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

...associated with high rates of depression include stroke (30 to 60 percent), coronary heart disease (8 to 44 per- cent), cancer (1 to 40 percent), Parkinson’s disease (40 percent), Alzheimer’s disease (20 to 40 percent), and dementia (17 to 31 percent).4 MINOR DEPRESSION Minor...

American Family Physician

https://www.aafp.org/afp/2004/0515/afp20040515p2375.pdf

Depressive Disorders - Clinical Evidence Handbook - American Family Physician

Jun 1, 2006 - What are the effects of treatments in mild to moderate or severe depression? Which interventions reduce relapse rates? What are the effects of interventions to improve delivery of treatments?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0601/p1999.html

Dermal Electrosurgical Shave Escision -- American Family Physician

...to the skin surface, which is then brought across the base of the lesion with long, unidirectional strokes. Electrosurgical feathering (smoothing of the edges using fine brush strokes with the electrode) can then be per- formed to eliminate sharp wound edges and contour the wound...

American Family Physician

https://www.aafp.org/afp/2002/0501/afp20020501p1883.pdf

Dermal Electrosurgical Shave Excision - American Family Physician

May 1, 2002 - The dermal electrosurgical shave excision is a fast and inexpensive method of removing epidermal and dermal lesions. The procedure is ideally suited for pedunculated lesions raised above the level of the surrounding skin. It consists of repetitive, unidirectional, horizontal slicing of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0501/p1883.html

Detrimental Effect of Tight Glucose Control on CV Mortality Persists Over Nine Years - ...

Mar 15, 2017 - The initial Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, which compared standard treatment with intensive control, found that despite good intentions, cardiovascular (CV) and overall mortality are significantly higher when blood glucose levels are lower.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/od2.html

Diabetes and Heart Disease - American Family Physician

Oct 15, 2003 - ...If you have diabetes, you have a high risk for having a heart attack or a stroke. You are more likely to get heart disease—and at an younger age—than someone without diabetes. There are things you can do to reduce your risk for heart disease. Learning about the ABCs of diabetes can...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1015/p1577.html

Diabetes Mellitus: Diagnosis and Screening - American Family Physician

Apr 1, 2010 - Based on etiology, diabetes is classified as type 1 diabetes mellitus, type 2 diabetes mellitus, latent autoimmune diabetes, maturity-onset diabetes of youth, and miscellaneous causes. The diagnosis is based on measurement of A1C level, fasting or random blood glucose level, or oral ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p863.html

Diabetes: How Do I Know if I Have it? - American Family Physician

Nov 1, 2000 - ...a hormone called insulin, or if your body doesn't use insulin the right way. If left untreated, it may result in blindness, heart attacks, strokes, kidney failure and amputations. Only half of the people who have diabetes are diagnosed because in the early stages of diabetes, there...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2000/1101/p2137.html

Diabetes: Treating Hypertension

...in persons with diabetes is asso- ciated with high rates of cardiovascular disease (such as myocardial infarction, heart failure, and stroke) and microvascular disease (such as renal disease [including albuminuria, renal insufficiency, and end-stage renal disease] and diabetic...

American Family Physician

https://www.aafp.org/afp/2013/0415/afp20130415p574.pdf

Diabetes: Treating Hypertension - Clinical Evidence Handbook - American Family Physician

Apr 15, 2013 - What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0415/p574.html

Diabetes: What You Need to Know - American Family Physician

Aug 1, 1999 - ...sugar levels can damage your eyes, blood vessels, nerves and kidneys. Damage to your blood vessels increases your risk of heart attack and stroke. Besides the long-term health risks of high blood sugar levels, diabetes can also cause episodes of hypoglycemia (low blood sugar),...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/0801/p647.html

Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician

Mar 1, 2013 - Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p337.html

Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention - American Family Physician

Jun 15, 2019 - Globally, approximately 20% of the 400 million individuals with diabetes mellitus have diabetic kidney disease (DKD). DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p751.html

Diabetic Nephropathy - Clinical Evidence Handbook - American Family Physician

Dec 1, 2005 - What are the effects of treatments in persons with type 1 diabetes and early or late nephropathy? What are the effects of treatments in persons with type 2 diabetes and early or late nephropathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/1201/p2299.html

Diabetic Nephropathy--The Family Physician's Role - American Family Physician

May 1, 2012 - Nearly one-half of persons with chronic kidney disease have diabetes mellitus. Diabetes accounted for 44 percent of new cases of kidney failure in 2008. Diabetic nephropathy, also called diabetic kidney disease, is associated with significant macrovascular risk, and is the leading cause...

