American Family Physician

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Point-of-Care Guides

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

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

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

Point-of-Care Guides: Diagnosis of Streptococcal Pharyngitis - American Family ...

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

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

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

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

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

Point-of-Care Guides: Evaluation of Chest Pain in Primary Care Patients - 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

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

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

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

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

Point-of-Care Guides: Risk Stratification of Children with Bronchiolitis - 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

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

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

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

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

Point-of-Care Guides: Diagnosis of Gastroesophageal Reflux Disease - 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

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

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

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

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

Point-of-Care Guides: Diagnosing Lumbar Spinal Stenosis - 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

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

Point-of-Care Guides: Evidence-Based Initiation of Warfarin (Coumadin) - American ...

Feb 15, 2005 - Many physicians continue to use clinical judgment alone as the basis for initiating and adjusting warfarin dosages in patients who require oral anticoagulation. A number of studies have validated approaches to initiation of anticoagulation that provide more rapid anticoagulation with ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/0215/p763.html

Point-of-Care Guides: Diagnosis of Appendicitis: Part II. Laboratory and Imaging ...

Apr 15, 2008 - Although individual signs and symptoms are of limited value in the diagnosis of appendicitis, the Alvarado (also known as the MANTRELS [Migration of pain to the right lower quadrant, Anorexia, Nausea/vomiting, Tenderness in the right lower quadrant, Rebound pain, Elevation of ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0415/p1153.html

Point-of-Care Guides: Choosing Between Warfarin (Coumadin) and Aspirin Therapy for ...

Jun 15, 2005 - Pooled data from randomized trials show that warfarin reduces the risk of stroke from 4.5 percent to 1.4 percent per year in patients with nonvalvular atrial fibrillation and no history of stroke or transient ischemic attack (TIA).

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/0615/p2348.html

Point-of-Care Guides: Screening Instruments for Depression - American Family Physician

Jul 15, 2008 - Although depression is common in the primary care setting, accurate identification of these patients is challenging. A variety of screening instruments for depression have been developed and validated. They range from relatively lengthy and complex instruments, such as the 21-item Beck ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0715/p244.html

Point-of-Care Guides: Procalcitonin-Guided Treatment of Respiratory Tract Infections...

Sep 15, 2008 - Procalcitonin is a precursor to calcitonin. The final step in the synthesis of calcitonin is inhibited by cytokines and endotoxin released during bacterial infections; therefore, procalcitonin levels are selectively elevated in patients with bacterial infections.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0915/p756.html

Point-of-Care Guides: Diagnosis of Anxiety Disorders in Primary Care - American ...

Aug 15, 2008 - Generalized anxiety disorder leads to considerable morbidity and affects approximately 3 percent of patients in primary care practices.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0815/p501.html

Point-of-Care Guides: Predicting Benefit of Spinal Manipulation for Low Back Pain - ...

Feb 15, 2009 - Two systematic reviews found that spinal manipulation is superior to sham therapy or placebo in patients with acute low back pain, and has effectiveness similar to analgesics, physical therapy, or usual care by a primary care physician.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2009/0215/p318.html

Point-of-Care Guides: Clinical Diagnosis of Melanoma - American Family Physician

Nov 15, 2008 - The incidence of melanoma is increasing in the United States. Although there is insufficient evidence to recommend routine screening for skin cancer, physicians and patients are encouraged to be vigilant for suspicious skin lesions. The classic mnemonic for the clinical diagnosis of ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/1115/p1205.html

Point-of-Care Guides: Predicting Pneumonia in Adults with Respiratory Illness - ...

Aug 15, 2007 - Identifying patients with pneumonia (defined as acute respiratory illness with an infiltrate seen on a chest radiograph) is important.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2007/0815/p560.html

Point-of-Care Guides: Predicting the Likelihood of Successful Vaginal Birth After ...

Oct 15, 2007 - The American College of Obstetricians and Gynecologists and the American Academy of Family Physicians recommend that pregnant women with a single previous cesarean delivery and a low-transverse incision be offered a trial of labor.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2007/1015/p1192.html

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

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

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

Point-of-Care Guides: Preoperative Evaluation for Noncardiac Surgery - American ...

Apr 15, 2004 - Guidelines from the American College of Physicians (ACP) and the American College of Cardiology/American Heart Association (ACC/AHA) address the preoperative evaluation of patients for noncardiac surgery.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2004/0415/p1977.html

Point-of-Care Guides: Screening Instruments for Post-Traumatic Stress Disorder - ...

Dec 15, 2007 - PTSD is a relatively common and disabling psychiatric condition with a lifetime prevalence of about 8 percent. The condition is not only triggered by combat, but also by natural disasters, accidents, and physical assault such as rape. Although a detailed diagnostic interview is the ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2007/1215/p1848.html

Point-of-Care Guides: Predicting Postoperative Nausea and Vomiting - American Family...

May 15, 2007 - Postoperative nausea and vomiting are uncomfortable for patients, can prolong hospitalization, and can lead to more serious complications, including aspiration pneumonia.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2007/0515/p1537.html

Point-of-Care Guides: Computed Tomography After Minor Head Injury - American Family ...

Jun 15, 2006 - Minor head injury is commonly seen in the primary care and emergency department settings. Minor head injury typically includes brief loss of consciousness or other symptoms of concussion. Several clinical decision rules have been developed and validated to help identify patients who ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2006/0615/p2205.html

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