Clascoterone (Winlevi) for the Treatment of Acne - STEPS - American Family Physician Restricted content. Login required.

Jul 1, 2021 - More comparative data are needed to justify the use of clascoterone over less expensive, currently available therapies for moderate to severe acne. However, systemic absorption of clascoterone is low, and it may serve as a safe alternative for patients 12 years and older who saw ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0700/p93.html

Pharmacologic Management of COPD Exacerbations: A Clinical Practice Guideline from the ...

Jul 1, 2021 - The American Academy of Family Physicians has published guidelines for treating acute exacerbations of COPD.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/od1.html

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

Jul 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

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

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

Jul 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

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

Jul 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

Fallacies and Dangers of Practicing Race-Based Medicine - Editorials - American Family ...

Jul 1, 2021 - Race does not have a biologic definition, but rather a political and social one that is fluid and independent of science. Nevertheless, the medical community uses race as a scientific variable in several prominent clinical situations, including calculation of atherosclerotic ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0800/p122.html

Treatment of Chronic Obstructive Pulmonary Disease Exacerbations: Guidelines from the ... Restricted content. Login required.

Jul 1, 2021 - The American Academy of Family Physicians has published guidelines for treating acute exacerbations of COPD based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p100.html

Treatment of Chronic Obstructive Pulmonary Disease: Guidelines from the American ... Restricted content. Login required.

Jul 1, 2021 - The American Thoracic Society published guidelines for pharmacologic management of COPD and long-term oxygen therapy for COPD and interstitial lung disease based on systematic reviews.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0700/p102.html

Hydrochlorothiazide vs. Chlorthalidone for the Treatment of Hypertension - FPIN's Help ... Restricted content. Login required.

Jul 1, 2021 - Chlorthalidone reduces systolic blood pressure by 10 mm Hg more than hydrochlorothiazide at equal dosages in patients using monotherapy. Low-dose chlorthalidone and controlled-release hydrochlorothiazide reduce 24-hour ambulatory systolic blood pressure and diastolic blood pressure, ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0800/p203.html

Rapid Point-of-Care Antigen and Molecular Tests for Diagnosis of SARS-CoV-2 Infection -... Restricted content. Login required.

Jul 1, 2021 - SARS-CoV-2 antigen tests have an average sensitivity of 68.9% and an average specificity of 99.6%. Accuracy depends on symptom status, time from symptom onset, and test brand.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0700/p29.html

Can Pioglitazone Prevent or Delay Type 2 Diabetes in Patients with Prediabetes? - ... Restricted content. Login required.

Jul 1, 2021 - Pioglitazone prevents or delays the incidence of type 2 diabetes in individuals with prediabetes when compared with placebo (absolute risk reduction [ARR] = 11.3%; 95% CI, 0.9% to 15.6%; number needed to treat [NNT] = 9) or no intervention (ARR = 13.3%; 95% CI, 11.6% to 14.9%; NNT = 7)....

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0800/p139.html

Pharmacologic Management of Agitation in Patients with Dementia - FPIN's Clinical ... Restricted content. Login required.

Jul 1, 2021 - Selective serotonin reuptake inhibitors and risperidone are moderately effective at decreasing agitation in all types of dementia. Olanzapine and risperidone reduce dementia-related agitation much longer than placebo. Dextromethorphan/quinidine may be effective at reducing agitation in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0700/p91.html

Once-Weekly Semaglutide Is an Effective Adjunct for Weight Loss in Adults without ... Restricted content. Login required.

Jul 1, 2021 - Once-weekly subcutaneous semaglutide used as an adjunct to intensive behavioral therapy significantly improves the likelihood that adults without diabetes who are overweight or obese will lose at least 5% of their baseline body weight compared with placebo.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p96.html

Screening for Lung Cancer - Putting Prevention into Practice - American Family Physician Restricted content. Login required.

Jul 1, 2021 - S.J., a 68-year-old Black man, comes to your office to establish care after recently moving to the area. S.J. has a history of allergic rhinitis, osteoarthritis, and gastroesophageal reflux disease. Additionally, he has a 39-pack-year history of smoking but quit six years ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0700/p79.html

Red, Raised Papule on the Chest - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient presented with a red, slightly raised papule on the anterior chest wall.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0800/p199.html

Acute Sharp Flank Pain - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient presented with stiffness and pain in his lower back and both thighs and an abnormal CT scan.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0800/p201.html

Pharmacogenetic Gene-Drug Associations: FDA Perspective on What Physicians Need to Know...