American Family Physician : Article

https://www.aafp.org/afp/2012/0501/p883.html

Diabetic Nephropathy-The Family Physician’s Role

...with type 1 or 2 diabetes and macroalbuminuria because of a higher risk of decline in GFR, and increased risk of myocardial infarction, stroke, and all-cause mortality (number needed to harm = 11). B 36 ACE = angiotensin-converting enzyme; GFR = glomerular filtration rate....

American Family Physician

https://www.aafp.org/afp/2012/0501/afp20120501p883.pdf

Diagnosing Acute Monoarthritis in Adults

...*-Indicates angina pectoris, myocardial infarction, heart failure, cerebrovascular accident, transient ischemic attack, or peripheral vascular disease. Adapted with permission from Kienhorst LB, Janssens HJ, Fransen J, Janssen M; British Society for Rheumatology. The validation of a...

American Family Physician

https://www.aafp.org/afp/2016/1115/afp20161115p810.pdf

Diagnosing Acute Monoarthritis in Adults: A Practical Approach for the Family Physician...

Jul 1, 2003 - Acute monoarthritis can be the initial manifestation of many joint disorders. The first step in diagnosis is to verify that the source of pain is the joint, not the surrounding soft tissues. The most common causes of monoarthritis are crystals (i.e., gout and pseudogout), trauma, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p83.html

Diagnosing Acute Monoarthritis in Adults: A Practical Approach for the Family Physician...

...effusion may not be readily visible. In the knee joint, the bulge sign can signal a small effusion. The medial or lateral com- partment is stroked, and the fluid moves through the suprapatellar area into the oppo- site compartment, resulting in a visible bulge. To detect effusion in...

American Family Physician

https://www.aafp.org/afp/2003/0701/afp20030701p83.pdf

Diagnosis and Evaluation of Heart Failure

...nervous and renin- angiotensin-aldosterone systems increases blood pressure (for tissue perfusion) and blood volume (enhancing preload, stroke volume, and cardiac output by the Frank- Starling mechanism). These compensatory mechanisms can also lead to further myocar- dial...

American Family Physician

https://www.aafp.org/afp/2012/0615/afp20120615p1161.pdf

Diagnosis and Evaluation of Heart Failure - American Family Physician

Jun 15, 2012 - Heart failure is a common clinical syndrome characterized by dyspnea, fatigue, and signs of volume overload, which may include peripheral edema and pulmonary rales. Heart failure has high morbidity and mortality rates, especially in older persons. Many conditions, such as coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0615/p1161.html

Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Adults - ...

May 1, 2012 - Attention-deficit/hyperactivity disorder in childhood can persist into adulthood in at least 30 percent of patients, with 3 to 4 percent of adults meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., diagnostic criteria. A number of conditions, such as thyroid ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0501/p890.html

Diagnosis and Management of Chronic Heart Failure in Adults - Practice Guidelines - ...

Mar 1, 2007 - Changes in the diagnosis and management of chronic heart failure in adults are reflected in updated guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0301/p742.html

Diagnosis and Management of Crohn's Disease - American Family Physician

Dec 15, 2011 - Crohn’s disease is a chronic inflammatory condition affecting the gastrointestinal tract at any point from the mouth to the rectum. Patients may experience diarrhea, abdominal pain, fever, weight loss, abdominal masses, and anemia. Extraintestinal manifestations of Crohn’s disease ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1365.html

Diagnosis and Management of Diastolic Dysfunction and Heart Failure - American Family ...

Mar 1, 2006 - Diastolic heart failure occurs when signs and symptoms of heart failure are present but left ventricular systolic function is preserved (i.e., ejection fraction greater than 45 percent). The incidence of diastolic heart failure increases with age; therefore, 50 percent of older patients...

American Family Physician : Article

https://www.aafp.org/afp/2006/0301/p841.html

Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults -...

