Preparticipation Physical Evaluation: AAFP and Others Update Recommendations.
PMID: 32463631 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Leggit J, Wise S Tags: Am Fam Physician Source Type: research

No Short-Term Extra Benefit when Muscle Relaxants Are Added to Ibuprofen for Acute Low Back Pain.
PMID: 32463632 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

Continuous Glucose Monitoring in Type 2 Diabetes Is Not Ready for Widespread Adoption.
PMID: 32463633 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Robertson SL, Shaughnessy AF, Slawson DC Tags: Am Fam Physician Source Type: research

Noninvasive Positive Pressure Ventilation for Exacerbation of Chronic Obstructive Pulmonary Disease.
PMID: 32463634 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Zorko B, Ritchie M Tags: Am Fam Physician Source Type: research

Decompression Surgery, Fabric Masks, Heat Stroke, e-Cigarette Use.
Authors: PMID: 32463635 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Emergency Contraception: Safety and Effectiveness.
PMID: 32463636 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Seales S, Seales P Tags: Am Fam Physician Source Type: research

Potential of Fetal Fibronectin Testing to Prevent Preterm Birth.
PMID: 32463637 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Barreto T Tags: Am Fam Physician Source Type: research

Useful Signs and Symptoms for Diagnosing Hip Osteoarthritis.
PMID: 32463638 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Slawson DC Tags: Am Fam Physician Source Type: research

Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis.
-Torrijos E PMID: 32463639 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: García-Arpa M, Herrera-Montoro V, Gómez-Torrijos E Tags: Am Fam Physician Source Type: research

Supplemental MRI Screening in Women with Very Dense Breasts Reduces Interval Cancer Rate but May Cause Overdiagnosis.
PMID: 32463640 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Nerve Blocks: Part II. Lower Extremity.
Abstract Family physicians use anesthesia to provide diagnostic and procedural analgesia for conditions such as neuropathies, fracture reduction, foreign body removals, and complex wound management. Local infiltration of anesthetics is commonly used in this setting because of the ease of use, safety, and effectiveness of the procedure. Nerve blocks are a specific regional anesthesia technique that blocks nerve function distal to the injection site. An understanding of the sensory distribution of the peripheral nervous system is essential in determining the safest and most effective nerve block for the procedure. T...
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Yurgil JL, Hulsopple CD, Leggit JC Tags: Am Fam Physician Source Type: research

Nerve Blocks: Part I. Upper Extremity.
Abstract Procedural anesthesia is administered by family physicians for a variety of conditions, including neuropathies, fracture reduction, foreign body removals, and complex wound management. A nerve block may be preferred because it provides effective regional anesthesia with less anesthetic. Nerve blocks require a thorough understanding of relevant anatomy, aiding the physician in optimizing the anesthesia effect while minimizing complications. Nerve blocks can be guided by bony landmarks, peripheral nerve stimulation, or ultrasonography. Ultrasound-guided nerve blocks are superior in decreasing procedural com...
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Yurgil JL, Hulsopple CD, Leggit JC Tags: Am Fam Physician Source Type: research

Newborn Circumcision Techniques.
Abstract Newborn male circumcision is a common elective surgical procedure for the removal of foreskin covering the glans penis. The American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the Centers for Disease Control and Prevention, and the American Academy of Family Physicians recognize that there are health benefits of newborn male circumcision but do not universally recommend the procedure. Performing male circumcision during the neonatal period has several advantages, including a lower risk of complications, faster healing, and lower cost. The three most common techniques f...
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Omole F, Smith W, Carter-Wicker K Tags: Am Fam Physician Source Type: research

Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome.
PMID: 32463644 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Gibbs LM, Pham K, Langston S, Stigleman S Tags: Am Fam Physician Source Type: research

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI.
PMID: 32463645 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Sexual Health Communication Strategies for Breast Cancer Survivors.
PMID: 32463646 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 29, 2020 Category: Primary Care Authors: Garcia DS, Canzona MS, Ledford CJW Tags: Am Fam Physician Source Type: research

Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations.
PMID: 32412210 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Costlow LS Tags: Am Fam Physician Source Type: research

Atopic Dermatitis: Diagnosis and Treatment.
Abstract Atopic dermatitis (atopic eczema) is a chronic relapsing and remitting inflammatory skin disease affecting one in 10 people in their lifetime. Atopic dermatitis is caused by a complex interaction of immune dysregulation, epidermal gene mutations, and environmental factors that disrupts the epidermis causing intensely pruritic skin lesions. Repeated scratching triggers a self-perpetuating itch-scratch cycle, which can have a significant impact on the patient's quality of life. The American Academy of Dermatology has created simple diagnostic criteria based on symptoms and physical examination findings. Mai...
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Frazier W, Bhardwaj N Tags: Am Fam Physician Source Type: research

Autism Screening with Follow-Up Overidentifies Autism Spectrum Disorder.
PMID: 32412212 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

Correction.
Authors: PMID: 32412213 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Nonpharmacologic Approaches Are Better Than Medication to Control Aggression and Agitation in Dementia.
PMID: 32412214 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

Ectopic Pregnancy: Diagnosis and Management.
Abstract Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic inflammatory disease, cigarette smoking, fallopian tube surgery, previous ectopic pregnancy, and infertility. Ectopic pregnancy should be considered in any patient presenting early in pregnancy with vaginal bleeding or lower abdominal pain in whom intrauterine pregnancy has not yet been established. The definitive diagnosi...
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Hendriks E, Rosenberg R, Prine L Tags: Am Fam Physician Source Type: research

Hirsutism, Amphetamines, COVID-19 Viral Shedding, Hand-Foot-and-Mouth Disease.
Authors: PMID: 32412216 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Equivalent Pain Relief with Different Doses of Ibuprofen.
PMID: 32412217 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

The Older Driver.
PMID: 32412218 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Mishori R, Otubu O Tags: Am Fam Physician Source Type: research

Severely Callused Hands and Feet.
PMID: 32412219 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Longfellow S, Courter E Tags: Am Fam Physician Source Type: research

Screening for Abdominal Aortic Aneurysm.
PMID: 32412220 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Mabry-Hernandez I, Mock A Tags: Am Fam Physician Source Type: research

Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception.
PMID: 32412221 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Lee AL Tags: Am Fam Physician Source Type: research

Why the Stress-Disease Connection Matters and How to Respond.
PMID: 32412222 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Middleton JL Tags: Am Fam Physician Source Type: research

Top 20 Research Studies of 2019 for Primary Care Physicians.
This article summarizes the clinical questions and bottom-line answers from the top 20 POEMs of 2019. Taking blood pressure medications at night results in a large mortality reduction over six years compared with morning dosing. Automated devices are the best way to measure blood pressure. Nonfasting lipid profiles are preferred over fasting lipid profiles, and nonfasting and fasting lipid profiles are equally effective at predicting risk. The benefit of statins for primary prevention in people 75 years and older is uncertain at best. Aspirin has no net benefit for primary prevention of cardiovascular disease and has no ef...
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Ebell MH, Grad R Tags: Am Fam Physician Source Type: research

Surgery or Lasers Preferred to Foam Sclerotherapy for Varicose Veins.
PMID: 32412224 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Care of the Military Veteran Should Include Screening for Substance Use Disorders.
PMID: 32412225 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Carter ES, Carter DL Tags: Am Fam Physician Source Type: research

A Case of COVID-19 Infection: Chief Symptom, Diarrhea.
PMID: 32412226 [PubMed - as supplied by publisher] (Source: American Family Physician)
Source: American Family Physician - May 15, 2020 Category: Primary Care Authors: Meyers MH Tags: Am Fam Physician Source Type: research

Migraines in Children: Recommendations for Acute and Preventive Treatment.
PMID: 32352725 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Hoover LE Tags: Am Fam Physician Source Type: research

