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COVID-19 - American Family Physician

Jan 18, 2022 - Advertisement AFP BY TOPIC COVID-19 Editors' Choice of Best Available Content COVID-19 is an infectious disease caused by an enveloped single-stranded RNA novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), that was declared a pandemic by the World...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=117

Dementia - American Family Physician

Jan 14, 2022 - 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

Stroke and TIA - American Family Physician

Jan 14, 2022 - This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks. This collection features AFP content on stroke and related issues, including acute ischemic stroke, statins, and transient ischemic attacks.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=24

Sleep Disorders in Adults - American Family Physician

Jan 14, 2022 - Advertisement AFP BY TOPIC Sleep Disorders in Adults Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on sleep disorders in adults and related issues, including continuous positive airway pressure...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=83

Orthostatic Hypotension: A Practical Approach - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Orthostatic hypotension is defined as a decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing from the supine position or on assuming a head-up position of at least 60 degrees during tilt table testing. Symptoms are due to...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p39.html

Adenomyosis: Diagnosis and Management - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Adenomyosis is a clinical condition where endometrial glands are found in the myometrium of the uterus. One in three patients with adenomyosis is asymptomatic, but the rest may present with heavy menstrual bleeding, pelvic pain, or infertility. Heavy menstrual bleeding is the most ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p33.html

Transient Global Amnesia - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Transient global amnesia (TGA) is a clinical syndrome characterized by anterograde amnesia, mild retrograde amnesia, and confusion up to 24 hours. Most commonly seen in patients older than 50 years, TGA results from the temporary impairment of short-term memory formation. Clinically, ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p50.html

Arterial Atherosclerosis: Vascular Surgery Interventions - American Family Physician Restricted content. Login required.

Jan 1, 2022 - Atherosclerotic vascular disease is a leading cause of death worldwide. Atherosclerotic stenosis of the internal carotid or intracranial arteries causes up to 15% of strokes. Peripheral artery disease affects up to one in five people in the United States who are 60 years and older and ...

American Family Physician : Article

https://www.aafp.org/afp/2022/0100/p65.html

Screening for Prediabetes and Type 2 Diabetes Mellitus - Putting Prevention into ... Restricted content. Login required.

Jan 1, 2022 - A 36-year-old, D.P., presents to your clinic as a new patient for a wellness visit. D.P. has no current health concerns but states that they had gestational diabetes during their last pregnancy three years ago. The patient reports that their father has diabetes mellitus and takes ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2022/0100/p73.html

Secondary Prevention of Ischemic Stroke: Updated Guidelines From AHA/ASA - Practice ... Restricted content. Login required.

Jan 1, 2022 - Stroke is a common source of morbidity and mortality in the United States. The American Heart Association and American Stroke Association (AHA/ASA) published updated guidelines for preventing recurrent ischemic stroke, focusing on overall cardiovascular risk reduction and targeted ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2022/0100/p99.html

Compression Stockings for Preventing Deep Venous Thrombosis in Airline Passengers - ... Restricted content. Login required.

Jan 1, 2022 - Compression stockings are effective at reducing asymptomatic deep venous thrombosis in airline passengers taking flights longer than five hours in both high-risk and low-risk populations.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2022/0100/p23.html

Determining When to Recommend Glucose-Lowering Drugs That Reduce Cardiovascular Risk - ...

Jan 1, 2022 - Treatment options for patients with type 2 diabetes mellitus have increased with the addition of three new drug classes. Large clinical trials have investigated cardiovascular outcomes with all three classes in patients who have diabetes. The primary outcome was a composite of nonfatal ...

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0100/p10.html

Preventing Cognitive Decline - Editorials - American Family Physician

Jan 1, 2022 - Because of the lack of effective treatments, prevention remains the best strategy for reducing the burden of dementia. Rather than attempting to identify and intervene on early disease through screening, a primary prevention strategy seeks to prevent cognitive decline by addressing ...

American Family Physician : Editorials

https://www.aafp.org/afp/2022/0100/p13.html

PrecivityAD for Diagnosis of Alzheimer Disease - Diagnostic Tests: What Physicians Need... Restricted content. Login required.

Jan 1, 2022 - The PrecivityAD test is a widely available blood test for older persons with mild cognitive impairment and is marketed to aid in the diagnosis of Alzheimer disease. The APS produced by the test is accurate in predicting the likelihood of positive PET findings, which may reduce the need ...

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

https://www.aafp.org/afp/2022/0100/p79.html

Platelet-Rich Plasma for Androgenic Alopecia - FPIN's Help Desk Answers - American ... Restricted content. Login required.

