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Health Literacy in Primary Care Practice - American Family Physician

Jul 15, 2015 - Health literacy includes a set of skills needed to make appropriate health decisions and successfully navigate the health care system. These skills include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. National data indicate that more ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0715/p118.html

Peripheral Vascular Disease - American Family Physician

Mar 15, 2019 - Advertisement AFP BY TOPIC Peripheral Vascular Disease Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=82

Responses to Medical Students' Frequently Asked Questions About Family Medicine - ...

Feb 1, 2016 - This article provides answers to many of the common questions that medical students ask about the specialty of family medicine. It describes the crucial role that family physicians have in the evolving health care environment, the scope of practice, the diverse career opportunities ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0201/od1.html

Common Questions About the Diagnosis and Management of Benign Prostatic Hyperplasia - ...

Dec 1, 2014 - Benign prostatic hyperplasia (BPH) is a common condition that increases in prevalence with age. A history should include onset, duration, and severity of lower urinary tract symptoms and medication use to rule out other causes of symptoms. Physical examination includes a digital rectal ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1201/p769.html

Adverse Effects of Antipsychotic Medications - American Family Physician

Mar 1, 2010 - The use of antipsychotic medications entails a difficult trade-off between the benefit of alleviating psychotic symptoms and the risk of troubling, sometimes life-shortening adverse effects. There is more variability among specific antipsychotic medications than there is between the ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0301/p617.html

Revised AAP Guideline on UTI in Febrile Infants and Young Children - American Family ...

Nov 15, 2012 - In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p940.html

Diagnosis and Management of Metatarsal Fractures - American Family Physician

Sep 15, 2007 - Patients with metatarsal fractures often present to primary care settings. Initial evaluation should focus on identifying any conditions that require emergent referral, such as neurovascular compromise and open fractures. The fracture should then be characterized and treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p817.html

Enuresis in Children: A Case Based Approach - American Family Physician

Oct 15, 2014 - Enuresis is defined as intermittent urinary incontinence during sleep in a child at least five years of age. Approximately 5% to 10% of all seven-year-olds have enuresis, and an estimated 5 to 7 million children in the United States have enuresis. The pathophysiology of primary ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1015/p560.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

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

The Spiritual Assessment - American Family Physician

Sep 15, 2012 - More than 80 percent of Americans perceive religion as important. Issues of belief can affect the health care encounter, and patients may wish to discuss spirituality with their physician. Many physicians report barriers to broaching the subject of spirituality, including lack of time ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p546.html

Substance Abuse - American Family Physician

Jun 1, 2019 - Advertisement AFP BY TOPIC Substance Abuse Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best content from...

American Family Physician : AFP By Topic

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Cluster Headache - American Family Physician

Jul 15, 2013 - Cluster headache causes severe unilateral temporal or periorbital pain, lasting 15 to 180 minutes and accompanied by autonomic symptoms in the nose, eyes, and face. Headaches often recur at the same time each day during the cluster period, which can last for weeks to months. Some ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p122.html

Common Questions About Cognitive Behavior Therapy for Psychiatric Disorders - American ...

Nov 1, 2015 - Cognitive behavior therapy (CBT) is a time-limited, goal-oriented psychotherapy that has been extensively researched and has benefits in a number of psychiatric disorders, including anxiety, depression, posttraumatic stress disorder, attention-deficit/hyperactivity disorder, autism, ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1101/p807.html

Common Questions About the Initial Management of Hypertension - American Family Physician

Feb 1, 2015 - Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0201/p172.html

Common Questions About Pneumonia in Nursing Home Residents - American Family Physician

Oct 1, 2015 - Pneumonia in older adults residing in nursing homes can be challenging to diagnose and treat. Pneumococcal and influenza immunizations decrease the risk of pneumonia and are recommended for all nursing home patients. Older adults with pneumonia may not display classic signs and symptoms...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p612.html

Disability Evaluations: More Than Completing a Form - American Family Physician

Jan 15, 2015 - According to the World Health Organization, more than 1 billion persons worldwide have a disability. In the United States, more than 56 million American workers have some form of disability; of these, more than 38 million persons have a severe disability. Blacks and Hispanics are among ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0115/p102.html