Jul 1, 2021 - To share its perspective on the state of the science, the FDA has published a table of pharmacogenetic associations related to genetic variants that can affect drug concentrations, therapeutic responses, or adverse events.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0700/p16.html

Levonorgestrel-Releasing Intrauterine System for Reducing Heavy Menstrual Bleeding - ... Restricted content. Login required.

Jul 1, 2021 - The levonorgestrel-releasing intrauterine system is more effective than other medical therapies at reducing menstrual bleeding volume, with similar rates of adverse effects. The effectiveness of the levonorgestrel-releasing intrauterine system compared with endometrial ablation and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0800/p138.html

Addressing Loneliness and Social Isolation in Older Adults - Curbside Consultation - ... Restricted content. Login required.

Jul 1, 2021 - Social isolation and loneliness are increasingly recognized as complex clinical and public health problems, particularly in older adults, leading to adverse mental and physical health outcomes. The COVID-19 pandemic has led to physical distancing policies, which have exacerbated ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0700/p85.html

Skin Inflammation After Immunization - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2021 - A patient develops erythema and warmth on the arm two weeks after receiving the first dose of the mRNA-1273 vaccine against the SARS-CoV-2 virus.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0700/p81.html

Nontender Rash on the Soles of the Feet in a Febrile Adult - Photo Quiz - American ... Restricted content. Login required.

Jul 1, 2021 - A patient with multiple medical conditions presented with nonpurulent cellulitis and MRSA bacteremia.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0700/p83.html

Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions - Cochrane... Restricted content. Login required.

Jul 1, 2021 - Surgical treatment for AC joint dislocation of the shoulder does not appear to be superior to conservative management in adults. Surgical therapy increases the risk of hardware complications, infection, and continued discomfort.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0700/p28.html

Physical Activity and the Prevention of Depression - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2021 - Physical activity appears to be associated with a lower risk of developing depression and depressive symptoms.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0800/p204.html

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

Jul 1, 2021 - Can prioritizing primary care save the U.S. health care system?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0700/p14.html

More than One-Half of Adults Hospitalized for COVID-19 Still Report Significant ... Restricted content. Login required.

Jul 1, 2021 - This study found that more than one-half of the adults (51%) who had been hospitalized for COVID-19 reported a significant amount of persistent symptoms four months after discharge.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p206a.html

State-Level Variation in Primary Care Physician Density - Graham Center Policy ...

Jul 1, 2021 - Despite representing only one-third of the physician workforce in the United States, primary care physicians (PCPs) are the first contact with the health care system for most patients. A 2010 report by the Council on Graduate Medical Education recommended that 40% of the physician ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2021/0800/p133.html

Accuracy of Ultrasonography for the Diagnosis of Small Bowel Obstruction - Medicine by ... Restricted content. Login required.

Jul 1, 2021 - According to a meta-analysis including prospective observational studies evaluating the accuracy of ultrasonography for the diagnosis of small bowel obstruction, ultrasonography appears to be highly sensitive and specific for this use.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0800/p135.html

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

Jul 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/2021/0800/p198.html

Cryoablation Preferred as Initial Therapy for Paroxysmal Atrial Fibrillation - POEMs - ... Restricted content. Login required.

Jul 1, 2021 - Initial cryoablation for patients with paroxysmal AF is superior to initial antiarrhythmic drug therapy. Another study in the same issue of New England Journal of Medicine compared cryoablation with medical therapy and had similar findings.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p97.html

Tighter Blood Pressure Control Does Not Increase the Likelihood of Orthostatic ... Restricted content. Login required.

Jul 1, 2021 - Orthostatic hypotension, a drop of 20 mm Hg systolic or 10 mm Hg diastolic after moving from sitting to standing, was not associated with more intensive treatment of blood pressure and may be less likely to occur with intensive treatment.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0800/p208.html

Low-Carb Diets May Produce Short-Term Diabetes Remission - POEMs - American Family ... Restricted content. Login required.

Jul 1, 2021 - Patients with type 2 diabetes can try cutting out bread and pasta, leaving the skin on chicken, or eating nuts and avocados to lower their blood glucose levels. Six months of a low-carbohydrate diet (less than 26% of calories from carbohydrates) was more likely than other diets or usual...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p95.html

Prenatal Vitamins, Patellofemoral Pain Syndrome, Alcohol Misuse, Hernia, Anaphylaxis, ... Restricted content. Login required.

Jul 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/2021/0800/p137.html

Single-Dose Opioid Analgesics Offer No Benefit over Nonopioid Analgesia for ... Restricted content. Login required.

Jul 1, 2021 - A single dose of opioid analgesics provides similar acute pain relief compared with a single dose of a combination of acetaminophen and ibuprofen in patients with acute musculoskeletal pain in the emergency department.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0700/p95a.html

Heavy Menstrual Bleeding, Acute Pyelonephritis, Bacteriuria, IgA Vasculitis, Febrile ... Restricted content. Login required.

