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Diagnosis and Treatment of the Acute Scrotum - American Family Physician

Feb 15, 1999 - Testicular torsion must be considered in any patient who complains of acute scrotal pain and swelling. Torsion of the testis is a surgical emergency because the likelihood of testicular salvage decreases as the duration of torsion increases. Conditions that may mimic testicular torsion,...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p817.html

Diagnosis of Acute Stroke

April 15, 2015 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0415/afp20150415p528.pdf

Diagnosis of Acute Stroke - American Family Physician

Apr 15, 2015 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0415/p528.html

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

...Paralytic stroke Pregnancy/postpartum Previous venous thromboembolism Thrombophilia Weak risk factors (odds ratio < 2) Bed rest longer than three days Immobility due to sitting (e.g., car or air travel longer than eight hours) Increasing age Laparoscopic...

American Family Physician

https://www.aafp.org/afp/2012/1115/afp20121115p913.pdf

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p913.html

Diagnosis of Eating Disorders in Primary Care - American Family Physician

Jan 15, 2003 - Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women. Eating disorders are associated with devastating medical and psychologic consequences, including death, osteoporosis, growth ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p297.html

Diagnosis of Eating Disorders in Primary Care -- American Family Physician

...patients who undergo refeeding. In addition to bradycardia, cardiac findings may include acrocyanosis and decrease in overall heart size and stroke volume. Cardiomegaly can indicate ipecac use. Electrocardiogram findings may include bradycardia, prolonged QT interval, and...

American Family Physician

https://www.aafp.org/afp/2003/0115/afp20030115p297.pdf

Diagnosis of Urinary Incontinence

...Loss of neurologic control caused by stroke, dementia, spinal cord injury, Parkinson disease Mixed 20 to 30 percent of patients with chronic incontinence Combination of stress and urge incontinence Involuntary leakage associated with symptoms of urgency; loss of urine with...

American Family Physician

https://www.aafp.org/afp/2013/0415/afp20130415p543.pdf

Diagnosis of Urinary Incontinence - American Family Physician

Apr 15, 2013 - Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician’s office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0415/p543.html

Diagnosis, Initial Management, and Prevention of Meningitis

...count of less than 1,000 per µL (1.00 × 109 per L).7 The mortality rate in children with bacterial meningitis is 3 percent; the incidence of stroke in children with bacterial meningitis is 3 percent.34 Prevention Conjugate vaccines for H. influenzae type B and S. pneu- moniae...

American Family Physician

https://www.aafp.org/afp/2010/1215/afp20101215p1491.pdf

Diagnosis, Initial Management, and Prevention of Meningitis - American Family Physician

Dec 15, 2010 - Although the annual incidence of bacterial meningitis in the United States is declining, it remains a medical emer- gency with a potential for high morbidity and mortality. Clinical signs and symptoms are unreliable in distinguishing bacterial meningitis from the more common forms of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1491.html

Diagnostic Approach to the Confused Elderly Patient - American Family Physician

Mar 15, 1998 - Confusion in the elderly patient is usually a symptom of delirium or dementia, but it may also occur in major depression and psychoses. Until another cause is identified, the confused patient should be assumed to have delirium, which is often reversible with treatment of the underlying ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1358.html

Diagnostic Evaluation of Erectile Dysfunction - American Family Physician

Jan 1, 2000 - Erectile dysfunction, the persistent inability to attain or maintain penile erection sufficient for sexual intercourse, affects millions of men to various degrees. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p95.html

Diagnostic Evaluation of Urinary Incontinence in Geriatric Patients - American Family ...

Jun 1, 1998 - In most cases, the evaluation of urinary incontinence requires only a history, a physical examination, urinalysis and measurement of postvoid residual urine volume. The initial purposes of the evaluation are to identify conditions requiring referral or specialized work-up and to detect ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2675.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Diagnostic Tool for Gout Without Need for Joint Fluid Aspiration - Letters to the ...