Primary Care of the Prostate Cancer Survivor - American Family Physician

May 1, 2016 - This summary of the American Cancer Society Prostate Cancer Survivorship Care Guidelines targets primary care physicians who coordinate care of prostate cancer survivors with subspecialists. Prostate cancer survivors should undergo prostate-specific antigen screening every six to 12 ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0501/p764.html

Chronic Daily Headache: Diagnosis and Management - American Family Physician

Apr 15, 2014 - Chronic daily headache is defined as the presence of a headache on 15 days or more per month for at least three months. The most common types of chronic daily headache are chronic migraines and chronic tension-type headaches. If a red flag for a secondary cause of headache is present, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p642.html

Intrauterine Devices: An Update - American Family Physician

Mar 15, 2014 - Three intrauterine devices (IUDs) are available in the United States: the copper T 380A and two levonorgestrel-releasing IUDs, one that releases 20 mcg of levonorgestrel per 24 hours, and one that releases 14 mcg per 24 hours. All are safe and effective methods of contraception that ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0315/p445.html

Pharmacogenetics: Using Genetic Information to Guide Drug Therapy - American Family ...

Oct 1, 2015 - Clinical pharmacogenetics, the use of genetic data to guide drug therapy decisions, is beginning to be used for medications commonly prescribed by family physicians. However, clinicians are largely unfamiliar with principles supporting clinical use of this type of data. For example, ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p588.html

Lung Cancer: Diagnosis, Treatment Principles, and Screening - American Family Physician

Feb 15, 2015 - Lung cancer is classified histologically into small cell and non–small cell lung cancers. The most common symptoms of lung cancer are cough, dyspnea, hemoptysis, and systemic symptoms such as weight loss and anorexia. High-risk patients who present with symptoms should undergo chest ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0215/p250.html

Primary Care of the Solid Organ Transplant Recipient - American Family Physician

Feb 1, 2016 - The advancing science of transplantation has led to more transplants and longer survival. As a result, primary care physicians are more involved in the care of transplant recipients. Immunosuppressive therapy has significantly decreased rates of transplant rejection but accounts for ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0201/p203.html

The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse ...

Aug 1, 2007 - Cytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p391.html

Prostatitis: Diagnosis and Treatment - American Family Physician

Aug 15, 2010 - Prostatitis ranges from a straightforward clinical entity in its acute form to a complex, debilitating condition when chronic. It is often a source of frustration for the treating physician and patient. There are four classifications of prostatitis: acute bacterial, chronic bacterial, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p397.html

Update on Latent Tuberculosis Infection - American Family Physician

Jun 1, 2014 - Latent tuberculosis infection refers to an asymptomatic, nontransmissible infection with Mycobacterium tuberculosis, carrying a 5% to 10% lifetime risk of progressing to active disease. One-half of this risk occurs within the first two years after infection. High-risk groups include ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0601/p889.html

Diagnosis and Treatment of Acute Bronchitis - American Family Physician

Dec 1, 2010 - Cough is the most common symptom bringing patients to the primary care physician’s office, and acute bronchitis is usually the diagnosis in these patients. Acute bronchitis should be differentiated from other common diagnoses, such as pneumonia and asthma, because these conditions may ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1345.html

Top 20 Research Studies of 2015 for Primary Care Physicians - American Family Physician

May 1, 2016 - In 2015, a group of primary care clinicians with expertise in evidence-based practice performed monthly surveillance of more than 110 English-language clinical research journals. They identified 251 studies that addressed a primary care question and had the potential to change practice ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0501/p756.html

Evaluation of Syncope - American Family Physician

Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p640.html

Preventive Health Care for Men Who Have Sex with Men - American Family Physician

Jun 15, 2015 - Men who have sex with men (MSM) comprise at least 4% of males in the United States. MSM may describe themselves as gay, bisexual, or heterosexual. Because current medical practice does not always facilitate discussion of sexual behaviors, this group of men may face barriers to receiving...

American Family Physician : Article

https://www.aafp.org/afp/2015/0615/p844.html

Contact AAFP

Contact details for AAFP Headquarters in Leawood, Kansas and the AAFP Washington DC office.

