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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 - 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

Do-It-Yourself Disease Management -- FPM

Dec 1, 1998 - It's amazing what you can accomplish with your PC, some off-the-shelf software and a desire to improve patients' health.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/1100/p34.html

Doctor or Patient? Who Owns Medical Records?

Doctor or Patient? Who Owns Medical Records?

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/doctor_or_patient_who_owns.html

Does High Patient Satisfaction Mean High Quality of Care ? -- FPM

Jun 1, 2016 - Are they even related?

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2016/0500/p4.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

Domino Returns With Top 10 Updates for FPs

Frank Domino, M.D., wowed attendees with his annual 'Top 10 Updates in Evidence-based Medicine' discussion at this year’s virtual Family Medicine Experience.

https://www.aafp.org/news/2020-congress-fmx/20201021fmx-domino.html

Domino: Beer is OK (If You Exercise), But Avoid Kale

Frank Domino, M.D., delivered his popular "Top 10 Updates in Evidence-based Medicine" Sept. 27 during the Family Medicine Experience in Philadelphia. As usual, his presentation drew a huge crowd.

https://www.aafp.org/news/2019-congress-fmx/20191001fmx-domino.html

Don’t Screen for Carotid Artery Stenosis, Says Task Force

The U.S. Preventive Services Task Force recently issued a draft recommendation statement and draft evidence review on screening asymptomatic adults for carotid artery stenosis.

https://www.aafp.org/news/health-of-the-public/20200817uspstfacas.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 Interactions With Tobacco Smoke

...Hormonal contraceptives • á Risk of cardiovascular adverse effects (e.g., stroke, myocardial infarction, thromboembolism) in women who smoke and use oral contraceptives. Ortho Evra patch users shown to have 2-fold á risk of venous thromboembolism compared to oral contraceptive...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/drug-interactions.pdf

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

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

Edition 482 | Sports Medicine | July 2019 Restricted content. Login required.

FP Essentials is a monthly monograph focused on family medicine clinical topics. This edition is available for individual purchase.

| FP Essentials

https://www.aafp.org/cme/subscriptions/fp-essentials/editions/482-ed.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 -...

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 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 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 and Urgent Care CME Virtual Course | AAFP

Learn the latest recommendations from experts on acute medical issues at AAFP's Emergency and Urgent Care Livestream CME course, April 21-24, 2021. Earn up to 28 AAFP Prescribed credits.

https://www.aafp.org/cme/all/emergency/streaming.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 the Silence -- Make Every Voice Count

In her first In the Trenches blog post, Stephanie Quinn, the AAFP's new senior vice president for advocacy, practice advancement and policy, writes that during a pivotal moment in U.S. history, it is important for family medicine to lead with compassion and strength.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200609itt-race.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 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 Heat-Related Illnesses -- American Family Physician

...Core body temperature is usually higher than 38°C (100.4°F) but below the cutoff for heat- stroke, which is 40°C (104°F).12 Heat Illness JUNE 1, 2002 / VOLUME 65, NUMBER 11 www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 2309 TABLE 2 Medications That May Contribute to...

American Family Physician

https://www.aafp.org/afp/2002/0601/afp20020601p2307.pdf

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

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