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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

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

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

Improving Physician Well-Being Through Organizational Change -- FPM Restricted content. Login required.

Dec 1, 2020 - Wellness Wednesdays and yoga breaks aren’t sufficient. Here’s how health care organizations can begin to address physician well-being.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p23.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

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

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

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

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

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

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

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

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

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

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ... Restricted content. Login required.

Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p20.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

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

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

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

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

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

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

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

Aug 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0801/p136.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

Coding & Documentation - Nov-Dec 2020 -- FPM Restricted content. Login required.

Dec 1, 2020 - Suspected exposure to communicable disease | Diabetes type 1.5 | Remote patient monitoring | Tetanus immunization due to injury | Performing venipuncture on a child

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/1100/p45.html

Racism in Health Care: Creating a More Equitable Health Care Experience -- FPM

Oct 1, 2020 - Imagine how it would feel to walk into a doctor’s office and see that everyone else looks different from you.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0900/p3.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

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

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

Palmar Rash in a Young Child - Photo Quiz - American Family Physician Restricted content. Login required.

Nov 1, 2020 - A child presented with with a pruritic rash when on the palms when they were exposed to water.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1101/p565.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

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

Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM Restricted content. Login required.

Feb 1, 2021 - Determining whether the visit you’ve just finished should be coded as a level 4 could be as simple as asking yourself three questions.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p27.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

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

What Primary Care Physicians Want for Christmas -- FPM Restricted content. Login required.

Dec 1, 2020 - Dear Santa, all we want is some help to do our jobs.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2020/1100/p52.html

Aspirin after Acute Ischemic Stroke - Medicine by the Numbers - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Learn more about the effect of aspirin therapy given within 48 hours of acute ischemic stroke in reducing the risk of death, dependence, or recurrent stroke, and the chance of complete recovery.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0901/od2.html

Evidence Against the Routine Use of MRI for Nonoperative Treatment of Chronic ...

Nov 1, 2020 - Physicians should consider the ramifications before ordering an MRI in the setting of chronic pain. An MRI that is not indicated can lead to a procedure that is not necessary as both patient and physician focus on the abnormal study finding. Most patients improve with conservative ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1101/p521.html

Practice Pearls - Nov-Dec 2020 -- FPM Restricted content. Login required.

Dec 1, 2020 - Ask three questions before using race-based clinical algorithms | What to do when a patient makes a discriminatory remark | Address inequity by supporting Black-owned businesses

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2020/1100/p47.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

Cloudy Pleural Fluid on Thoracentesis - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2020 - A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0901/p307.html

Ten EHR Strategies for Efficient Documentation -- FPM Restricted content. Login required.

Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p5.html

Screening for Hepatitis C Virus Infection in Adolescents and Adults: Recommendation ...

Sep 15, 2020 - The USPSTF recommends screening for hepatitis C virus infection in adults aged 18 to 79 years.

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

https://www.aafp.org/afp/2020/0915/p363.html

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

Oct 15, 2020 - Trifarotene is a monotherapy option for acne affecting the face and trunk and offers an alternative to topical antibiotics or anti-inflammatory agents for the management of moderate inflammatory and noninflammatory acne.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1015/p499.html

Watch-and-Wait Strategy Is an Option for Primary Spontaneous Pneumothorax - POEMs - ... Restricted content. Login required.

Nov 15, 2020 - Conservative observation of patients presenting with a first primary spontaneous pneumothorax is as effective as immediate chest tube insertion in achieving full lung re-expansion at eight weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od3.html

Case Report: Multisystem Inflammatory Syndrome in a Child Presenting with Rash and ...

Sep 15, 2020 - Letters to the Editor from AFP reader regarding a case report of multisystem inflammatory syndrome in a child presenting with rash and fever.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0915/p325.html

School-Based Asthma Management Programs - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Oct 15, 2020 - Comprehensive public school–based programs providing supervised administration of asthma medication and/or education for staff, children, and parents markedly decrease asthma-related ED visits for school-aged children.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/1015/od2.html

Pruritic Rash on the Hand of a Home Gardener - Photo Quiz - American Family Physician Restricted content. Login required.

Oct 15, 2020 - A patient presented with a pruritic rash on the hand after working in the garden.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1015/p497.html

Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma - ... Restricted content. Login required.

Oct 1, 2020 - Inhaled fluticasone (Flovent; 200 mcg per day) is associated with a greater linear growth velocity when compared with beclomethasone (400 mcg per day; an equivalent dose).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1001/p404.html

Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ... Restricted content. Login required.

Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p147.html

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