My Account

https://nf.aafp.org/myacademy/contactus

Common Questions About Chronic Low Back Pain - American Family Physician

May 15, 2015 - More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, defined as persistent symptoms for longer than three months. Low back...

American Family Physician : Article

https://www.aafp.org/afp/2015/0515/p708.html

Newborn Skin: Part I. Common Rashes - American Family Physician

Jan 1, 2008 - Rashes are extremely common in newborns and can be a significant source of parental concern. Although most rashes are transient and benign, some require additional work-up. Erythema toxicum neonatorum, acne neonatorum, and transient neonatal pustular melanosis are transient ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p47.html

Drug-Induced Nephrotoxicity - American Family Physician

Sep 15, 2008 - Drugs are a common source of acute kidney injury. Compared with 30 years ago, the average patient today is older, has more comorbidities, and is exposed to more diagnostic and therapeutic procedures with the potential to harm kidney function. Drugs shown to cause nephrotoxicity exert ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p743.html

End-Stage Renal Disease: Symptom Management and Advance Care Planning - American Family...

Apr 1, 2012 - The prevalence of end-stage renal disease continues to increase, and dialysis is offered to older and more medically complex patients. Pain is problematic in up to one-half of patients receiving dialysis and may result from renal and nonrenal etiologies. Opioids can be prescribed ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0401/p705.html

Management of Keloids and Hypertrophic Scars - American Family Physician

Aug 1, 2009 - Keloids and hypertrophic scars represent an exuberant healing response that poses a challenge for physicians. Patients at high risk of keloids are usually younger than 30 years and have darker skin. Sternal skin, shoulders and upper arms, earlobes, and cheeks are most susceptible to ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p253.html

High Blood Pressure in Children and Adolescents - American Family Physician

Apr 1, 2012 - High blood pressure in children and adolescents is a growing health problem that is often overlooked by physicians. Normal blood pressure values for children and adolescents are based on age, sex, and height, and are available in standardized tables. Prehypertension is defined as a ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0401/p693.html

Complications of Adjustable Gastric Banding Surgery for Obesity - American Family ...

May 15, 2014 - Laparoscopic adjustable gastric banding procedures have a favorable risk-benefit profile and are increasingly important as part of the overall management of obesity. These procedures are effective at inducing weight loss and improving comorbid conditions, including diabetes mellitus, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0515/p813.html

Incidentalomas: Initial Management - American Family Physician

Dec 1, 2014 - Incidentalomas are increasingly common findings on radiologic studies, causing worry for physicians and patients. Physicians should consider the risk of discovering incidentalomas when contemplating imaging. Patients may assume that incidentalomas are cancer, and may not be aware of the...

American Family Physician : Article

https://www.aafp.org/afp/2014/1201/p784.html

Celiac Disease: Diagnosis and Management - American Family Physician

Jan 15, 2014 - Celiac disease is an autoimmune disorder of the gastrointestinal tract. It is triggered by exposure to dietary gluten in genetically susceptible individuals. Gluten is a storage protein in wheat, rye, and barley, which are staples in many American diets. Celiac disease is characterized ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0115/p99.html

Antiobiotic Prophylaxis to Prevent Surgical Site Infections - American Family Physician

Mar 1, 2011 - Surgical site infections are the most common nosocomial infections in surgical patients, accounting for approximately 500,000 infections annually. Surgical site infections also account for nearly 4 million excess hospital days annually, and nearly $2 billion in increased health care ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0301/p585.html

My CME Assessments -- My Account -- AAFP

A list of CME Assessments (quizzes) you have requested, started, or completed.

My Account

https://nf.aafp.org/Cme/Reporting/CmeAssessments.aspx

Chronic Fatigue Syndrome: Diagnosis and Treatment - American Family Physician

Oct 15, 2012 - Chronic fatigue syndrome is characterized by debilitating fatigue that is not relieved with rest and is associated with physical symptoms. The Centers for Disease Control and Prevention criteria for chronic fatigue syndrome include severe fatigue lasting longer than six months, as well ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1015/p741.html

Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician

Dec 15, 2011 - Cirrhosis is the 12th leading cause of death in the United States. It accounted for 29,165 deaths in 2007, with a mortality rate of 9.7 per 100,000 persons. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis, although nonalcoholic fatty liver disease is emerging ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1353.html

