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COVID-19 - American Family Physician

Sep 15, 2021 - 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

Sleep Disorders in Adults - American Family Physician

Sep 15, 2021 - 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

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

Aug 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

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

Aug 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

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

Aug 1, 2021 - Hereditary hemochromatosis is an autosomal recessive disorder that disrupts iron homeostasis, resulting in systemic iron overload. It is the most common inherited disorder among people of northern European ancestry. Despite the high prevalence of the gene mutation, there is a low and ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p263.html

Splenomegaly: Diagnosis and Management in Adults - American Family Physician Restricted content. Login required.

Aug 1, 2021 - Splenomegaly can be due to several mechanisms but is almost always a sign of a systemic condition. Patient habits, travel, and medical conditions can increase risk of splenomegaly and suggest etiology. Symptoms can suggest infectious, malignant, hepatic, or hematologic causes. Physical ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0900/p271.html

Outpatient Primary Care Management of Headaches: Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Aug 1, 2021 - The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published updated guidelines for the treatment of headache disorders based on a systematic review.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p316.html

Cervical Cancer Screening: Updated Guidelines from the American Cancer Society - ... Restricted content. Login required.

Aug 1, 2021 - The American Cancer Society (ACS) has released new guidelines for cervical cancer screening.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0900/p314.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

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

Aug 1, 2021 - A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of colorectal cancer. The patient's body mass index is 29 kg per m2, and the A1C level at ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2021/0900/p295.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

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

Using Race with Caution in the ASCVD Calculator - Curbside Consultation - American ... Restricted content. Login required.

Aug 1, 2021 - The use of race in clinical decision-making is a source of controversy in U.S. modern medicine. Definitions of race are inconsistent throughout the medical literature and in medical education, and most experts in biology and social sciences agree that race has a limited biologic basis ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2021/0900/p292.html

Comparison of Treatment Regimens for Helicobacter pylori Infection - Medicine by the ... Restricted content. Login required.

Aug 1, 2021 - A network meta-analysis found that vonoprazan-based triple therapy and reverse hybrid therapy demonstrated the highest overall cure rates and SUCRA values; however, among Western countries, levofloxacin-based triple therapy had the highest cure rate and SUCRA value. Standard triple ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0900/od1.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

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

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 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Jul 1, 2021 - Run by May 2022; run with ATS and VA/DoD PGs; conflicts:

American Family Physician : Practice Guidelines

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Irritable Bowel Syndrome: Questions and Answers for Effective Care - American Family ... Restricted content. Login required.

Jun 15, 2021 - Irritable bowel syndrome (IBS) is a heterogeneous group of conditions related to specific biologic and cellular abnormalities that are not fully understood. Psychological factors do not cause IBS, but many people with IBS also have anxiety or depressed mood, a history of adverse life ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0615/p727.html

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