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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

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 Lacking on CVD-related Screening, Risk Assessment

On Jan. 16, the U.S. Preventive Services Task Force released two draft recommendation statements and accompanying draft evidence reviews related to screening for cardiovascular disease, finding a paucity of evidence to recommend for or against either practice.

https://www.aafp.org/news/health-of-the-public/20180122uspstfcvdscreens.html

Evidence Lacking on HBP Screening in Children, Adolescents

On Nov. 10, the U.S. Preventive Services Task Force issued a final recommendation statement, final evidence review and evidence summary on screening for high blood pressure in children and adolescents.

https://www.aafp.org/news/health-of-the-public/20201119hpbchildren.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

EvidenceNOW: Advancing Heart Health in Primary Care

Early research findings about how to help small- and medium-sized primary care practices with cardiovascular disease prevention are available in an Annals of Family Medicine supplement.

https://www.aafp.org/news/health-of-the-public/20180420ahrqsupplement.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 Is Medicine. Here's How I Get Patients Started

Ninety percent of Americans don't meet recommendations for physical activity. Alex Mroszczyk-McDonald, M.D., has seen the good that exercise can do, and in this Fresh Perspectives blog post he shares ways to get more patients off the couch.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20180516fp-exercise.html

Exercise Stress Testing: Indications and Common Questions

September 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/0901/afp20170901p293.pdf

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

ExploreFMRoadmap.pdf

...heart disease, stroke and hypertension, to diabetes, cancer, asthma, and HIV disease, family physicians provide primary care for the nation’s most serious health problems. Many family physicians deliver babies and perform surgical procedures. Most take care of all...

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/ExploreFMRoadmap.pdf

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 Healthware Impact Trial

Read a description of the Family Healthware Trail study and view aims, objectives, status, timeline, key findings and publications.

https://www.aafp.org/family-physician/patient-care/nrn/studies/all/healthware.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 Medicine Board Review Self-Study Course | AAFP

Prepare for the ABFM board exam with this interactive, self-study review. Pass your family medicine boards and earn up to 54+ AAFP Prescribed CME credits.

https://www.aafp.org/cme/all/board-review-self-study.html

Family Medicine Cares: JUUL and Other Electronic Nicotine Delivery Devices are Bad for ...

Family Medicine Cares: JUUL and Other Electronic Nicotine Delivery Devices are Bad for Kids.

https://www.aafp.org/news/media-center/kits/Juuling.html

Family Physician Couple Returns to Rural Roots in Minnesota

Two family physicians who just happen to be married give AAFP News a firsthand view of their wide scope of practice and strong community ties in their small rural town of Sleepy Eye, Minn.

https://www.aafp.org/news/practice-professional-issues/20191018sleepyeye.html

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

Mar 1, 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

Family Practice Management

...is not really fine. She is very worried about her blood pressure since her aunt recently died of a stroke, but she does not feel confident about changing her diet. She does not understand why she has to take medication because it does not seem to help. Her pressure is always high,...

Family Practice Management

https://www.aafp.org/fpm/2009/0900/fpm20090900p12.pdf

Family Practice Management

...On March 23, with the strokes of 22 pens,1 President Obama signed into law the Patient Protection and Affordable Care Act. This sprawling health care reform bill has many unknowns - chief among them, will it really reduce the deficit by $143 billion over 10 years, as the...

Family Practice Management

https://www.aafp.org/fpm/2010/0500/fpm20100500p14.pdf

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

FDA Boxed Warnings: How to Prescribe Drugs Safely - American Family Physician

Feb 1, 2010 - Boxed warnings, commonly referred to as 'black box' warnings, are issued by the U.S. Food and Drug Administration and featured in the labeling of drugs associated with serious adverse reactions. These safety concerns are typically identified through the Adverse Event Reporting System ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p298.html

FDA: Clarithromycin Risky for Patients With Heart Disease

The FDA is warning clinicians about prescribing clarithromycin to patients with heart disease because of the risk for serious cardiac and other complications -- and even death -- that persists years later.

