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

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

American Family Physician : Article

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

Diabetic Nephropathy - Clinical Evidence Handbook - American Family Physician

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

American Family Physician : Clinical Evidence Handbook

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

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

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

American Family Physician : Article

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

Diabetic Nephropathy-The Family Physician’s Role

...level, protein is eas- ily detected on routine urinalysis or urine dipstick. Sev- eral conditions, including marked hyperglycemia and hypertension, may cause transient elevations of urinary albumin (Table 1).9,11,13 Because up to 36 percent of per- sons with type 2 diabetes have...

American Family Physician

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

Diabetic Nephropathy: Common Questions - American Family Physician

Jul 1, 2005 - Diabetic nephropathy, or diabetic kidney disease, affects 20 to 30 percent of patients with diabetes. It is a common cause of kidney failure. Diabetic nephropathy presents in its earliest stage with low levels of albumin (microalbuminuria) in the urine. The most practical method of ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p96.html

Diabetic Nephropathy: Common Questions - American Family Physician

...an angiotensin-convert- ing enzyme inhibitor or angiotensin receptor blocker. Patients with diabetes and isolated microalbuminuria or hypertension benefit from angiotensin-converting enzyme inhibitors or angiotensin receptor blockers. In the event that these medications cannot be...

American Family Physician

https://www.aafp.org/afp/2005/0701/afp20050701p96.pdf

Diabetic Nephropathy: Preventing Progression - Clinical Evidence Handbook - American ...

Mar 15, 2011 - What are the effects of treatments to prevent progression of nephropathy in persons with type 1 and type 2 diabetes and early and late nephropathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0315/p732.html

Diagnosing Acute Monoarthritis in Adults

...Hypertension or ≥ 1 cardiovascular diseases* 1.5 points Serum uric acid > 5.88 mg per dL (350 µmol per L) 3.5 points Total score: ≤ 4 points > 4 and < 8 points ≥ 8 points Non-gout in 95% Uncertain diagnosis Gout in 87% Consider alternative diagnosis, such as CPPD...

American Family Physician

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

Diagnosing and Managing Acute Heart Failure Guidelines: NICE - POEMs - American Family ...

Feb 15, 2015 - There is not much new in these guidelines except some caveats on what not to do. Diagnose new acute heart failure with a natriuretic peptide measurement and, if the level is high, follow with transthoracic echocardiography. Do not routinely treat with opiates, nitrates, inotropes, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0215/p260.html

Diagnosing Common Benign Skin Tumors - American Family Physician

Oct 1, 2015 - Patients will experience a wide range of skin growths and changes over their lifetime. Family physicians should be able to distinguish potentially malignant from benign skin tumors. Most lesions can be diagnosed on the basis of history and clinical examination. Lesions that are ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p601.html

Diagnosing Dementia and Clarifying Goals of Care - Lown Right Care: Reducing Overuse ...

Sep 15, 2019 - A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

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

https://www.aafp.org/afp/2019/0915/p369.html

Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides...

Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1215/p778.html

Diagnosing Night Sweats - American Family Physician

Mar 1, 2003 - Night sweats are a common outpatient complaint, yet literature on the subject is scarce. Tuberculosis and lymphoma are diseases in which night sweats are a dominant symptom, but these are infrequently found to be the cause of night sweats in modern practice. While these diseases remain ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p1019.html

Diagnosing Night Sweats -- American Family Physician

...Labile hypertension, paroxysms Urine catecholamines or metanephrines of headache or palpitations measured in a 24-hour collection; if diagnosed, the tumor must be localized using radiologic imaging Attacks of cyanotic flushing, High levels of urinary 5-hydroxyindoleacetic...

American Family Physician

https://www.aafp.org/afp/2003/0301/afp20030301p1019.pdf

Diagnosing Secondary Hypertension - American Family Physician

Jan 1, 2003 - Secondary hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Only about 5 to 10 percent of hypertension cases are thought to result from secondary causes. The ABCDE mnemonic can be used to help determine a secondary cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p67.html

Diagnosing Secondary Hypertension -- American Family Physician

...other risk factors for cardiovascular dis- orders (e.g., diabetes mellitus, hyperlipi- demia); and detection of secondary causes of hypertension. Physicians can use the mnemonic ABCDE to help deter- mine secondary causes in the patient with elevated blood pressure (Table 1)....

