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hypertension

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Subclinical Thyroid Disease - American Family Physician

Oct 15, 2005 - Subclinical thyroid dysfunction is defined as an abnormal serum thyroid-stimulating hormone level (reference range: 0.45 to 4.50 microU per mL) and free thyroxine and triiodothyronine levels within their reference ranges. The management of subclinical thyroid dysfunction is ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1517.html

Gabapentin for Chronic Neuropathic Pain - Medicine by the Numbers - American Family ...

Dec 1, 2015 - Studies show that 1 in 6 patients were helped with diabetic neuropathy and 1 in 8 were helped with postherpetic neuralgia. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2015/1201/od1.html

Perioperative Bridging Anticoagulation Unhelpful for Invasive Procedures - POEMs - ...

Jan 15, 2016 - Bridging anticoagulation worsens outcomes for patients with atrial fibrillation who undergo an elective invasive procedure, resulting in more episodes of major bleeding and no difference in the rate of stroke or venous thromboembolism.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0115/p130.html

Dietary Supplements: How Family Physicians Can Address Safety Concerns by Working with ...

Jan 15, 2016 - Your patients are likely using some type of dietary supplement, whether they tell you or not. What can a physician do to support and protect patients from harm if they choose to use readily available dietary supplements?

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0115/p97.html

Making Lifestyle Changes After Gastric Bypass - Close-ups - American Family Physician

Jan 1, 2016 - Family physicians are well positioned to counsel and support patients making lifestyle changes before and after bariatric surgery.

American Family Physician : Close-ups

https://www.aafp.org/afp/2016/0101/p56.html

Obstructive Sleep Apnea and Essential Hypertension -- Is There a Link? - Editorials - ...

Jan 15, 2002 - ...Obstructive Sleep Apnea and Essential Hypertension—Is There a Link? BENJAMIN W. CHASKA, M.D., Park Nicollet Health Services, St. Louis Park, Minnesota Am Fam Physician. 2002 Jan 15;65(2):182-187. Related Article Obstructive sleep apnea (OSA) occurs in 2 percent of women and 4...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0115/p182.html

Hypertension and Diabetes: Family Physicians' Pivotal Role - Editorials - American ...

Oct 1, 2002 - ...Hypertension and Diabetes: Family Physicians' Pivotal Role GEORGE L. BAKRIS, M.D. Rush Presbyterian/St. Luke's Medical Center Chicago, Illinois Am Fam Physician. 2002 Oct 1;66(7):1151-1153. Related Article In the United States, diabetes is the most common cause of both blindness and...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/1001/p1151.html

Adding Sitagliptin Does Not Reduce or Increase the Risk of Cardiovascular Outcomes - ...

Dec 1, 2015 - The glass half full is that sitagliptin does not increase the risk of cardiovascular events in patients with type 2 diabetes. The glass half empty is that it does not reduce the risk, either. And that is the important message: In patients with a mean glycated hemoglobin level of 7.2%, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1020a.html

CCTA and Radionuclide Stress Testing Similar for Evaluation of Chest Pain - POEMs - ...

Dec 1, 2015 - For the evaluation of chest pain in intermediate-risk patients, CCTA is comparable with myocardial perfusion imaging in its ability to select patients for invasive management. Both modalities are also similar when it comes to downstream resource use and adverse cardiovascular events. ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/1201/p1022.html

Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...

Apr 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0415/od1.html

Supporting Self-management in Patients with Chronic Illness - American Family Physician

Oct 15, 2005 - Support of patient self-management is a key component of effective chronic illness care and improved patient outcomes. Self-management support goes beyond traditional knowledge-based patient education to include processes that develop patient problem-solving skills, improve ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1503.html

Care of a Transgender Adolescent - Curbside Consultation - American Family Physician

Jul 15, 2015 - Although the actual number may be higher, research estimates that approximately 700,000 Americans are transgender. Many in this population have inadequate insurance to cover appropriate health care. Primary care clinicians treat transgender patients in their practices, and although not ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0715/p142.html

The Maternal Health Benefits of Breastfeeding - Editorials - American Family Physician

May 1, 2015 - ...Hypertension Myocardial infarction Obesity Ovarian cancer Table 1. Health Risks for Mothers Who Do Not Breastfeed Breast cancer Diabetes mellitus Hyperlipidemia Hypertension Myocardial infarction Obesity Ovarian cancer Recently, a growing...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0501/p602.html

Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues - ...