https://www.aafp.org/news/health-of-the-public/20180301clarithromycin.html

Febrile Seizures: What You Should Know - American Family Physician

May 15, 2006 - ...Disorders and Stroke Web site:http://www.ninds.nih.gov/disorders/febrile_seizures/detail_febrile_seizures.htm Read the full article. Get immediate access, anytime, anywhere. Choose a single article, issue, or full-access subscription. Earn up to 6 CME credits per issue. Already...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2006/0515/p1765.html

February 1, 2001 - American Family Physician

...Using Clinical Predictors for Aspiration Risk After Stroke Cognitive Behavior Treatment of Bulimia Nervosa Is Rizatriptan Effective in Menstrual Migraine? Thromboembolism in Pregnancy: Clinical Guidelines Fatigue, Tiredness and Lack of Energy: Sleep Apnea?...

American Family Physician

https://www.aafp.org/afp/2001/0201/

February 1, 2004 - American Family Physician

...Ticlopidine vs. Aspirin for Stroke Prevention in Blacks Rapid MRI or Radiography for Low Back Pain? Paroxetine: A Nonhormonal Treatment for Hot Flushes Optimal Antibiotic Prophylaxis for Cesarean Delivery Can Phytoestrogens Reduce Climacteric Symptoms? Improving...

American Family Physician

https://www.aafp.org/afp/2004/0201/

February 1, 2009 - American Family Physician

...Aspirin in Patients with Actue Ischemic Stroke Michael K. Park; Peter C. Smith; Gerri Wanserski; Jon O. Neher CME Quiz Commentary Letters to the Editor Preconception Care Should Be Vital Issue for Both Sexes Eastlyn Harding-Marin Potential Side Effects of SSRI Use...

American Family Physician

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

February 1, 2019 - American Family Physician

...Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA Digital Media Use Associated with ADHD Symptom Development Among Adolescents Decompression Surgery No More Effective Than Exercise for Shoulder Impingement Syndrome Letters to...

American Family Physician

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

February 15, 2001 - American Family Physician

...Treatment with Pravastatin and Risk of Stroke Need for Radiographs in Cases of Shoulder Dislocation Test-and-Eradicate Strategy Is Effective for Dyspepsia Polycythemia Vera and Essential Thrombocythemia Diagnosing and Managing Ectopic Pregnancy POEMS Patient...

American Family Physician

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

February 15, 2003 - American Family Physician

...Use of Oral Anticoagulation for Stroke Prevention Active Role in Diabetes Care Improves Patient Satisfaction Review of Potential Treatments for Hot Flushes Endovascular Coiling Has Better Outcomes than Surgery Should Low-Dose Tricyclic Antidepressants Be...

American Family Physician

https://www.aafp.org/afp/2003/0215/

February 15, 2004 - American Family Physician

...Antidepressants Reduce Mortality After a Stroke Ultrasound Alone Does Not Diagnose PCOS Cognitive Behavior Therapy vs. Relaxation Therapy for IBS U.S. Preventive Services Task Force Counseling to Prevent Skin Cancer: Recommendations and Rationale Clinical Briefs...

American Family Physician

https://www.aafp.org/afp/2004/0215/

February 15, 2011 - American Family Physician

...AAN Releases Guideline on Magnetic Resonance Imaging for Diagnosing Acute Ischemic Stroke Lisa Graham STEPS Guanfacine (Intuniv) for Attention-Deficit/Hyperactivity Disorder Allison Bernknopf Answering Clinical Questions Putting Prevention into Practice Using...

American Family Physician

https://www.aafp.org/afp/2011/0215/

February 15, 2021 - American Family Physician

...Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone Letters to the Editor Broad Screening Is Needed for All Patients at Risk of Syphilis - Free Full Text Paula Amin Reply: Jason Ricco; Andrea Westby Case Report: Back Pain as a Presenting...

American Family Physician

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

Febuxostat (Uloric) for Hyperuricemia and Gout - STEPS - American Family Physician

May 15, 2010 - Febuxostat more effectively lowers serum uric acid to goal levels than does allopurinol; however, this benefit is offset by a slightly higher incidence of adverse effects and treatment discontinuation. Until superiority for patient-oriented outcomes is shown in comparative trials with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2010/0515/p1287.html

Fecal Occult Blood Tests Reduce Colorectal Cancer Mortality - Cochrane for Clinicians -...

