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Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.html

Applying a Clinical Decision Rule for CAD in Primary Care to Select a Diagnostic Test ...

May 1, 2019 - Using the INTERCHEST chest pain decision rule to decide next steps when a patient presents to a primary care physician with chest pain.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0501/p584.html

Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...

Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0815/p256.html

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

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

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

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

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

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

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 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

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

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

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

Risk-Assessment Tools for Detecting Undiagnosed Diabetes - Point-of-Care Guides - ...

Jul 15, 2009 - Early intervention with lifestyle modifications or pharmacotherapy has been shown to effectively delay or prevent type 2 diabetes in adults.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/0715/p175.html

Screening Instruments for Depression - Point-of-Care Guides - 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

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

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

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

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

Clinical Diagnosis of Melanoma - Point-of-Care Guides - 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

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

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

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

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

Computed Tomography After Minor Head Injury - Point-of-Care Guides - 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

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

Predicting Rheumatoid Arthritis Risk in Adults with Undifferentiated Arthritis - ...

May 15, 2008 - Early use of disease-modifying antirheumatic drugs (DMARDs) markedly reduces inflammation and joint destruction associated with RA.1,2 Therefore, with early diagnosis of RA and appropriate use of DMARDs, there is a window of opportunity to change the clinical course of this disabling ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0515/p1451.html

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