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hypertension

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Blood Pressure Monitors - American Family Physician

Oct 15, 2004 - ...Hypertension means high blood pressure. The brachial artery is a blood vessel that goes from your shoulder to just below your elbow. You measure your blood pressure in this artery. Systolic pressure is the highest pressure in an artery when your heart is pumping blood. Diastolic...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/1015/p1547.html

Tips From Other Journals - American Family Physician

Oct 1, 2004 - ...or polyhydramnios (1.4), first pregnancy (1.4), and female infant (1.3); and a relatively lower incidence of high BMI (0.7), hypertension (0.7), parity three or more (0.7), early amniocentesis (0.7), gestational diabetes (0.7), and eclampsia (0.3). Within the congenital...

American Family Physician : Tip

https://www.aafp.org/afp/2004/1001/p1366.html

Tips From Other Journals - American Family Physician

Oct 1, 2004 - ...Hypertension (probably) Dementia in older adults (possibly) Alzheimer’s disease (possibly) Information from references 1 and 2. Disorders Associated with Elevated Homocysteine Levels Coronary artery disease Stroke Peripheral arterial disease Aortic...

American Family Physician : Tip

https://www.aafp.org/afp/2004/1001/p1372.html

Tips From Other Journals - American Family Physician

Oct 1, 2004 - ...disease were more likely to be older and to have a higher BMI, a higher total cholesterol level, and a higher prevalence of diabetes and hypertension than patients without incident kidney disease. Of note, those who were being treated with angiotensin-converting enzyme inhibitors at...

American Family Physician : Tip

https://www.aafp.org/afp/2004/1001/p1391.html

Tips From Other Journals - American Family Physician

Oct 1, 2004 - ...is contraindicated in patients with congestive heart failure, asthma, Raynaud’s disease, and type 1 diabetes, patients with angina or hypertension may benefit. Antidepressants are useful in patients with depression and certain anxiety disorders in addition to migraine, but only...

American Family Physician : Tip

https://www.aafp.org/afp/2004/1001/p1380.html

Tips From Other Journals - American Family Physician

Oct 1, 2004 - ...Self-measurement might lower costs and offer other advantages over office measurement. Staessen and colleagues, in the Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) trial, compared self-measurement and conventional office measurements of blood pressure as...

American Family Physician : Tip

https://www.aafp.org/afp/2004/1001/p1387a.html

Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part II. Glomerular ...

Sep 15, 2004 - The Kidney Disease Outcome Quality Initiative of the National Kidney Foundation published clinical practice guidelines on chronic kidney disease in February 2002. Of the 15 guidelines, the first six are of greatest relevance to family physicians. Part II of this two-part review covers ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1091.html

Poems & Tips From Other Journals - American Family Physician

Sep 15, 2004 - ...Sildenafil Effective for Primary Pulmonary Hypertension Am Fam Physician. 2004 Sep 15;70(6):1135-1136. Clinical Question: Can sildenafil increase quality of life in patients with primary pulmonary hypertension? Setting: Outpatient (specialty) Study Design: Crossover trial...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0915/p1135a.html

Tips From Other Journals - American Family Physician

Sep 15, 2004 - ...of the three comorbidity groups. The vascular disease group included patients with hypertension alone, and those with manifested peripheral, cerebrovascular, or cardiovascular disease without hypertension. The study also included a so-called none-plus group of 159 patients without...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0915/p1162.html

Tips From Other Journals - American Family Physician

Sep 15, 2004 - ...rises in serum glucose levels were noted in 21 percent of patients in the treatment group compared with 6 percent in the control group. Hypertension was reported in 13 percent of patients in the control group compared with 2 percent in the treatment group. The authors conclude that...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0915/p1157a.html

Clinical Practice Guidelines for Chronic Kidney Disease in Adults: Part 1. Definition, ...

Sep 1, 2004 - In February 2002, the Kidney Disease Outcome Quality Initiative of the National Kidney Foundation published clinical practice guidelines on chronic kidney disease. The first six of the 15 guidelines are of the greatest relevance to family physicians. Part I of this two-part article ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p869.html

Asthma Update: Part I. Diagnosis, Monitoring, and Prevention of Disease Progression - ...

