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hypertension

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Screening for Lipid Disorders in Adults - Putting Prevention into Practice - American ...

Dec 1, 2009 - Case study: E.B. is a 50-year-old black woman who comes to your office for weight-loss counseling. She reports that her brother recently had a heart attack at 58 years of age. She does not smoke and takes no medications other than a daily multivitamin.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/1201/p1281.html

Nephrotic Syndrome in Adults: Diagnosis and Management - American Family Physician

Nov 15, 2009 - Nephrotic syndrome may be caused by primary (idiopathic) renal disease or by a variety of secondary causes. Patients present with marked edema, proteinuria, hypoalbuminemia, and often hyperlipidemia. In adults, diabetes mellitus is the most common secondary cause, and focal segmental ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1129.html

Endometrial Cancer - American Family Physician

Nov 15, 2009 - Endometrial cancer is the leading cause of gynecologic cancer in the United States. Etiologically, endometrial carcinoma usually results from unopposed estrogen stimulation of the endometrium, although non-estrogen-related forms occur as well. The most common presentation of endometrial...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1075.html

Headache in a Well-Appearing Young Woman - Photo Quiz - American Family Physician

Nov 15, 2009 - 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/2009/1115/p1143.html

Is Telmisartan Effective for Stroke Prevention? - AFP Journal Club - American Family ...

Nov 15, 2009 - Does telmisartan therapy after stroke prevent recurrence and adverse cardiovascular events? Despite lowering blood pressure, telmisartan did not provide preventative benefit. This study reflects problems with publication bias and that surrogate markers, such as blood pressure control, ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/1115/p1042.html

Screening for Type 2 Diabetes Mellitus in Adults - Putting Prevention into Practice - ...

Nov 15, 2009 - Case study: A 50-year-old woman with a history of hyperlipidemia visits your office for a physical examination. Her blood pressure is 140/82 mm Hg, and her body mass index is 30 kg per m2.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/1115/p1141.html

Screening for Type 2 Diabetes Mellitus in Adults: Recommendation Statement - U.S. ...

Nov 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for type 2 diabetes mellitus in asymptomatic adults with sustained blood pressure (treated or untreated) greater than 135/80 mm Hg.

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

https://www.aafp.org/afp/2009/1115/p1138.html

Joint Guideline on Intensive Glycemic Control and the Prevention of Cardiovascular ...

Nov 15, 2009 - Recommendations from the American Diabetes Association (ADA), American College of Cardiology Foundation (ACC), and American Heart Association (AHA) for glycemic control and prevention of cardiovascular events in patients with diabetes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/1115/p1167.html

Tips From Other Journals - American Family Physician

Nov 15, 2009 - ...(using a customized growth chart that accounted for the women's demographic data), late miscarriage, preterm delivery, gestational hypertension and preeclampsia, and stillbirth. Birth outcomes were obtained from the electronic maternity database. Results: Caffeine intake was...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1115/p1153a.html

Diverticular Bleeding - American Family Physician

Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p977.html

Case Report: Takotsubo Cardiomyopathy in a Recently Widowed Woman - Letters to the ...

Nov 1, 2009 - ...A 74-year-old black woman with a history of hypertension presented with complaints of weakness and chest pain a few days after the death of her husband whom she had been married to for 35 years. Her examination revealed a blood pressure of 186/88 mm Hg and tachycardia....