Jul 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/2021/0700/p24.html

Levonorgestrel-Releasing Intrauterine System for Regression of Endometrial Hyperplasia ... Restricted content. Login required.

Jul 1, 2021 - A Cochrane review compared the levonorgestrel-releasing intrauterine system with progesterone for the treatment of endometrial hyperplasia.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0700/p26.html

Graham Center Policy One-Pagers Provide Perspectives on the State of Primary Care - ...

Jul 1, 2021 - Previous Graham Center Policy One-Pagers published in AFP have provided timely perspectives on a range of topics. In 2020, the Graham Center, in collaboration with IBM Watson Health and the American Board of Family Medicine, produced a chartbook of statistics on the current state of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0800/p124.html

Mild Creatine Kinase Elevations Do Not Necessarily Reflect Rhabdomyolysis - Letters to ...

Jul 1, 2021 - << Previous article Next article >> Jul 01, 2021 Issue Letters to the Editor Mild Creatine Kinase Elevations Do Not Necessarily Reflect Rhabdomyolysis Am Fam Physician. 2021 Jul ;104(1):6-7. Original Article: Case Reports: Rhabdomyolysis Associated with COVID-19 [Letters to the...

American Family Physician : Letter

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

Additional Differential Diagnosis for Adult Hip Pain - Letters to the Editor - American...

Jul 1, 2021 - << Previous article Next article >> Jul 01, 2021 Issue Letters to the Editor Additional Differential Diagnosis for Adult Hip Pain Am Fam Physician. 2021 Jul ;104(1):9. Original Article: Hip Pain in Adults: Evaluation and Differential Diagnosis Issue Date: January 15, 2021 See...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0700/p9.html

The Role of Weight Stigma in the Development of Eating Disorders - Letters to the ...

Jul 1, 2021 - << Previous article Next article >> Jul 01, 2021 Issue Letters to the Editor The Role of Weight Stigma in the Development of Eating Disorders Am Fam Physician. 2021 Jul ;104(1):7-9. Original Article: Eating Disorders in Primary Care: Diagnosis and Management Issue Date: January 1,...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0700/p7.html

Well-Woman Chart Is Useful in Guiding Preventive Care - Letters to the Editor - ...

Jul 1, 2021 - << Previous article Next article >> Jul 01, 2021 Issue Letters to the Editor Well-Woman Chart Is Useful in Guiding Preventive Care Am Fam Physician. 2021 Jul ;104(1):9-10. Original Article: Health Maintenance for Women of Reproductive Age Issue Date: February 15, 2021 See additional...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0700/p9a.html

Strangulation as a Cause of Dysphagia - Letters to the Editor - American Family Physician

Jul 1, 2021 - << Previous article Next article >> Aug 01, 2021 Issue Letters to the Editor Strangulation as a Cause of Dysphagia Am Fam Physician. 2021 Aug ;104(2):118-119. Original Article: Dysphagia: Evaluation and Collaborative Management Issue Date: January 15, 2021 See additional reader...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0800/p118.html

Case Report: Consequences of Misdiagnosed Anal Cancer - Letters to the Editor - ...

Jul 1, 2021 - << Previous article Next article >> Aug 01, 2021 Issue Letters to the Editor Case Report: Consequences of Misdiagnosed Anal Cancer Am Fam Physician. 2021 Aug ;104(2):119. To the Editor: An 84-year-old patient with a history of tobacco use, diabetes mellitus, and hypertension...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0800/p119.html

Community Alcoholics Anonymous Programs Are Not a Replacement for Formal Treatment - ...

Jul 1, 2021 - << Previous article Next article >> Aug 01, 2021 Issue Letters to the Editor Community Alcoholics Anonymous Programs Are Not a Replacement for Formal Treatment Am Fam Physician. 2021 Aug ;104(2):117-118. Original Article: Alcoholics Anonymous and Other 12-Step Facilitation Programs...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0800/p117.html

Automated Office Blood Pressure for Diagnosing Hypertension - Letters to the Editor - ...

Jul 1, 2021 - << Previous article Next article >> Aug 01, 2021 Issue Letters to the Editor Automated Office Blood Pressure for Diagnosing Hypertension Am Fam Physician. 2021 Aug ;104(2):116-117. To the Editor: The U.S. Preventive Services Task Force (USPSTF) recommendation statement on...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0800/p116.html

Painful Menstrual Periods - American Family Physician

Jul 1, 2021 - << Previous article Next article >> Aug 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/2021/0800/p164-s1.html

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