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Point-of-Care Guides

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Ruling Out Pulmonary Embolism in the Primary Care Setting - Point-of-Care Guides - ...

Jun 1, 2018 - What is the best approach to evaluate patients with suspected pulmonary embolism in the outpatient, primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0601/p750.html

Risk Stratification of Patients Presenting with Syncope - Point-of-Care Guides - ...

Jun 1, 2012 - A previous Point-of-Care Guide addressed risk stratification in patients with syncope and described two validated clinical decision rules. Shared variables between the two rules included abnormal findings on electrocardiography (ECG) and a history of congestive heart failure; other ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2012/0601/p1047.html

Diagnosis of Urinary Tract Infections in Children - Point-of-Care Guides - American ...

Feb 15, 2018 - A recent observational study found that 2.2% of acutely ill children younger than five years met criteria for a UTI when their urine was cultured. However, in the same study, overall clinician impression that a UTI was present (fairly to very certain) identified only 28 out of 60 ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0215/p273.html

Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...

Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0101/p45.html

Identifying Patients with Newly Diagnosed Acute Pulmonary Embolism Who Are at Low Risk ...

Jun 15, 2018 - Standard management of acute PE includes five days of inpatient treatment with parenteral anticoagulation, followed by long-term oral anticoagulation as an outpatient. However, guidelines from the American College of Chest Physicians state that early discharge before five days can be ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0615/p811.html

Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...

Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/1001/p465.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Nonalcoholic Fatty Liver Disease: Identifying Patients at Risk of Inflammation or ...

Jun 15, 2017 - NAFLD is defined as hepatic steatosis on imaging or histology in the absence of other etiologies for secondary fat accumulation. It is usually identified during the evaluation of elevated transaminase levels in a patient without heavy alcohol intake, or found incidentally on imaging ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0615/p796.html

Prognosis Following Mild Head Injury in Children - Point-of-Care Guides - American ...

Dec 15, 2016 - Concussion, also referred to as mild traumatic brain injury, is a common injury in children. It is defined as a transient disturbance in mental status following head trauma, and it can cause a variety of physical, cognitive, and emotional sequelae. Symptoms continuing for more than 28 ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/1215/p1006.html

Clinical Diagnosis of Gout Without Joint Aspirate - Point-of-Care Guides - American ...

Sep 15, 2016 - Gout is ideally diagnosed through identification of characteristic negatively birefringent crystals under polarized light microscopy in fluid aspirated from end-organ deposits, typically from a joint. However, fewer than 10% of patients with gout see a rheumatologist, and most cases of ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/0915/p505.html

Rapid Protocols to Rule out Myocardial Infarction - Point-of-Care Guides - American ...

Jun 15, 2016 - Cardiac troponin T and I are released into the bloodstream when cardiac muscle is damaged. Cardiac troponin tests have been available for decades and are the preferred biomarkers for the diagnosis of acute myocardial infarction (AMI). However, until recently, they lacked sensitivity in ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/0615/p1008.html

Predicting Hospital Readmission - Point-of-Care Guides - American Family Physician

Aug 15, 2016 - In 2007, the Medicare Payment Advisory Committee reported that 18% of hospital admissions resulted in a readmission, of which 76% were potentially avoidable.1 The development of a clinical decision rule to identify patients at risk of readmission could aid in directing interventions and...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/0815/p307.html

Diagnosis of Streptococcal Pharyngitis - Point-of-Care Guides - American Family Physician

Jun 15, 2014 - Sore throat was the chief symptom in 1.3% of all outpatient office visits in 2010, and is even more common in primary care practice. An Australian study found that among families with at least one child three to 12 years of age, the incidence of sore throat was 33 and 14 episodes per ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2014/0615/p976.html

Predicting the Risk of Recurrence After Surgery for Prostate Cancer - Point-of-Care ...