American Family Physician : Letter

https://www.aafp.org/afp/2009/1101/p908.html

Tips From Other Journals - American Family Physician

Nov 1, 2009 - ...of risk factors such as diabetes and hypertension. View/Print Table Table Scoring System for Predicting Future Chronic Kidney Disease FactorScore Age 1 to 3* Female sex 1 Anemia 1 Diabetes mellitus 1 Hypertension 1 Peripheral vascular disease 1...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1101/p1003.html

Tips From Other Journals - American Family Physician

Nov 1, 2009 - ...recommend that patients at high risk of cardiovascular disease (e.g., patients with diabetes; patients older than 40 years; patients with hypertension, hyperlipidemia, or a family history of these conditions) take aspirin to prevent a first cardiovascular event. These clinical...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1101/p997a.html

Recognition and Management of Vitamin D Deficiency - American Family Physician

Oct 15, 2009 - Vitamin D deficiency affects persons of all ages. Common manifestations of vitamin D deficiency are symmetric low back pain, proximal muscle weakness, muscle aches, and throbbing bone pain elicited with pressure over the sternum or tibia. A 25-hydroxyvitamin D level should be obtained ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p841.html

Envenomations: An Overview of Clinical Toxinology for the Primary Care Physician - ...

Oct 15, 2009 - About 4,000 to 6,000 venomous snakebites occur each year in the United States. Although these envenomations (also known as envenomings) are rarely fatal, about 70 percent require antivenom therapy. Few evidence-based guidelines are available for the management of envenomation. Antivenom...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p793.html

Disease Mongering and Excessive Daytime Sleepiness - Letters to the Editor - American ...

Oct 15, 2009 - ...Next: Thiazide Diuretics Remain First-Line Treatment for Hypertension View the full table of contents >> Home / Journals / afp / Vol. 80/No. 8(October 15, 2009) / Disease Mongering and Excessive Daytime Sleepiness...

American Family Physician : Letter

https://www.aafp.org/afp/2009/1015/p775.html

Tips From Other Journals - American Family Physician

Oct 15, 2009 - ...Thiazide Diuretics Remain First-Line Treatment for Hypertension Am Fam Physician. 2009 Oct 15;80(8):882. Background: The 2002 ALLHAT (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial) generated attention and controversy with its finding that thiazide...

American Family Physician : Tip

https://www.aafp.org/afp/2009/1015/p882.html

AAFP News - Oct 15, 2009 - American Family Physician

Oct 15, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/1015/p771.html

Radiologic Evaluation of Suspected Congenital Heart Disease in Adults - American Family...

Sep 15, 2009 - The population of adults with congenital heart disease is increasing in North America. Radiologic imaging is critical for the initial assessment and for surveillance in this population. Chest radiography and echocardiography are valuable first-line tools for evaluation. However, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0915/p597.html

Simultaneous Spinal Cord and Brain Lesions - Photo Quiz - American Family Physician

Sep 15, 2009 - 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/2009/0915/p639.html

Shoulder Pain with a Lung Mass - Photo Quiz - American Family Physician

Sep 1, 2009 - 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/2009/0901/p509.html

Acute Coronary Syndrome (Unstable Angina and non-ST Elevation Myocardial Infarction) - ...

Aug 15, 2009 - What are the effects of antiplatelet, antithrombin, anti-ischemic, and lipid-lowering treatments in persons with acute coronary syndrome? What are the effects of invasive treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0815/p383.html

Tips From Other Journals - American Family Physician

Aug 15, 2009 - ...migraine. Women with a history of migraine were more likely to smoke, have elevated cholesterol levels, and have current or previous hypertension. Family history of myocardial infarction (MI) was equally distributed among the migraine groups. The mean concentration of high-density...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0815/p396.html

Radiologic Evaluation of Suspected Renovascular Hypertension - American Family Physician

Aug 1, 2009 - More than 72 million Americans have hypertension, and the majority of these persons have essential hypertension. However, a significant subset has a secondary cause. The most common cause of secondary hypertension is renal vascular hypertension, of which renal artery stenosis is the ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p273.html

N-Acetylcysteine: Multiple Clinical Applications - American Family Physician

Aug 1, 2009 - N-acetylcysteine is the acetylated variant of the amino acid L-cysteine and is widely used as the specific antidote for acetaminophen overdose. Other applications for N-acetylcysteine supplementation supported by scientific evidence include prevention of chronic obstructive pulmonary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p265.html

Doctor-Patient Duet - Close-ups - American Family Physician

Aug 1, 2009 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2009/0801/p280.html

Therapeutic Uses of Magnesium - American Family Physician

Jul 15, 2009 - Magnesium is an essential mineral for optimal metabolic function. Research has shown that the mineral content of magnesium in food sources is declining, and that magnesium depletion has been detected in persons with some chronic diseases. This has led to an increased awareness of proper...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p157.html

Risk-Assessment Tools for Detecting Undiagnosed Diabetes - Point-of-Care Guides - ...