Diagnosis and Treatment of Otitis Media - American Family Physician

Dec 1, 2007 - Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1650.html

Sudden Infant Death Syndrome - American Family Physician

Jun 1, 2015 - Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation. The incidence of SIDS has decreased more than 50% in the ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0601/p778.html

Multiple Sclerosis: A Primary Care Perspective - American Family Physician

Nov 1, 2014 - Multiple sclerosis (MS) is the most common permanently disabling disorder of the central nervous system in young adults. Relapsing remitting MS is the most common type, and typical symptoms include sensory disturbances, Lhermitte sign, motor weakness, optic neuritis, impaired ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1101/p644.html

Acute Rhinosinusitis in Adults - American Family Physician

May 1, 2011 - Rhinosinusitis is one of the most common conditions for which patients seek medical care. Subtypes of rhinosinusitis include acute, subacute, recurrent acute, and chronic. Acute rhinosinusitis is further specified as bacterial or viral. Most cases of acute rhinosinusitis are caused by ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0501/p1057.html

Sleep Disorders in Adults - American Family Physician

Jan 1, 2019 - Advertisement AFP BY TOPIC Sleep Disorders in Adults Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=83

Update on Routine Childhood and Adolescent Immunizations - American Family Physician

Sep 15, 2015 - Recommendations for routine vaccinations in children and adolescents have changed multiple times in recent years, based on findings in clinical trials, licensure of new vaccines, and evidence of waning immunity. Despite the overwhelming success of vaccinations, vaccine delay and refusal...

American Family Physician : Article

https://www.aafp.org/afp/2015/0915/p460.html

Opioid Epidemic - Key Resources - American Family Physician

Mar 15, 2019 - Advertisement AFP BY TOPIC Opioid Epidemic - Key Resources Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=106

Pharmacologic Management of Pain at the End of Life - American Family Physician

Jul 1, 2014 - Although many patients experience debilitating pain at the end of life, there are many options to improve analgesia and quality of life. Pain assessment using a validated tool, with attention to patient function and specific goals, helps tailor individual treatment plans. The World ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0701/p26.html

Management of External Genital Warts - American Family Physician

Sep 1, 2014 - Genital warts affect 1% of the sexually active U.S. population and are commonly seen in primary care. Human papillomavirus types 6 and 11 are responsible for most genital warts. Warts vary from small, flat-topped papules to large, cauliflower-like lesions on the anogenital mucosa and ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0901/p312.html

First Trimester Bleeding - American Family Physician

Jun 1, 2009 - Vaginal bleeding in the first trimester occurs in about one fourth of pregnancies. About one half of those who bleed will miscarry. Guarded reassurance and watchful waiting are appropriate if fetal heart sounds are detected, if the patient is medically stable, and if there is no adnexal...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p985.html

Should Adults with Prediabetes Be Prescribed Metformin to Prevent Diabetes Mellitus? ...

Aug 1, 2019 - High-quality evidence supports metformin use for diabetes prevention among younger or more obese individuals or for women with a history of gestational diabetes. Clinicians should consider prescribing metformin, in addition to intensive lifestyle interventions, in accordance with ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2019/0801/p134.html

Common Questions About Developmental Dysplasia of the Hip - American Family Physician

Dec 15, 2014 - Developmental dysplasia of the hip is a common musculoskeletal condition in newborns. Infants with developmental dysplasia of the hip, whether treated or untreated, have a higher incidence of early-onset hip osteoarthritis in adulthood. Evidence to support universal screening by ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1215/p843.html

Identifying and Managing Posttraumatic Stress Disorder - American Family Physician

Dec 15, 2013 - Posttraumatic stress disorder (PTSD) occurs in an estimated 8% of men and 20% of women who are exposed to traumatic events. PTSD is a trauma- and stress-related disorder associated with significant psychosocial morbidity, substance abuse, and other negative physical health outcomes. The...

