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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedWhy should I check my blood pressure at home? Checking your blood pressure at home is more accurate than checking it at the doctor's office. If your blood pressure is high, treating it can lower the risk of problems...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedClinical Question How can a clinician best determine whether a patient with lower leg erythema has cellulitis? Evidence Summary Lower extremity cellulitis typically presents with acutely expanding erythema, warmth,...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedJuly 28, 2021 -- The AAFP has joined with more than a dozen other medical professional and health care organizations to thank a bipartisan group of Congress members for their work "to ensure that value-based health care...
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From:American Family Physician (Vol. 104, Issue 3) Peer-Reviewed6:15 a.m. I feel like a kid on the first day of school. I have my backpack of essentials based on advice from past residents. I'm dressed in my scrubs, program merchandise, and stethoscope. I wonder if I look like a...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedCalprotectin is a protein expressed by neutrophils. The presence of fecal calprotectin is a sensitive indicator of gastrointestinal inflammation, with higher levels representing more inflammation. The U.S. Food and Drug...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedClinical Question Does reducing saturated fat intake decrease morbidity and mortality related to cardiovascular disease (CVD)? Evidence-Based Answer Reducing saturated fat in the diet for at least two years...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedClinical Question Does aspirin increase the risk of cancer in older adults? Bottom Line In this large trial, older adults who received aspirin had higher rates of metastatic cancer, stage 4 cancer, and cancer...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedChagas disease, cysticercosis, and toxoplasmosis affect millions of people in the United States and are considered neglected parasitic diseases. Few resources are devoted to their surveillance, prevention, and treatment....
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedClinical Question What is the likelihood that older adults with pre-diabetes will develop diabetes mellitus over an average of 6.5 years? Bottom Line Older patients generally will not progress to diabetes; they...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedKawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C) are inflammatory conditions that present diagnostic and therapeutic challenges to the physician. Although many of their features overlap,...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedRemdesivir (Veklury) is an antiviral drug that inhibits the replication of pathogenic human coronaviruses, including SARS-CoV-2 and SARS-CoV-1. (1) Remdesivir is approved by the U.S. Food and Drug Administration for the...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedCervical cancer screening programs are successful, decreasing cancer incidence dramatically since the 1950s to just less than 14,000 cases in 2020. Yet, more than 4,000 patients die annually from cervical cancer, with...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedCase Study A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedAug. 5, 2021 -- The Academy welcomed HHS rulemaking that would roll back regulations undermining comprehensive, affordable health coverage while increasing opportunities for some low-income patients to enroll in plans...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedSplenomegaly can be due to several mechanisms but is almost always a sign of a systemic condition. Patient habits, travel, and medical conditions can increase risk of splenomegaly and suggest etiology. Symptoms can...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedIn chronic musculoskeletal pain, what nonpharmacologic and noninvasive treatments are effective? Regular exercise is recommended for patients with chronic musculoskeletal pain. Because no specific type of exercise is...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedClinical Question How safe and effective are melatonin receptor agonists for treating insomnia in older adults? Evidence-Based Answer Melatonin preparations reduce sleep-onset latency, increase total sleep time,...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedHeadache disorders affect two-thirds of people in their lifetime, and a large number of potential treatments exist. The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published updated...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedCase Scenario A 58-year-old man, J.D., with a history of hypertension and tobacco use comes to my office to discuss his laboratory results. J.D. had a lipid panel drawn before the visit and wants to know whether he has...
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From:American Family Physician (Vol. 104, Issue 3) Peer-ReviewedClinical Question What is the effect of a delayed-prescription approach for children with respiratory tract infection? Bottom Line A strategy of providing education about the natural history of respiratory symptoms...