Jul 15, 2009 - Early intervention with lifestyle modifications or pharmacotherapy has been shown to effectively delay or prevent type 2 diabetes in adults.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2009/0715/p175.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Identifying and Using Good Practice Guidelines - American Family Physician

Jul 1, 2009 - Performance measurement and payment are increasingly linked to goals established by practice guidelines. The best guidelines are based on systematic reviews and patient-oriented evidence, use an evidence-rating system such as the Strength of Recommendation Taxonomy, and are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p67.html

Practice Parameters for Managing Allergic Rhinitis - Practice Guidelines - American ...

Jul 1, 2009 - The American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma and Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology (JCAAI) have created The Diagnosis and Management of Rhinitis: An Updated Practice Parameter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0701/p79.html

Making a Difference with Patients Who Drink Too Much - Editorials - American Family ...

Jul 1, 2009 - ...in part because of the stereotypes of alcoholism and the associated social stigma. With many health conditions, such as diabetes and hypertension, early intervention allows physicians to diagnose and treat accordingly. It is time for excessive alcohol use to be added to these...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0701/p21.html

Mr. Jones doesn’t have insurance anymore -- FPM

Mr. Jones doesn’t have insurance anymore

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/mr_jones_doesn_t_have.html

ACC/AHA Guideline Update for the Management of ST-Segment Elevation Myocardial ...

Jun 15, 2009 - The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1080.html

Screening for High Blood Pressure: Reaffirmation Recommendation Statement - U.S. ...

Jun 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for high blood pressure in adults 18 years and older.

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

https://www.aafp.org/afp/2009/0615/p1087.html

Screening for High Blood Pressure - Putting Prevention into Practice - American Family ...

Jun 15, 2009 - Case study: A.R. is a healthy 30-year-old man who recently obtained health insurance through his new job. His last physical examination was more than 10 years ago. Because you are a friend and a family physician, he asks you whether he should have his blood pressure checked.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/0615/p1093.html

Vision Loss in Older Persons - American Family Physician

Jun 1, 2009 - Family physicians have an essential role in assessing, identifying, treating, and preventing or delaying vision loss in the aging population. Approximately one in 28 U.S. adults older than 40 years is visually impaired. Vision loss is associated with depression, social isolation, falls,...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p963.html

What Should You Do When Your Patient Brings a List? -- FPM

Jun 1, 2009 - Follow these five steps if your patient unfurls a long list of issues to discuss at today's visit.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0500/p23.html

Evaluation and Management of the Patient with Difficult-to-Control or Resistant ...

May 15, 2009 - High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p863.html

Preeclampsia, Eclampsia, and Hypertension - Clinical Evidence Handbook - American ...

May 15, 2009 - What are the effects of preventive interventions in women at risk of preeclampsia? What are the effects of interventions in women who develop mild to moderate hypertension during pregnancy? What are the effects of interventions in women who develop severe preeclampsia or very high blood...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0515/p895.html

Sudden Infant Death Syndrome - American Family Physician

May 15, 2009 - Sudden infant death syndrome is the leading cause of death among healthy infants, affecting 0.57 per 1,000 live births. The most easily modifiable risk factor for sudden infant death syndrome is sleeping position. To reduce the risk of sudden infant death syndrome, parents should be ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p870.html

AHA Releases Recommendations on Cardiovascular Monitoring and the Use of ADHD ...