Sep 1, 2004 - Despite increased scientific knowledge about asthma and improved therapeutic options, the disease continues to cause significant morbidity and mortality. The National Asthma Education and Prevention Program Expert Panel has updated its clinical guidelines on asthma medications, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p893.html

Which Patients with Atrial Fibrillation Do Not Need Anticoagulation Therapy with ...

Sep 1, 2004 - Anticoagulation therapy with warfarin is not indicated for use in patients with non-valvular atrial fibrillation who are at low risk for embolic cerebral vascular events. The classification of low risk for embolic stroke is defined as a 1 percent annual risk for stroke or lone atrial ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0901/p917.html

Swollen, Discolored Toes - Photo Quiz - American Family Physician

Sep 1, 2004 - 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/2004/0901/p919.html

Creating Practice Guidelines for Chronic Kidney Disease: An Insider's View - Editorials...

Sep 1, 2004 - ...to the guidelines against us? How could we become attuned to a set of guidelines on a topic that is much less familiar to us than hypertension or high cholesterol levels? Eventual consensus resulted in the NKF K/DOQI guidelines that were published in 20021,2 and now are being...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0901/p823.html

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

Sep 1, 2004 - ...were black as coal for five days. She also described intense epigastric pain but no vomiting. Blanche had a history of osteoarthritis, hypertension, and coronary artery disease. She took metoprolol, hydrochlorothiazide, oxaprozin, and low-dose enteric-coated adult aspirin. She...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0901/p861.html

Tips From Other Journals - American Family Physician

Sep 1, 2004 - ...was halted for several days and then resumed. This same patient later developed moderate edema of the right forearm and moderate hypertension. No further adverse events were noted when the dosage was reduced to 25 mg. Five patients had increases in angina scores, but these increases...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0901/p955a.html

AAFP News - Sep 1, 2004 - American Family Physician

Sep 1, 2004 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2004/0901/p805.html

Allergen Immunotherapy - American Family Physician

Aug 15, 2004 - Allergen immunotherapy (also called allergy vaccine therapy) involves the administration of gradually increasing quantities of specific allergens to patients with IgE-mediated conditions until a dose is reached that is effective in reducing disease severity from natural exposure. The ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p689.html

ACP Releases Guideline on Lipid Control in Patients with Type 2 Diabetes Mellitus - ...

Aug 15, 2004 - A guideline on the management of dyslipidemia, particularly hypercholesterolemia, in patients with type 2 diabetes mellitus has been published by the Clinical Efficacy Assessment Subcommittee of the American College of Physicians (ACP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0815/p775.html

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

Aug 15, 2004 - ...more than 14 drinks per week certainly are at risk for alcohol dependence, as well as other health problems such as liver disease and hypertension. But, drinking more than a prescribed amount does not diagnose alcoholism. To distinguish between risky drinking and alcohol dependence,...

American Family Physician : Diary from a Week in Practice

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

Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part II. Coronary ...

Aug 1, 2004 - In the guideline developed by the American College of Cardiology and the American Heart Association, the management of suspected unstable angina and non–ST-segment elevation myocardial infarction (UA/NSTEMI) has four components: initial evaluation and management; hospital care; coronary...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p535.html

When Patients Cannot Afford Their Medications - Curbside Consultation - American Family...

Aug 1, 2004 - For physicians who realize that drug costs can be a problem, we offer some practical solutions and discussion about how to help these patients.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0801/p605.html

Exercise-Based Rehabilitation for Coronary Heart Disease - Cochrane for Clinicians - ...

Aug 1, 2004 - Cardiac rehabilitation based on exercise alone and comprehensive cardiac rehabilitation reduce all-cause mortality by about one third. It is unclear which type of rehabilitation is more beneficial.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0801/p485.html

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

Aug 1, 2004 - ...Phillip returned because he felt bad and was out of his medicine for diabetes and hypertension. His blood pressure and glucose level were both sky high, but like many patients without medical insurance, he delayed his visit to the doctor until a crisis arose. He was a long-time...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0801/p481.html

Sarcoidosis - American Family Physician

Jul 15, 2004 - Sarcoidosis is a systemic granulomatous disease of unknown cause affecting young and middle-aged adults. Patients commonly present with bilateral hilar lymphadenopathy, pulmonary infiltrates, and ocular and skin lesions. The heart, liver,spleen, salivary glands, muscles,bones, kidneys, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0715/p312.html

NAMS Releases Position Statement on the Treatment of Vasomotor Symptoms Associated with...