American Family Physician

https://www.aafp.org/afp/2003/0101/afp20030101p67.pdf

Diagnosis and Classification of Diabetes Mellitus: New Criteria - American Family ...

Oct 15, 1998 - New recommendations for the classification and diagnosis of diabetes mellitus include the preferred use of the terms

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1355.html

Diagnosis and Evaluation of Heart Failure

...increased survival after acute myocardial infarction and improved treat- ment of coronary artery disease (CAD), val- vular disease, and hypertension. Causes Heart failure is defined by the American Heart Association and American College of Cardiology as a complex clinical syn-...

American Family Physician

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

Diagnosis and Evaluation of Heart Failure - American Family Physician

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

American Family Physician : Article

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

Diagnosis and Manage<FEFF>ment of Nephrotic Syndrome in Adults

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2016/0315/afp20160315p479.pdf

Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician

Jun 15, 2003 - Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2527.html

Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician

...hypertension Patient refusal Sepsis or renal parenchymal infection The Authors CHARLES M. KODNER, M.D., is assistant professor in the Department of Family and Community Medicine at the University of Louisville School of Medicine in Louisville, Ky. He earned his medical...

American Family Physician

https://www.aafp.org/afp/2003/0615/afp20030615p2527.pdf

Diagnosis and Management of Acute Pyelonephritis in Adults - American Family Physician

Mar 1, 2005 - There are approximately 250,000 cases of acute pyelonephritis each year, resulting in more than 100,000 hospitalizations. The most common etiologic cause is infection with Escherichia coli. The combination of the leukocyte esterase test and the nitrite test (with either test proving ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0301/p933.html

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

...and neurologic disorders (e.g., head injury, seizure disorder), and on possible contraindications of stimulant therapy (e.g., hypertension). Baseline weight should be recorded for comparison in future monitoring. A number of structured diagnostic instruments/ rating scales are...

American Family Physician

https://www.aafp.org/afp/2012/0501/afp20120501p890.pdf

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

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

American Family Physician : Article

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

Diagnosis and Management of Benign Prostatic Hyperplasia - American Family Physician

May 15, 2008 - Benign prostatic hyperplasia is a common condition affecting older men. Typical presenting symptoms include urinary hesitancy, weak stream, nocturia, incontinence, and recurrent urinary tract infections. Acute urinary retention, which requires urgent bladder catheterization, is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1403.html

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

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

American Family Physician : Practice Guidelines

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

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

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

American Family Physician : Article

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

Diagnosis and Management of Crohn’s Disease

...Prednisone 20 to 40 mg by mouth per day Hypertension, fluid retention, hypernatremia, osteoporosis, depression, increased risk of infection None Blood pressure, electrolyte panel, blood glucose level, mental status, ophthalmic examination (with prolonged therapy), dual energy...

American Family Physician

https://www.aafp.org/afp/2011/1215/afp20111215p1365.pdf

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

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

American Family Physician : Article

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

Diagnosis and Management of Endometrial Cancer

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2016/0315/afp20160315p468.pdf

Diagnosis and Management of Endometrial Cancer - American Family Physician

Mar 15, 2016 - Endometrial cancer is the most common gynecologic malignancy. It is the fourth most common cancer in women in the United States after breast, lung, and colorectal cancers. Risk factors are related to excessive unopposed exposure of the endometrium to estrogen, including unopposed ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0315/p468.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Diagnosis and Management of Gout - American Family Physician

Apr 1, 1999 - Gout is a disease resulting from the deposition of urate crystals caused by the overproduction or underexcretion of uric acid. The disease is often, but not always, associated with elevated serum uric acid levels. Clinical manifestations include acute and chronic arthritis, tophi, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1799.html

Diagnosis and Management of Multiple Sclerosis - American Family Physician

Nov 15, 2004 - Multiple sclerosis, an idiopathic inflammatory disease of the central nervous system, is characterized pathologically by demyelination and subsequent axonal degeneration. The disease commonly presents in young adults and affects twice as many women as men. Common presenting symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1935.html

Diagnosis and Management of Nephrotic Syndrome in Adults - American Family Physician

Mar 15, 2016 - Nephrotic syndrome (NS) consists of peripheral edema, heavy proteinuria, and hypoalbuminemia, often with hyperlipidemia. Patients typically present with edema and fatigue, without evidence of heart failure or severe liver disease. The diagnosis of NS is based on typical clinical ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0315/p479.html