American Family Physician : Article

https://www.aafp.org/afp/2013/1215/p827.html

Practical Selection of Antiemetics in the Ambulatory Setting - American Family Physician

Mar 1, 2015 - Nausea and vomiting are mediated primarily by three neurotransmitter pathways: visceral stimulation releases dopamine and serotonin; vestibular and central nervous system activation release histamine and acetylcholine; and chemoreceptor trigger zone activation releases dopamine and ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0301/p293.html

Therapeutic Uses of Magnesium - American Family Physician

Jul 15, 2009 - Magnesium is an essential mineral for optimal metabolic function. Research has shown that the mineral content of magnesium in food sources is declining, and that magnesium depletion has been detected in persons with some chronic diseases. This has led to an increased awareness of proper...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p157.html

Diagnosis and Treatment of Impetigo - American Family Physician

Mar 15, 2007 - Impetigo is a highly contagious, superficial skin infection that most commonly affects children two to five years of age. The two types of impetigo are nonbullous impetigo (i.e., impetigo contagiosa) and bullous impetigo. The diagnosis usually is made clinically, but rarely a culture ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p859.html

Diabetic Nephropathy--The Family Physician's Role - American Family Physician

May 1, 2012 - Nearly one-half of persons with chronic kidney disease have diabetes mellitus. Diabetes accounted for 44 percent of new cases of kidney failure in 2008. Diabetic nephropathy, also called diabetic kidney disease, is associated with significant macrovascular risk, and is the leading cause...

American Family Physician : Article

https://www.aafp.org/afp/2012/0501/p883.html

Nutrition - American Family Physician

Oct 1, 2018 - Advertisement AFP BY TOPIC Nutrition Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best content from AFP, as...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86

Diagnostic Approach to Chronic Constipation in Adults - American Family Physician

Aug 1, 2011 - Constipation is traditionally defined as three or fewer bowel movements per week. Risk factors for constipation include female sex, older age, inactivity, low caloric intake, low-fiber diet, low income, low educational level, and taking a large number of medications. Chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0801/p299.html

Pressure Ulcers: Prevention, Evaluation, and Management - American Family Physician

Nov 15, 2008 - A pressure ulcer is a localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. Predisposing factors are classified as intrinsic (e.g., limited mobility, poor nutrition, comorbidities, aging skin) or extrinsic (e.g., pressure,...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1186.html

Patient-Centered Medical Home -- FPM Topic Collection

Aug 11, 2015 - FPM has published numerous articles to help family physicians build a patient-centered medical home (PCMH). The links below represent key components of the PCMH and will take you to relevant FPM topic collections. FPM has published numerous articles to help family physicians build a ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=94

Evaluation of Nausea and Vomiting: A Case-Based Approach - American Family Physician

Sep 15, 2013 - In the absence of acute abdominal pain, significant headache, or recent initiation of certain medications, acute nausea and vomiting is usually the result of self-limited gastrointestinal infections. Nausea and vomiting is also a common adverse effect of radiation therapy, chemotherapy,...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p371.html

Drug Dosing Adjustments in Patients with Chronic Kidney Disease - American Family ...

May 15, 2007 - Chronic kidney disease affects renal drug elimination and other pharmacokinetic processes involved in drug disposition (e.g., absorption, drug distribution, nonrenal clearance [metabolism]). Drug dosing errors are common in patients with renal impairment and can cause adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1487.html

Diagnosis and Management of IBS in Adults - American Family Physician

Sep 1, 2012 - Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p419.html

Psoriasis - American Family Physician

May 1, 2013 - Psoriasis is a chronic inflammatory skin condition that is often associated with systemic manifestations. It affects about 2 percent of U.S. adults, and can significantly impact quality of life. The etiology includes genetic and environmental factors. Diagnosis is based on the typical ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0501/p626.html

Care of the Homeless: An Overview - American Family Physician

Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p634.html

Diagnosis and Management of Adnexal Masses - American Family Physician

Oct 15, 2009 - Adnexal masses represent a spectrum of conditions from gynecologic and nongynecologic sources. They may be benign or malignant. The initial detection and evaluation of an adnexal mass requires a high index of suspicion, a thorough history and physical examination, and careful attention ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p815.html

A Diagnostic Approach to Pruritus - American Family Physician

Jul 15, 2011 - Pruritus can be a symptom of a distinct dermatologic condition or of an occult underlying systemic disease. Of the patients referred to a dermatologist for generalized pruritus with no apparent primary cutaneous cause, 14 to 24 percent have a systemic etiology. In the absence of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0715/p195.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

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

Counseling on Early Childhood Concerns: Sleep Issues, Thumb-Sucking, Picky Eating, ...