Feb 15, 2016 - ...following conditions: angina pectoris, cerebrovascular accident, heart failure, myocardial infarction, peripheral vascular disease, transient ischemic attack 1.5 Serum uric acid level > 5.88 mg per dL (350 μmol per L) 3.5 Total ____ (out of 13 possible points) note:...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0215/p256.html

Diary from a Week in Practice - Apr 1, 2001 - American Family Physician

Apr 1, 2001 - ...why she needed further testing and that she was having transient ischemic attacks and likely a stroke. The depth of denial in this patient was such that ASW had to go into great detail about the possible outcomes of untreated strokes to get her to agree to a computer tomographic...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0401/p1323.html

Diary from a Week in Practice - Apr 1, 2002 - American Family Physician

Apr 1, 2002 - ...with his head on his hands. Pulse and respiration were intact, but the man was unresponsive to questioning and looked puzzled. Fearing a stroke or transient is chemic attack with expressive aphasia, JOH requested that an ambulance be called. By the time the paramedics arrived, the...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0401/p1313.html

Diary from a Week in Practice - Apr 15, 2003 - American Family Physician

Apr 15, 2003 - ...10 days earlier with dehydration secondary to gastroenteritis. The patient had been bedridden for several years because of multiple strokes, and although her speech was slurred, any one of her daughters could understand her easily. These remarkable women were devoted to their mother...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0415/p1709.html

Diary from a Week in Practice - Aug 15, 2004 - American Family Physician

Aug 15, 2004 - ...them. It always was a pleasure to visit this particular patient during nursing home rounds. Despite a tremendous amount of disability from a stroke that had left him wheelchair-bound for more than 10 years, he managed to retain a positive attitude and sense of humor. Even when he...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0815/p683.html

Diary from a Week in Practice - Aug 15, 2005 - American Family Physician

Aug 15, 2005 - ...at least I understood why it was so high. I thought back to the day he arrived at the emergency department after having suffered an acute stroke, with paralysis on the right side. He did not seem to comprehend what had happened, and his first words after receiving the diagnosis...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0815/p616.html

Diary from a Week in Practice - Dec 15, 2003 - American Family Physician

Dec 15, 2003 - ...study showed that the combination of estrogen and progesterone slightly increased, rather than decreased, the risk of heart attacks and strokes. The numbers are small, but authorities now agree that the risks outweigh the benefits, and most women have discontinued taking hormones....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1215/p2375.html

Diary from a Week in Practice - Dec 15, 2004 - American Family Physician

Dec 15, 2004 - ...She was bedridden because of a stroke, bad heart disease, and dementia. Despite all of her disability, she enjoyed life at home with her daughter. KS ran through a quick differential diagnosis. The most obvious etiologies were a transient ischemic attack, a seizure, or a vasovagal...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1215/p2296.html

Diary from a Week in Practice - Dec 15, 2005 - American Family Physician

Dec 15, 2005 - ...comes in. I agree that she was lucky, because Ellen has many medical problems including diabetes, hypertension, and heart disease. She had a stroke three years ago, and although she can move slowly using her walker, she spends much of her day in a wheelchair. I can only imagine how...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1215/p2467.html

Diary From a Week in Practice - Diary from a Week in Practice - American Family Physician

Dec 15, 2002 - ...convinced that the paralysis was a conversion reaction, but he did not want to miss the more remote possibility of head injury, or even a stroke. When he went back to examine the patient, he found her complaining loudly that she had to go to the bathroom. The nurse was getting ready...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/1215/p2227.html

Diary from a Week in Practice - Jan 1, 2004 - American Family Physician

Jan 1, 2004 - ...Am I too young to have a stroke? Bridget wanted to know. The 43-year-old woman sounded frantic over the telephone. She had woken this morning unable to move the left side of her face, and she was frightened by her appearance reflected in the bathroom mirror. Get to the emergency...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0101/p66.html