Diagnosis and Management of Preeclampsia - American Family Physician

Dec 15, 2004 - Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2317.html

Diagnosis and Management of Red Eye in Primary Care - American Family Physician

Jan 15, 2010 - Red eye is the cardinal sign of ocular inflammation. The condition is usually benign and can be managed by primary care physicians. Conjunctivitis is the most common cause of red eye. Other common causes include blepharitis, corneal abrasion, foreign body, subconjunctival hemorrhage, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p137.html

Diagnosis and Management of Rheumatoid Arthritis

...Hypertension, renal effects, hirsutism $$ Biologic Anti-TNF agents Adalimumab (Humira) Anti-TNF-α TB, opportunistic infection $$$ Certolizumab pegol (Cimzia) Anti-TNF-α, pegylated TB, opportunistic infection $$$ Etanercept (Enbrel) Anti-TNF-α, receptor TB,...

American Family Physician

https://www.aafp.org/afp/2011/1201/afp20111201p1245.pdf

Diagnosis and Management of Rheumatoid Arthritis - American Family Physician

Dec 1, 2011 - Rheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis. Women, smokers, and those with a family history of the disease are most often affected. Criteria for diagnosis include having at least one joint with definite swelling that is not explained by another ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1245.html

Diagnosis and Management of Rheumatoid Arthritis - American Family Physician

Sep 15, 2005 - Rheumatoid arthritis is a chronic inflammatory disease characterized by uncontrolled proliferation of synovial tissue and a wide array of multisystem comorbidities. Prevalence is estimated to be 0.8 percent worldwide, with women twice as likely to develop the disease as men. Untreated, ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0915/p1037.html

Diagnosis and Management of Rheumatoid Arthritis - American Family Physician

...Rare: hypertension; renal disease; sepsis Creatinine every two weeks until dose is stable, then monthly; consider CBC, LFTs, and potassium level tests Significant clinical benefit up to one year; adverse effects limit use. D-Penicillamine (Cuprimine) 250 to 750 mg orally...

American Family Physician

https://www.aafp.org/afp/2005/0915/afp20050915p1037.pdf

Diagnosis and Management of Sarcoidosis

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2016/0515/afp20160515p840.pdf

Diagnosis and Management of Sarcoidosis - American Family Physician

May 15, 2016 - Sarcoidosis is a systemic disease of unknown etiology characterized by the presence of noncaseating granulomas in any organ, most commonly the lungs and intrathoracic lymph nodes. A diagnosis of sarcoidosis should be suspected in any young or middle-aged adult presenting with ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0515/p840.html

Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia - American...

Mar 1, 2015 - Hyponatremia and hypernatremia are common findings in the inpatient and outpatient settings. Sodium disorders are associated with an increased risk of morbidity and mortality. Plasma osmolality plays a critical role in the pathophysiology and treatment of sodium disorders. Hyponatremia ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0301/p299.html

Diagnosis and Management of Upper Gastrointestinal Bleeding

...Esophageal varices History of cirrhosis and portal hypertension 6 Mallory-Weiss tear History of repeated retching or vomiting 4 Gastrointestinal malignancy History of weight loss, smoking, or alcohol consumption; more common in Asians 2 Arteriovenous malformations...

American Family Physician

https://www.aafp.org/afp/2012/0301/afp20120301p469.pdf

Diagnosis and Management of Upper Gastrointestinal Bleeding - American Family Physician

Mar 1, 2012 - Upper gastrointestinal bleeding causes significant morbidity and mortality in the United States, and has been associated with increasing nonsteroidal anti-inflammatory drug use and the high prevalence of Helicobacter pylori infection in patients with peptic ulcer bleeding. Rapid ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p469.html

Diagnosis and Management of Vertebral Compression Fractures - American Family Physician

Jul 1, 2016 - Vertebral compression fractures (VCFs) are the most common complication of osteoporosis, affecting more than 700,000 Americans annually. Fracture risk increases with age, with four in 10 white women older than 50 years experiencing a hip, spine, or vertebral fracture in their lifetime. ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0701/p44.html

Diagnosis and Management of Von Willebrand Disease: Guidelines for Primary Care - ...