Apr 1, 2005 - Effective prenatal care should integrate the best available evidence into a model of shared decision making. Pregnant women should be counseled about the risks of smoking and alcohol and drug use. Structured educational programs to promote breastfeeding are effective. Routine fetal ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1307.html

Acute Bacterial Rhinosinusitis in Adults: Part II. Treatment - American Family Physician

Nov 1, 2004 - Although most cases of acute rhinosinusitis are caused by viruses, acute bacterial rhinosinusitis is a fairly common complication. Even though most patients with acute rhinosinusitis recover promptly without it, antibiotic therapy should be considered in patients with prolonged or more ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1697.html

Management of the Difficult Patient - American Family Physician

Nov 15, 2005 - All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Difficulties may be traced to patient, physician, or health care system factors. Patient factors include psychiatric disorders, personality ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2063.html

Increasing Potassium Intake May Help Mitigate Cardiovascular Risk - Letters to the ...

Sep 15, 2015 - ...Original article: Nonpharmacologic Management of Hypertension: What Works? Issue date: June 1, 2015 See additional reader comments at: https://www.aafp.org/afp/2015/0601/p772.html to the editor: Many of my patients with hypertension are interested in avoiding medication, so I...

American Family Physician : Letter

https://www.aafp.org/afp/2015/0915/p430.html

ACIP Releases Recommendations for Influenza Vaccination, 2015-2016 - Practice ...

Oct 15, 2015 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its yearly recommendations for routine influenza vaccination in the 2015–2016 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/1015/p732.html

Procedural Sedation in the Acute Care Setting - American Family Physician

Jan 1, 2005 - Many patients require sedation during diagnostic or therapeutic procedures. Ideally, procedural sedation minimizes the patient's awareness and discomfort while maintaining the patient's safety. Appropriate monitoring by trained personnel is the key to successful procedural sedation. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p85.html

Evaluation of Poststreptococcal Illness - American Family Physician

May 15, 2005 - Group A beta-hemolytic streptococcal pharyngitis, scarlet fever, and rarely asymptomatic carrier states are associated with a number of poststreptococcal suppurative and nonsuppurative complications. As in streptococcal pharyngitis, acute rheumatic fever, pediatric autoimmune ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1949.html

Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ...

Jul 15, 2015 - Acute coronary syndrome (ACS), a term that encompasses a range of conditions, is caused when blood flow to the heart is suddenly reduced. The American College of Cardiology (ACC), with the American Heart Association (AHA), has provided recommendations for managing non–ST elevation ACS.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0715/p151.html

Evaluation and Prevention of Diabetic Neuropathy - American Family Physician

Jun 1, 2005 - Diabetic neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2123.html

ACCF and AHA Release Guidelines on the Management of Heart Failure - Practice ...

Aug 1, 2014 - The American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) recently developed guidelines on the diagnosis and treatment of heart failure. The guidelines are based on four progressive stages of heart failure; progression from one stage to the next is ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0801/p186.html

What to Do at Well-Child Visits: The AAFP’s Perspective - Editorials - American Family ...

Mar 15, 2015 - Well-child visits provide the best opportunities to deliver evidence-based preventive services. Family physicians have limited time at these visits and therefore should prioritize preventive services that have strong evidence of net benefit.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0315/p362.html

Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part II. Glomerular ...

Sep 15, 2004 - The Kidney Disease Outcome Quality Initiative of the National Kidney Foundation published clinical practice guidelines on chronic kidney disease in February 2002. Of the 15 guidelines, the first six are of greatest relevance to family physicians. Part II of this two-part review covers ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1091.html

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2015 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0515/od1.html

Adult ADHD: Evaluation and Treatment in Family Medicine - American Family Physician

Nov 1, 2000 - Attention-deficit/hyperactivity disorder (ADHD) affects 30 to 50 percent of adults who had ADHD in childhood. Accurate diagnosis of ADHD in adults is challenging and requires attention to early development and symptoms of inattention, distractibility, impulsivity and emotional lability....