May 15, 2009 - The American Heart Association (AHA) has released a scientific statement and recommendations about cardiovascular monitoring and the use of stimulants in children suspected or known to have heart disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0515/p905.html

Sample Medications and Overall Prescription Costs - AFP Journal Club - American Family ...

May 15, 2009 - What are the effects of providing sample medications to patients? It increases prescription costs and causes physicians to use second-line choices.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2009/0515/p891.html

Screening for Iron Deficiency Anemia-Including Iron Supplementation for Children and ...

May 15, 2009 - Case study: H.H., a 25-year-old woman, comes to your office with her six-month-old son during her first trimester of pregnancy. She is taking a prenatal vitamin and asks whether she should also take an iron supplement. There is a family history of anemia, and H.H. would like to be tested.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/0515/p897.html

Stimulants, ADHD, and the Heart - Editorials - American Family Physician

May 15, 2009 - ...Next: Evaluation and Management of the Patient with Difficult-to-Control or Resistant Hypertension View the full table of contents >> Home / Journals / afp / Vol. 79/No. 10(May 15, 2009) / Editorials: Stimulants, ADHD, and the Heart...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0515/p846.html

Cardiomyopathy: An Overview - American Family Physician

May 1, 2009 - Cardiomyopathy is an anatomic and pathologic diagnosis associated with muscle or electrical dysfunction of the heart. Cardiomyopathies represent a heterogeneous group of diseases that often lead to progressive heart failure with significant morbidity and mortality. Cardiomyopathies may ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0501/p778.html

Tips From Other Journals - American Family Physician

May 1, 2009 - ...(hazard ratio = 2.15 for high UAE, and 2.14 for low eGFR). This risk was independent of other cardiovascular risk factors, such as hypertension, hyperlipidemia, diabetes, smoking, and obesity. Conclusion: High UAE and low eGFR can be used to detect renal impairment, but tend to...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0501/p796.html

Drug Treatments for Polycystic Ovary Syndrome - American Family Physician

Apr 15, 2009 - Polycystic ovary syndrome is a condition present in approximately 5 to 10 percent of women of childbearing age. Diagnosis can be difficult because the signs and symptoms can be subtle and varied. These may include hirsutism, infertility, menstrual irregularities, and biochemical ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p671.html

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

AAP Clinical Report on Lipid Screening in Children - Practice Guidelines - American ...

Apr 15, 2009 - The American Academy of Pediatrics (AAP) released a clinical report in July 2008 that recommends lipid screening in children and adolescents with a fasting lipid profile, and focuses on improving childhood and adolescent lipid and lipoprotein concentrations to lower the lifetime risk of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0415/p703.html

Alcohol Misuse - Clinical Evidence Handbook - American Family Physician

Apr 15, 2009 - What are the effects of interventions in hazardous or harmful drinkers in the primary care and emergency department settings?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0415/p692.html

Chronic Neck Pain - Photo Quiz - American Family Physician

Apr 1, 2009 - 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/2009/0401/p595.html

Practicing Excellence: Your Role in Practice Transformation -- FPM

Apr 1, 2009 - Physician leaders play a vital part in guiding the practice toward exceptional performance.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0300/p28.html

Health-Related Concerns of the Female Athlete: A Lifespan Approach - American Family ...

Mar 15, 2009 - Exercise is beneficial for women of all ages and is associated with long-term health benefits and enhanced well-being. Nevertheless, active women and girls are at risk for conditions resulting from sports and exercise participation. Because of their unique physiology, children are more ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p489.html

The JUPITER Study: Biomarkers Plus Statin vs. Lifestyle Modification for Preventing ...

