Influenza Vaccination: Updated 2020-2021 Recommendations from ACIP.
PMID: 33064417 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Armstrong C Tags: Am Fam Physician Source Type: research

AFP 2020: Reflections, New Fellows, Updates, and AFP Statistics.
PMID: 33064418 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Sexton S Tags: Am Fam Physician Source Type: research

Learning Disorders, Perinatal Depression, Infants with GERD, Kidney Injury, Amblyopia.
Authors: PMID: 33064419 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

C-Reactive Protein Is the Most Useful Biomarker for Diagnosis of Outpatient CAP.
PMID: 33064420 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Slawson DC Tags: Am Fam Physician Source Type: research

Chronic Musculoskeletal Pain: Nonpharmacologic, Noninvasive Treatments.
Abstract Chronic low back pain, neck pain, hip and knee osteoarthritis, and fibromyalgia are the most common types of chronic musculoskeletal pain. Because no individual therapy has consistent benefit, a multimodal treatment approach to chronic musculoskeletal pain is recommended. Many nonpharmacologic, noninvasive treatment approaches yield small to moderate improvement and can be used with pharmacologic or more invasive modalities. Systematic reviews and guidelines support the effectiveness of various forms of exercise in improving pain and function in patients with chronic pain. Cognitive behavior therapy and m...
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Flynn DM Tags: Am Fam Physician Source Type: research

Outpatient Management of COVID-19: Rapid Evidence Review.
Abstract Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. However, patients may have a wide range of symptoms representing a spectrum of mild to severe illness. Symptoms in children tend to be milder and may include fever, cough, and feeding difficulty. The incubation period is two to 14 days, although symptoms typically appear within five days of exposure. Multiple testing modalities exist, but infection should be confirmed by polymerase chain reaction testing using a nasopharyngeal swab. There are no evidence- based treatments appropriate for use ...
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Cheng A, Caruso D, McDougall C Tags: Am Fam Physician Source Type: research

Diary of a Family Physician.
PMID: 33064423 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Hayashi S, Chavez A Tags: Am Fam Physician Source Type: research

Cycled Hyperbaric Oxygen Improves the Healing of Diabetic Foot Ulcers.
PMID: 33064424 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Shaughnessy AF Tags: Am Fam Physician Source Type: research

Increased Daily Steps Associated with Reduced All-Cause Mortality.
PMID: 33064425 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Slawson DC Tags: Am Fam Physician Source Type: research

Inguinal Hernias: Diagnosis and Management.
Abstract Groin hernias are caused by a defect of the abdominal wall in the groin area and comprise inguinal and femoral hernias. Inguinal hernias are more common in men. Although groin hernias are easily diagnosed on physical examination in men, ultrasonography is often needed in women. Ultrasonography is also helpful when a recurrent hernia, surgical complication after repair, or other cause of groin pain (e.g., groin mass, hydrocele) is suspected. Magnetic resonance imaging has higher sensitivity and specificity than ultrasonography and is useful for diagnosing occult hernias if clinical suspicion is high despit...
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Shakil A, Aparicio K, Barta E, Munez K Tags: Am Fam Physician Source Type: research

Primary Care-Based Interventions to Prevent Illicit Drug Use: Recommendation Statement.
Authors: PMID: 33064427 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Acute Diverticulitis: Identifying Patients Unlikely to Have Complications.
PMID: 33064428 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Primary Care-Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults.
PMID: 33064429 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Mills J, Wonoprabowo L Tags: Am Fam Physician Source Type: research

School-Based Asthma Management Programs.
PMID: 33064430 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Liu V, Keyhani J Tags: Am Fam Physician Source Type: research

Pruritic Rash on the Hand of a Home Gardener.
PMID: 33064431 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Humphrey C, Montoya-Aguilar E, Dorcus M Tags: Am Fam Physician Source Type: research

Terbinafine and Itraconazole Are Most Effective for Toenail Onychomycosis.
PMID: 33064432 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Trifarotene (Aklief) for the Treatment of Acne.
PMID: 33064433 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Osayande A, McGraw-Senat CM Tags: Am Fam Physician Source Type: research

