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Coronavirus Disease 2019 (COVID-19) - American Family Physician

Dec 1, 2020 - Advertisement AFP BY TOPIC Coronavirus Disease 2019 (COVID-19) Editors' Choice of Best Available Content Coronavirus disease 2019 (COVID-19) is an infectious disease caused by an enveloped single-stranded RNA novel coronavirus, severe acute respiratory syndrome coronavirus 2...

American Family Physician : AFP By Topic

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

Coronary Artery Disease/Coronary Heart Disease - American Family Physician

Dec 1, 2020 - 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

Parkinson Disease - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p679.html

Management of Acute Pain from Musculoskeletal Injuries: Guidance for Family Physicians ...

Dec 1, 2020 - Primary care plays a large role in the management of acute pain; therefore, the American College of Physicians and the American Academy of Family Physicians developed a clinical practice guideline for the nonpharmacologic and pharmacologic management of acute pain from non–low back, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/1201/p649.html

Management of Acute Pain from Non–Low Back Musculoskeletal Injuries: Guidelines from ... Restricted content. Login required.

Dec 1, 2020 - The American Academy of Family Physicians and the American College of Physicians have published guidelines based on a systematic review and network meta-analysis of 207 studies involving 32,959 patients that evaluated treatments for acute musculoskeletal pain other than low back pain.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1201/p697.html

Beta Blockers for Suspected or Diagnosed Acute Myocardial Infarction - Cochrane for ... Restricted content. Login required.

Dec 1, 2020 - Compared with placebo, beta-blocker use in patients with acute MI reduces short-term (less than three months) risk of MI and long-term (more than three months) risk of cardiovascular mortality and all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1201/p666.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

Antibiotics for Uncomplicated Diverticulitis - Medicine by the Numbers - American ... Restricted content. Login required.

Dec 1, 2020 - Learn more about the benefits and harms of antibiotics for uncomplicated diverticulitis.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/1201/od2.html

Low-Protein Diets for Adults Without Diabetes Mellitus Who Have CKD - Cochrane for ... Restricted content. Login required.

Dec 1, 2020 - In patients without diabetes mellitus who have chronic kidney disease, is a low-protein diet effective at preventing progression to end-stage renal disease or the need for dialysis?

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1201/p665.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

Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and ... Restricted content. Login required.

Nov 15, 2020 - Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2020/1115/p603.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

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

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

Nov 1, 2020 - Gout is caused by monosodium urate crystal deposition in joints and tissues. Risk factors include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat and seafood; chronic kidney disease; a diet heavy in fructose-rich food and beverages; being a member of ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p533.html

Common Benign Chronic Vulvar Disorders - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p550.html

Atrial Fibrillation - American Family Physician

Nov 1, 2020 - This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, antiplatelet therapy, arrhythmias, and palpitations. This collection features AFP content on atrial fibrillation and related issues, including anticoagulation therapy, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=33

Metformin to Prevent Diabetes in Patients at Increased Risk - Cochrane for Clinicians -... Restricted content. Login required.

Nov 1, 2020 - In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p531.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

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

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

Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments - American ... Restricted content. Login required.

Oct 15, 2020 - Chronic low back pain, neck pain, hip and knee osteoarthritis, and fibromyalgia are the most common types of chronic musculoskeletal pain. Because no individual therapy has consistent benefit, a multimodal treatment approach to chronic musculoskeletal pain is recommended. Many ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p465.html

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

Oct 15, 2020 - Groin hernias are caused by a defect of the abdominal wall in the groin area and comprise inguinal and femoral hernias. Inguinal hernias are more common in men. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p487.html

Cycled Hyperbaric Oxygen Improves the Healing of Diabetic Foot Ulcers - POEMs - ... Restricted content. Login required.

Oct 15, 2020 - Hyperbaric oxygen provided with a device that cycles oxygen from high pressure to low pressure increased the likelihood of complete healing of diabetic foot ulcers when combined with standard dressing and an offloading boot.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od3.html

Persistent Night Sweats: Diagnostic Evaluation - American Family Physician Restricted content. Login required.