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2077.html

Evaluation of Chronic Dyspnea - American Family Physician

Apr 15, 2005 - Chronic dyspnea is defined as dyspnea lasting more than one month. In approximately two thirds of patients presenting with dyspnea, the underlying cause is cardiopulmonary disease. Establishing an accurate diagnosis is essential because treatment differs depending on the underlying ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1529.html

Chronic Kidney Disease: Prevention and Treatment of Common Complications - American ...

Nov 15, 2004 - Chronic kidney disease is a progressive condition that results in significant morbidity and mortality. Because of the important role the kidneys play in maintaining homeostasis, chronic kidney disease can affect almost every body system. Early recognition and intervention are essential ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1921.html

Chest Pain with Diffuse T-Wave Inversion - Photo Quiz - American Family Physician

Aug 15, 2014 - A 45-year-old man presented with worsening left-sided, sharp pleuritic chest pain that began one week earlier.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/0815/p257.html

Amlodipine/Atorvastin (Caduet) for Preventing Heart Disease - STEPS - American Family ...

Mar 15, 2006 - Amlodipine/atorvastatin offers no added benefit in safety, tolerability, or effectiveness over amlodipine and atorvastatin taken separately. It has not been shown to improve mortality or morbidity in patients who have hypertension with or without dyslipidemia. The only potential ...

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0315/p1067.html

Preventive Counseling, Screening, and Therapy for the Patient with Newly Diagnosed HIV ...

Jan 15, 2006 - The epidemic of human immunodeficiency virus (HIV) continues, and the infection is converting into a treatable chronic disease; therefore, it is increasingly important for family physicians to be current with and comfortable in providing basic care to patients infected with HIV. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p271.html

Open-Angle Glaucoma - American Family Physician

May 1, 2003 - Glaucoma is the second most common cause of legal blindness in the United States. Open-angle glaucoma is an asymptomatic, progressive optic neuropathy characterized by enlarging optic disc cupping and visual field loss. Patients at increased risk for open-angle glaucoma include blacks ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1937.html

Tick-Borne Relapsing Fever - American Family Physician

Nov 15, 2005 - Tick-borne relapsing fever is characterized by recurring fevers separated by afebrile periods and is accompanied by nonspecific constitutional symptoms. It occurs after a patient has been bitten by a tick infected with a Borrelia spirochete. The diagnosis of tick-borne relapsing fever ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1115/p2039.html

Improving Quality by Doing Less: Overtreatment - Editorials - American Family Physician

Mar 1, 2015 - The third in a series of AFP editorials that addresses the related issues of over-screening, overdiagnosis, and overtreatment. Overtreatment is an important harm that commonly follows overscreening and overdiagnosis.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0301/p289.html

Low-Dose Aspirin Use for the Prevention of Morbidity and Mortality from Preeclampsia: ...

Mar 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) recommends the use of low-dose aspirin (81 mg per day) as preventive medication after 12 weeks of gestation in women who are at high risk of preeclampsia.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0301/od1.html

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Mar 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0315/od2.html

Determining Eligibility for Gastric Bypass Surgery - Curbside Consultation - American ...

May 1, 2006 - This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for those who ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0501/p1638.html

Type 2 Diabetes: Updated Evidence Requires Updated Decision Making - Editorials - ...

Jul 1, 2015 - Clinicians need to consider the best available research findings, their own experience, and their patients' needs and values.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0701/p22.html

Transient Ischemic Attacks: Part I. Diagnosis and Evaluation - American Family Physician

Apr 1, 2004 - Transient ischemic attack is no longer considered a benign event but, rather, a critical harbinger of impending stroke. Failure to quickly recognize and evaluate this warning sign could mean missing an opportunity to prevent permanent disability or death. The 90-day risk of stroke after...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1665.html

Pruritic Erythematous Plaques - Photo Quiz - American Family Physician

Sep 1, 2014 - A woman presented with erythematous, pruritic skin patches on her trunk and extremities that were slowly increasing in size and number.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/0901/p319.html

Behavioral Counseling to Promote a Healthful Diet and Physical Activity for ...