Diary from a Week in Practice - Jan 15, 2005 - American Family Physician

Jan 15, 2005 - ...I pay a call on Helen in the nursing wing of a retirement community. Helen’s husband died of a stroke two years ago. Now, because of advancing parkinsonism, she requires round-the-clock nursing care from a staff that is refreshingly capable and affectionate. Helen’s daughter happens...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0115/p276.html

Diary from a Week in Practice - Jul 01, 1998 - American Family Physician

Jul 1, 1998 - ...relationship from doctor-to-patient into doctor-to-friend. JRH has taken care of one such couple for years and has supported them through a stroke, an ulcer, removal of a meningioma and removal of a cataract. More recently, the husband and wife have each developed diabetes, and this...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1998/0701/p85.html

Diary from a Week in Practice - Jun 1, 1998 - American Family Physician

Jun 1, 1998 - ...know that you may be able to improve functional outcomes in patients with hemiplegic stroke by prescribing fluoxetine and physical therapy? One study from Italy published in the May 1996 issue of Stroke (p. 1211) showed that the fluoxetine/physical therapy approach was superior to...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1998/0601/p2669.html

Diary from a Week in Practice - Jun 1, 2003 - American Family Physician

Jun 1, 2003 - ...Next: Does Long-Term Anticoagulation Improve Function After Stroke? View the full table of contents >> Home / Journals / afp / Vol. 67/No. 11(June 1, 2003) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0601/p2312.html

Diary from a Week in Practice - Jun 15, 2004 - American Family Physician

Jun 15, 2004 - ...and his wife. Actually, he rarely was ill and was lucky enough never to have spent the night in the hospital. He had experienced a transient ischemic attack several months earlier, but he had fully recuperated. He enjoyed a full, active life. Aside from his age and well-controlled...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0615/p2814.html

Diary from a Week in Practice - Mar 1, 2002 - American Family Physician

Mar 1, 2002 - ...never considered or would have believed that this healthy teenager had just suffered a stroke on the football field. Yet his evaluation confirmed a right-sided, middle-cerebral artery hemorrhagic stroke secondary to a right carotid-artery dissection. Thanks to RB's grit,...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0301/p833.html

Diary from a Week in Practice - May 1, 1999 - American Family Physician

May 1, 1999 - ...Next: Stroke: Part I. A Clinical Update on Prevention View the full table of contents >> Home / Journals / afp / Vol. 59/No. 9(May 1, 1999) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/0501/p2469.html

Diary from a Week in Practice - May 15, 2001 - American Family Physician

May 15, 2001 - ...tells us that the use of a diuretic reduces the risk of stroke in patients with high blood pressure (Arch Intern Med 2001;161:37–43). According to this study, thiazide diuretics were associated with a lower risk of ischemic stroke, which makes them the best choice as first-line...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0515/p1953.html

Diary from a Week in Practice - May 15, 2002 - American Family Physician

May 15, 2002 - ...the first time. She delivered twice in the 1950s. She remained a patient until her death, three weeks after she experienced a hemispheric stroke. Over the course of 52 years, the natural history of multiple disorders was documented in her records: generalized anxiety disorder,...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0515/p2031.html

Diary from a Week in Practice - Nov 1, 2003 - American Family Physician

Nov 1, 2003 - ...the pieces. When Mrs. Christie was found on the floor of her bedroom, unable to get up, her daughter feared the elderly woman had suffered a stroke. Mrs. Christie was evaluated in the emergency department, and by the time all her test results had come back as normal, she felt...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1101/p1763.html

Diary from a Week in Practice - Nov 1, 2005 - American Family Physician

Nov 1, 2005 - ...become dependent on a drug for the rest of my life, she told me after the hypertension was initially diagnosed, but I don’t want to have a stroke or heart attack either. This morning, I noticed the unmistakable scent of garlic in the room. Eleanor admitted she had been eating two or...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1101/p1696.html

Diary from a Week in Practice - Oct 1, 2003 - American Family Physician

Oct 1, 2003 - ...Next: Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic Stroke? View the full table of contents >> Home / Journals / afp / Vol. 68/No. 7(October 1, 2003) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1001/p1303.html

