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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 : 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

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -... Restricted content. Login required.

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

Effectiveness of Acamprosate in the Treatment

...abuse is a major health risk world- wide, causing approximately 3 percent of deaths globally and contributing significantly to the risks of stroke, ischemic heart disease, hypertension, diabetes mellitus, and liver cancer, as well as motor vehicle collisions, drownings, and...

American Family Physician

https://www.aafp.org/afp/2011/0301/afp20110301p522.pdf

Effectiveness of Acamprosate in the Treatment

...abuse is a major health risk world- wide, causing approximately 3 percent of deaths globally and contributing significantly to the risks of stroke, ischemic heart disease, hypertension, diabetes mellitus, and liver cancer, as well as motor vehicle collisions, drownings, and...

American Family Physician

https://www.aafp.org/afp/2011/0301/afp20110301p524.pdf

Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...

Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0301/p522.html

Effectiveness of B-Complex Vitamins for Prevention of Cardiovascular Events - Cochrane ...

Apr 1, 2010 - Eight randomized clinical trials that included 24,210 patients did not show a reduction in MI, stroke, or all-cause mortality with B-complex vitamin therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p850.html

Effectiveness of Insulin Sensitizing Drugs for Polycystic Ovary Syndrome - Cochrane for...

Nov 1, 2007 - Insulin sensitizing drugs are more effective than oral contraceptives alone at improving fasting insulin levels in patients with PCOS. Compared with metformin (Glucophage) alone, oral contraceptives alone better control irregular menstrual cycles and reduce androgen levels. There is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1101/p1308.html

Effectiveness of PPAR Gamma Agonists in Preventing Recurrent Stroke and Other Vascular ... Restricted content. Login required.

Sep 1, 2020 - PPAR gamma agonists are probably effective in preventing recurrent stroke in people with previous stroke or TIA.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p271.html

Effects of Omega-3 Fatty Acids on Cardiovascular Health - Editorials - American Family ...

Jul 1, 2004 - ...fatty acid supplement experienced a nearly 15 percent reduced risk of the primary trial outcome (death, nonfatal myocardial infarction, or stroke), while vitamin E had no effect. Interestingly, the benefit occurred rapidly, within three months of randomization8 ; these findings...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0701/p34.html

Effects of Yoga in Patients with Asthma

August 1, 2017: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p159.pdf

Effects of Yoga in Patients with Asthma

August 1, 2017: Cochrane for Clinicians

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p160.pdf

Efficient Approach to the Evaluation of Syncope - Lown Right Care: Reducing Overuse and... Restricted content. Login required.

Aug 1, 2021 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2021/0900/p305.html

Efficient Identification of Adults with Depression and Dementia - American Family ...

...41. Patterson CJ, Gass DA. Screening for cognitive impairment and demen- tia in the elderly. Can J Neurol Sci 2001;28(suppl 1):S42-51. 42. Ercoli LM, Siddarth P, Dunkin JJ, Bramen J, Small GW. MMSE items predict cognitive decline in persons with genetic risk for Alzheimer’s...

American Family Physician

https://www.aafp.org/afp/2004/0915/afp20040915p1101.pdf

Electronic Cigarettes for Smoking Cessation - Cochrane for Clinicians - American Family...

Feb 1, 2016 - Electronic cigarettes with nicotine increase smoking cessation rates compared with placebo, with effectiveness similar to that of nicotine patches. In addition, more patients using electronic cigarettes with nicotine were able to halve their use of cigarettes than those using placebo ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0201/p178.html

Emergencies in the Family Medicine Office - American Family Physician

Jun 1, 2007 - ...An office emergency is when someone in the doctor's office needs emergency medical care. For example, a patient may have a stroke, or a child may be brought in with meningitis. What can I expect if I have an emergency in the office? Many medical problems can be treated in the...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2007/0601/p1686.html

Emergency Contraception: Safety and Effectiveness - Cochrane for Clinicians - American ... Restricted content. Login required.