Aug 15, 2015 - Family physicians are often a source of information and advice on early childhood concerns regarding sleep, thumb-sucking/pacifier use, picky eating, school readiness, and oral health. Evidence indicates that family variables are important in the genesis of sleep difficulties, and that ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0815/p274.html

Chlamydia Trachomatis Infections: Screening, Diagnosis, and Management - American ...

Dec 15, 2012 - Chlamydia trachomatis is a gram-negative bacterium that infects the columnar epithelium of the cervix, urethra, and rectum, as well as nongenital sites such as the lungs and eyes. The bacterium is the cause of the most frequently reported sexually transmitted disease in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1215/p1127.html

Prevention and Management of Postpartum Hemorrhage - American Family Physician

Mar 15, 2007 - Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p875.html

Residents and New Physicians -- FPM Topic Collection

Aug 11, 2015 - If you're just getting started in practice and need help with the basics -- from coding to negotiating a contract -- check out the following FPM resources: If you're just getting started in practice and need help with the basics -- from coding to negotiating a contract -- check out the ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=95

Oral Manifestations of Systemic Disease - American Family Physician

Dec 1, 2010 - Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1381.html

Treatment of Stable Chronic Obstructive Pulmonary Disease: the GOLD Guidelines - ...

Nov 15, 2013 - Chronic obstructive pulmonary disease (COPD) is a common problem in primary care. COPD is diagnosed with spirometry only in clinically stable patients with a postbronchodilator forced expiratory volume in one second/forced vital capacity ratio of less than 0.70. All patients with COPD ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p655.html

Transient Ischemic Attack: Part I. Diagnosis and Evaluation - American Family Physician

Sep 15, 2012 - Transient ischemic attack is defined as transient neurologic symptoms without evidence of acute infarction. It is a common and important risk factor for future stroke, but is greatly underreported. Common symptoms are sudden and transient, and include unilateral paresis, speech ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p521.html

Top 20 Research Studies of 2014 for Primary Care Physicians - American Family Physician

Sep 1, 2015 - A team of primary care clinicians with expertise in evidence-based medicine performed monthly surveillance of more than 110 English-language clinical research journals during 2014, and identified 255 studies that had the potential to change how family physicians practice. Each study was...

American Family Physician : Article

https://www.aafp.org/afp/2015/0901/p377.html

Atopic Dermatitis: An Overview - American Family Physician

Jul 1, 2012 - Atopic dermatitis, also known as atopic eczema, is a chronic pruritic skin condition affecting approximately 17.8 million persons in the United States. It can lead to significant morbidity. A simplified version of the U.K. Working Party’s Diagnostic Criteria can help make the diagnosis....

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p35.html

Getting Paid -- FPM Topic Collection

Aug 11, 2015 - Getting paid in a fair and timely manner can be a challenge in today's practice environment. The following articles can help you improve your billing, coding, and reimbursement. Getting paid in a fair and timely manner can be a challenge in today's practice environment. The following ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=93

Pelvic Inflammatory Disease - American Family Physician

Apr 15, 2012 - Pelvic inflammatory disease is a polymicrobial infection of the upper genital tract. It primarily affects young, sexually active women. The diagnosis is made clinically; no single test or study is sensitive or specific enough for a definitive diagnosis. Pelvic inflammatory disease ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0415/p791.html

Evaluation of Macrocytosis - American Family Physician

Feb 1, 2009 - Macrocytosis, generally defined as a mean corpuscular volume greater than 100 fL, is frequently encountered when a complete blood count is performed. The most common etiologies are alcoholism, vitamin B12 and folate deficiencies, and medications. History and physical examination, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p203.html

Common Questions About Outpatient Care of Premature Infants - American Family Physician

Aug 15, 2014 - Preterm births (deliveries before 37 weeks’ gestation) comprise 12% of all U.S. births and are responsible for onethird of all infant deaths. Neonatal medical advances have increased survival, and primary care physicians often care for infants who were in the neonatal intensive care ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0815/p244.html