Diary from a Week in Practice - Oct 1, 2004 - American Family Physician

Oct 1, 2004 - ...one of his gloves. It certainly had the appearance of a living creature, but was too big to be a body louse. It appeared to be a black ant. Stroking his beard slowly and nodding his head, JOH praised Willie on his perceptive acumen, examined his deeply scratched arms and torso with...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1001/p1262.html

Diary from a Week in Practice - Oct 15, 2004 - American Family Physician

Oct 15, 2004 - ...explained. KS and second-year resident AH were visiting a patient at home. Two years earlier, this 78-year-old woman had had a terrible stroke, which left her bedridden with a feeding tube. Although awake at times, she was aphasic and incommunicative, at least to the physicians. Her...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1015/p1474.html

Diary from a Week in Practice - Oct 15, 2005 - American Family Physician

Oct 15, 2005 - ...has been in and out of mental health facilities most of her adult life. About three years ago, she suffered a stroke that resulted in complete left-sided hemiplegia. The stroke also caused a severe expressive aphasia, which left her able to say only two words. Luckily, she is in...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1015/p1484.html

Diary from a Week in Practice - Sep 1, 2005 - American Family Physician

Sep 1, 2005 - ...she lasted so long or that she finally succumbed to death. She had cheated death many times before—a large myocardial infarction, a bad stroke, and severe congestive heart failure. Ursula didn’t take care of herself. She shouted, cursed, and was generally nasty to everyone. We...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0901/p798.html

Diary from a Week in Practice - Sep 15, 2001 - American Family Physician

Sep 15, 2001 - ...a note from the incredibly supportive spouse of one of his patients. She is an 80-year-old woman named Angie who has suffered numerous strokes and is now residing in a long-term care facility, with a feeding gastrosto-my tube in place and a nearly complete expressive aphasia. JTL is...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0915/p972.html

Diary from a Week in Practice - Sep 15, 2004 - American Family Physician

Sep 15, 2004 - ...point, she already inhabited a distant world of incoherent mumbles and odd gestures. Of late, Carmela had spiraled downhill—a seizure, a stroke, a pulmonary embolism. Now she’d stopped eating and drinking altogether. When we admitted her, she was in renal failure. Rehydrating her...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0915/p1058.html

Diastolic Heart Failure: The Challenges of Diagnosis and Treatment - American Family ...

Jun 1, 2004 - Diastolic heart failure, a major cause of morbidity and mortality, is defined as symptoms of heart failure in a patient with preserved left ventricular function. It is characterized by a stiff left ventricle with decreased compliance and impaired relaxation, which leads to increased end...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2609.html

Diet and Physical Activity for Cardiovascular Disease Prevention

June 1, 2016 Scientific

American Family Physician

https://www.aafp.org/afp/2016/0601/afp20160601p919.pdf

Diet and Physical Activity for Cardiovascular Disease Prevention - American Family ...

Jun 1, 2016 - Cardiovascular disease (CVD) is the leading cause of death in the United States. One-third of these deaths may be preventable through healthy lifestyle choices including diet and physical activity. The Mediterranean diet is associated with reduced cardiovascular mortality, whereas the ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0601/p919.html

Dietary Fat Modification and the Risk of Cardiovascular Events and Mortality

...total and cardiovascular-related mortality, as well as combined cardiovascular events, such as nonfatal myocardial infarction, angina, stroke, heart failure, atrial fibrillation, peripheral vascular disease, and coronary bypass surgery or angioplasty. In this review, the authors...

American Family Physician

https://www.aafp.org/afp/2013/0501/afp20130501p609.pdf

Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0501/p609.html

Dietary Therapy for Preventing and Treating Coronary Artery Disease - American Family ...

Mar 15, 1998 - Nearly one half of Americans die of cardiovascular disease. The morbidity and mortality associated with coronary artery disease is strongly related to abnormal lipid levels, oxidation of lipids and intra-arterial clot formation. Nutrition powerfully influences each of these factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1299.html

Diets for Cardiovascular Disease Prevention: What Is the Evidence? - American Family ...