Jun 1, 2020 - Oral mifepristone (Mifeprex), ulipristal (Ella), levonorgestrel-releasing emergency contraception (Plan B One-Step), ethinyl estradiol/levonorgestrel, and the copper intrauterine device (IUD; Paragard) are safe and effective for emergency contraception.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p651.html

End-of-Life Care: Managing Common Symptoms

March 15, 2017

American Family Physician

https://www.aafp.org/afp/2017/0315/afp20170315p356.pdf

Endometrial Cancer - American Family Physician

Jun 1, 1999 - Endometrial cancer is the fourth most common cancer in women, accounting for approximately 6,000 deaths per year in the United States. It is more common in women who are older, white, affluent obese and of low parity. Hypertension and diabetes mellitus are also predisposing factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3069.html

Endovascular Therapies Do Not Improve Outcomes in Acute Stroke - POEMs - American ...

Jul 1, 2013 - Endovascular therapies (local delivery of t-PA, extracting the thrombus, or stenting) do not improve outcomes when added to intravenous t-PA alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2013/0701/p61.html

Epididymitis and Orchitis: An Overview - American Family Physician

Apr 1, 2009 - Epididymitis and orchitis are commonly seen in the outpatient setting. Men between 14 and 35 years of age are most often affected, and Chlamydia trachomatis and Neisseria gonorrhoeae are the most common pathogens in this age group. In other age groups, coliform bacteria are the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p583.html

Epidural Corticosteroid Injections for Lumbosacral Radicular Pain - Cochrane for ... Restricted content. Login required.

Apr 1, 2021 - Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0401/p405.html

Erectile Dysfunction

November 15, 2016:

American Family Physician

https://www.aafp.org/afp/2016/1115/afp20161115p820.pdf

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p820.html

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - ...to the nerves and blood vessels in the penis. This allows the penis to fill with blood. Some medical conditions block these signals, such as strokes, spine or pelvic injuries, Parkinson disease, and multiple sclerosis. Nerve damage from diabetes or prostate surgery can also cause...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2016/1115/p820-s1.html

Erectile Dysfunction - American Family Physician

Feb 1, 2010 - ...nerves and blood vessels in the penis. This allows the penis to fill with blood. Some medical conditions may block these signals, including strokes, spinal injuries, pelvic trauma, Parkinson disease, and multiple sclerosis. Prostate or pelvic surgery, and pelvic nerve damage from...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/0201/p313.html

Erectile Dysfunction - American Family Physician

Sep 15, 1999 - ...have to be a part of getting older. It's true that as you get older, you may need more stimulation to get an erection. (You may need more stroking and touching to get an erection.) You might also need more time between erections. But the inability to get an erection isn't just a...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/0915/p1169.html

Erectile Dysfunction - American Family Physician

Jan 1, 2000 - ...Many conditions can interfere with these signals, causing erectile dysfunction. Damage to the nerves may be caused by stroke or spinal cord injury, or may occur during prostate surgery or other types of surgery. Diabetes and long-term heavy alcohol use can also damage the nerves'...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2000/0101/p109.html

Erectile Dysfunction: What You Should Know - American Family Physician

Nov 1, 2006 - ...As you get older, you may need more stimulation (such as stroking and touching) to get an erection. You also might need more time between erections. Erectile dysfunction doesn’t have to be a part of getting older. What causes erectile dysfunction? High blood sugar levels or blood...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/1101/p1567.html

Essential Tremor - American Family Physician

Oct 15, 2003 - ...Yes. Parkinson's disease causes a tremor that might be noticed when your hands are resting in your lap or at the sides of your body. A stroke can cause a tremor that gets worse when you reach for something. Thyroid problems or low blood sugar can cause a mild tremor. Tremor can be...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1015/p1553.html

Estimating 10-year Mortality Risk - Point-of-Care Guides - American Family Physician

Mar 15, 2007 - Accurate estimates of patient risk or prognosis can be helpful to a primary care physician.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/0315/p885.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Ethics in Medicine - AFP 50 Years Ago - American Family Physician

Mar 1, 2000 - ...is useless but who, if he lives on, will wreck the finances or the life of some relative who is useful? One thinks of the aged parent with a stroke who, for years, has been abusing and impoverishing his hard-working little daughter and wrecking her life, or one thinks of the idiot...