Blood Pressure Readings, Tonsillectomy in Children, Venous Ulcers, Opioids, Pelvic Inflammatory Disease.
Authors: PMID: 32352726 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Chronic Dyspnea: Diagnosis and Evaluation.
Abstract Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of dyspnea are disease states involving the cardiac or pulmonary systems such as asthma, chronic obstructive pulmonary disease, heart failure, pneumonia, and coronary artery disease. A detailed history and physical examination should begin the workup; results should drive testing. Approaching testing in stages beginning with first-l...
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Budhwar N, Syed Z Tags: Am Fam Physician Source Type: research

Therapies for COPD Exacerbations in Adults.
PMID: 32352728 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Saguil A Tags: Am Fam Physician Source Type: research

AFP's Approach to COVID-19.
PMID: 32352729 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Sexton S Tags: Am Fam Physician Source Type: research

IBSchek for Irritable Bowel Syndrome.
PMID: 32352731 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Obi PO Tags: Am Fam Physician Source Type: research

Lower Extremity Petechiae and Purpura.
PMID: 32352732 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Sweet JM, Mulkey BH Tags: Am Fam Physician Source Type: research

Lithium for Acute Mania.
PMID: 32352733 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Dean S, Sanchack K Tags: Am Fam Physician Source Type: research

Antidepressants Plus Benzodiazepines for Adults with Major Depression.
PMID: 32352734 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Savoy M Tags: Am Fam Physician Source Type: research

Megestrol for Palliative Care in Patients with Cancer.
PMID: 32352735 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Wong M, Sisay M, Neher JO, Safranek S Tags: Am Fam Physician Source Type: research

Tickborne Diseases: Diagnosis and Management.
Abstract Tickborne diseases that affect patients in the United States include Lyme disease, Rocky Mountain spotted fever (RMSF), ehrlichiosis, anaplasmosis, babesiosis, tularemia, Colorado tick fever, and tickborne relapsing fever. Tickborne diseases are increasing in incidence and should be suspected in patients presenting with flulike symptoms during the spring and summer months. Prompt diagnosis and treatment can prevent complications and death. Location of exposure, identification of the specific tick vector, and evaluation of rash, if present, help identify the specific disease. Lyme disease presents with an ...
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Pace EJ, O'Reilly M Tags: Am Fam Physician Source Type: research

Tranexamic Acid for Postpartum Hemorrhage.
PMID: 32352737 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Authors: Tang E, Stetz J Tags: Am Fam Physician Source Type: research

Endometrial Biopsy.
Authors: PMID: 32352738 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Ticks: How to Protect Yourself.
Authors: PMID: 32352739 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - May 1, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Management of Atopic Eczema in primary care.
Abstract Introduction : Atopic eczema (AE) is a common inflammatory skin dermatosis that is increasing in prevalence. However, it can present in various clinical presentations, which leads to challenges in the diagnosis and treatment of the condition, especially in a primary care setting. The Clinical Practice Guidelines on the Management of Atopic Eczema was developed by a multidisciplinary development group and approved by the Ministry of Health Malaysia in 2018. It covers the aspects of diagnosis, severity assessment, treatment, and referral. PMID: 32284803 [PubMed] (Source: American Family Physician)
Source: American Family Physician - April 15, 2020 Category: Primary Care Authors: Azizan NZ, Ambrose D, Sabeera B, Mohsin SS, Pf W, Mohd Affandi A, Cc C, Gopinathan LP, Taib T, Tan WC, Khor YH, Heah SS, Wl L, Zainuri Z, Ainol Haniza KH, Yusof M, Tukimin S Tags: Malays Fam Physician Source Type: research

70 Years of American Family Physician.
PMID: 32227820 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - April 1, 2020 Category: Primary Care Authors: Sexton SM Tags: Am Fam Physician Source Type: research

Bedtime Instead of Morning Ingestion of Hypertension Medication Equals a Significantly Higher Reduction in Cardiovascular Disease Risk.
PMID: 32227821 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - April 1, 2020 Category: Primary Care Authors: Slawson DC Tags: Am Fam Physician Source Type: research