Apr 1, 2009 - Patients often initiate commercial dietary plans to reduce obesity and prevent cardiovascular disease. Such plans include very low-carbohydrate, low-carbohydrate, very low-fat, and Mediterranean diets. Published evidence on several popular diets has made it easier for physicians to ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p571.html

Differences Between the AAFP Atrial Fibrillation Guideline and the AHA/ACC/HRS ...

Sep 1, 2017 - The AAFP updated its guideline on pharmacologic management of newly detected atrial fibrillation, which differs in part from the AHA/ACC/HRS guideline. It specifically highlights two questions commonly faced by family physicians, and is based on updated data from the Agency for ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0901/p284.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1125.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

...Do you have a history of stroke, diabetes, or heart disease? What medicines are you currently taking? Have you received any intravenous antibiotics, diuretics, salicylates, or chemotherapy? better than bone conduction. Therefore, sound is still heard when the tuning fork is...

American Family Physician

https://www.aafp.org/afp/2003/0915/afp20030915p1125.pdf

Differential Diagnosis of Polyarticular Arthritis

...sicca symptoms of dry eyes and dry mouth, eye inflammation, bowel inflammation, neurologic symptoms, and ischemic symptoms (including stroke). These signs are integral in correctly diagnosing systemic inflammatory arthropathy. OTHER CAUSES OF JOINT PAIN Neurologic causes of...

American Family Physician

https://www.aafp.org/afp/2015/0701/afp20150701p35.pdf

Differential Diagnosis of Polyarticular Arthritis - American Family Physician

Jul 1, 2015 - Polyarticular arthritis is commonly encountered in clinical settings and has multiple etiologies. The first step is to distinguish between true articular pain and nonarticular or periarticular conditions by recognizing clinical patterns through the history and physical examination. Once...

American Family Physician : Article

https://www.aafp.org/afp/2015/0701/p35.html

Differential Diagnosis of Tremor - FPIN's Clinical Inquiries - American Family Physician

May 1, 2008 - The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0501/p1305.html

Differentiation and Diagnosis of Tremor

...as a disabling, low- frequency, slow intention or postural tremor, and is typi- cally caused by multiple sclerosis with cerebellar plaques, stroke, or brainstem tumors. Other neurologic signs include dysmetria (overshoot on finger-to-nose test- ing), dyssynergia (abnormal...

American Family Physician

https://www.aafp.org/afp/2011/0315/afp20110315p697.pdf

Differentiation and Diagnosis of Tremor - American Family Physician

Mar 15, 2011 - Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p697.html

Digital Media Use Associated with ADHD Symptom Development Among Adolescents - POEMs - ...

Feb 1, 2019 - High school students who reported a high frequency (many times per day) of digital media use (e.g., social networking, streaming movies or music, texting) were significantly more likely to self-report symptoms of ADHD over two years of follow-up (10% higher symptom reporting rate).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p189.html

Dipstick Urinalysis for the Diagnosis of Acute UTI - FPIN's Clinical Inquiries - ...

May 15, 2013 - Approximately two-thirds of women who present with classic symptoms of acute UTI have bacterial infection of the bladder. Dipstick urinalysis moderately improves the accuracy of clinical symptoms in establishing or excluding acute UTI in women.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0515/od2.html

Direct Oral Anticoagulants Preferred Over Warfarin for Nonvalvular Atrial Fibrillation ...

Dec 1, 2018 - The balance of benefits and harms favors direct oral anticoagulants over warfarin (Coumadin) for patients with nonvalvular atrial fibrillation who require anticoagulation and are already taking low-dose aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683.html

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...

Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p422.html

Discussing Treatment Options with Patients - Curbside Consultation - American Family ...

