Manipulative Therapies: What Works - American Family Physician
Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0215/p248.html
Chronic Pancreatitis: Diagnosis and Treatment - American Family Physician
Mar 15, 2018 - Chronic pancreatitis is an irreversible and progressive disorder of the pancreas characterized by inflammation, fibrosis, and scarring. Exocrine and endocrine functions are lost, often leading to chronic pain. The etiology is multifactorial, although alcoholism is the most significant ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0315/p385.html
Hoarseness in Adults - American Family Physician
Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1201/p720.html
Allergy Testing: Common Questions and Answers - American Family Physician
Jul 1, 2018 - An estimated 10% to 30% of the global population has an allergic disease. Clinical presentations of allergic diseases, respiratory infections, and autoimmune conditions have similar features. Allergy and immunologic testing can help clarify the diagnosis and guide treatment. Immediate ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0701/p34.html
Palpitations: Evaluation in the Primary Care Setting - American Family Physician
Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p784.html
Buprenorphine Therapy for Opioid Use Disorder - American Family Physician
Mar 1, 2018 - Opioid misuse, including the use of heroin and the overprescribing, misuse, and diversion of opioid pain medications, has reached epidemic proportions in the United States. As a result, there has been a dramatic increase in opioid use disorder and associated overdoses and deaths. ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0301/p313.html
Bone Cancer: Diagnosis and Treatment Principles - American Family Physician
Aug 15, 2018 - Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation, nonspecific ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0815/p205.html
Autism Spectrum Disorder: Primary Care Principles - American Family Physician
Dec 15, 2016 - Autism spectrum disorder is characterized by difficulty with social communication and restricted, repetitive patterns of behavior, interest, or activities. The Diagnostic and Statistical Manual of Mental Disorders, 5th ed., created an umbrella diagnosis that includes several previously ...
American Family Physician : Article
https://www.aafp.org/afp/2016/1215/p972.html
Patient-Centered Communication: Basic Skills - American Family Physician
Jan 1, 2017 - Communication skills needed for patient-centered care include eliciting the patient’s agenda with open-ended questions, especially early on; not interrupting the patient; and engaging in focused active listening. Understanding the patient’s perspective of the illness and expressing ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0101/p29.html
Common Running Injuries: Evaluation and Management - American Family Physician
Apr 15, 2018 - Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0415/p510.html
Care of Incarcerated Patients - American Family Physician
Nov 15, 2018 - The United States has the highest incarceration rate of any nation in the world. Approximately 870 of every 100,000 U.S. citizens are currently in jails or prisons. U.S. inmates are disproportionately young males, racial and ethnic minorities, and persons of low socioeconomic status. ...
American Family Physician : Article
https://www.aafp.org/afp/2018/1115/p577.html
Testicular Cancer: Diagnosis and Treatment - American Family Physician
Feb 15, 2018 - Testicular cancer is the most common solid tumor among males 15 to 34 years of age, with an estimated 8,850 new cases and 410 deaths during 2017 in the United States. With effective treatment, the overall five-year survival rate is 97%. Risk factors for testicular cancer include ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0215/p261.html
Delivering Bad or Life-Altering News - American Family Physician
Jul 15, 2018 - Delivering serious, bad, or life-altering news to a patient is one of the most difficult tasks physicians encounter. Broadly defined as information that may alter a patient’s view of his or her future, bad news may include information related to a chronic disease (e.g., diabetes ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p99.html
Epilepsy: Treatment Options - American Family Physician
Jul 15, 2017 - The occurrence of a single seizure does not always require initiation of antiepileptic drugs. Risk of recurrent seizures should guide their use. In adults, key risk factors for recurrence are two unprovoked seizures occurring more than 24 hours apart, epileptiform abnormalities on ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0715/p87.html
Alzheimer Disease: Pharmacologic and Nonpharmacologic Therapies for Cognitive and ...
Jun 15, 2017 - Alzheimer disease comprises a syndrome of progressive cognitive and functional decline. Treatments should target cognitive and functional symptoms. Cholinesterase inhibitors, memantine, and a combination of a cholinesterase inhibitor and memantine have produced statistically significant...
American Family Physician : Article
https://www.aafp.org/afp/2017/0615/p771.html
Cardiomyopathy: An Overview - American Family Physician
Nov 15, 2017 - The definition and classification of cardiomyopathy have evolved considerably in recent years. Cardiomyopathy can be separated into primary (genetic, mixed, or acquired) and secondary categories, which result in varied phenotypes including dilated, hypertrophic, and restrictive ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1115/p640.html
Long-Acting Reversible Contraception: Difficult Insertions and Removals - American ...
Sep 1, 2018 - The use of long-acting reversible contraception is on the rise across the United States and has contributed to a decrease in teen pregnancies. With the increased use of long-acting reversible contraception, physicians may encounter difficult insertions and removals of intrauterine ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0901/p304.html
Charcot Foot: Clinical Clues, Diagnostic Strategies, and Treatment Principles - ...
May 1, 2018 - Acute Charcot neuroarthropathy of the foot and ankle is often difficult to diagnose because of limited findings in the patient history, physical examination, imaging, and laboratory studies. Delay in treatment results in the development of rigid foot and ankle deformities, increasing ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0501/p594.html
Heart Failure Due to Reduced Ejection Fraction: Medical Management - American Family ...
Jan 1, 2017 - Heart failure is an increasingly common condition resulting in high rates of morbidity and mortality. For patients who have heart failure and reduced ejection fraction, randomized clinical trials demonstrate consistent mortality benefit from angiotensin-converting enzyme inhibitors, ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0101/p13.html
Stimulant and Designer Drug Use: Primary Care Management - American Family Physician
Jul 15, 2018 - Approximately 10% of the U.S. population 12 years and older reported using illicit substances in 2015. This article reviews the clinical effects and treatment of persons who use cocaine, methamphetamines, 3,4-methylenedioxymethamphetamine (MDMA), synthetic cannabinoids, and synthetic ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0715/p85.html
Slipped Capital Femoral Epiphysis: Diagnosis and Management - American Family Physician
Jun 15, 2017 - Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children. SCFE is classified as stable or unstable ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0615/p779.html
Cervical Cancer: Evaluation and Management - American Family Physician
Apr 1, 2018 - Human papillomavirus infection is the precursor for the development of cervical cancer and is detectable in 99.7% of squamous cell carcinoma and adenocarcinoma cases. Early detection of precancerous lesions with Papanicolaou testing remains the primary mechanism for cancer prevention. ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0401/p449.html
Bladder Cancer: Diagnosis and Treatment - American Family Physician
Oct 15, 2017 - Bladder cancer is the sixth most prevalent malignancy in the United States and causes more than 16,000 deaths annually. The most common clinical presentation is asymptomatic hematuria, which should prompt evaluation with cystoscopy, renal function testing, and upper urinary tract ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1015/p507.html
Localized Prostate Cancer: Treatment Options - American Family Physician
Jun 15, 2018 - In the United States, prostate cancer will be diagnosed in one out of seven men in his lifetime. Most cases are localized, and only one in 39 men will die from the disease. Prostate cancer is most often detected using serum prostate-specific antigen testing. The National Comprehensive ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0615/p798.html
Proteinuria in Children: Evaluation and Differential Diagnosis - American Family Physician
Feb 15, 2017 - Although proteinuria is usually benign in the form of transient or orthostatic proteinuria, persistent proteinuria may be associated with more serious renal diseases. Proteinuria may be an independent risk factor for the progression of chronic kidney disease in children. Mechanisms of ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0215/p248.html