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Lactic Acid, Citric Acid, and Potassium Bitartrate (Phexxi) Vaginal Gel for ... Restricted content. Login required.

May 15, 2021 - Given its high cost, mediocre contraceptive protection, and rate of adverse effects, Phexxi may be preferred only by people desiring to avoid hormonal contraception who wish to use on-demand contraception that they control, or for whom other contraceptive options are not suited or desired.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0515/p628.html

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List - Practice Guidelines ... Restricted content. Login required.

May 15, 2021 - The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0515/p633.html

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2021 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

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

https://www.aafp.org/afp/2021/0515/p614.html

Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic - Editorials...

May 15, 2021 - How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0515/p584.html

Screening for Asymptomatic Carotid Artery Stenosis - Putting Prevention into Practice -... Restricted content. Login required.

May 15, 2021 - A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0515/p623.html

Colchicine Reduces MI and Revascularization in Patients with Established Coronary ... Restricted content. Login required.

May 15, 2021 - Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p631a.html

Blunt Costophrenic Angle in a Patient with Pancreatitis - Photo Quiz - American Family ... Restricted content. Login required.

May 15, 2021 - A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0515/p625.html

Screening Smokers for Lung Cancer with Low-Dose CT Decreases Lung Cancer Mortality - ... Restricted content. Login required.

May 15, 2021 - High-quality trials show that low-dose CT screening decreased lung cancer mortality in smokers.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p630.html

Early Introduction of Dietary Gluten Delays the Diagnosis of Celiac Disease in ... Restricted content. Login required.

May 15, 2021 - The introduction of dietary allergens, including gluten, to exclusively breastfed infants at four months of age, compared with six months of age, delays the prevalence of celiac disease at three years of age.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0515/p631.html

Irritable Bowel Syndrome, Altitude Illness, Transfusions, Group B Streptococcus, Acute ... Restricted content. Login required.

May 15, 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/2021/0515/p586.html

Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis - Letters to the ...

May 15, 2021 - << Previous article Next article >> May 15, 2021 Issue Letters to the Editor Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis Am Fam Physician. 2021 May 15;103(10):580-581. Original Article: Top POEMs of 2019 Consistent with the Principles of the Choosing Wisely...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0515/p580.html

Ultrasound Subthalamotomy for the Management of Parkinson Disease - Letters to the ...

May 15, 2021 - << Previous article Next article >> May 15, 2021 Issue Letters to the Editor Ultrasound Subthalamotomy for the Management of Parkinson Disease Am Fam Physician. 2021 May 15;103(10):581. Original Article: Parkinson Disease Issue Date: December 1, 2020 Available at:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0515/p581.html

Correction - Corrections - American Family Physician

May 15, 2021 - << Previous article Next article >> May 15, 2021 Issue Reader Services Correction Am Fam Physician. 2021 May 15;103(10):581. Incorrect Statistics. In the Lown Right Care, Anticoagulation in Older Adults, (June 15, 2020, p. 748), the second sentence of the Clinical Commentary section...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0515/p581a.html

The Preparticipation Physical Evaluation - American Family Physician Restricted content. Login required.

May 1, 2021 - The preparticipation physical evaluation (PPE) is a common reason for young athletes to see a primary care physician. An annual PPE is required by most state high school athletic associations for participation in school-based sports, although there is limited evidence to support its ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p539.html

Seizure Disorders - American Family Physician

May 1, 2021 - This collection features AFP content on seizure disorders, including antiepileptic medications, epilepsy, febrile seizures, nonepileptic seizures, seizures in the elderly, and status epilepticus. This collection features AFP content on seizure disorders, including antiepileptic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=80

In-flight Medical Emergencies - American Family Physician Restricted content. Login required.

May 1, 2021 - In 2018, approximately 2.8 million passengers flew in and out of U.S. airports per day. Twenty-four to 130 in-flight medical emergencies are estimated to occur per 1 million passengers; however, there is no internationally agreed-upon recording or classification system. Up to 70% of ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p547.html

Urethritis: Rapid Evidence Review - American Family Physician Restricted content. Login required.

May 1, 2021 - Urethritis refers to inflammation of the urethra and is classified as gonococcal (caused by Neisseria gonorrhoeae) or nongonococcal in origin (most commonly caused by Chlamydia trachomatis, Mycoplasma genitalium, or Trichomonas vaginalis). The most common signs and symptoms include ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0501/p553.html

FM/a Blood Test for Diagnosis of Fibromyalgia - Diagnostic Tests: What Physicians Need ... Restricted content. Login required.

May 1, 2021 - Limited data suggest that the FM/a test accurately differentiates patients with fibromyalgia from healthy controls and has some ability to differentiate fibromyalgia from other rheumatologic diseases.