May 1, 2015 - The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0501/od1.html

Practice Guidelines - Apr 15, 2006 - American Family Physician

Apr 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released an opinion statement on issues specific to pregnancy in obese women. Women who are obese are at increased risk of complications of pregnancy such as gestational hypertension and diabetes, preeclampsia, fetal ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1471.html

Diagnosis and Management of Multiple Sclerosis - American Family Physician

Nov 15, 2004 - Multiple sclerosis, an idiopathic inflammatory disease of the central nervous system, is characterized pathologically by demyelination and subsequent axonal degeneration. The disease commonly presents in young adults and affects twice as many women as men. Common presenting symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1935.html

Patient Handouts - American Family Physician

...Hypertension Immunizations Influenza Kidney disease Labor, Delivery, and Postpartum Issues Menopause Menstrual disorders Musculoskeletal care Myocardial Infarction Neonatology/Newborn Issues Obesity Osteoporosis Otitis Pain Management Peripheral Vascular...

American Family Physician

https://www.aafp.org/afp/handouts/viewAll.htm

Cultural Competence Education for Health Care Professionals - Cochrane for Clinicians -...

Apr 15, 2015 - Low-quality evidence suggests that training health care professionals in patient-centered communication improves the engagement of patients from culturally and linguistically diverse backgrounds in their health care. Interventions that were primarily educational appeared to be ineffective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0415/p523.html

AHA/ASA Release Guideline on Stroke Prevention in Women - Practice Guidelines - ...

Mar 1, 2015 - The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0301/p330.html

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

Apr 1, 2004 - Retinal detachment often is a preventable cause of vision loss. There are three types of retinal detachments: exudative, tractional, and rhegmatogenous. The most common type is rhegmatogenous, which results from retinal breaks caused by vitreoretinal traction. Risk factors for retinal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1691.html

Guillain-Barre Syndrome - American Family Physician

May 15, 2004 - Guillain-Barré syndrome (GBS) is a group of autoimmune syndromes consisting of demyelinating and acute axonal degenerating forms of the disease. Nerve conduction study helps differentiate the heterogeneous subtypes of GBS. Patients exhibit a progressive paralysis that reaches a plateau ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2405.html

Abnormal Electrocardiogram Findings During an Occupational Physical Examination - Photo...

Dec 15, 2014 - A 27-year-old man with normal personal and family histories presented for an occupational physical examination. On cardiac examination, he had a grade II/VI systolic ejection murmur that was softer during inspiration. An electrocardiogram was obtained.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/1215/p861.html

AAP Issues Updated Guidance on Palivizumab Prophylaxis for RSV Infection - Practice ...

Dec 15, 2014 - The American Academy of Pediatrics (AAP) Committee on Infectious Diseases has updated its guidance on the use of palivizumab (Synagis) prophylaxis in infants and children at increased risk of respiratory syncytial virus (RSV) infection. Because the palivizumab package labeling does not ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1215/p867.html

If It Seems Too Good To Be True... - AFP Journal Club - American Family Physician

May 15, 2015 - There are dangers in the early adoption of treatment modalities without repeated verification in the literature.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2015/0515/p729.html

Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain - American Family ...

Feb 1, 2005 - The development of newer classes of antidepressants and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. These drugs modulate pain transmission by interacting with specific neurotransmitters and ion channels. The actions of...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p483.html

Gastroesophageal Reflux Disease: Diagnosis and Management - American Family Physician

Mar 1, 1999 - Gastroesophageal reflux disease (GERD) is a chronic, relapsing condition with associated morbidity and an adverse impact on quality of life. The disease is common, with an estimated lifetime prevalence of 25 to 35 percent in the U.S. population. GERD can usually be diagnosed based on ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1161.html

Spirituality and Medical Practice: Using the HOPE Questions as a Practical Tool for ...