Formal Training in POCUS Can Positively Impact Family Medicine Practices.
PMID: 33064434 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Authors: Shavor CS Tags: Am Fam Physician Source Type: research

Inguinal (Groin) Hernias.
Authors: PMID: 33064435 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - October 15, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Alcohol Use Disorder: Pharmacologic Treatment Options.
PMID: 32996749 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Groves C, Griffin L, Bradford JL, Auten B Tags: Am Fam Physician Source Type: research

Patellofemoral Pain: Guidelines from the American Physical Therapy Association.
PMID: 32996750 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Marra J Tags: Am Fam Physician Source Type: research

Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma.
PMID: 32996751 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Saguil A Tags: Am Fam Physician Source Type: research

Acute Appendicitis: Computed Tomography for Diagnosis in Adults.
PMID: 32996752 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Leggit JC Tags: Am Fam Physician Source Type: research

Enlarging Leg Nodule.
PMID: 32996753 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Bartling SJ, Kumetz EA, Burns CT, Rivard SC Tags: Am Fam Physician Source Type: research

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians and Patients? No: Medicare for All Would Cause Chaos and Fail to Control Health Care Costs.
PMID: 32996754 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Young RA Tags: Am Fam Physician Source Type: research

Would Medicare for All Be the Most Beneficial Health Care System for Family Physicians and Patients? Yes: Improved Medicare for All Would Rescue an American Health Care System in Crisis.
PMID: 32996755 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Weisbart E Tags: Am Fam Physician Source Type: research

Persistent Night Sweats: Diagnostic Evaluation.
Abstract Night sweats are a nonspecific symptom that patients commonly experience but rarely discuss with their physicians without prompting. Although many life-threatening causes such as malignancies or infections have been described, most patients who report persistent night sweats in the primary care setting do not have a serious underlying disorder. Conditions commonly associated with night sweats include menopause, mood disorders, gastroesophageal reflux disease, hyperthyroidism, and obesity. If a clinical diagnosis is apparent based on the initial history and physical examination, specific treatment for four...
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Bryce C Tags: Am Fam Physician Source Type: research

PID Treatment, Low Back Pain, Opioids, Plasma Injections, Sphygmomanometry.
Authors: PMID: 32996757 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Pregnancy Myths and Practical Tips.
Abstract For many patients, pregnancy is a highly anticipated and exciting phase of life, but it can also be anxiety provoking. Family physicians can resolve some of this anxiety and promote maternal and fetal health by making specific recommendations at prenatal visits. A daily prenatal vitamin with at least 400 mcg of folic acid and 30 mg of elemental iron should be recommended to promote neurologic and musculoskeletal fetal development. Weight gain in pregnancy should be guided by preconception body mass index. People who are underweight should gain 28 to 40 lb, those who have a normal weight should gain 25 to ...
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Caro R, Fast J Tags: Am Fam Physician Source Type: research

Prevention of Unintentional Childhood Injury.
Abstract Unintentional injury accounts for one-third of deaths in children and adolescents each year, primarily from motor vehicle crashes. Children younger than 13 years should be restrained in the back seat, and infants and toddlers should remain rear-facing until at least two years of age. Infants should be positioned on their backs in a crib, on a mattress with only a fitted sheet to avoid suffocation, and all items that could potentially entrap or entangle the child should be removed from the sleep environment. Fencing that isolates swimming pools from the house is effective in preventing drownings. Swimming ...
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: DeGeorge KC, Neltner CE, Neltner BT Tags: Am Fam Physician Source Type: research

Antibiotic Prophylaxis for Operative Vaginal Delivery.
PMID: 32996760 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Authors: Aust A, Arnold JJ Tags: Am Fam Physician Source Type: research