American Family Physician : AFP 50 Years Ago

https://www.aafp.org/afp/2000/0301/p1262.html

Evaluating and Treating Unintentional Weight Loss in the Elderly -- American Family ...

...(Table 1).14-18 Pulmonary disease, cardiac dis- orders (e.g., congestive heart failure), demen- tia, alcoholism and prescription medications have also been implicated in the problem.3 Although acute and chronic physical and psy- FEBRUARY 15, 2002 / VOLUME 65, NUMBER 4...

American Family Physician

https://www.aafp.org/afp/2002/0215/afp20020215p640.pdf

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

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.html

Evaluating Dysphagia - American Family Physician

Jun 15, 2000 - Dysphagia is a problem that commonly affects patients cared for by family physicians in the office, as hospital inpatients and as nursing home residents. Familiar medical problems, including cerebrovascular accidents, gastroesophageal reflux disease and medication-related side effects, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3639.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

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.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

Evaluation and Management of Galactorrhea

...for symp- toms related to hyperprolactinemia, such as amenorrhea or oligomenorrhea, low libido, erectile dysfunction, infertility, gynecomas- tia, or fractures, and symptoms related to mass effect of a pituitary adenoma, such as headache or vision changes. The physical...

American Family Physician

https://www.aafp.org/afp/2012/0601/afp20120601p1073.pdf

Evaluation and Management of Orthostatic Hypotension

...Stroke Bradykinesia, pill-rolling tremor, shuffling gait Parkinson disease Burns Intravascular volume depletion Chest pain, palpitations, shortness of breath Congestive heart failure, myocardial infarction, myocarditis, pericarditis Chills, fever, lethargy, nausea,...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p527.pdf

Evaluation and Management of Orthostatic Hypotension - American Family Physician

Sep 1, 2011 - Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p527.html

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

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

American Family Physician : Article

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

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

...Photopsia Vitreoretinal traction PVD, optic neuritis, migraine, hypotension, transient ischemic attack Floaters Vitreous cells, blood PVD, PDR, uveitis Visual field loss Peripheral detachment Optic neuropathy, CVA, BRVO, BRAO Blurred vision Macular detachment PVD =...

American Family Physician

https://www.aafp.org/afp/2004/0401/afp20040401p1691.pdf

Evaluation and Treatment of Heat-Related Illnesses - American Family Physician

Jun 1, 2002 - The body's ability to regulate core temperature depends on both host (internal) and environmental (external) factors. Although athletes are commonly thought to be most at risk for heat illnesses, children and the elderly are particularly vulnerable. Heat cramps, which are caused by ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2307.html

Evaluation and Treatment of Heat-Related Illnesses - Letters to the Editor - American ...

Apr 1, 2003 - ...Clinical syndromes vary from heat syncope, heat cramps, heat exhaustion, and heat stroke.2–3 Heat syncope occurs when a person experiences orthostatic dizziness or fainting following exposure to a high environmental temperature. Heat illness is precipitated by long hours of...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0401/p1439.html

Evaluation and Treatment of Swallowing Impairments - American Family Physician

Apr 15, 2000 - Swallowing disorders are common, especially in the elderly, and may cause dehydration, weight loss, aspiration pneumonia and airway obstruction. These disorders may affect the oral preparatory, oral propulsive, pharyngeal and/or esophageal phases of swallowing. Impaired swallowing, or ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2453.html

Evaluation of a First Seizure - American Family Physician

May 1, 2007 - Seizure is a common presentation in the emergency care setting, and new-onset epilepsy is the most common cause of unprovoked seizures. The patient history and physical examination should direct the type and timing of laboratory and imaging studies. No single sign, symptom, or test ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1342.html

Evaluation of Acute Headaches in Adults - American Family Physician

Feb 15, 2001 - Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders.

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p685.html

Evaluation of Acute Headaches in Adults - American Family Physician

...Focal neurologic signs or Mass lesion, vascular malformation, Neuroimaging, collagen vascular symptoms of disease stroke, collagen vascular disease evaluation (including (other than typical aura) antiphospholipid antibodies) Papilledema Mass lesion, pseudotumor cerebri,...