Jul 15, 2004 - The North American Menopause Society (NAMS) has released an evidence-based position statement on the treatment of vasomotor symptoms associated with menopause to provide recommendations on the most effective treatments.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0715/p393.html

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

Jul 15, 2004 - ...Mrs. Davis, is in the intensive care unit. Mrs. Davis is a 70-year-old woman with end-stage renal disease. I’ve been managing her hypertension, diabetes, and atrial fibrillation in the hopes of preventing the catastrophe Luigi is about to describe. Like a soldier painting scenes of...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0715/p289.html

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...

Jul 15, 2004 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on behavioral counseling interventions to reduce alcohol misuse in primary care patients and the supporting evidence, and it updates the 1996 recommendations contained in the Guide to Clinical ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2004/0715/p353.html

Tips From Other Journals - American Family Physician

Jul 15, 2004 - ...Is Treatment for Hypertension Aggressive Enough? Am Fam Physician. 2004 Jul 15;70(2):387. Hypertension is one of the most common diseases in the United States, accounting for a significant number of outpatient physician visits. Although hypertension usually is asymptomatic, it may...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0715/p387.html

Tips From Other Journals - American Family Physician

Jul 15, 2004 - ...Reduced mortality in patients with coronary heart disease can be achieved through lowered cholesterol levels, improved hypertension control, and regular exercise. Studies have shown that these options are being applied only partially in clinical practice. Strategies aimed at...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0715/p383.html

Tips From Other Journals - American Family Physician

Jul 15, 2004 - ...the international, multicenter, prospective, randomized open-blinded study were 50 years or older and had documented CAD with essential hypertension. Patients allocated to a calcium antagonist strategy (CAS) were given verapamil sustained-release (SR), while patients allocated to a...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0715/p387a.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

Omega-3 Fatty Acids - American Family Physician

Jul 1, 2004 - Omega-3 fatty acids have been shown to significantly reduce the risk for sudden death caused by cardiac arrhythmias and all-cause mortality in patients with known coronary heart disease. Fatty fish, such as salmon and tuna, and fish oil are rich sources of the omega-3 fatty acids ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p133.html

Painful Red Eye After Surgery - Photo Quiz - American Family Physician

Jul 1, 2004 - 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/2004/0701/p155.html

Counseling for Breastfeeding - Putting Prevention into Practice - American Family ...

Jul 1, 2004 - Case study: BS, a 26-year-old woman in her second trimester of pregnancy, comes to your office for routine prenatal care. She expresses concern because one of her relatives has told her that she should not breastfeed. You want to recommend breastfeeding and wonder how to counsel her.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0701/p149.html

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

Jul 1, 2004 - ...of the American flag. My fingers sting and tingle, but feel better after they warm up. Mrs. Quemby smoked four cigarettes a day and had hypertension. She took a baby aspirin every day. She liked to talk and loved to laugh. Even at the frozen foods section in the grocery store, my...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0701/p77.html

Poems & Tips From Other Journals - American Family Physician

Jul 1, 2004 - ...British Hypertension Society Guidelines Update Am Fam Physician. 2004 Jul 1;70(1):172. Clinical Question: How should hypertension be managed? Setting: Various (guideline) Study Design: Practice guideline Synopsis: The British Hypertension Society has issued its fourth update on...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0701/p172.html

Tips From Other Journals - American Family Physician

Jul 1, 2004 - ...occurred even after adjustments were made for blood pressure level. Beta blockers and diuretics are the initial recommended treatment for hypertension. Several classes of antihypertensive medications are available to treat this condition. Each of these classes has been shown to...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0701/p194.html

DVT and Pulmonary Embolism: Part II. Treatment and Prevention - American Family Physician

Jun 15, 2004 - Treatment goals for deep venous thrombosis include stopping clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmonary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2841.html

Metabolic Syndrome: Time for Action - American Family Physician

Jun 15, 2004 - The constellation of dyslipidemia (hypertriglyceridemia and low levels of high-density lipoprotein cholesterol), elevated blood pressure, impaired glucose tolerance, and central obesity is identified now as metabolic syndrome, also called syndrome X. Soon, metabolic syndrome will ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2875.html

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

Jun 15, 2004 - ...attack several months earlier, but he had fully recuperated. He enjoyed a full, active life. Aside from his age and well-controlled hypertension, he was at low surgical risk and was expected to do well. Still, KS was happy to see him later that afternoon sitting up in a chair, awake...

