American Family Physician

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STEPS

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Dept. Collections -- American Family Physician

Jun 13, 2013 - Search Department collections from past and current issues of AFP, the peer-reviewed clinical journal of the American Academy of Family Physicians.

American Family Physician

http://www.aafp.org/journals/afp/explore/departments.html

Appropriate Prescribing of Medications: An Eight-Step Approach - American Family ...

Jan 15, 2007 - A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's problem; (2) specify the therapeutic ...

American Family Physician : Article

http://www.aafp.org/afp/2007/0115/p231.html

STEPS: Phentermine/Topiramate (Qsymia) for Chronic Weight Management - American ...

Oct 15, 2014 - Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use ...

American Family Physician : STEPS

http://www.aafp.org/afp/2014/1015/p576.html

STEPS: Guanfacine (Intuniv) for Attention-Deficit/Hyperactivity Disorder - American ...

Feb 15, 2011 - Guanfacine is an effective short-term treatment option for ADHD in children six to 12 years of age. Sedation is a marked problem in many children. Patients should take the medication daily to avoid adverse effects that occur with abrupt discontinuation or when the guanfacine is restarted.

American Family Physician : STEPS

http://www.aafp.org/afp/2011/0215/p468.html

Differentiation and Diagnosis of Tremor - American Family Physician

Mar 15, 2011 - Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a ...

American Family Physician : Article

http://www.aafp.org/afp/2011/0315/p697.html

Diagnosis of Heel Pain - American Family Physician

Oct 15, 2011 - Heel pain is a common presenting symptom in ambulatory clinics. There are many causes, but a mechanical etiology is most common. Location of pain can be a guide to the proper diagnosis. The most common diagnosis is plantar fasciitis, a condition that leads to medial plantar heel pain, ...

American Family Physician : Article

http://www.aafp.org/afp/2011/1015/p909.html

Diagnosis and Treatment of Plantar Fasciitis - American Family Physician

Sep 15, 2011 - Plantar fasciitis, a self-limiting condition, is a common cause of heel pain in adults. It affects more than 1 million persons per year, and two-thirds of patients with plantar fasciitis will seek care from their family physician. Plantar fasciitis affects sedentary and athletic ...

American Family Physician : Article

http://www.aafp.org/afp/2011/0915/p676.html

Management of COPD Exacerbations - American Family Physician

Mar 1, 2010 - Exacerbations of chronic obstructive pulmonary disease contribute to the high mortality rate associated with the disease. Randomized controlled trials have demonstrated the effectiveness of multiple interventions. The first step in outpatient management should be to increase the dosage ...

American Family Physician : Article

http://www.aafp.org/afp/2010/0301/p607.html

Diagnosis and Management of Contact Dermatitis - American Family Physician

Aug 1, 2010 - Contact dermatitis is a common inflammatory skin condition characterized by erythematous and pruritic skin lesions that occur after contact with a foreign substance. There are two forms of contact dermatitis: irritant and allergic. Irritant contact dermatitis is caused by the ...

American Family Physician : Article

http://www.aafp.org/afp/2010/0801/p249.html

STEPS: Indacaterol (Arcapta) for COPD - American Family Physician

Aug 15, 2014 - Indacaterol provides a similar benefit to other long-acting bronchodilators for the treatment of moderate to severe COPD, with once-daily dosing. As with other LABAs, it should be used only as add-on therapy in patients already taking inhaled corticosteroids.

American Family Physician : STEPS

http://www.aafp.org/afp/2014/0815/p252.html

Hyperlipidemia - American Family Physician

Aug 11, 2014 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels.

American Family Physician : AFP By Topic

http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

STEPS: Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation - American ...

Apr 15, 2014 - Apixaban is at least as effective as aspirin or warfarin for preventing strokes in high-risk patients with nonvalvular atrial fibrillation, especially those who cannot or will not take warfarin. It is slightly less likely to cause major bleeding and may have better compliance because it...

American Family Physician : STEPS

http://www.aafp.org/afp/2014/0415/p672.html

STEPS: Ivermectin Lotion (Sklice) for Head Lice - American Family Physician

Jun 15, 2014 - Topical ivermectin is safe, effective, and easy to administer because it involves only a single application-rinse cycle and does not require nit combing. However, it is significantly more expensive than nonprescription treatments and its benefits may not be worth the cost for most ...

American Family Physician : STEPS

http://www.aafp.org/afp/2014/0615/p984.html

Diabetes: Type 2 - American Family Physician

Aug 28, 2014 - This collection features AFP content on type 2 diabetes and related issues, including blood glucose levels, diabetic complications (such as ketoacidosis and neuropathy), glycemic control, insulin management, and gestational diabetes.