American Family Physician

https://www.aafp.org/afp/2001/0215/afp20010215p685.pdf

Evaluation of Asymptomatic Atrial Fibrillation

...analysis of the outcomes of this inves- tigation in symptomatic (n = 3,576) versus asymptomatic (n = 481) patients included death, disabling stroke, disabling anoxic encephalopathy, major central nervous sys- tem hemorrhage, and cardiac arrest.5 After adjusting for left ventricular...

American Family Physician

https://www.aafp.org/afp/2012/0915/afp20120915od1.pdf

Evaluation of Asymptomatic Atrial Fibrillation - FPIN's Clinical Inquiries - American ...

Sep 15, 2012 - In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0915/od1.html

Evaluation of Dysuria in Men - American Family Physician

Sep 1, 1999 - Men with pain or a burning sensation on urination should be evaluated with a thorough history, a focused physical examination and urinalysis (both urine dipstick and microscopic examination of the urine specimen). Although dysuria may be caused by anything that leads to inflammation of ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p865.html

Evaluation of First Nonfebrile Seizures - American Family Physician

Aug 15, 2012 - Nonfebrile seizures may indicate underlying disease or epilepsy. The patient history can often distinguish epileptic seizures from nonepileptic disorders by identifying the events directly preceding the convulsion, associated conditions, and details of the seizure, including triggers, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0815/p334.html

Evaluation of Suspected Dementia

...Guidelines The National Institute on Aging and the Alzheimer’s Association have released guidelines for clinical diagnosis of demen- tia and mild cognitive impairment. In brief, dementia can be diagnosed if cogni- tive or behavioral symptoms interfere with the patient’s ability to...

American Family Physician

https://www.aafp.org/afp/2011/1015/afp20111015p895.pdf

Evaluation of Suspected Dementia - American Family Physician

Mar 15, 2018 - Dementia is a significant and costly health condition that affects 5 million adults and is the fifth leading cause of death among Americans older than 65 years. The prevalence of dementia will likely increase in the future because the number of Americans older than 65 years is expected ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0315/p398.html

Evaluation of Suspected Dementia - American Family Physician

Oct 15, 2011 - As the proportion of persons in the United States older than 65 years increases, the prevalence of dementia will increase as well. Risk factors for dementia include age, family history of dementia, apolipoprotein E4 genotype, cardiovascular comorbidities, chronic anticholinergic use, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p895.html

Evaluation of Syncope

...anxiety, hysterical fainting), and transient ischemic attacks (carotid in origin). Metabolic disorders (e.g., hypoglyce- mia, hypoxia, hyperventilation), seizures, acute intoxi- cations, and vertebrobasilar insufficiency may present as syncope with partial or complete loss of...

American Family Physician

https://www.aafp.org/afp/2011/0915/afp20110915p640.pdf

Evaluation of Syncope - American Family Physician

Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p640.html

Evaluation of Syncope - American Family Physician

Oct 15, 2005 - Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1492.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

Apr 1, 2005 - Muscle weakness is a common complaint among patients presenting to family physicians. Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. The pattern ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1327.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

...patients with associated risk factors or symptoms.6,9 Neurologic conditions that can cause weakness include cerebrovascular dis- ease (i.e., stroke, subdural/epidural hemato- mas), demyelinating disorders (i.e., multiple sclerosis, Guillain-Barré syndrome), and neuromuscular...

American Family Physician

https://www.aafp.org/afp/2005/0401/afp20050401p1327.pdf

Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change Outcomes

...To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ abso- lute risk of having a coronary heart disease (CHD) event in 10 years.1 As Drs. Viera and Sheridan point out in this issue of American Family Physician,2 the use of global...

American Family Physician

https://www.aafp.org/afp/2010/0801/afp20100801p236.pdf

Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change ...

Aug 1, 2010 - To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ absolute risk of having a coronary heart disease (CHD) event in 10 years. Before physicians adopt routine risk calculation, we should use the evidence to determine the best use of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0801/p236.html

Evidence Supporting Niacin Therapy Is More Nuanced Than Article States - Letters to the...