Preventing Accidental Injuries in Children.
Authors: PMID: 32996761 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 30, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Anaphylaxis: Recognition and Management.
Abstract Anaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. Most anaphylactic reactions occur outside the hospital setting. Urticaria, difficulty breathing, and mucosal swelling are the most common symptoms of anaphylaxis. The most common triggers are medications, stinging insect venoms, and foods; however, unidentified triggers occur in up to one-fifth of cases. Coexisting asthma, mast cell disorders, older age, underlying cardiovascular disease, peanut and tree...
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Pflipsen MC, Vega Colon KM Tags: Am Fam Physician Source Type: research

Appropriate Use of Opioids for Chronic Pain.
PMID: 32931211 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Roth AR, Lazris A, Haskell H, James J Tags: Am Fam Physician Source Type: research

Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment.
Abstract Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure to ultraviolet radiation for people aged six months to 24 years with fair skin types to decrease their risk of skin cancer. Routine screening for skin cancer is controversial. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of a routine whol...
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Firnhaber JM Tags: Am Fam Physician Source Type: research

Persistent Asymptomatic Rash.
PMID: 32931213 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Lammlein KP, Sylvester JE Tags: Am Fam Physician Source Type: research

ACR Guideline for Managing Patients with Degenerative Joint Disease of the Hand, Knee, and Hip.
PMID: 32931214 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Barry HC Tags: Am Fam Physician Source Type: research

Similar Long-Term Morbidity and Mortality with Human Insulin and Analogue Insulin.
PMID: 32931215 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Slawson DC Tags: Am Fam Physician Source Type: research

Screening for Hepatitis C Virus Infection in Adolescents and Adults: Recommendation Statement.
Authors: PMID: 32931216 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Management of Hypertriglyceridemia: Common Questions and Answers.
Abstract Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for hypertriglyceridemia include obesity, metabolic syndrome, and type 2 diabetes mellitus. Less common risk factors include excessive alcohol use, physical inactivity, being overweight, use of certain medications, and genetic disorders. Management of high triglyceride levels (150 to 499 mg per dL) starts with dietary changes and physi...
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Oh RC, Trivette ET, Westerfield KL Tags: Am Fam Physician Source Type: research

Fecal Microbiota Transplant Effective for Irritable Bowel Syndrome.
PMID: 32931218 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Keratinocyte Carcinomas: Should We Screen for Them?
PMID: 32931219 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Pignone MP, Adamson AS Tags: Am Fam Physician Source Type: research

Lefamulin (Xenleta) for the Treatment of Community-Acquired Bacterial Pneumonia.
PMID: 32931220 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Felix TM, Karpa K Tags: Am Fam Physician Source Type: research

Diverticulitis: Predicting Which Patients with Acute Abdominal Pain Have the Disease.
PMID: 32931221 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Saguil A Tags: Am Fam Physician Source Type: research

Denosumab No Better than Bisphosphonates for Preventing Fracture, and the Cost Is Much Higher.
PMID: 32931222 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Screening for Hepatitis C Virus Infection in Adolescents and Adults.
PMID: 32931223 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Mabry-Hernandez I, Li K Tags: Am Fam Physician Source Type: research

Chronic Kidney Disease: Evaluation and Treatment Guidelines from the VA/DoD.
PMID: 32931224 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Arnold MJ, Buelt A Tags: Am Fam Physician Source Type: research

VTE, Antiplatelet Therapy, Treatment for Veterans, HIV Prophylaxis, Diabetes Mellitus Screening.
Authors: PMID: 32931225 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Tags: Am Fam Physician Source Type: research

Case Report: Multiple Myiasis by Dermatobia hominis After Travel to Costa Rica.
PMID: 32931226 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: Chopra S, Shupp DL Tags: Am Fam Physician Source Type: research

Case Report: Handwashing-Induced Dermatitis During the COVID-19 Pandemic.
PMID: 32931227 [PubMed - in process] (Source: American Family Physician)
Source: American Family Physician - September 14, 2020 Category: Primary Care Authors: O'Connell KA, Enos CW, Prodanovic E Tags: Am Fam Physician Source Type: research