Mar 15, 2009 - ...post-menopausal hormone therapy, evidence of hepatic dysfunction, elevated creatine kinase or creatinine levels, diabetes, uncontrolled hypertension, cancer within five years before enrollment, uncontrolled hypothyroidism, any inflammatory or autoimmune condition, recent alcohol or...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0315/p438.html

Excessive Daytime Sleepiness - American Family Physician

Mar 1, 2009 - Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, and it affects an estimated 20 percent of the population. Persons with excessive daytime sleepiness are at risk of motor vehicle and work-related incidents, and have poorer health than comparable ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p391.html

Evaluation and Management of Common Childhood Poisonings - American Family Physician

Mar 1, 2009 - Family physicians often manage substance ingestions in children, most of which are nontoxic in nature. Physicians should know the phone number of the poison control center, understand the appropriate initial assessment of suspected toxin ingestion, and recognize important toxidromes. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p397.html

Case Report: Subarachnoid Hemorrhage in Woman with Migraines - Letters to the Editor - ...

Mar 1, 2009 - ...to the editor: A 45-year-old woman with a history of migraines and a recent diagnosis of hypertension presented with a two-day history of increasing headache. She had taken over-the-counter medications with some relief. On the second day, the patient awoke with terrible pain located...

American Family Physician : Letter

https://www.aafp.org/afp/2009/0301/p374.html

Tips From Other Journals - American Family Physician

Feb 15, 2009 - ...Is Immunization Against Hypertension Possible? Am Fam Physician. 2009 Feb 15;79(4):online. Background: Despite the availability of a range of effective therapies, only about one third of U.S. adults with hypertension have their blood pressure under control. Non-adherence to...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0215/ot2.html

Tips From Other Journals - American Family Physician

Feb 15, 2009 - ...Several risk factors at study enrollment (current smoking, diabetes, hypertension, and obesity) were independently associated with greater risk of dying before 90 years of age (hazard ratio of 2.10, 1.86, 1.28, and 1.44, respectively). Regular vigorous exercise reduced mortality...

American Family Physician : Tip

https://www.aafp.org/afp/2009/0215/ot1.html

Charting Then and Now -- FPM

Feb 1, 2009 - Chart notes used to be primarily for doctors, but oh how times have changed.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2009/0100/p40.html

Potential Side Effects of SSRI Use Include Risk of Hyponatremia - Letters to the Editor...

Feb 1, 2009 - ...When used in late pregnancy, an association has been shown between SSRIs and neonatal withdrawal syndrome and persistent pulmonary hypertension.3,4 The American College of Obstetricians and Gynecologists recommends avoidance of paroxetine (Paxil) in particular, because of an...

American Family Physician : Letter

https://www.aafp.org/afp/2009/0201/ol1.html

Choosing Topical Corticosteroids - American Family Physician

Jan 15, 2009 - Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Successful treatment depends on an accurate diagnosis and consideration of the steroid's delivery ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p135.html

Fetal Chromosomal Abnormalities: Antenatal Screening and Diagnosis - American Family ...

Jan 15, 2009 - Pregnant women of all ages should be offered screening and invasive diagnostic testing for chromosomal abnormalities before 20 weeks' gestation. New developments in screening methods have increased the number of options for patients. Diagnostic options include chorionic villus sampling ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p117.html

Screening for Carotid Artery Stenosis - Putting Prevention into Practice - American ...

Jan 15, 2009 - Case study: K.A. is a 63-year-old man who presents for a routine wellness examination. His blood pressure and cholesterol level are within normal limits, and he has no history of tobacco use or heart disease.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/0115/p95.html

Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician

Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p29.html

Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...

Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1277.html

Management of Varicose Veins - American Family Physician

Dec 1, 2008 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1289.html

Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...

Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1265.html

Time Is on Your Side: Coding on the Basis of Time -- FPM

Dec 1, 2008 - E/M coding can be so complex that you forget those visits where it's just a matter of time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/1100/p17.html

Six Payment Opportunities You May Have Overlooked -- FPM

Dec 1, 2008 - The first step to improving your bottom line is to make sure you bill for the services you are already providing.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/1100/p27.html

Coding & Documentation - Nov 2008 -- FPM

Dec 1, 2008 - ...diabetic checkup, which we billed using CPT code 99213 and ICD-9 code 250.02. A few hours later, this patient came in with a migraine and hypertension issues. Could we have reported code 99058 for the second visit? A Code 99058 is to be reported in addition to the code for an...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/1100/p37.html

Facial Hyperpigmentation - Photo Quiz - American Family Physician

Dec 1, 2008 - 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/2008/1201/p1297.html

Tips From Other Journals - American Family Physician

Dec 1, 2008 - ...care between 12 and 19 weeks' gestation were eligible for the study if they had a history of preeclampsia or non-proteinuric chronic hypertension. Women were excluded from the study if they had a multiple pregnancy, fetal anomaly, diabetes mellitus, proteinuria, or if they used...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1201/ot2.html

Tips From Other Journals - American Family Physician

Dec 1, 2008 - ...36 kg per m2. Almost all studies excluded participants with obesity secondary to endocrine conditions, as well as those with uncontrolled hypertension, psychiatric conditions, medical illness, previous bariatric surgery, and those receiving drugs that affect body weight. Women who...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1201/ot1.html

Necrotic Wound on the Hand - Photo Quiz - American Family Physician

Nov 15, 2008 - 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/2008/1115/p1209.html

Tips From Other Journals - American Family Physician

Nov 15, 2008 - ...*—Risk factors include family history of coronaryartery disease, hypertension, hyperlipidemia, diabetes,or current smoking. Table. Thrombolysis in MyocardialInfarction Risk Factors for UnstableAngina or ST Elevation MyocardialInfarction Age 65 years or older At least three...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1115/ot2.html

Tips From Other Journals - American Family Physician

Nov 15, 2008 - ...stroke. In subgroup analysis, the reductionsin vascular events were similar betweenparticipants with diabetes who had vasculardisease or hypertension, and those who didnot have these conditions at the beginning oftrials. The reductions in vascular events werealso similar in patients...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1115/ot1.html

Tips From Other Journals - American Family Physician

Nov 15, 2008 - ...years, and the majority of eachgroup consisted of smokers. About 47 percentof the placebo group and 53 percentof the omeprazole group had hypertension.The mean PRI in the omeprazole groupchanged from 83.9 percent on the first day to51.4 percent on the seventh day. In the...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1115/ot3.html

Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...

Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1052.html

Antioxidant Supplements Do Not Improve Mortality and May Cause Harm - Cochrane for ...

Nov 1, 2008 - In randomized controlled trials of primary and secondary prevention, vitamins A and E, and beta-carotene supplementation increased mortality. Vitamin C and selenium supplementation had no significant effect on mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/1101/p1079.html

Tips From Other Journals - American Family Physician

Nov 1, 2008 - ...strongest risk factor is history of stroke or transient ischemic attack (TIA; relative risk [RR] = 2.5), followed by diabetes (RR = 1.7), hypertension (RR = 1.6), coronary artery disease (RR = 1.5), heart failure or impaired left ventricular systolic function (RR = 1.4), and...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1101/ot1.html

Systemic Sclerosis/Scleroderma: A Treatable Multisystem Disease - American Family ...

Oct 15, 2008 - Systemic sclerosis (systemic scleroderma) is a chronic connective tissue disease of unknown etiology that causes widespread microvascular damage and excessive deposition of collagen in the skin and internal organs. Raynaud phenomenon and scleroderma (hardening of the skin) are hallmarks...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p961.html

Case Report: CHD as a Potential Cause of Chest Pain in Adult Patients - Letters to the ...

Oct 15, 2008 - ...would like to present a case in which a careful and systematic physical examination yielded an alternative diagnosis in a patient whose hypertension was long believed to be secondary to cocaine abuse. A 59-year-old man presented to the emergency department complaining of...