May 1, 2015 - Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient’s quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p617.html

Diagnosis and Management of IBS in Adults

...Serious adverse events including myocardial infarction, unstable angina, and stroke Available only for emergency use through the U.S. Food and Drug Administration34 5-HT = 5-hydroxytryptamine; IBS = irritable bowel syndrome; NNT = number needed to treat; SSRI = selective...

American Family Physician

https://www.aafp.org/afp/2012/0901/afp20120901p419.pdf

Diagnosis and Management of IBS in Adults - American Family Physician

Sep 1, 2012 - Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p419.html

Diagnosis and Management of Osteoporosis

August 15, 2015 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0815/afp20150815p261.pdf

Diagnosis and Management of Osteoporosis - American Family Physician

Aug 15, 2015 - Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0815/p261.html

Diagnosis and Treatment of Antiphospholipid Syndrome - Practice Guidelines - American ...

Jul 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines for the diagnosis and treatment of antiphospholipid syndrome.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p184.html

Diagnosis and Treatment of Atrial Fibrillation

September 15, 2016

American Family Physician

https://www.aafp.org/afp/2016/0915/afp20160915p442.pdf

Diagnosis and Treatment of Atrial Fibrillation - American Family Physician

Sep 15, 2016 - Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. It is the most common arrhythmia and a major source of morbidity and mortality; its prevalence increases with age. Pulse rate is sensitive, but not specific, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0915/p442.html

Diagnosis and Treatment of Hypothermia - American Family Physician

Dec 15, 2004 - Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems. The clinical presentation of hypothermia includes a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2325.html

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults

September 1, 2016

American Family Physician

https://www.aafp.org/afp/2016/0901/afp20160901p355.pdf

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults - American Family Physician

Sep 1, 2016 - Obstructive sleep apnea is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. This results in fragmented, nonrestful sleep that can lead to symptoms such as morning headache and daytime sleepiness. Obstructive sleep apnea ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0901/p355.html

Diagnosis and Treatment of Osteoporosis - American Family Physician

Feb 1, 2009 - Osteoporosis affects approximately 8 million women and 2 million men in the United States. The associated fractures are a common and preventable cause of morbidity and mortality in up to 50 percent of older women. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p193.html

Diagnosis and Treatment of Peripheral Arterial Disease

...aspirin nor clopidogrel improves claudication symptoms, antiplatelet therapy is recom- mended to reduce the risk of myocardial infarction, stroke, or vascular death in patients with symptomatic PAD. Aspirin (75 to 325 mg daily) and clopidogrel (75 mg daily) are considered safe and...

American Family Physician

https://www.aafp.org/afp/2013/0901/afp20130901p306.pdf

Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician

Sep 1, 2013 - Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0901/p306.html

Diagnosis and Treatment of Premenstrual Dysphoric Disorder -- American Family Physician

...Department of Veterans Affairs, Nebraska-Western Iowa Health Care System, 4101 Woolworth Ave., Omaha, NE 68105 (e-mail: subhash.bha- tia@med.va.gov). Reprints are not available from the authors. first-line treatment of choice for severe PMDD (Table 4).8-14,27-37 Fluoxetine, in a...

American Family Physician

https://www.aafp.org/afp/2002/1001/afp20021001p1239.pdf

Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician

Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1725.html

Diagnosis and Treatment of Sick Sinus Syndrome -- American Family Physician

...of conditions such as congestive heart failure, angina pec- toris, and cerebral vascular accident.8 Periph- eral thromboembolism and stroke, which can occur in the presence of bradycardia- tachycardia syndrome (alternating brady- arrhythmias and tachyarrhythmias), may be related to...

American Family Physician

https://www.aafp.org/afp/2003/0415/afp20030415p1725.pdf

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 Coding for Value-Based Payment: A Quick Reference Tool

...Ischemic stroke Varies 100 0.265 ICD-10 - HCC CODING REFERENCE 3 of 3 Cardiac disease Angina I20.9 88 0.140 Coronary artery disease with angina I25.119 88 0.140 Unstable angina I20.0 87 0.218 Acute myocardial infarction I21.3 86 0.233 Pulmonary hypertension I27.2...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p26.pdf

Diagnosis Coding for Value-Based Payment: A Quick Reference Tool -- FPM

Apr 1, 2018 - Use this cheat sheet to identify diagnosis codes that are weighted for risk adjustment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p26.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

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