Dec 1, 2018 - ...event (cardiac death, nonfatal myocardial infarction, revascularization procedure, hospitalization for acute coronary syndrome, or stroke),2 to no effect on any outcome.3 Although the two latest niacin trials did not show a benefit for niacin, it has been suggested that different...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1201/p630.html

Evolocumab (Repatha) for the Treatment of Hyperlipidemia - STEPS - American Family ...

Nov 15, 2016 - Evolocumab is generally safe and effective at lowering serum LDL cholesterol levels for select patients who need marked cholesterol reduction and can tolerate injections. However, it remains unknown whether evolocumab prevents premature death from cardiovascular events.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/1115/p843.html

Examining the Heart of Family Medicine: Family History - Editorials - American Family ...

Apr 15, 2010 - ...accompanying table) about screening family history for asthma and allergies (atopic disease); diabetes; major depression and mood disorders; stroke; cardiovascular disease; and five common cancers (breast, ovarian, colorectal, prostate, and lung).3 The panel statement,3 evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0415/p961.html

Excess, Shortage, or Sufficient Physician Workforce: How Could We Know? - Graham Center...

Nov 1, 2005 - At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do to achieve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1101/p1670.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

Exercise During Pregnancy - American Family Physician

Apr 15, 1998 - Exercise has become a vital part of many women's lives. However, theoretic concerns have been raised about the safety of some forms of exercise during pregnancy. Because of the physiologic changes associated with pregnancy, as well as the hemodynamic response to exercise, some ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1846.html

Exercise for Older Patients Who Are Acutely Hospitalized - Cochrane for Clinicians - ...

Jul 1, 2007 - The effects of exercise interventions on functional outcomes are unclear, but there is a trend toward functional improvement. Multidisciplinary interventions that include exercise also show several other benefits, including reduction in length of hospitalization and hospital costs; ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0701/p69.html

Exercise is an Effective Intervention in Overweight and Obese Patients - Cochrane for ...

May 1, 2007 - Exercise leads to a weight loss of 1 lb, 2 oz to 16 lb, 12 oz (0.5 to 7.6 kg), compared with a 3-oz (0.1-kg) weight loss to a weight gain of 1 lb, 9 oz (0.7 kg) with no treatment. Patients participating in higher-intensity exercise lose 3 lb, 5 oz (1.5 kg) more than those participating ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0501/p1333.html

Exercise Stress Testing: Indications and Common Questions - American Family Physician

Sep 1, 2017 - Exercise stress testing is a validated diagnostic test for coronary artery disease in symptomatic patients, and is used in the evaluation of patients with known cardiac disease. Testing of asymptomatic patients is generally not indicated. It may be performed in select deconditioned ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0901/p293.html

Exercise to Improve Functioning in Patients with Dementia

August 1, 2016: FPIN Help Desk

American Family Physician

https://www.aafp.org/afp/2016/0801/afp20160801p242.pdf

Exercise to Improve Functioning in Patients with Dementia - FPIN's Help Desk Answers - ...

Aug 1, 2016 - Exercise programs lasting at least two months moderately increase the ability of patients with dementia to perform ADLs.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0801/p242.html

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical ... Restricted content. Login required.

Feb 15, 2021 - The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p252.html

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

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

American Family Physician : Article

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

Expanded Newborn Screening: Information and Resources for the Family Physician - ...

Jun 1, 2017 - Each year, 4 to 5 million newborns receive state-mandated screening. Although the Advisory Committee on Heritable Disorders in Newborns and Children has identified 34 core conditions that should be incorporated into screening programs, each state manages, funds, and maintains its own ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0601/p703.html

Eye Emergencies - American Family Physician Restricted content. Login required.

Nov 1, 2020 - Central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments are eye emergencies that can result in permanent vision loss if not treated urgently. Family physicians should be able to recognize the signs and symptoms of each condition and be ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1101/p539.html

Ezetimibe/Simvastatin (Vytorin) for Hypercholesterolemia - STEPS - American Family ...