American Family Physician : Diary from a Week in Practice

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

Perinephric Abscess Caused by Group B Streptococcus - Letters to the Editor - American ...

Jun 15, 2004 - ...Her past surgeries included tubal ligation, three cesarean sections, and removal of an ectopic pregnancy. Her medical history included hypertension, iron deficiency anemia, depression, and hypercholesterolemia. Six weeks before admission, she was treated with ciprofloxacin for a UTI...

American Family Physician : Letter

https://www.aafp.org/afp/2004/0615/p2764.html

Tips From Other Journals - American Family Physician

Jun 15, 2004 - ...Elevated C-Reactive Protein and Risk of Hypertension Am Fam Physician. 2004 Jun 15;69(12):2924. The C-reactive protein level is an indicator of systemic inflammation that is associated with an increased risk of stroke and myocardial infarction. C-reactive protein, perhaps mediated...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0615/p2924.html

Tips From Other Journals - American Family Physician

Jun 15, 2004 - ...might provide a clue, because the prevalence of insulin resistance is increased in patients with type 2 diabetes mellitus, essential hypertension, and CVD. Unfortunately, measurement of insulin-meditated glucose disposal, which would represent insulin resistance, is not yet...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0615/p2927.html

Tips From Other Journals - American Family Physician

Jun 15, 2004 - ...239 mothers, about two thirds of whom were white. The average age was 28 years. The women had high rates of preeclampsia, diabetes, and hypertension. The groups were comparable with regard to many characteristics, but those undergoing vertical incisions were significantly heavier...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0615/p2918.html

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

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

American Family Physician : Article

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

Club Drugs: MDMA, Gamma-Hydroxybutyrate (GHB), Rohypnol, and Ketamine - American Family...

Jun 1, 2004 - Club drugs are substances commonly used at nightclubs, music festivals, raves, and dance parties to enhance social intimacy and sensory stimulation. The most widely used club drugs are 3,4-methylenedioxymethamphetamine (MDMA), also known as ecstasy; gamma-hydroxybutyrate (GHB); ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2619.html

Hemolytic Anemia - American Family Physician

Jun 1, 2004 - Hemolysis presents as acute or chronic anemia, reticulocytosis, or jaundice. The diagnosis is established by reticulocytosis, increased unconjugated bilirubin and lactate dehydrogenase, decreased haptoglobin, and peripheral blood smear findings. Premature destruction of erythrocytes ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2599.html

Tips From Other Journals - American Family Physician

Jun 1, 2004 - ...discomfort. The preoperative assessment included measurement of uterine size and screening for comorbid conditions such as diabetes, hypertension, hypothyroidism, pulmonary disease, and rheumatoid arthritis. Surgical data included the extent of uterine prolapse, estimated blood...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0601/p2683.html

Management of Hyponatremia - American Family Physician

May 15, 2004 - Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Hyponatremia can be classified according to the volume status of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2387.html

Guillain-Barre Syndrome - American Family Physician

May 15, 2004 - Guillain-Barré syndrome (GBS) is a group of autoimmune syndromes consisting of demyelinating and acute axonal degenerating forms of the disease. Nerve conduction study helps differentiate the heterogeneous subtypes of GBS. Patients exhibit a progressive paralysis that reaches a plateau ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2405.html

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

May 15, 2004 - Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2375.html

Ethinyl Estradiol/Drospirenone (Yasmin): A Newer Oral Contraceptive - STEPS - American ...