Oct 1, 2020 - Night sweats are a nonspecific symptom that patients commonly experience but rarely discuss with their physicians without prompting. Although many life-threatening causes such as malignancies or infections have been described, most patients who report persistent night sweats in the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p427.html

Sleep Disorders in Adults - American Family Physician

Oct 1, 2020 - 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

Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Oct 1, 2020 - Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1001/od1.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

Management of Hypertriglyceridemia: Common Questions and Answers - American Family ... Restricted content. Login required.

Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p347.html

Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment - American ... Restricted content. Login required.

Sep 15, 2020 - Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p339.html

Chronic Kidney Disease: Evaluation and Treatment Guidelines from the VA/DoD - Practice ... Restricted content. Login required.

Sep 15, 2020 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and treatment of chronic kidney disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0915/p378.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

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

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

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

Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome - POEMs - American ... Restricted content. Login required.

Sep 15, 2020 - This is the largest and best study to date of fecal microbiota transplant for irritable bowel syndrome —with impressive results.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0915/p377.html

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

Sep 15, 2020 - M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0915/p367.html

ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, ... 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/p376.html

Keratinocyte Carcinomas: Should We Screen for Them? - Editorials - American Family ...

Sep 15, 2020 - Keratinocyte carcinoma, which includes basal cell and cutaneous squamous cell carcinomas, is common, and the incidence is increasing.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0915/p330.html

Thyroid Nodules: Advances in Evaluation and Management - American Family Physician Restricted content. Login required.

Sep 1, 2020 - Thyroid nodules can be detected by ultrasonography in up to 68% of the general population. They are typically benign and are often discovered incidentally. The primary goal of thyroid nodule evaluation is to determine whether it is malignant. After thyroid ultrasonography has been ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0901/p298.html

Stroke and TIA - American Family Physician

Sep 1, 2020 - 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

Treatment of Subclinical Hypothyroidism: BMJ Rapid Recommendation - Practice Guidelines... Restricted content. Login required.

Sep 1, 2020 - Previous guidelines suggested that levothyroxine treatment may be appropriate with hypothyroid symptoms or a TSH level exceeding 10 mIU per L based on limited evidence. A recent large trial in older adults suggests that treatment shows no benefit in many areas and possible harm.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0901/p316.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

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

Palliative Care During Public Health Emergencies: Examples from the COVID-19 Pandemic -... Restricted content. Login required.

Sep 1, 2020 - In public health emergencies such as the COVID-19 pandemic, some patients—especially older patients or those who have chronic health conditions—are confronted with treatment choices as they face life-threatening illness.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0901/p312.html

Paget Disease of Bone for Primary Care - American Family Physician Restricted content. Login required.

Aug 15, 2020 - Paget disease of bone is a benign disorder characterized by focal areas of increased bone turnover in one or more skeletal sites. It usually affects older adults, and men are at a higher risk than women. Any bone may be affected, but the disease has a high preference for the pelvis, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0815/p224.html

Colorectal Cancer Screening: ACP Guidance Statements - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - The American College of Physicians developed a consensus statement for colorectal cancer screening of average-risk adults based on their review of six independent guidelines and supporting evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p250.html

Colorectal Cancer Screening: BMJ Rapid Recommendation - Practice Guidelines - American ... Restricted content. Login required.

Aug 15, 2020 - Colorectal cancer (CRC) screening recommendations vary because the underlying evidence is low quality, with few screening methods evaluated by randomized trials. The BMJ/MAGIC Group performed a systematic review based on 15-year CRC risk models to compare screening options.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0815/p253.html

Daily Colchicine Post-MI Reduces Strokes and Recurrent Hospitalizations for Angina - ... Restricted content. Login required.

Aug 15, 2020 - Daily colchicine after MI reduces cardiovascular events, specifically strokes and hospitalizations for angina. It is inexpensive and well-tolerated and should be considered for patients with recent MIs who are already using guideline-directed therapy.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248.html

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