Mar 1, 2010 - Sometimes it may seem easier to inject a subacromial bursa or aspirate a knee joint than to engage in shared decision making with your patients about the use of aspirin for coronary artery disease prevention or a PSA test for prostate cancer screening. The path that led to the disparate...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0301/p645.html

Distal Upper Extremity Edema and Discoloration - Photo Quiz - American Family Physician

Mar 15, 2007 - 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/2007/0315/p889.html

Dizziness: A Diagnostic Approach

...are many underlying conditions that may cause a sense of imbalance. Stroke is an important and life- threatening cause of dizziness that needs to be ruled out when the dizziness is associated with other symptoms of stroke. However, other neurologic findings are generally present. In...

American Family Physician

https://www.aafp.org/afp/2010/0815/afp20100815p361.pdf

Dizziness: A Diagnostic Approach - American Family Physician

Aug 15, 2010 - Dizziness accounts for an estimated 5 percent of primary care clinic visits. The patient history can generally classify dizziness into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. The main causes of vertigo are benign paroxysmal positional vertigo, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p361.html

Dizziness: Approach to Evaluation and Management

February 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/0201/afp20170201p154.pdf

Dizziness: Approach to Evaluation and Management - American Family Physician

Feb 1, 2017 - Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient’s history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p154.html

Do ACE Inhibitors Decrease Mortality in Patients with Hypertension? - FPIN's Clinical ...

Jul 1, 2004 - When used to treat patients with hypertension, ACE inhibitors reduce cardiovascular and all-cause mortality as effectively as diuretics, beta blockers, and calcium channel blockers.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0701/p153.html

Do I Have Diabetes? - American Family Physician

Oct 15, 1998 - ...Diabetes mellitus is a serious, chronic condition of high blood sugar. If left untreated, it may result in blindness, heart attacks, strokes, kidney failure and amputations. Diabetes is the fourth leading cause of death in the United States. More than 178,000 people die each year...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1998/1015/p1369.html

Do I Have to Resuscitate This Patient Against Her Wishes? - Curbside Consultation - ...

May 1, 2003 - In this case scenario, the family physician successfully performed a task that often is forgotten during physician-patient visits—the physician frequently discussed with this patient her wishes for end-of-life care. The conversations specifically included her thoughts about respirators,...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0501/p2025.html

Does Long-Term Anticoagulation Improve Function After Stroke? - Cochrane for Clinicians...

Jun 1, 2003 - There is no evidence that anticoagulation with either heparin or warfarin improves these outcomes. There is clear evidence of increased hemorrhagic complications (both fatal and nonfatal) in patients who receive anticoagulation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0601/p2317.html

Does Niacin Have Cardiovascular Benefits in Patients with Dyslipidemia? - Letters to ...

Dec 1, 2018 - ...To the Editor: In this Cochrane for Clinicians the authors concluded that niacin does not reduce myocardial infarction (MI), strokes, or overall mortality when used for primary or secondary prevention, either alone or in addition to statins. In 2016, the U.S. Food and Drug...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1201/p631.html

Does Pioglitazone Benefit Patients With Type 2 Diabetes? - Cochrane for Clinicians - ...

Oct 1, 2007 - Pioglitazone produces a reduction in A1C levels similar to that produced by other drugs. One trial found that although pioglitazone, used as an adjunct to other antihyperglycemic medications, may lead to a statistically significant reduction in morbidity and mortality in patients with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1001/p969.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk?

...in blood pressure and cir- culating lipid levels.1,2 To determine whether these changes lead to fewer acute myocardial infarctions (MIs) and strokes, we prespeci- fied cardiovascular outcomes as secondary end points in a randomized controlled trial (RCT) of calcium supplementation...

American Family Physician

https://www.aafp.org/afp/2013/0201/afp20130201od1.pdf

Does Widespread Calcium Supplementation Pose Cardiovascular Risk?

...a statistically significant increase in myocardial infarction (MI), compared with those treated with placebo. The composite end point of MI, stroke or cerebrovascular accident, or sudden death was higher in the calcium group, but statistical significance was not demonstrated when...

American Family Physician

https://www.aafp.org/afp/2013/0201/afp20130201od2.pdf

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? No: Concerns Are ...