May 15, 2004 - An effective oral contraceptive, ethinyl estradiol/drospirenone can elevate potassium levels when given in combination with other potassium-elevating agents and offers no advantage over traditional oral contraceptives.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0515/p2425.html

Clinical Briefs - May 15, 2004 - American Family Physician

May 15, 2004 - ...have failed. Bariatric surgery has been shown to have salutary effects on obesity-related diabetes, hypertension, lipid profiles, and quality of life. Comorbidities such as hypertension and hyperlipidemia should be managed intensively. For sedentary patients, a comment such as, It...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2004/0515/p2479.html

Tips From Other Journals - American Family Physician

May 15, 2004 - ...outcome. Subgroup analysis of patients with diabetes demonstrated particular benefit among the sickest subgroups, including patients with hypertension, anterior AMI, or tachycardia on admission. Of the 1,646 patients without diabetes, almost one half received ACE inhibitors. ACE...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0515/p2462.html

Tips From Other Journals - American Family Physician

May 15, 2004 - ...for factors such as components of the metabolic syndrome (i.e., visceral obesity, insulin resistance, hyperglycemia, dyslipidemia, and hypertension) and the presence of stress hormones, negative emotions were found to predict CHD incidents significantly. High-density lipoprotein...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0515/p2458a.html

Diagnosis and Treatment of Acne - American Family Physician

May 1, 2004 - Acne can cause significant embarrassment and anxiety in affected patients. It is important for family physicians to educate patients about available treatment options and their expected outcomes. Topical retinoids, benzoyl peroxide, sulfacetamide, and azelaic acid are effective in ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2123.html

Atrial Fibrillation (Acute) - Clinical Evidence Handbook - American Family Physician

May 1, 2004 - What are the effects of interventions to prevent embolism? What are the effects of interventions for conversion to sinus rhythm? What are the effects of interventions to control heart rate?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2004/0501/p2173.html

Sinus and Allergy Health Partnership Releases Report on Adult Chronic Rhinosinusitis - ...

May 1, 2004 - Chronic rhinosinusitis is a group of disorders characterized by inflammation of the mucosa of the nose and paranasal sinuses lasting for at least 12 consecutive weeks. The Sinus and Allergy Health Partnership has released a report to help physicians diagnose this disease more accurately.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0501/p2248.html

Continuing the Tradition of Patient Information in AFP - Inside AFP - American Family ...

May 1, 2004 - ...Previous: Hypertension Management: Three vs. Six Months? Next: Newsletter View the full table of contents >> Home / Journals / afp / Vol. 69/No. 9(May 1, 2004) / Inside AFP: Continuing the Tradition of Patient Information in AFP...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2004/0501/p2043.html

The Right to Know--But at What Cost? - Curbside Consultation - American Family Physician

May 1, 2004 - This case scenario, submitted by the patient’s son, brings up three interesting ethical questions. The first question involves whether it is ever ethically justifiable to withhold information from patients, and if so, under what circumstances? The second question is: who decides whether...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/0501/p2255.html

Poems & Tips From Other Journals - American Family Physician

May 1, 2004 - ...Hypertension Management: Three vs. Six Months? Am Fam Physician. 2004 May 1;69(9):2196-2197. Clinical Question: Can patients with hypertension be seen every six months without loss of control, changes in patient satisfaction, or declines in adherence to treatment? Setting:...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0501/p2196.html

Tips From Other Journals - American Family Physician

May 1, 2004 - ...Hypertension Blood pressure controlled Risk acceptable; no definition of blood-pressure control Risk usually outweighs benefit if systolic blood pressure is 140 to 159 mm Hg and diastolic blood pressure is 90 to 99 mm Hg Blood pressure uncontrolled Risk...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0501/p2233a.html

Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician

Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1961.html

Preoperative Evaluation for Noncardiac Surgery - Point-of-Care Guides - American Family...

Apr 15, 2004 - Guidelines from the American College of Physicians (ACP) and the American College of Cardiology/American Heart Association (ACC/AHA) address the preoperative evaluation of patients for noncardiac surgery.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0415/p1977.html

Metabolic Syndrome: Early Identification and a Proactive Approach Are Warranted - ...

Apr 15, 2004 - ...dyslipidemia, or hypertension. Furthermore, newspapers and television news shows are replete with reports about the epidemic of obesity and consequent diabetes in the U.S. population. It is rare to see type 2 diabetes, dyslipidemia, obesity, or hypertension in isolation. The...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0415/p1868.html

Quantum Sufficit - Apr 15, 2004 - American Family Physician

Apr 15, 2004 - ...heart failure (CHF) after being admitted with dyspnea on exertion and edema affecting the left breast. The woman had a history of hypertension but no history of breast injury or infection. Examination showed jugular venous distention and bilateral pretibial pitting edema. There was...