Jan 1, 2001 - The relationship between spirituality and medicine has been the focus of considerable interest in recent years. Studies suggest that many patients believe spirituality plays an important role in their lives, that there is a positive correlation between a patient's spirituality or ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0101/p81.html

Exercise and Pregnancy Loss - FPIN's Clinical Inquiries - American Family Physician

Apr 1, 2015 - Regular exercise for up to seven or more hours per week (including low-intensity and high-intensity aerobics, jogging, cycling, and swimming) is not associated with increased rates of miscarriage in the first to mid-second trimesters. Patients may continue bending and lifting at work, ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0401/p437.html

ANCA-Associated Small-Vessel Vasculitis - American Family Physician

Apr 15, 2002 - Antineutrophil cytoplasmic antibodies (ANCA)-associated vasculitis is the most common primary systemic small-vessel vasculitis to occur in adults. Although the etiology is not always known, the incidence of vasculitis is increasing, and the diagnosis and management of patients may be ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1615.html

Drugs for Conversion of Atrial Fibrillation - American Family Physician

Aug 1, 1998 - Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p471.html

Pitfalls of Direct-to-Consumer Vascular Screening Tests - Editorials - American Family ...

Apr 15, 2015 - As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and significant.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0415/p518.html

Should Family Physicians Screen for Testosterone Deficiency in Men? Yes: Screening for ...

Feb 15, 2015 - With the possible exception of patients with cardiovascular disease, testosterone replacement therapy remains a potentially beneficial option in improving health-related quality of life in men.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2015/0215/p220.html

Painless Red Eye - Photo Quiz - American Family Physician

Oct 15, 2013 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2013/1015/p533.html

Screening for Chronic Kidney Disease: Recommendation Statement - U.S. Preventive ...

Feb 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/0215/od1.html

AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke ...

Jan 15, 2015 - The American Heart Association (AHA) and American Stroke Association (ASA) have updated their guideline on prevention of future stroke in patients with a history of stroke or transient ischemic attack (TIA). Currently, the average annual rate of future stroke in these patients is at a ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0115/p136.html

The Patient with Daily Headaches - American Family Physician

Dec 15, 2004 - The term 'chronic daily headache' (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2299.html

Vitamin, Mineral, and Multivitamin Supplements for the Primary Prevention of ...

Jan 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of the use of multivitamins for the prevention of cardiovascular disease or cancer.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0101/od1.html

The Management of the Acute Migraine Headache - American Family Physician

Dec 1, 2002 - As many as 30 million Americans have migraine headaches. The impact on patients and their families can be tremendous, and treatment of migraines can present diagnostic and therapeutic challenges for family physicians. Abortive treatment options include nonspecific and migraine-specific ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2123.html

Swelling of the Lips - Photo Quiz - American Family Physician

Jan 1, 2015 - A man presented with localized swelling of the upper and lower lips, but no other significant findings. He did not have swelling elsewhere on the body.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2015/0101/p53.html

Diagnosing and Managing Acute Heart Failure Guidelines: NICE - POEMs - American Family ...

Feb 15, 2015 - There is not much new in these guidelines except some caveats on what not to do. Diagnose new acute heart failure with a natriuretic peptide measurement and, if the level is high, follow with transthoracic echocardiography. Do not routinely treat with opiates, nitrates, inotropes, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0215/p260.html

Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions - American ...

Sep 1, 2003 - Since the terrorist attacks of September 11, 2001, and the anthrax exposures in the following weeks, concern that smallpox could be used as a biologic weapon has increased. Public health departments and the U.S. military have begun the process of vaccinating soldiers and civilian ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p889.html

Early Diagnosis of Dementia - American Family Physician

Feb 15, 2001 - Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p703.html

Health Issues for Surfers - American Family Physician

Jun 15, 2005 - Surfers are prone to acute injuries as well as conditions resulting from chronic environmental exposure. Sprains, lacerations, strains, and fractures are the most common types of trauma. Injury from the rider's own surfboard may be the prevailing mechanism. Minor wound infections can be...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2313.html

AAFP Releases Position Paper on Breastfeeding - Practice Guidelines - American Family ...

Jan 1, 2015 - Family physicians can have an important role in promoting breastfeeding, and are well positioned to provide support in the context of family-centered care. The position paper from the American Academy of Family Physicians (AAFP) provides key recommendations to assist family physicians ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0101/p56.html

Screening for Lipid Disorders in Adults: Recommendation Statement - U.S. Preventive ...

