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 ...
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 ...
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
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 - ...
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
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
Alcohol Use Disorder: Pharmacologic Treatment Options - FPIN's Clinical Inquiries - ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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
Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome - POEMs - American ...
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
Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease - ...
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 - Putting ...
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
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
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
ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, ...
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
Thyroid Nodules: Advances in Evaluation and Management - American Family Physician
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
Treatment of Subclinical Hypothyroidism: BMJ Rapid Recommendation - Practice Guidelines...
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
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 ...
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 ...
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 -...
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