Jun 1, 2007 - Fecal occult blood testing reduces colorectal cancer mortality by 16 percent. Annual testing and rehydration of samples increases testing sensitivity but also increases the number of false-positive results.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0601/p1652.html

Feeding Tubes in Patients with Sever Dementia -- American Family Physician

...important because the prevalence of demen- tia will continue to rise as the population ages. The most common form of dementia is Alzheimer’s disease, and its prevalence will nearly quadruple in the next 50 years, by which time approximately one in 45 Ameri- cans will have the...

American Family Physician

https://www.aafp.org/afp/2002/0415/afp20020415p1605.pdf

Feeding Tubes in Patients with Severe Dementia - American Family Physician

Apr 15, 2002 - Patients with advanced dementia are among the most challenging patients to care for because they are often bedridden and dependent in all activities of daily living. Difficulty with eating is especially prominent and distresses family members and health care professionals. Health care ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1605.html

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide

...Fewer Deaths/Strokes/ Revascularizations with Metformin Than Glipizide Clinical Question Does metformin (Glucophage) affect car- diovascular events in patients with type 2 diabetes mellitus? Bottom Line Over five years, treatment with metformin for three years, with other...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p131a.pdf

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide

...Fewer Deaths/Strokes/ Revascularizations with Metformin Than Glipizide Clinical Question Does metformin (Glucophage) affect car- diovascular events in patients with type 2 diabetes mellitus? Bottom Line Over five years, treatment with metformin for three years, with other...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p136.pdf

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide - POEMs - ...

Jan 15, 2014 - Over five years, treatment with metformin for three years, with other hypoglycemics as needed, reduced the likelihood of death, nonfatal stroke, or the need for vascularization compared with treatment beginning with glipizide (Glucotrol). Cardiovascular events were not individually ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0115/p131.html

Fewer Major Bleeds with Edoxaban Than with Warfarin, but Treatment Benefit Unclear - ...

May 15, 2014 - Edoxaban provides similar effectiveness and a somewhat lower rate of major gastrointestinal and intracranial bleeding than warfarin. It is worth reading the supplemental appendices to this report for a look at the subgroups. For almost all subgroups, low-dose edoxaban caused less major ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0515/p827.html

Fewer Subsequent Strokes with Ticagrelor Plus Aspirin than with Aspirin Alone - POEMs -... Restricted content. Login required.

Feb 15, 2021 - For patients with mild to moderate acute nonembolic ischemic stroke, treatment with ticagrelor plus aspirin for 30 days resulted in fewer subsequent strokes but similar overall disability and an increase in severe bleeding compared with aspirin alone.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p249.html

Finding Out About Incontinence - American Family Physician

Jun 1, 1998 - ...A stroke, Alzheimer's disease or Parkinson's disease can cause damage to the bladder nerves. Diabetes, cancer, radiation or surgery in your pelvic area or prostate area can cause damage to the bladder nerves. Your bladder might be irritated by infection, bladder stones, cancer or...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1998/0601/p2688.html

First-Line Treatment for Hypertension - Cochrane for Clinicians - American Family ...

Jun 1, 2010 - In comparing the effects of thiazide diuretics, beta blockers, angiotensin-converting enzyme (ACE) inhibitors, and calcium channel blockers (CCBs) with placebo, thiazide diuretics lowered mortality and morbidity from stroke, heart attack, and heart failure more than beta blockers.1 ACE ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0601/p1333.html

Fitness-Related Cardiac Arrhythmias - Editorials - American Family Physician

Jan 15, 2019 - How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0115/p78.html

Five Communication Strategies to Promote Self-Management of Chronic Illness -- FPM

Oct 1, 2009 - How you communicate with your patients can enhance - or inhibit - their ability to manage their chronic illnesses.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0900/p12.html

Flexible Insulin Regimens for People with Type 1 Diabetes - American Family Physician

Nov 15, 1999 - ...Next: Preventing Ischemic Strokes and Treating Transient Ischemic Attacks View the full table of contents >> Home / Journals / afp / Vol. 60/No. 8(November 15, 1999) / Flexible Insulin Regimens for People with Type 1 Diabetes...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/1115/p2355.html

Flibanserin Ineffective for Hypoactive Sexual Desire Disorder in Women - POEMs - ...