Dec 1, 2009 - Screening men: The U.S. Preventive Services Task Force (USPSTF) strongly recommends screening men 35 years and older for lipid disorders.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2009/1201/p1273.html

Exercise-Related Syncope in the Young Athlete: Reassurance, Restriction or Referral? - ...

Nov 1, 1999 - A common event in young adults, syncope is usually benign and only rarely requires more than simple reassurance. However, exercise-related syncope always requires investigation because it may be the only symptom that precedes a sudden cardiac death. Syncope that occurs during exercise ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2001.html

Benzodiazepines and Alzheimer Disease - AFP Journal Club - American Family Physician

Feb 1, 2015 - Benzodiazepine exposure over the preceding five years seems to be associated with an increased likelihood of an Alzheimer disease diagnosis. A dose-response gradient also seems to exist.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2015/0201/p191.html

Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment With the...

Dec 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk assessment with the ankle-brachial index (ABI) in adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/1215/od1.html

Teaching Health Center GME Funding Instability Threatens Program Viability - Graham ...

Feb 1, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program, funded since 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care for under-served populations nationwide. Without continued federal funding, most of ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0201/p168.html

Choosing Drug Therapy for Patients with Hyperlipidemia - American Family Physician

Jun 1, 2000 - Almost 13 million American adults require drug therapy to meet the low-density lipoprotein goals set by the National Cholesterol Education Program. Attempts to achieve these goals through diet and exercise are often unsuccessful. Major studies in recent years have demonstrated that ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3371.html

Painless Vision Loss - Photo Quiz - American Family Physician

Dec 1, 2014 - A woman presented with gradually decreasing vision in her right eye. Retinal examination revealed intraretinal hemorrhages in the right eye with edema.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2014/1201/p791.html

Depression in Later Life: A Diagnostic and Therapeutic Challenge - American Family ...

May 15, 2004 - Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2375.html

Sarcoidosis - American Family Physician

Jul 15, 2004 - Sarcoidosis is a systemic granulomatous disease of unknown cause affecting young and middle-aged adults. Patients commonly present with bilateral hilar lymphadenopathy, pulmonary infiltrates, and ocular and skin lesions. The heart, liver,spleen, salivary glands, muscles,bones, kidneys, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0715/p312.html

Allergen Immunotherapy - American Family Physician

Aug 15, 2004 - Allergen immunotherapy (also called allergy vaccine therapy) involves the administration of gradually increasing quantities of specific allergens to patients with IgE-mediated conditions until a dose is reached that is effective in reducing disease severity from natural exposure. The ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p689.html

Viral Croup - American Family Physician

Feb 1, 2004 - Viral croup is the most common form of airway obstruction in children six months to six years of age. The frightening nature of croup often prompts parents and caregivers to seek physician consultation. For children with mild croup, symptomatic care and mist therapy may be all that is ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p535.html

Generalized Anxiety Disorder - American Family Physician

Oct 1, 2000 - Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms. The disorder is frequently difficult to diagnose because of the variety of presentations and the common occurrence of comorbid medical or psychiatric conditions. The...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1591.html

External Cephalic Version - American Family Physician

Sep 1, 1998 - External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of about 65 percent. Before the resurgence of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p731.html

Medical Treatments for Balding in Men - American Family Physician

Apr 15, 1999 - Two drugs are available for the treatment of balding in men. Minoxidil, a topical product, is available without a prescription in two strengths. Finasteride is a prescription drug taken orally once daily. Both agents are modestly effective in maintaining (and sometimes regrowing) hair ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2189.html

Preterm Labor: Diagnosis and Treatment - American Family Physician

May 15, 1998 - Preterm labor and delivery are among the most challenging obstetric complications encountered by the family physician. In the United States, preterm delivery affects approximately one in 10 births and is the cause of at least 75 percent of neonatal deaths, excluding those related to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2457.html

Glycemic Control Is an Important Consideration in Diabetes Care - Letters to the Editor...

Oct 15, 2014 - ...it is not—clinicians must spend their time with patients focusing on the other life-prolonging fingers of diabetes care. Poor control of hypertension is associated with high blood glucose levels, meaning that clinicians spend too much time on the pinky of glycemic control and not...