Nov 15, 2005 - Low doses of ezetimibe/simvastatin provide greater improvements in lipid profile than simvastatin or atorvastatin monotherapy. Ezetimibe/simvastatin may be useful in patients who are unable to tolerate high-dose statin therapy. Combination ezetimibe-simvastatin is less expensive than ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/1115/p2081.html

Fainting: What You Should Know - American Family Physician

Mar 1, 2017 - ...National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/disorders/syncope/syncope.htm National Library of Medicine https://www.nlm.nih.gov/medlineplus/fainting.html Read the full article. Get immediate access, anytime, anywhere. Choose a single...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2017/0301/p303-s1.html

Family History: The Three-Generation Pedigree - American Family Physician

Aug 1, 2005 - The collection of a family history ranges from simply asking patients if family members have the same presenting illness to diagramming complex medical and psychosocial relationships as part of a family genogram. The three-generation pedigree provides a pictorial representation of ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0801/p441.html

Family History: The Three-Generation Pedigree - American Family Physician

...transferred to a printable, standardized, three-generation pedigree. Specific questions target six adult diseases: heart disease; diabetes; stroke; and breast, ovarian, and colon cancers. These diseases are highlighted because they are common and require a change in clinical...

American Family Physician

https://www.aafp.org/afp/2005/0801/afp20050801p441.pdf

Family Physicians Can Manage Adults with Hepatitis C - Editorials - American Family ...

Oct 1, 2018 - The Centers for Disease Control and Prevention encourages family physicians to treat patients with hepatitis C. Outcomes when primary care physicians prescribe direct-acting antivirals to patients with uncomplicated hepatitis C are comparable to those of subspecialists.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1001/p413.html

Family Planning and Contraception - American Family Physician

May 15, 2021 - This collection features AFP content on family planning and contraception, including emergency contraception, hormonal and non-hormonal contraception, infertility, in vitro fertilization, intrauterine devices, preconception care, tubal sterilization, and vasectomy. This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=71

Family Practice International - Apr 1, 1998 - American Family Physician

Apr 1, 1998 - ...Management of Acute Stroke (Australia—Australian Family Physician, October 1997, p. 1151.) Approximately 30 percent of strokes are fatal, and up to another one third of strokes result in permanent disability. The expectant management strategies that have been implemented previously...

American Family Physician : Family Practice International

https://www.aafp.org/afp/1998/0401/p1681.html

Family Practice International - Dec 01, 1998 - American Family Physician

Dec 1, 1998 - ...hypothalamus and synapse at the C8 to T2 level (Budge's center). Lesions at this level are usually serious, with causes including stroke or tumor. Second-order neurons leave the spinal cord at T1 and cross the apex of the lung to synapse at the superior cervical ganglion, so they...

American Family Physician : Family Practice International

https://www.aafp.org/afp/1998/1201/p2158.html

Family Practice International - Feb 1, 2000 - American Family Physician

Feb 1, 2000 - ...persons older than 50 years of age, many cases are asymptomatic and undiagnosed. Patients with atrial fibrillation are at increased risk of stroke, thromboembolism, heart failure and decreased exercise tolerance. In addition to confirming the diagnosis, possibly with a 24-hour...

American Family Physician : Family Practice International

https://www.aafp.org/afp/2000/0201/p878.html

Family Practice International - Sep 1, 1999 - American Family Physician

Sep 1, 1999 - ...syndrome indicates arterial disease, and the five-year mortality rate is 40 percent; the leading causes of death are cardiac disease, stroke and other arterial complications. Otitis Externa (Australia—Australian Family Physician, March 1999, p. 217.) Trauma and exposure to water...

American Family Physician : Family Practice International

https://www.aafp.org/afp/1999/0901/p999.html

Fatigue: An Overview - American Family Physician

Nov 15, 2008 - Fatigue, a common presenting symptom in primary care, negatively impacts work performance, family life, and social relationships. The differential diagnosis of fatigue includes lifestyle issues, physical conditions, mental disorders, and treatment side effects. Fatigue can be classified...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1173.html

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