Jan 1, 2022 - Platelet-rich plasma injections more effectively increase hair density vs. usual treatment in men with androgenic alopecia.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2022/0100/p84.html

Harm Reduction for Patients With Substance Use Disorders - Curbside Consultation - ... Restricted content. Login required.

Jan 1, 2022 - Patients engaged in high-risk activities are often ambivalent about changing their behavior. Harm reduction is an approach that focuses on limiting harm and improving quality of life for patients who persist with high-risk behaviors; the foundations of harm reduction are pragmatism and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2022/0100/p90.html

Screening for Prediabetes and Type 2 Diabetes - U.S. Preventive Services Task Force - ...

Jan 1, 2022 - The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Clinicians should offer or refer patients with prediabetes to effective preventive interventions.

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

https://www.aafp.org/afp/2022/0100/od1.html

Guidelines for When to Consider Mortality-Reducing Treatments for Patients With Type 2 ... Restricted content. Login required.

Jan 1, 2022 - The guidelines give clear guidance on selecting an SGLT2 inhibitor, a GLP-1 receptor agonist, or neither in patients with type 2 diabetes. The guidelines are a bit conservative to some, but guideline development is a two-step process: determining the evidence and then weighing the value...

American Family Physician : POEMs

https://www.aafp.org/afp/2022/0100/p93.html

Reduction in Saturated Fat Intake for Cardiovascular Disease - Medicine by the Numbers ... Restricted content. Login required.

Jan 1, 2022 - Learn more about the effects of reducing saturated fat intake on cardiovascular disease risk.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2022/0100/od2.html

Cannabis Essentials: Tools for Clinical Practice - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Cannabis use in the United States is increasing annually in people of all ages. This increase is fueled by state-level legalization, decreased risk perception, and increased social acceptability. Cannabis and its active components, cannabinoids, have been studied for medical uses and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1200/p598.html

Nutrition Support Therapy - American Family Physician Restricted content. Login required.

Dec 1, 2021 - Nutrition support therapy is the delivery of formulated enteral or parenteral nutrients to restore nutritional status. Family physicians can provide nutrition support therapy to patients at risk of malnutrition when it would improve quality of life. The evidence for when to use ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1200/p580.html

Microscopic Hematuria in Adults: Updated Recommendations from the American Urological ... Restricted content. Login required.

Dec 1, 2021 - The American Urological Association released an updated guideline for risk-based evaluation of microscopic hematuria.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1200/p655.html

Prediabetes Diagnosis: Helpful or Harmful? - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Dec 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/2021/1200/p649.html

Trigger Finger: Safety and Effectiveness of NSAID vs. Steroid Injection Therapy - ... Restricted content. Login required.

Dec 1, 2021 - In patients with trigger finger, there is no significant difference in outcomes at 12 to 24 weeks— including resolution of symptoms, recurrence, total active motion, residual pain, patient satisfaction, or adverse events—when comparing treatment with NSAID injections vs. corticosteroid ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1200/p577.html

Third Pfizer Vaccine Dose Significantly Increases Protection Against Mild and Severe ... Restricted content. Login required.

Dec 1, 2021 - A third booster dose of the Pfizer-BioNTech mRNA vaccine against COVID-19 provides a large increase in protection for people 60 years and older against mild and severe infection. The protection against mild infection could help reduce community spread and reduce the incidence of long ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od2.html

Left Atrial Appendage Occlusion During Cardiac Surgery for Another Reason Reduces the ... Restricted content. Login required.

Dec 1, 2021 - Surgical closure of the left atrial appendage during cardiac surgery for another reason safely reduces the risk of ischemic stroke. Because the risk of stroke in the first 30 days after any cardiac surgery is approximately 2% and the absolute reduction in the risk of stroke with the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/1200/od5.html

Heart Failure - American Family Physician

Nov 15, 2021 - This collection features AFP content on heart failure and related issues, including angiotensin-converting enzyme (ACE) inhibitors, angiotensin-receptor blockers (ARBs), cardiomyopathy, cardioverter-defibrillators, congestive heart failure, and diastolic and systolic heart failure. This...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=26

Breast Disorders - American Family Physician

Nov 15, 2021 - This collection features content on breast disorders and related issues, including breast cyst aspiration, breast masses, breast pain, galactorrhea, gynecomastia, and mastitis. This collection features content on breast disorders and related issues, including breast cyst aspiration, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=96

Recent-Onset Altered Mental Status: Evaluation and Management - American Family Physician Restricted content. Login required.

Nov 1, 2021 - Potential precipitating factors for the recent onset of altered mental status (AMS) include primary central nervous system insults, systemic infections, metabolic disturbances, toxin exposure, medications, chronic systemic diseases, and psychiatric conditions. Delirium is also an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p461.html

End-Stage Renal Disease: Medical Management - American Family Physician Restricted content. Login required.