American Family Physician : AFP By Topic

http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=7

STEPS: Roflumilast (Daliresp) for Chronic Obstructive Pulmonary Disease - American ...

Feb 15, 2014 - Roflumilast therapy has a limited role in patients with severe COPD, and no role in patients with mild to moderate COPD. It will not decrease the number of hospitalizations.

American Family Physician : STEPS

http://www.aafp.org/afp/2014/0215/p300.html

Osteoarthritis: Diagnosis and Treatment - American Family Physician

Jan 1, 2012 - Osteoarthritis is a common degenerative disorder of the articular cartilage associated with hypertrophic bone changes. Risk factors include genetics, female sex, past trauma, advancing age, and obesity. The diagnosis is based on a history of joint pain worsened by movement, which can ...

American Family Physician : Article

http://www.aafp.org/afp/2012/0101/p49.html

STEPS: Ticagrelor (Brilinta) for Secondary Prevention of Thrombotic Events Following...

Dec 15, 2013 - Ticagrelor is an alternative to clopidogrel for secondary prevention of cardiovascular death in patients with acute coronary syndrome. In an international study it was found to be more effective, but patients in the United States did not experience superior outcomes.

American Family Physician : STEPS

http://www.aafp.org/afp/2013/1215/p821.html

STEPS: Tranexemic Acid (Lysteda) for Cyclic Heavy Menstrual Bleeding - American ...

Oct 15, 2011 - Tranexamic acid is a nonhormonal option that reduces menstrual blood loss and improves quality of life in patients with heavy menstrual bleeding. It is more expensive than nonsteroidal anti-inflammatory drugs and hormonal therapies, but is an option when these treatments are not desired...

American Family Physician : STEPS

http://www.aafp.org/afp/2011/1015/p883.html

STEPS: Emtricitabine/Tenofovir (Truvada) for HIV Prophylaxis - American Family ...

Oct 15, 2013 - When used with a comprehensive HIV prevention strategy, emtricitabine/tenofovir effectively prevents HIV-1 infection in high-risk patients. Adherence to daily dosing is important to maintain protection. The cost of therapy may limit access, and not all insurance companies currently ...

American Family Physician : STEPS

http://www.aafp.org/afp/2013/1015/p535.html

Update on Acute Ankle Sprains - American Family Physician

Jun 15, 2012 - Ankle sprains are a common problem seen by primary care physicians, especially among teenagers and young adults. Most ankle sprains are inversion injuries to the lateral ankle ligaments, although high sprains representing damage to the tibiofibular syndesmosis are becoming increasingly ...

American Family Physician : Article

http://www.aafp.org/afp/2012/0615/p1170.html

STEPS: Doxepin (Silenor) for Insomnia - American Family Physician

Aug 15, 2011 - In older patients with primary insomnia, Silenor can increase duration of sleep without next-day effects. However, it does not significantly decrease the time to sleep onset, and it is less effective in younger adults.

American Family Physician : STEPS

http://www.aafp.org/afp/2011/0815/p453.html

STEPS: Vilazodone (Viibryd) for the Treatment of Depression - American Family Physician

Aug 15, 2013 - The available evidence does not support the routine use of vilazodone in the treatment of depression. It is significantly more expensive than generic alternatives and is no more effective for moderate to severe depression than selective serotonin reuptake inhibitors or tricyclic ...

American Family Physician : STEPS

http://www.aafp.org/afp/2013/0815/p263.html

STEPS: Spinosad (Natroba) for Head Lice - American Family Physician

Jun 15, 2013 - Spinosad is safe and effective for the treatment of head lice; most patients will be lice-free after a single treatment. Nit combing following treatment is not necessary. These benefits must be weighed against its prescription-only status and higher cost compared with nonprescription ...

American Family Physician : STEPS

http://www.aafp.org/afp/2013/0615/p874.html

Urinalysis: Case Presentations for the Primary Care Physician - American Family ...

Oct 15, 2014 - Urinalysis is useful in diagnosing systemic and genitourinary conditions. In patients with suspected microscopic hematuria, urine dipstick testing may suggest the presence of blood, but results should be confirmed with a microscopic examination. In the absence of obvious causes, the ...

American Family Physician : Article

http://www.aafp.org/afp/2014/1015/p542.html

Dermoscopy for the Family Physician - American Family Physician

Oct 1, 2013 - Noninvasive in vivo imaging techniques have become an important diagnostic aid for skin cancer detection. Dermoscopy, also known as dermatoscopy, epiluminescence microscopy, incident light microscopy, or skin surface microscopy, has been shown to increase the clinician’s diagnostic ...

American Family Physician : Article

http://www.aafp.org/afp/2013/1001/p441.html

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