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

https://www.aafp.org/afp/2021/0501/p566.html

Eosinophilic Esophagitis: Management Guidelines from the AGA and JTF - Practice ... Restricted content. Login required.

May 1, 2021 - The American Gastroenterological Association (AGA) and the Joint Task Force on Allergy-Immunology Practice Parameters (JTF) published guidelines for treatment of eosinophilic esophagitis.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0501/p573.html

Clinical Considerations in Caring for Transgender Athletes - Editorials - American ...

May 1, 2021 - Family physicians are in a unique position to care for transgender athletes, including providing preventive and gender-affirming care and addressing acute athletic injuries and chronic health concerns.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0501/p518.html

Nonopioid Pharmacologic Treatments for Chronic Pain - Implementing AHRQ Effective ... Restricted content. Login required.

May 1, 2021 - What are the effects of nonopioid drugs on pain, function, and quality of life in patients with specific types of chronic pain, and what are the adverse events related to these drugs?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0501/p561.html

Ibuprofen vs. Acetaminophen for Fever or Pain in Children Younger Than Two Years - ... Restricted content. Login required.

May 1, 2021 - A meta-analysis found that ibuprofen is more effective than acetaminophen in reducing fever and pain in children younger than two years, although further study is needed to evaluate combination therapy, dosing, and use in children younger than six months.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0501/od1.html

Ketogenic Diets for Drug-Resistant Epilepsy - Cochrane for Clinicians - American Family... Restricted content. Login required.

May 1, 2021 - In children with drug-resistant epilepsy, a ketogenic diet decreases the risk of seizures by 50% after three to four months.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0501/p524.html

Identifying and Addressing Vicarious Trauma - Curbside Consultation - American Family ... Restricted content. Login required.

May 1, 2021 - Vicarious trauma is part of a spectrum of responses to trauma exposure, including secondary traumatic stress, caregiver fatigue, compassion fatigue, and burnout. These conditions have varying definitions and categorizations, with overlapping symptoms, diagnostic criteria, and management...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0501/p570.html

Exercise for Dysmenorrhea - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

May 1, 2021 - Low-intensity exercise, such as stretching or core strengthening, and high-intensity exercise, such as Zumba or aerobic training, improve menstrual pain intensity compared with no exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0501/p525.html

Foot Lesions in a Rehabilitation Facility Resident - Photo Quiz - American Family ... Restricted content. Login required.

May 1, 2021 - A patient in a rehabilitation facility presented with gluteal skin ulcers and dark purple foot lesions.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0501/p559.html

Positional Therapies for Obstructive Sleep Apnea - FPIN's Clinical Inquiries - American... Restricted content. Login required.

May 1, 2021 - Positional therapies for obstructive sleep apnea produce moderate improvements (16% to 40%) in clinical apnea measures compared with no treatment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/0501/p568.html

Pulmonary Function Testing, Vulvovaginal Candidiasis, Breast Cancer, Fasting Lipid ... Restricted content. Login required.

May 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/2021/0501/p523.html

Urethritis - American Family Physician

May 1, 2021 - << Previous article Next article >> May 1, 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/2021/0501/p553-s1.html

AFP Issue Frequency Change

Beginning with the July 2021 issue, American Family Physician will change its publishing schedule. Here’s what you can expect.

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/about/issue-frequency.html

AFP Photo Contest

AFP Photo Contest

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/about/photocontest.html

Mifepristone and Misoprostol for Early Pregnancy Loss and Medication Abortion - ... Restricted content. Login required.

Apr 15, 2021 - Medication regimens using mifepristone and misoprostol are safe and effective for outpatient treatment of early pregnancy loss for up to 84 days’ gestation and for medication abortion up to 77 days’ gestation. Gestational age is determined using ultrasonography or menstrual history. ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0415/p473.html

Interpreting SARS-CoV-2 Diagnostic Tests: Common Questions and Answers - American ...

Apr 15, 2021 - SARS-CoV-2 is the novel coronavirus that causes COVID-19. The spectrum of asymptomatic, presymptomatic, and symptomatic SARS-CoV-2 transmission presents challenges for evaluating SARS-CoV-2 test performance for diagnostic or screening purposes and for interpreting test results. ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0415/p465.html

Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders - American ... Restricted content. Login required.

Apr 15, 2021 - Hypermobile Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders are the most common symptomatic joint hypermobility conditions seen in clinical practice. The 2017 International Classification of the Ehlers-Danlos syndromes replaced previous terms for symptomatic joint ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0415/p481.html

Key Recommendations on Managing Dyslipidemia for Cardiovascular Risk Reduction: ...