Nov 1, 2021 - End-stage renal disease (ESRD) is diagnosed when kidney function is no longer adequate for long-term survival without kidney transplantation or dialysis. Primary care clinicians should refer people at risk of ESRD to nephrology to optimize disease management. Kidney transplantation ...

American Family Physician : Article

https://www.aafp.org/afp/2021/1100/p493.html

Acute Treatments for Episodic Migraine in Adults - Implementing AHRQ Effective Health ... Restricted content. Login required.

Nov 1, 2021 - How effective are pharmacologic and nonpharmacologic acute treatments for episodic migraine in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/1100/p509.html

Screening for Vitamin D Deficiency in Adults - Putting Prevention into Practice - ... Restricted content. Login required.

Nov 1, 2021 - A 49-year-old Black man with a history of hypertension, type 2 diabetes mellitus, and class I obesity (body mass index of 31.4 kg per m2) presents for a wellness examination. The patient's hypertension and diabetes are well controlled with lisinopril and metformin; they do not take any ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1100/p515.html

Coenzyme Q10 for Heart Failure - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Nov 1, 2021 - In patients with chronic heart failure, supplementation with coenzyme Q10 may reduce all-cause mortality. Adverse effects are generally mild and may be only slightly increased with coenzyme Q10 supplementation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p458.html

Basal Cell Carcinoma: Comparison of Surgical and Nonsurgical Interventions - Cochrane ... Restricted content. Login required.

Nov 1, 2021 - The recurrence rate after surgical management of BCC by standard surgical excision or Mohs micrographic surgery is very low. Recurrence after management with imiquimod (Aldara) is also low and may result in more favorable cosmetic outcomes. Other nonsurgical options may have acceptably ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1100/p459.html

Tirbanibulin (Klisyri) for the Treatment of Actinic Keratosis - STEPS - American Family... Restricted content. Login required.

Nov 1, 2021 - The cost and effectiveness profile of tirbanibulin make it a last-line option compared with current first-line therapies such as fluorouracil and imiquimod, which are less expensive and have a higher clearance rate of AK lesions. Further trials comparing the effectiveness of ...

American Family Physician : STEPS

https://www.aafp.org/afp/2021/1100/p519.html

Should Allele Testing Be Done Before Prescribing Allopurinol to Prevent Severe ... Restricted content. Login required.

Nov 1, 2021 - Moderate evidence supports allele testing for HLA-B*58:01 before initiating allopurinol to decrease the incidence of SCARs in higher risk populations. Patient populations who are not at increased risk should not be screened.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2021/1100/p513.html

Nonsteroidal Anti-Inflammatory Drug Injections for Trigger Finger - Medicine by the ... Restricted content. Login required.

Nov 1, 2021 - Learn more about nonsteroidal anti-inflammatory drug injections for trigger finger.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/1100/od2.html

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Oct 15, 2021 - This collection features AFP content on coronary artery disease (CAD), coronary heart disease (CHD) and related issues, including acute coronary syndrome, angina, cardiomyopathy, hypertension, and myocardial infarction. This collection features AFP content on coronary artery disease ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=4

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

Oct 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

Venous Thromboembolism: Management Guidelines from the American Society of Hematology -... Restricted content. Login required.

Oct 1, 2021 - The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/1000/p429.html

Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with... Restricted content. Login required.

Oct 1, 2021 - A 36-year-old patient, L.B., with a history of hypertension presents for a wellness visit. The patient's mother had a stroke at 65 years of age and the patient's older brother recently had a heart attack. L.B. has an estimated 10-year cardiovascular risk of 6%, and L.B.'s body mass ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/1000/p411.html

Interventions to Improve Use of CPAP Machines in Adults with Obstructive Sleep Apnea - ... Restricted content. Login required.

Oct 1, 2021 - Behavioral interventions increase CPAP use compared with usual care. These interventions also increase CPAP adherence, measured by participants using their machine four or more hours per night, from 371 to 501 per 1,000 patients.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/1000/p356.html

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

Oct 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

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

Oct 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

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

Oct 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

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

Oct 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

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

Oct 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

Alcohol Withdrawal Syndrome: Outpatient Management - American Family Physician Restricted content. Login required.

Sep 1, 2021 - Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p253.html

Home Blood Pressure Monitoring - American Family Physician Restricted content. Login required.

Sep 1, 2021 - Home blood pressure monitoring provides important diagnostic information beyond in-office blood pressure readings and offers similar results to ambulatory blood pressure monitoring. Home blood pressure monitoring involves patients independently measuring their blood pressure with an ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p237.html

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