Feb 1, 2013 - When patients are randomized and cardiovascular events are carefully adjudicated, there is no compelling evidence that calcium supplementation increases the rate of major cardiovascular events.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od2.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? Yes: The Potential ...

Feb 1, 2013 - The bolus administration of this micronutrient should be abandoned in most circumstances, and patients should be encouraged to obtain their calcium intake from an appropriately balanced diet.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od1.html

DOT Examinations: Practical Aspects and Regulatory Review - American Family Physician

Aug 1, 1998 - Most certification examinations of commercial drivers are simple, and relatively few drivers are disqualified. If these examinations are not done properly, however, the public can be exposed to potentially unqualified drivers. Should an accident occur, the physician who examined the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p415.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Drug Dosing in Older Patients with Chronic Kidney Disease - Letters to the Editor - ...

Dec 15, 2007 - ...Next: Enoxaparin Preferred Following Acute Ischemic Stroke View the full table of contents >> Home / Journals / afp / Vol. 76/No. 12(December 15, 2007) / Drug Dosing in Older Patients with Chronic Kidney Disease...

American Family Physician : Letter

https://www.aafp.org/afp/2007/1215/p1766.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

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

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation ...

Sep 15, 2019 - Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0915/p378.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Dyslipidemia Management for Cardiovascular Disease Prevention: Guidelines from the ... Restricted content. Login required.

Apr 15, 2021 - The U.S. Department of Veterans Affairs and Department of Defense have updated recommendations for evaluation and management of dyslipidemia to prevent cardiovascular disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0415/p507.html

Dysphagia: Evaluation and Collaborative Management - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p97.html

Dyspnea in an Older Patient - Photo Quiz - American Family Physician

Aug 1, 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/2013/0801/p199.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

Early Diagnosis of Dementia - American Family Physician

...DSM-IV criteria for the diagnosis of demen- tia require the presence of multiple cognitive deficits in addition to memory impairment6 (Table 1).Early in the disease, memory impair- ment may be the only clinical finding, and this single finding would not meet the diagnostic...

American Family Physician

https://www.aafp.org/afp/2001/0215/afp20010215p703.pdf

Eating Eggs Is Not Associated with Cardiovascular Disease - POEMs - American Family ... Restricted content. Login required.

Jun 1, 2021 - Egg consumption is not associated with the occurrence of cardiovascular events over an average of 12 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0601/p695.html

EBM Toolkit

Get information about developing evidence-based articles, including an EBM glossary, AFP's rating system, and links to additional resources.

American Family Physician

https://www.aafp.org/journals/afp/authors/ebm-toolkit.html

EBMSeries_PracticeGuidelines.pdf

...of myocardial infarc- tion, but advise him that this medication will increase his risk of having a gastrointestinal bleed or hemorrhagic stroke.10 a guideline can help to estimate relative risks and ben- efits, but deciding what to do will depend on the value the patient places on...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/EBMSeries_PracticeGuidelines.pdf

ECG, Echocardiography, or MPI for Cardiac Screening: Guidance from the ACP - Practice ...

Sep 15, 2015 - In the United States, one in three deaths is from cardiovascular disease; coronary heart disease is the leading cause of death. This guideline from the American College of Physicians (ACP) provides recommendations on cardiac screening using these modalities.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0915/p531.html

Editorials: Controversies in Family Medicine - Dec 15, 2012 - American Family Physician

Dec 15, 2012 - Yes: This Should Be the Target for Most Patients

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1215/od1.html

Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...

Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0415/p529.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

Jan 15, 2001 - Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein cholesterol level can substantially reduce coronary events and death from coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p309.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

...in major coronary events, of 45 percent in coronary deaths and of 40 percent in stroke. A meta- analysis29 of 16 randomized studies showed that lipid-lowering with statins reduced the relative risk of stroke by 29 percent. The deci- sion to treat LDL elevation in the elderly is...

American Family Physician

https://www.aafp.org/afp/2001/0115/afp20010115p309.pdf

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