Sep 1, 2016 - Flibanserin produces a minimal effect on sexual desire and minimally increases the number of satisfying sexual events in women (less than one-half an event per month increase). Many women will be unable to tolerate the adverse effects.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0901/p384a.html

Flu Vaccine, Car Seats, PTSD, Kidney Stones, Bridging Warfarin - AFP Clinical Answers -...

Oct 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/1015/p462.html

Fluticasone or Salmeterol Alone vs. Combination Therapy for COPD - AFP Journal Club - ...

Mar 1, 2008 - Is fluticasone plus salmeterol better than fluticasone or salmeterol alone for treating patients with COPD? Anticholinergics are the bronchodilators of choice. Neither fluticasone nor the combination of fluticasone and salmeterol were no better than placebo at preventing mortality.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2008/0301/p586.html

FMIG Program of Excellence (PoE) Application

...the variety within family medicine, supported by tangible career paths, we hope to paint family medicine in boundless and broad strokes. PROVOKING NEW PERSPECTIVES AND UNDERSTANDING FMIG members have prioritized cultivating breadth of thought in ourselves and in our peers....

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/poe_awards/2020/vcu-2020-overall-poe.pdf

Food Allergies: Detection and Management - American Family Physician

Jun 15, 2008 - Family physicians play a central role in the suspicion and diagnosis of immunoglobulin E-mediated food allergies, but they are also critical in redirecting the evaluation for symptoms that patients are falsely attributing to allergies. Although any food is a potential allergen, more ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0615/p1678.html

For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else - ...

Nov 1, 2010 - Only statins have patient-oriented evidence supporting their role in reducing all-cause mortality. The NCEP–ATP III guidelines offer a nine-step approach for reaching target lipid levels, but the application to everyday practice is far simpler: If a patient with hyperlipidemia has ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/1101/p1063.html

For Three-Vessel Disease, but Not Left Main Disease, CABG Is Preferred Over PCI - POEMs... Restricted content. Login required.

Jun 1, 2020 - For patients with left main disease, PCI with a drug-eluting stent and CABG had similar all-cause mortality rates at 10 years. For those with three-vessel disease, CABG is associated with lower 10-year mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0601/p698.html

FP Mentor Guides Youths to Careers in Health Care

Beulette Hooks, M.D., never met a black physician while she was growing up. Now she's working to ensure young people in her community have mentors in medicine.

https://www.aafp.org/news/family-doc-focus/20190506fdf-hooks.html

FPIN's Clinical Inquiries Department Collection - American Family Physician

Clinical Inquiries from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=12

FPIN's Clinical Inquiries Department Collection - American Family Physician

Clinical Inquiries from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=12&page=0

fpm20050900p52-rt1.pdf

...• An abrupt change in neurological status (e.g., seizure, TIA, weakness, sensory loss). • Cardiovascular imaging, with contrast, with identified risk factors; • Cardiac EP studies; • diagnostic endoscopies with identified risk factors; • discography. • Elective major...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p52-rt1.pdf

fpm20060100p32-rt2.pdf

...of cancer in last 12 months excluding nonmelanoma skin cancer, history of leukemia or lymphoma, chronic bronchitis, kidney failure, asthma, stroke, neuromuscular and myoneural disorders, and juvenile rheumatoid arthritis.) icD-9 list b 279-279.9, 042 (The conditions covered by...

Family Practice Management

https://www.aafp.org/fpm/2006/0100/fpm20060100p32-rt2.pdf

fpm20060900p49-rt1.pdf

...which, in the judgment of the physician, there may be an increased risk of bleeding (e.g., hepatic or renal insufficiency, recent surgery or stroke). YES NO 2. Concurrent symptomatic pulmonary emboli. YES NO 3. Expected hospitalization greater than five days due to co-existing...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p49-rt1.pdf

fpm20061100p28.pdf

...Potential adverse effects of the birth control pill, including hypertension, migraines, blood clots, stroke and heart attack, were reviewed with the patient. I also reviewed the small risk that concurrent use of antibiotics may decrease the contracep- tive effectiveness of the birth...