Dec 1, 2009 - Von Willebrand disease is an inherited condition characterized by deficiency of von Willebrand factor, which is essential in hemostasis. The National Heart, Lung, and Blood Institute has released new evidence-based guidelines for the diagnosis and management of the disease. There are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1261.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

Diagnosis and Treatment of Atrial Fibrillation

September 15, 2016

American Family Physician

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

Diagnosis and Treatment of Atrial Fibrillation - American Family Physician

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

American Family Physician : Article

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

Diagnosis and Treatment of Endometriosis - American Family Physician

Oct 15, 1999 - Endometriosis is a progressive disease affecting 5 to 10 percent of women. It can cause dyspareunia, dysmenorrhea, low back pain and infertility. A definitive diagnosis can be made only by means of laparoscopy. Medical treatment designed to interfere with ovulation generally provides ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1753.html

Diagnosis and Treatment of Hypothermia - American Family Physician

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

American Family Physician : Article

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

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults

September 1, 2016

American Family Physician

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

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

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

American Family Physician : Article

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

Diagnosis and Treatment of Peripheral Arterial Disease

...Diagnosis Risk factors for PAD include older age, smoking, diabetes mellitus, hypertension, hyperlipidemia, renal insufficiency (glomer- ular filtration rate less than 60 mL per min- ute per 1.73 m2), and non-Hispanic black race.1,3,4 Smoking and diabetes are associated with the...

American Family Physician

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

Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician

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

American Family Physician : Article

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

Diagnosis and Treatment of Polycystic Ovary Syndrome - American Family Physician

Jul 15, 2016 - Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the syndrome is complex and there is no single defect from which it is known to result, it is ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p106.html

Diagnosis and Treatment of Pulmonary Hypertension - American Family Physician

May 1, 2001 - Primary pulmonary hypertension is a rare disease of unknown etiology, whereas secondary pulmonary hypertension is a complication of many pulmonary, cardiac and extrathoracic conditions. Chronic obstructive pulmonary disease, left ventricular dysfunction and disorders associated with ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0501/p1789.html

Diagnosis and Treatment of Urinary Tract Infections in Children

...children within one to two years of their first diagnosed UTI.8 Long-term com- plications of UTI associated with renal scar- ring include hypertension, chronic renal failure, and toxemia in pregnancy. Long- term follow-up data are limited, although one Swedish study found that among...

American Family Physician

https://www.aafp.org/afp/2011/0215/afp20110215p409.pdf

Diagnosis and Treatment of Urinary Tract Infections in Children - American Family ...

Feb 15, 2011 - Acute urinary tract infections are relatively common in children, with 8 percent of girls and 2 percent of boys having at least one episode by seven years of age. The most common pathogen is Escherichia coli, accounting for approximately 85 percent of urinary tract infections in ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p409.html

Diagnosis and Treatment of Venous Ulcers - American Family Physician

Apr 15, 2010 - Venous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting approximately 1 percent of the U.S. population. Possible causes of venous ulcers include inflammatory processes resulting in leukocyte activation, endothelial damage, platelet ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p989.html

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

...status of the condition and plans for addressing it. Many common chronic conditions, such as Mr. White’s hypothy- roidism and essential hypertension, do not correspond to HCCs. ➤ © S E R G E B LO C H CME Downloaded from www.aafp.org/fpm. Copyright © 2018...

Family Practice Management

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

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

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

Family Practice Management : Articles

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

Diagnosis of Acute Abdominal Pain in Older Patients - American Family Physician

Nov 1, 2006 - Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in presentation, and physical and social barriers. The physical examination can be misleadingly ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1537.html

Diagnosis of Acute Stroke

April 15, 2015 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0415/afp20150415p528.pdf

Diagnosis of Acute Stroke - American Family Physician

Apr 15, 2015 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0415/p528.html

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

...nary angiography requires greater amounts of con- trast and radiation, and is contraindi- cated in patients with severe pulmo- nary hypertension and heart failure. It is indicated only when the clinical suspicion for pulmonary embolism remains high, even when less invasive study...

American Family Physician

https://www.aafp.org/afp/2012/1115/afp20121115p913.pdf

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p913.html

Diagnosis of Ear Pain - American Family Physician

Mar 1, 2008 - Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal. The cause of primary...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p621.html

Diagnosis of Gastrointestinal Bleeding in Adults - American Family Physician

Apr 1, 2005 - The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding. Patients presenting with upper gastrointestinal or massive lower gastrointestinal bleeding, postural hypotension, or hemodynamic instability ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1339.html

Diagnosis of Gastrointestinal Bleeding in Adults - American Family Physician

...Esophageal varices Alcohol abuse; jaundice; signs of portal hypertension, including: ascites, palmar erythema, spider angiomata, hepatomegaly, splenomegaly, and rectal varices Mallory-Weiss tear Bleeding preceded by vomiting, retching, or seizures Gastric cancer Left...