American Family Physician : Letter

https://www.aafp.org/afp/2014/1015/p524.html

Diabetic Foot Ulcers: Prevention, Diagnosis and Classification - American Family Physician

Mar 15, 1998 - Diabetic ulcers are the most common foot injuries leading to lower extremity amputation. Family physicians have a pivotal role in the prevention or early diagnosis of diabetic foot complications. Management of the diabetic foot requires a thorough knowledge of the major risk factors for...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1325.html

ACP Releases Guideline on Screening, Monitoring, and Treatment of Stage 1 to 3 Chronic ...

Jul 15, 2014 - Based on a systematic evidence review, this guideline from the American College of Physicians (ACP) presents recommendations on screening, monitoring, and treatment of stage 1 to 3 chronic kidney disease in adults.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0715/p121.html

Common Dietary Supplements for Weight Loss - American Family Physician

Nov 1, 2004 - Over-the-counter dietary supplements to treat obesity appeal to many patients who desire a 'magic bullet' for weight loss. Asking overweight patients about their use of weight-loss supplements and understanding the evidence for the efficacy, safety, and quality of these supplements are ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1731.html

Ambulatory Detoxification of Patients with Alcohol Dependence - American Family Physician

Feb 1, 2005 - Detoxification from alcohol can be undertaken in ambulatory settings with patients who are alcohol-dependent and show signs of mild to moderate withdrawal when they are not drinking. An appropriate candidate for outpatient detoxification should have arrangements to start an alcohol ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p495.html

Omega-3 Fatty Acid Supplementation Does Not Decrease CVD-Related Outcomes - POEMs - ...

Nov 1, 2014 - Omega-3 fatty acid supplementation does not decrease the risk of cardiovascular outcomes in this older population. Although the numbers are small, supplementation may prevent heart disease in patients already at low risk; that is, patients without a history of cardiovascular disease ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1101/p662.html

No Benefit to Prolonged Dual Antiplatelet Therapy After Drug-Eluting Stent Placement - ...

Oct 1, 2014 - Prolonging dual antiplatelet therapy with aspirin plus clopidogrel (Plavix) for more than one year after the placement of a drug-eluting stent confers no clinical benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1001/p502.html

Management of Giant Cell Arteritis and Polymyalgia Rheumatica - American Family Physician

Apr 1, 2000 - Giant cell arteritis and polymyalgia rheumatica are closely related disorders that affect persons more than 50 years of age and cause substantial morbidity. Patients with giant cell arteritis typically have a localized headache, nonspecific systemic symptoms, temporal artery tenderness ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2061.html

Atopic Dermatitis: A Review of Diagnosis and Treatment - American Family Physician

Sep 15, 1999 - Atopic dermatitis is a common, potentially debilitating condition that can compromise quality of life. Its most frequent symptom is pruritus. Attempts to relieve the itch by scratching simply worsen the rash, creating a vicious circle. Treatment should be directed at limiting itching, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1191.html

Five-Day Steroid Treatment Effective for Acute COPD Exacerbation - POEMs - American ...

Dec 1, 2013 - A five-day course of systemic glucocorticoids is at least as effective as a 14-day course in the treatment of adults with acute exacerbations of COPD.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1201/od1.html

Algorithms - American Family Physician

...Hypertension Immunizations Influenza Kidney disease Labor, Delivery, and Postpartum Issues Menopause Menstrual disorders Musculoskeletal care Myocardial Infarction Neonatology/Newborn Issues Obesity Osteoporosis Otitis Pain Management Peripheral Vascular...

American Family Physician

https://www.aafp.org/afp/algorithms/viewAll.htm

Algorithms - American Family Physician

...Hypertension Immunizations Influenza Kidney disease Labor, Delivery, and Postpartum Issues Menopause Menstrual disorders Musculoskeletal care Myocardial Infarction Neonatology/Newborn Issues Obesity Osteoporosis Otitis Pain Management Peripheral Vascular...

American Family Physician

https://www.aafp.org/afp/algorithms/viewAll.htm?cmpid=afped_ot_pub_afpj_van_alg

Transient Ischemic Attacks: Part II. Treatment - American Family Physician

Apr 1, 2004 - Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1681.html

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