Family Practice Management

https://www.aafp.org/fpm/2006/1100/fpm20061100p28.pdf

fpm20070300p33.pdf

...the progression of their illnesses and avoid life-threatening sequelae. The four Ontario, Canada, residents who died of heart attacks and strokes after their pharmacist dispensed Norvasc copycats made from pressed talc are testament to how fake drugs rob people of their money,...

Family Practice Management

https://www.aafp.org/fpm/2007/0300/fpm20070300p33.pdf

fpm20071000p20.pdf

...the complete visit documentation into my electronic health record (I could also print it for a paper chart, if needed). With a few key strokes, the prescrip- tion is electronically sent to the pharmacy, and the patient or insurance company is billed for the visit. This type of...

Family Practice Management

https://www.aafp.org/fpm/2007/1000/fpm20071000p20.pdf

fpm20080100p22.pdf

...often stops some of the most resistant strains of streptococcus pneumonia. Focus on the well-proven benefit of statins for heart attack and stroke prevention. 4. Be passionate. Passion speaks volumes and can greatly aid your delivery of a preventive one-liner. If you really...

Family Practice Management

https://www.aafp.org/fpm/2008/0100/fpm20080100p22.pdf

fpm20080400p37.pdf

...prognosis expressed in terms of time, for example, The patient has extremely high blood pressure, and there are indications she is having a stroke. The sooner she can be treated at a hospital, the better her prognosis will be. Just do your best As noted earlier, the odds of...

Family Practice Management

https://www.aafp.org/fpm/2008/0400/fpm20080400p37.pdf

fpm20080500p31.pdf

...yet to settle on a particular organ system or pathophysiologic process. Although we may have some ideas, our testing usually starts in broad strokes. If we don’t give some consid- eration to the pre-test probabilities and try to eliminate the tests that seem least likely to be...

Family Practice Management

https://www.aafp.org/fpm/2008/0500/fpm20080500p31.pdf

fpm20080600p23.pdf

...D: With two key strokes (Alt + Tab), you quickly see that the clinic EHR is right there for you to log in and proceed with your patient. The Alt + Tab command is very useful At iGoogle.com, you can create a personalized home page like the one shown here that lists the Web...

Family Practice Management

https://www.aafp.org/fpm/2008/0600/fpm20080600p23.pdf

fpm20080700p35.pdf

...Based on measures used for the National Committee for Quality Assurance (NCQA) Heart Stroke recognition Program, Dr. Anderson’s quality of care, as well as his documentation, has improved since his implementation of team care in 2003. He made improvements in all measures except...

Family Practice Management

https://www.aafp.org/fpm/2008/0700/fpm20080700p35.pdf

fpm20081100p22.pdf

...or a severe side effect of treatment, an illness posing a threat to life or function, or an abrupt neurological sta- tus change such as a TIA or seizure. To substantiate this level of coding with the history and physical, either of the following is sufficient: • A history that...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p22.pdf

fpm20110900p33.pdf

...life-threatening problems (e.g., acute MI, progressive severe RA, potential threat of suicide); abrupt neuro. change (e.g., seizure, TIA, weakness or sensory loss) Dx procedures: Dx endoscopy w/ risk factors Mx options: Parenteral controlled substances, Rx needing intensive...

Family Practice Management

https://www.aafp.org/fpm/2011/0900/fpm20110900p33.pdf

fpm20120700p17.pdf

...One of my most difficult patients was an African-American retired nurse in her 70s who previously had a major stroke with residual left sided hemiplegia and was wheelchair-bound. She had a long list of medical problems that included poorly controlled Type 2 diabetes mellitus,...

Family Practice Management

https://www.aafp.org/fpm/2012/0700/fpm20120700p17.pdf

fpm20130100p6.pdf

...that sickle cell disease causes but also are at risk of developing other, more common chronic diseases, such as hypertension, heart disease, stroke, renal disease, and cancer. As many of these patients receive their care only from specialized centers, they aren’t consistently...

Family Practice Management

https://www.aafp.org/fpm/2013/0100/fpm20130100p6.pdf

fpm20140900p32.pdf

...app lets busy clinicians quickly calculate a patient’s 10-year and lifetime risk of CV events (including periph- eral artery disease and stroke) and, if recommended, determine the intensity of prescribed statin. Authoritativeness/accuracy/currency of information: CV risk...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p32.pdf

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