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Medicine by the numbers

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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

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.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

Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...

Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0615/p768.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

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

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

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

Assessing Bleeding Risk in Patients Taking Anticoagulants - Point-of-Care Guides - ...

Oct 1, 2017 - Family physicians are often faced with the dilemma of balancing the benefit of stroke prevention with the risk of major bleeding when deciding on anticoagulation treatment in patients with atrial fibrillation. Over the past 10 years, several decision support tools have been developed ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/1001/p465.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

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

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

Predicting the Likelihood of Successful Vaginal Birth After Cesarean Delivery - ...

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

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

Predicting Prognoses in Patients with Acute Stroke - Point-of-Care Guides - American ...

Jun 15, 2008 - A number of clinical decision models and scoring systems have been developed and validated to assist physicians in assessing the prognosis of patients with acute stroke.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0615/p1719.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

Diagnosing Rotator Cuff Tears - Point-of-Care Guides - American Family Physician

Apr 15, 2005 - As with many conditions, single physical examination maneuvers rarely are sensitive enough to rule out disease when absent or specific enough to rule in disease when present. By themselves, these maneuvers increase or decrease the likelihood of disease slightly, and it remains up to the...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0415/p1587.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

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

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

Predicting the Risk of Prostate Cancer on Biopsy - Point-of-Care Guides - American ...

Sep 15, 2005 - Considerable uncertainty surrounds the screening, diagnosis, and management of prostate cancer.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2005/0915/p1091.html

Treating Adult Women with Suspected UTI - Point-of-Care Guides - American Family Physician

Jan 15, 2006 - More than 7 million women are diagnosed with urinary tract infections (UTIs) annually, making it one of the most commonly seen conditions in primary care.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2006/0115/p293.html

Syncope: Initial Evaluation and Prognosis - Point-of-Care Guides - American Family ...

Oct 15, 2006 - Although syncope often is benign, it may have a serious underlying cause. An important question for primary care or emergency department physicians is whether the patient can be evaluated safely in the outpatient setting.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2006/1015/p1367.html

Suspected Pulmonary Embolism: Part I. Evidence-Based Clinical Assessment - ...

Jan 15, 2004 - A number of investigators have developed and validated clinical decision rules for the diagnosis of pulmonary embolism.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0115/p367.html

Choosing Between Warfarin (Coumadin) and Aspirin Therapy for Patients with Atrial ...

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

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

Prognosis for Patients Undergoing Coronary Angioplasty - Point-of-Care Guides - ...

Nov 15, 2004 - Percutaneous coronary interventions, such as balloon angioplasty, with or without stent placement, are important in the treatment of patients with coronary artery disease.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/1115/p1966.html

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

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

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

Prognosis in Patients with Upper GI Bleeding - Point-of-Care Guides - American Family ...

Dec 15, 2004 - Upper GI bleeding remains a common problem and reason for hospital admission. A more precise estimate of a patient’s prognosis would be helpful to physicians who are deciding on hospital discharge and the intensiveness of monitoring in inpatient and outpatient settings.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/1215/p2348.html

Strep Throat - Point-of-Care Guides - American Family Physician

Sep 1, 2003 - The probability of GABHS pharyngitis as the cause of sore throat is greatest in children younger than 15 years, especially those younger than 10.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2003/0901/p937.html

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