American Family Physician : Letter

https://www.aafp.org/afp/2008/1015/p911.html

Tips From Other Journals - American Family Physician

Oct 15, 2008 - ...effects, vitamin D deficiency is associated with elevated blood pressure and cardiovascular disease (CVD). Ecologic studies report that hypertension and coronary heart disease rates increase with further distance from the equator, which may be related to decreasing exposure to...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1015/ot1.html

Tips From Other Journals - American Family Physician

Oct 1, 2008 - ...failure or poor left ventricular function, but 20 percent had diabetes, 40 percent had previous myocardial infarction, 50 percent had hypertension, and 50 percent had hyperlipidemia. Results: Short-term survival (within 30 days of the procedure) was high in both groups, and was not...

American Family Physician : Tip

https://www.aafp.org/afp/2008/1001/ot3.html

Aortic Stenosis: Diagnosis and Treatment - American Family Physician

Sep 15, 2008 - Aortic stenosis is the most important cardiac valve disease in developed countries, affecting 3 percent of persons older than 65 years. Although the survival rate in asymptomatic patients with aortic stenosis is comparable to that in age- and sex-matched control patients, the average ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p717.html

Procalcitonin-Guided Treatment of Respiratory Tract Infections - Point-of-Care Guides -...

Sep 15, 2008 - Procalcitonin is a precursor to calcitonin. The final step in the synthesis of calcitonin is inhibited by cytokines and endotoxin released during bacterial infections; therefore, procalcitonin levels are selectively elevated in patients with bacterial infections.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2008/0915/p756.html

Tips From Other Journals - American Family Physician

Sep 15, 2008 - ...in the previous six months. The presence of depression, other health conditions, and a history of coronary heart disease, stroke, or hypertension was also recorded at baseline. The health status of each patient was monitored annually by questionnaire, clinical data, and, when...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0915/ot1.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Tips From Other Journals - American Family Physician

Sep 1, 2008 - ...Hypertension Older age WBC = white blood cell; WHI = Women's Health Initiative. Table Characteristics Associated with Higher and Lower WBC Counts Among Postmenopausal Women in the WHI Study Lower WBC countsHigher WBC counts Alcohol consumption Aspirin use...

American Family Physician : Tip

https://www.aafp.org/afp/2008/0901/p641.html

Which Diuretic Should Be Used for the Treatment of Hypertension? - Editorials - ...

Aug 15, 2008 - ...Be Used for the Treatment of Hypertension? MOHAMMAD G. SAKLAYEN, MD, Boonshoft School of Medicine at Wright State University, Dayton, Ohio Am Fam Physician. 2008 Aug 15;78(4):444-446. Thiazide diuretics are underused in the treatment of hypertension, despite their proven...

American Family Physician : Editorials

https://www.aafp.org/afp/2008/0815/p444.html

Progressive Skin Fibrosis - Photo Quiz - American Family Physician

Aug 15, 2008 - 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/2008/0815/p505.html

The Unexpected When Expecting - Close-ups - American Family Physician

Aug 15, 2008 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2008/0815/p456.html

AAFP News - Aug 15, 2008 - American Family Physician

Aug 15, 2008 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2008/0815/p437.html

Choosing a Skeletal Muscle Relaxant - American Family Physician

Aug 1, 2008 - Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or nonsteroidal ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p365.html

Radiologic Evaluation of Hematuria: Guidelines from the American College of Radiology's...

Aug 1, 2008 - Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p347.html

Eight Steps to a Chart Audit for Quality -- FPM

Aug 1, 2008 - A simple chart review can help your group answer the question on everyone's mind: How are we doing?

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0700/pa3.html

AHA Releases Guidelines for Hypertension Management in Adults with or at Risk of CAD - ...

Jul 15, 2008 - The American Heart Association (AHA) Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention have released guidelines on the management of hypertension in adults with or at risk of coronary artery disease (CAD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0715/p270.html

Geriatric Screening and Preventive Care - American Family Physician

Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p206.html

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