American Family Physician : Quantum Sufficit

https://www.aafp.org/afp/2004/0415/p1852.html

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

Apr 15, 2004 - ...as freeways. He and his 75-year-old wife lived alone and maintained an independent lifestyle. Aside from arthritis and well-controlled hypertension, he was in remarkably good health. Therefore, KS was faced with the dilemma of having to assess driving ability in the office setting....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0415/p1911.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2004 - ...hypertension or diabetes was unfavorable ($282,818 per QALY; gain of 0.0022 QALYs per person, or less than one quality-adjusted life-day per person). Annual screening of low-risk patients 60 years and older was more cost-effective ($53,372 per QALY). In patients with hypertension,...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0415/p1993.html

Poems & Tips From Other Journals - American Family Physician

Apr 15, 2004 - ...between 2.0 and 3.0 (n = 1,703 patients). To be included in the study, patients had to have at least one additional risk factor, such as hypertension, age older than 75 years, previous thromboembolic phenomena, left ventricular ejection fraction less than 40 percent, symptomatic...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0415/p1991a.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

Transient Ischemic Attacks: Part I. Diagnosis and Evaluation - American Family Physician

Apr 1, 2004 - Transient ischemic attack is no longer considered a benign event but, rather, a critical harbinger of impending stroke. Failure to quickly recognize and evaluate this warning sign could mean missing an opportunity to prevent permanent disability or death. The 90-day risk of stroke after...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1665.html

Transient Ischemic Attacks: Part II. Treatment - American Family Physician

Apr 1, 2004 - Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1681.html

Tips From Other Journals - American Family Physician

Apr 1, 2004 - ...years of age. Participants underwent exercise testing using a Bruce treadmill protocol. Cardiovascular risk factors such as diabetes and hypertension were assessed and used to stratify risk according to the 1998 Framingham risk equation. During a mean follow-up of 20.3 years, there...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0401/p1744a.html

Tips From Other Journals - American Family Physician

Apr 1, 2004 - ...of six and one half years. In the EDIC study, 1,349 participants were followed for the development of microalbuminuria, albuminuria, hypertension or treatment with antihypertensive medications, doubling of the serum creatinine concentration since the DCCT baseline level, or need for...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0401/p1764.html

Tips From Other Journals - American Family Physician

Apr 1, 2004 - ...or 13 g per dL (130 g per L) in men, and Karnofsky scores of at least 60. Exclusion criteria included thrombocytosis, treatment-resistant hypertension, epilepsy, and treatment with certain drugs. Before randomization, patients were stratified according to tumor resection status....

American Family Physician : Tip

https://www.aafp.org/afp/2004/0401/p1791.html

Initial Evaluation of Hypertension - Point-of-Care Guides - American Family Physician

Mar 15, 2004 - The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recently released its seventh report (JNC 7). This guideline takes a largely evidence-based approach to the development of recommendations. Key changes from the previous guideline ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2004/0315/p1485.html

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1443.html

Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...

Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1429.html

Memantine (Namenda) for Moderate to Severe Alzheimer's Disease - STEPS - American ...

Mar 15, 2004 - Memantine is well tolerated, but its clinical benefits for the treatment of moderate to severe AD appear modest. The reduction in caregiver time requires confirmation in another trial. As with other drugs for AD, memantine does not reverse deterioration.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0315/p1491.html

Preventive Health for Your Patients - Inside AFP - American Family Physician

Mar 15, 2004 - ...Los Angeles, focuses on the epidemic metabolic syndrome—the triad of type 2 diabetes, dyslipidemia, and hypertension. Type 2 diabetes, dyslipidemia, obesity, or hypertension is rarely seen in isolation and, as the author notes, the prevalence of the metabolic syndrome is estimated...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2004/0315/p1335.html

Does Screening for Tuberculosis in Children Decrease Morbidity or Mortality? - FPIN's ...

Mar 15, 2004 - Routine screening of low-risk children for tuberculosis infection before entering kindergarten is not necessary.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0315/p1479.html

The Uninsured - Medicine and Society - American Family Physician

Mar 15, 2004 - ...premature death; fail to receive recommended care for chronic diseases; lack regular access to medications to manage conditions such as hypertension or HIV infection; and receive fewer diagnostic and treatment services after a traumatic injury or heart attack, resulting in an...