American Family Physician

https://www.aafp.org/afp/2005/0401/afp20050401p1339.pdf

Diagnosis of Heart Failure in Adults - American Family Physician

Dec 1, 2004 - Heart failure is a common, progressive, complex clinical syndrome with high morbidity and mortality. Coronary artery disease is its most common cause. The evaluation of symptomatic patients with suspected heart failure is directed at confirming the diagnosis, determining the cause, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2145.html

Diagnosis of Heart Failure in Adults - American Family Physician

...in preload (e.g., acute mitral regurgitation, excessive intravenous hydra- tion), afterload (e.g., aortic stenosis, severe uncontrolled hypertension), or demand (e.g., increased demand because of severe anemia or hyperthyroidism) may lead to progres- sive failure of myocardial...

American Family Physician

https://www.aafp.org/afp/2004/1201/afp20041201p2145.pdf

Diagnosis of Secondary Hypertension: An Age-Based Approach - American Family Physician

Dec 15, 2010 - Secondary hypertension is a type of hypertension with an underlying, potentially correctable cause. A secondary etiology may be suggested by symptoms (e.g., flushing and sweating suggestive of pheochromocytoma), examina- tion findings (e.g., a renal bruit suggestive of renal artery ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1471.html

Diagnosis of Systemic Lupus Erythematossus - American Family Physician

Dec 1, 2003 - Systemic lupus erythematosus is a multisystem inflammatory disease that is often difficult to diagnose. Before the diagnosis can be established, four of 11 clinical and laboratory criteria must be met. Antinuclear antibody titer is the primary laboratory test used to diagnose systemic ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2179.html

Diagnosis, Treatment, and Prevention of Gout

December 1, 2014 Scientific

American Family Physician

https://www.aafp.org/afp/2014/1215/afp20141215p831.pdf

Diagnosis, Treatment, and Prevention of Gout - American Family Physician

Dec 15, 2014 - Gout is characterized by painful joint inflammation, most commonly in the first metatarsophalangeal joint, resulting from precipitation of monosodium urate crystals in a joint space. Gout is typically diagnosed using clinical criteria from the American College of Rheumatology. Diagnosis...

American Family Physician : Article

https://www.aafp.org/afp/2014/1215/p831.html

Diagnostic Approach to Chronic Constipation in Adults - American Family Physician

Aug 1, 2011 - Constipation is traditionally defined as three or fewer bowel movements per week. Risk factors for constipation include female sex, older age, inactivity, low caloric intake, low-fiber diet, low income, low educational level, and taking a large number of medications. Chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0801/p299.html

Diagnostic Approach to Patients with Tinnitus

...Neurologic: multiple sclerosis, spontaneous intracranial hypotension,11 type I Chiari malformation,12 idiopathic intracranial hypertension,13 vestibular migraine14 Infectious: viral, bacterial, fungal Metabolic (weak evidence): hyperlipidemia, diabetes mellitus, vitamin B12...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p106.pdf

Diagnostic Approach to Patients with Tinnitus - American Family Physician

Jan 15, 2014 - Tinnitus, a common symptom encountered in family medicine, is defined as the perception of noise in the absence of an acoustic stimulus outside of the body. Because tinnitus is a symptom and not a disease, its underlying cause must be determined to best help patients. Although tinnitus ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0115/p106.html

Diagnostic Approach to Tinnitus - American Family Physician

Jan 1, 2004 - Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p120.html

Diagnostic Approach to Tinnitus - American Family Physician

...experience worsening of symptoms at night and usually do not have other otologic com- plaints.Venous hums may be heard in patients with hypertension or abnormally high place- ment of the jugular bulb. This type of tinnitus is a soft, low-pitched venous hum, which can be altered by...