Dec 15, 2005 - A previous Point-of-Care Guide identified a clinical decision rule that estimates the likelihood of an abnormal biopsy for prostate cancer. One of the next questions facing the patient and his physician is the likelihood of recurrence after surgery.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/1215/p2511.html

Evidence-Based Adjustment of Warfarin (Coumadin) Doses - Point-of-Care Guides - ...

May 15, 2005 - A previous Point-of-Care Guides article,1 presented several validated approaches to the initiation of anticoagulation therapy with warfarin. Once a patient is receiving warfarin, it is important to have a systematic approach to the management of anticoagulation and adjustment of ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0515/p1979.html

Suspected Pulmonary Embolism: Evidence-Based Diagnostic Testing - Point-of-Care Guides ...

Feb 1, 2004 - The first part of this two-part Point-of-Care Guide discusses how to use two validated clinical decision rules to determine the likelihood of pulmonary embolism.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0201/p599.html

Risk Stratification of Children with Bronchiolitis - Point-of-Care Guides - American ...

Aug 1, 2012 - Bronchiolitis is a common and sometimes serious viral lower respiratory tract infection in young children.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2012/0801/p275.html

Evaluation of Chest Pain in Primary Care Patients - Point-of-Care Guides - American ...

Mar 1, 2011 - Chest pain can be caused by conditions that range from benign and self-limited (e.g., chest wall pain) to serious (e.g., anxiety disorder) or life-threatening (e.g., unstable angina, aortic dissection, pulmonary embolism). Accurate identification of life-threatening and serious causes ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2011/0301/p603.html

Diagnosis of Appendicitis: Part I. History and Physical Examination - Point-of-Care ...

Mar 15, 2008 - Appendicitis is a relatively uncommon, but potentially serious, cause of abdominal pain in the primary care setting. An accurate diagnosis is important to prevent unnecessary surgery and avoid complications.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0315/p828.html

Diagnosis of Gastroesophageal Reflux Disease - Point-of-Care Guides - American Family ...

May 15, 2010 - Diagnosis of GERD may be clinical (presentation with typical symptoms, such as heartburn); physiologic (evidence of abnormal pH levels in the distal esophagus); anatomic (evidence of esophagitis on endoscopy); or functional (clinical response to antacid medications). However, the ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0515/p1278.html

Clinical Diagnosis of Pneumonia in Children - Point-of-Care Guides - American Family ...

Jul 15, 2010 - Pneumonia remains a common source of morbidity and mortality in children. A key question in the diagnostic evaluation of children with acute respiratory illness is whether chest radiography should be performed to rule in or rule out the diagnosis of pneumonia. Radiologically, pneumonia ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0715/p192.html

Predicting the Risk of Bleeding in Patients Taking Warfarin - Point-of-Care Guides - ...

Mar 15, 2010 - When considering anticoagulation therapy in patients with atrial fibrillation or venous thromboembolism (VTE), physicians and patients must balance the benefits of anticoagulation with the risk of bleeding, particularly major bleeding complications. For example, in patients who are at ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0315/p780.html

Brief Screening Instruments for Dementia in Primary Care - Point-of-Care Guides - ...

Mar 15, 2009 - In addition to identifying patients who may benefit from pharmacotherapy, early detection of dementia helps families anticipate the patient’s needs and helps physicians identify those in need of additional support.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/0315/p497.html

Predicting Prognosis in Patients with End-stage Liver Disease - Point-of-Care Guides - ...

Nov 15, 2006 - Two scoring systems are widely used to predict prognosis in patients with end-stage liver disease: the Model for End-Stage Liver Disease (MELD) and the Child-Turcotte-Pugh (CTP) score.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2006/1115/p1762.html

Diagnosing Lumbar Spinal Stenosis - Point-of-Care Guides - American Family Physician

Nov 15, 2009 - Lumbar spinal stenosis is an important cause of pain and disability, and surgery is beneficial for appropriately selected patients. Therefore, it is important for primary care physicians to distinguish patients with spinal stenosis from those with musculoskeletal low back pain, ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/1115/p1145.html

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