Diagnosis and Management of Pancreatic Cancer - American Family Physician

Apr 15, 2014 - Pancreatic cancer remains the fourth leading cause of cancer-related deaths in the United States. Risk factors include family history, smoking, chronic pancreatitis, obesity, diabetes mellitus, heavy alcohol use, and possible dietary factors. Because more than two-thirds of ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0415/p626.html

Options for Women with Unintended Pregnancy - American Family Physician

Apr 15, 2015 - Unintended pregnancy refers to unwanted, unplanned, or mistimed pregnancies. One-half of all pregnancies in the United States are unintended, and family physicians are often asked to provide counseling, support, and resources for women with unintended pregnancies. Options include ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0415/p544.html

H. pylori Infection: ACG Updates Treatment Recommendations - Practice Guidelines - ...

Jan 15, 2018 - Helicobacter pylori infection is one of the most common chronic bacterial infections. The American College of Gastroenterology (ACG) has updated its clinical guidelines in response to significant scientific advances in the management of this disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0115/p135.html

Occupational Health - American Family Physician

Sep 15, 2018 - Advertisement AFP BY TOPIC Occupational Health Editors' Choice of Best Available Content PRINT COMMENTS ADD TO FAVORITES REMOVE FAVORITE This page will be removed from your Favorites Links. Are you sure? SHARE This collection features the best content...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=89

Sick Sinus Syndrome: A Review - American Family Physician

May 15, 2013 - Sick sinus syndrome refers to a collection of disorders marked by the heart’s inability to perform its pacemaking function. Predominantly affecting older adults, sick sinus syndrome comprises various arrhythmias, including bradyarrhythmias with or without accompanying tachyarrhythmias. ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0515/p691.html

Disaster Preparedness -- FPM Toolbox

Mar 20, 2013 - Download forms and checklists to help your office prepare for an emergency or disaster.

Family Practice Management : FPM Toolbox : Disaster Preparedness

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=8

Uveitis: The Collaborative Diagnostic Evaluation - American Family Physician

Nov 15, 2014 - Uveitis, or inflammation of the uveal tract (i.e., iris, ciliary body, and choroid), results from a heterogeneous collection of disorders of varying etiologies and pathogenic mechanisms. Uveitis is caused by a systemic disease in 30% to 45% of patients. Primary care physicians may be ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1115/p711.html

Management of Hypertriglyceridemia - American Family Physician

May 1, 2007 - Hypertriglyceridemia is associated with an increased risk of cardiovascular events and acute pancreatitis. Along with lowering low-density lipoprotein cholesterol levels and raising high-density lipoprotein cholesterol levels, lowering triglyceride levels in high-risk patients (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1365.html

Nutrition Myths and Healthy Dietary Advice in Clinical Practice - American Family ...

May 1, 2015 - Healthy dietary intake is important for the maintenance of general health and wellness, the prevention of chronic illness, the optimization of life expectancy, and the clinical management of virtually all disease states. Dietary myths (i.e., concepts about nutrition that are poorly ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p634.html

Recognition and Management of Polymyalgia Rheumatica and Giant Cell Arteritis - ...

Nov 15, 2013 - Polymyalgia rheumatica affects proximal muscles and joints, causing disability in older adults. Giant cell arteritis affects medium and large arteries and can result in blindness. These conditions overlap significantly, often occurring together. Despite the similarities, each has ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p676.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

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

Cesarean Delivery: Counseling Issues and Complication Management - American Family ...

Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0201/p178.html

Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician

Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0701/p25.html

Common Pigmentation Disorders - American Family Physician

Jan 15, 2009 - Common causes of hyperpigmentation include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and cafe-au-lait macules. Although most hyperpigmented lesions are benign and the diagnosis is straightforward, it is important to exclude melanoma and its ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p109.html

Erythema Nodosum: A Sign of Systemic Disease - American Family Physician

Mar 1, 2007 - Erythema nodosum, a painful disorder of the subcutaneous fat, is the most common type of panniculitis. Generally, it is idiopathic, although the most common identifiable cause is streptococcal pharyngitis. Erythema nodosum may be the first sign of a systemic disease such as ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p695.html

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