Apr 15, 2021 - In June 2020, the third iteration of the U.S. Department of Veterans Affairs and Department of Defense guidelines on managing dyslipidemia was published. These recommendations create a simple, pragmatic, evidence-based approach that can be valuable to family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0415/p455.html

Dyslipidemia Management for Cardiovascular Disease Prevention: Guidelines from the ... Restricted content. Login required.

Apr 15, 2021 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and management of dyslipidemia to prevent cardiovascular disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0415/p507.html

Multifocal Pneumonia: Fever, Cough, and Dyspnea - Photo Quiz - American Family Physician Restricted content. Login required.

Apr 15, 2021 - An 80-year-old patient presented to the emergency department with several days of increasing shortness of breath and abnormalities on a chest radiograph.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0415/p503.html

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

Apr 15, 2021 - The USPSTF recommends screening for hepatitis B virus infection in adolescents and adults at increased risk for infection.

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

https://www.aafp.org/afp/2021/0415/p495.html

Nerve Blocks for Pancreatic Cancer Pain - FPIN's Help Desk Answers - American Family ... Restricted content. Login required.

Apr 15, 2021 - Celiac plexus blocks can be used for pain associated with pancreatic cancer. They slightly reduce pain while decreasing opioid consumption, with fewer adverse effects compared with standard analgesic therapy.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0415/p502.html

Screening for Hepatitis B Virus Infection in Adolescents and Adults - Putting ... Restricted content. Login required.

Apr 15, 2021 - A 15-year-old adolescent, J.M., presents for a well-child examination. J.M. was born in Central America before moving to the United States eight years ago with their family. J.M. reports that their older sibling, who lives at home, was diagnosed with hepatitis B virus infection last ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0415/p493.html

Elagolix, Estradiol, and Norethindrone Kit (Oriahnn) for the Management of Heavy ... Restricted content. Login required.

Apr 15, 2021 - Oriahnn can decrease menstrual blood loss in premenopausal patients with uterine fibroids. Although it has been studied for only six months of use and may result in significant bone loss, it is labeled for up to two years of continuous therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0415/p505.html

Diary of a Family Physician - Apr 15, 2021 - American Family Physician

Apr 15, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0415/p462.html

Upper Gastrointestinal Bleeding, Genital Ulcers, Bacteriuria, Megestrol, Atopic ... Restricted content. Login required.

Apr 15, 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/2021/0415/p463.html

NAFLD in Children and Adolescents - Letters to the Editor - American Family Physician

Apr 15, 2021 - << Previous article Next article >> Apr 15, 2021 Issue Letters to the Editor NAFLD in Children and Adolescents Am Fam Physician. 2021 Apr 15;103(8):452-453. Original Article: Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and Management Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0415/p452.html

Updated Statistics for Liver Biopsy Risk - Letters to the Editor - American Family ...

Apr 15, 2021 - << Previous article Next article >> Apr 15, 2021 Issue Letters to the Editor Updated Statistics for Liver Biopsy Risk Am Fam Physician. 2021 Apr 15;103(8):453. Original Article: Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and Management Issue Date:...

American Family Physician : Letter

https://www.aafp.org/afp/2021/0415/p453.html

Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders - American ...

Apr 15, 2021 - << Previous article Next article >> Apr 15, 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/2021/0415/p481-s1.html

Cerebrospinal Fluid Analysis - American Family Physician Restricted content. Login required.

Apr 1, 2021 - Cerebrospinal fluid (CSF) analysis is a diagnostic tool for many conditions affecting the central nervous system. Urgent indications for lumbar puncture include suspected central nervous system infection or subarachnoid hemorrhage. CSF analysis is not necessarily diagnostic but can be ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0401/p422.html

Back Pain - American Family Physician

Apr 1, 2021 - This collection features content from AFP on back pain and related issues, including chronic and acute low back pain, lumbar spinal stenosis, sciatica, and vertebral compression fractures. This collection features content from AFP on back pain and related issues, including chronic and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=109

The Suicidal Patient: Evaluation and Management - American Family Physician Restricted content. Login required.

Apr 1, 2021 - Suicide rates in the United States increased from 20% to 30% between 2005 and 2015, and family physicians need evidence-based resources to address this growing clinical concern. Asking high-risk patients (e.g., patients with previous suicide attempts, substance misuse, low social ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0401/p417.html

HIV Infection in Adults: Initial Management - American Family Physician Restricted content. Login required.

Apr 1, 2021 - The HIV epidemic is an important public health priority. Transmissions continue to occur despite effective therapies that make HIV preventable and treatable. Approximately one-half of people with HIV are not receiving suppressive antiretroviral therapy (ART). Starting ART early, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0401/p407.html

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