American Family Physician : Medicine and Society

https://www.aafp.org/afp/2004/0315/p1357.html

Tips From Other Journals - American Family Physician

Mar 15, 2004 - ...high-risk patients. These agents are believed to be more effective than angiotensin-converting enzyme (ACE) inhibitors in patients with hypertension and left ventricular hypertrophy. Nevertheless, in a large multinational trial, cardiovascular mortality was significantly reduced in...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0315/p1525a.html

An Approach to Interpreting Spirometry - American Family Physician

Mar 1, 2004 - Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit. However, interpreting spirometry results can be ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1107.html

Obstructive Sleep Apnea in Children - American Family Physician

Mar 1, 2004 - Obstructive sleep-disordered breathing is common in children. From 3 percent to 12 percent of children snore, while obstructive sleep apnea syndrome affects 1 percent to 10 percent of children. The majority of these children have mild symptoms, and many outgrow the condition. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1147.html

Tips From Other Journals - American Family Physician

Mar 1, 2004 - ...levels, and in one patient taking cyclosporine because increased serum bilirubin levels and icterus were noted. Two patients developed hypertension while taking cyclosporine, but this condition was controlled with medication and slowly resolved after the treatment course was...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0301/p1270.html

Tips From Other Journals - American Family Physician

Mar 1, 2004 - ...had at least two documented normal thyroid tests during pregnancy. The two groups of mothers were matched for age, parity, smoking, and hypertension. Blood samples were collected between 25 and 48 hours or 49 and 120 hours after birth for determination of thyroid-stimulating hormone...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0301/p1228.html

AAFP News - Mar 1, 2004 - American Family Physician

Mar 1, 2004 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2004/0301/p1031.html

Eplerenone (Inspra) for Hypertension - STEPS - American Family Physician

Feb 15, 2004 - Compared with other commonly used antihypertensive medications, eplerenone is effective in lowering blood pressure when used alone or as add-on therapy. However, mortality benefits related to antihypertensive treatment have not yet been shown, so it should not be considered a first-line...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0215/p915.html

A New View of Occult and Obscure Gastrointestinal Bleeding - American Family Physician

Feb 15, 2004 - Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity. The initial work-up for occult bleeding typically ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p875.html

Does Lidocaine-Prilocaine Cream (EMLA) Decrease the Pain of Neonatal Circumcision? - ...

Feb 15, 2004 - EMLA cream reduces the pain experienced by newborns during circumcision compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0215/p909.html

An Unusual Case of Chest Pain - Photo Quiz - American Family Physician

Feb 15, 2004 - 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/2004/0215/p919.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...of Gestational Hypertension-Preeclampsia Am Fam Physician. 2004 Feb 15;69(4):979-980. Hypertension is the most common medical disorder that occurs during pregnancy, occurring in 6 to 8 percent of pregnancies in the United States. The term gestational hypertension-preeclampsia is...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p979.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...and Hypertension Am Fam Physician. 2004 Feb 15;69(4):978-979. Severe obesity is associated with multiple comorbidities (such as hypertension and diabetes) that can decrease life expectancy. Gastric bypass (GBP) surgery for severe obesity can positively affect hypertension and...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p978.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...weight was rapidly regained after therapy was stopped. Amphetamines also were used as weight loss agents, but their use often resulted in hypertension, addiction, and adverse myocardial events. Fenfluramine, which increased serotonin levels, was used alone or in combination with the...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p948.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...of atherosclerotic risk factors that includes insulin resistance, microalbuminuria, hypercoagulability, dyslipidemia, obesity, and hypertension. Recognition of the increased risk for coronary disease and stroke makes intervention essential in patients with these risk factors. Scott...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p955a.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...Hypertension and proteinuria are risk factors for faster progression of kidney disease. Pharmacologic control of hypertension reduces urine protein excretion and slows progression of the disease. Recent guidelines included in the seventh report of the Joint National Committee for...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p965.html

Tips From Other Journals - American Family Physician

Feb 15, 2004 - ...Metabolic syndrome is defined as obesity, insulin resistance, dyslipidemia, and hypertension. Persons who have the syndrome are at increased risk for adverse coronary events and stroke. Aggressive management can decrease mortality. Wong and associates used data from the Third...

American Family Physician : Tip

https://www.aafp.org/afp/2004/0215/p957.html

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