American Family Physician

https://www.aafp.org/afp/2004/0101/afp20040101p120.pdf

Diagnostic Evaluation of Dyspnea - American Family Physician

Feb 15, 1998 - Dyspnea is a common symptom and, in most cases, can be effectively managed in the office by the family physician. The differential diagnosis is composed of four general categories: cardiac, pulmonary, mixed cardiac or pulmonary, and noncardiac or nonpulmonary. Most cases of dyspnea are ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0215/p711.html

Diagnostic Evaluation of Erectile Dysfunction - American Family Physician

Jan 1, 2000 - Erectile dysfunction, the persistent inability to attain or maintain penile erection sufficient for sexual intercourse, affects millions of men to various degrees. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p95.html

Diagnostic Tool for Gout Without Need for Joint Fluid Aspiration - Letters to the ...

Feb 15, 2016 - ...Hypertension or at least one of the following conditions: angina pectoris, cerebrovascular accident, heart failure, myocardial infarction, peripheral vascular disease, transient ischemic attack 1.5 Serum uric acid level > 5.88 mg per dL (350 μmol per L) 3.5 Total ____...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0215/p256.html

Diary from a Week in Practice - Apr 15, 2001 - American Family Physician

Apr 15, 2001 - ...the common diagnosis of hypertension. This week, she was involved in a some-what unique situation. An other-wise healthy and asymptomatic 48-year-old man came in for evaluation of recent high blood pressure. Not having been previously diagnosed with hypertension, he as adamant that...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0415/p1529.html

Diary from a Week in Practice - Apr 15, 2002 - American Family Physician

Apr 15, 2002 - ...she had worked in the high-risk obstetrics clinic this morning where several of her patients' pregnancies were complicated by diabetes, hypertension, and other medical problems. Several of the women had severe substance abuse problems, including cocaine and alcohol. But what all of...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0415/p1555.html

Diary from a Week in Practice - Apr 15, 2003 - American Family Physician

Apr 15, 2003 - ...day. His patient was a 33-year-old woman who weighed well over 300 lb. She was in the office that afternoon to follow up on diabetes and hypertension, both of which were only moderately well controlled. MJ had seen the patient regularly during the past two years. They had discussed...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0415/p1709.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

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

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

Diary from a Week in Practice - Dec 1, 2002 - American Family Physician

Dec 1, 2002 - ...episodic hypertension. JOH wondered how he was able to tell that his blood pressure was high until he was told about the two sphygmomanometers that he carried in his backpack. His blood pressure on the mobile clinic was normal, and JOH was reluctant to treat episodic hypertension,...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/1201/p2083.html

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

Dec 1, 2004 - ...out the window of the mobile clinic, JOH had an ominous feeling as Randy approached the door. A man with poorly controlled diabetes, hypertension, peripheral vascular disease from smoking, and personal hygiene that literally attracted flies, Randy had seen the mobile clinic and...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1201/p2100.html

Diary from a Week in Practice - Dec 1, 2005 - American Family Physician

Dec 1, 2005 - ...burst. For some reason, he had reached the point of admitting his dependence. The signs had been there all along—the difficult-to-treat hypertension, gastroesophageal reflux, borderline elevated liver enzymes, macrocytosis. Until now, Nick had never admitted alcohol had a hold on...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1201/p2212.html

Diary from a Week in Practice - Dec 15, 2001 - American Family Physician

Dec 15, 2001 - ...She and a second-year resident, SO, were discussing the work-up of an 82-year-old woman who was in excellent health aside from mild hypertension. SO replied, I order cholesterol levels on just about everybody. KS reminded him that a screening that is indicated for patients in one...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/1215/p1960.html

Diary from a Week in Practice - Dec 15, 2003 - American Family Physician

Dec 15, 2003 - ...kidneys and feet, suggested KS. She was discussing a 52-year-old patient who presented to the Family Practice Center with diabetes and hypertension. The resident reported that his patient had no complaints and was primarily there for medication refills. His blood pressure was...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1215/p2375.html

Diary from a Week in Practice - Dec 15, 2005 - American Family Physician

Dec 15, 2005 - ...help me, Ellen tells me every time she comes in. I agree that she was lucky, because Ellen has many medical problems including diabetes, hypertension, and heart disease. She had a stroke three years ago, and although she can move slowly using her walker, she spends much of her day...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1215/p2467.html

Diary From a Week in Practice - Diary from a Week in Practice - American Family Physician

Jun 1, 2005 - ...of refugees are in excellent health; an active lifestyle and sparse diet have spared them many of the ravages that come with abundance—hypertension, diabetes, osteoarthritis, hyperlipidemia, and coronary artery disease. Families with four to eight children are normal. The wide eyes...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0601/p2085.html

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