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hypertension

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

Mar 15, 2005 - ...sees a colleague of mine, visits me today because of a problem that just can’t wait. I know Mrs. Gonzalez. She’s blind and has diabetes, hypertension, and renal insufficiency, plus an impressive collection of symptoms and laboratory abnormalities that could keep any family...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0315/p1096.html

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

Oct 1, 2002 - ...Previous: Hypertension and Diabetes: Family Physicians' Pivotal Role Next: Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support Person Affect Maternal-Child Outcomes? View the full table of contents >> Home / Journals / afp / Vol. 66/No....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/1001/p1200.html

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

Feb 1, 2004 - ...him: The fault … lies not in our stars, but in ourselves. The middle-aged patient had come to the mobile clinic with uncontrollable hypertension and type 2 diabetes. Despite the use of four antihypertensive medications prescribed by a previous doctor, the man's diastolic pressure...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0201/p517.html

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

Feb 15, 2003 - ...hospital. Actually, the patient he was evaluating was one of his favorites. She had long-standing diabetes, with complications including hypertension, renal insufficiency, and congestive heart failure. She was so pleased with AR's care, she had referred most of her very large family...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0215/p724.html

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

Feb 15, 2005 - ...day, KS kept a count of each patient’s prescription drugs. Frankly, it is a tribute to polypharmacy that her next patient’s diabetes, hypertension, and hyperlipidemia were finally brought under control with the use of six drugs and insulin shots. If one counted aspirin and calcium,...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0215/p692.html

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

Jan 1, 2004 - ...modifications—a daily exercise program, weight loss to achieve a normal body mass index, and initiation of the Dietary Approaches to Stop Hypertension (DASH) eating plan. Two weeks later, Mr. Conrad's potassium was 4.1 mmol per L, and his blood pressure was 124/80 mm Hg. I could not...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0101/p66.html

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

Jan 15, 2002 - ...Previous: Obstructive Sleep Apnea and Essential Hypertension -- Is There a Link? Next: Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease in Women View the full table of contents >> Home / Journals / afp / Vol. 65/No. 2(January 15, 2002) /...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0115/p204.html

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

Jan 15, 2004 - ...I'm always learning things I wish I'd already known. Mrs. Gerson, an 82-year-old woman with hypertension and diabetes, presents with a terrible cough that has momentarily blotted out her chronic knee pain. She hacks convincingly, clutching her ribs. Afebrile and uncharacteristically...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0115/p295.html

Diary from a Week in Practice - Jul 01, 1999 - American Family Physician

Jul 1, 1999 - ...and our willingness to listen. Today JRH was near the end of a visit with a middle-aged woman who had come in for evaluation of hypertension, when she mentioned in passing that her toe would sometimes get stuck in the flexed position and wouldn't return to neutral unless she bent...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/0701/p93.html

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

Jul 1, 2002 - ...woman whose blood values have been a bit off-target for the past few years. She tends to worry about everything. In addition to essential hypertension, osteoarthritis, and hypothyroidism, she also has mild anemia, slightly decreased renal function, and mild hyperlipidemia. In an...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0701/p73.html

Diary from a Week in Practice - Jul 1, 2003 - American Family Physician

Jul 1, 2003 - ...sleep aids only made him feel fuzzy in the morning. He was an overweight man with a short, stocky neck, and I was treating him for mild hypertension and acid reflux disease. My examination of his nose and throat did not uncover any evidence of upper airway obstruction. I had to...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0701/p79.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

Diary from a Week in Practice - Jul 15, 2000 - American Family Physician

Jul 15, 2000 - ...She was elated! So was WLL! The 28-year-old patient with polycystic ovarian syndrome (PCOS) had wrestled with obesity, hirsutism, mild hypertension and oligomenorrhea. She was not able to get pregnant even though her husband's semen analysis was normal. WLL suggested a trial of...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2000/0715/p353.html

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

Jul 15, 2003 - ...Previous: JNC 7 Express: New Thinking in Hypertension Treatment Next: Should We Offer Routine Breast Cancer Screening with Mammography? View the full table of contents >> Home / Journals / afp / Vol. 68/No. 2(July 15, 2003) / Diary from a Week in Practice: Diary from a Week...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0715/p257.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

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

Jul 15, 2005 - ...has died in his sleep. Bart was a convivial bachelor who served in the merchant marines during World War II. A 290-lb 75 year old with hypertension when I first met him in 1994, he developed diabetes a few years later, then shed 50 lbs in fits and starts. He was a model...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0715/p261.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

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

Jun 15, 2005 - ...room. This patient also happened to be a cheerful, 50-year-old man, but unlike the bike rider, he was overweight and had diabetes and hypertension. I knew that he had not voluntarily exercised in years. As I prepared to give him another encouraging lecture about the value of a short...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0615/p2283.html

Diary from a Week in Practice - Mar 1, 2001 - American Family Physician

Mar 1, 2001 - ...was one family that taught ASW more than any other about the value of being a family physician. After several visits for diabetes and hypertension, the couple shared with her a deep concern that was tearing them apart: their 33-year-old son had severe neurologic deficits as a result...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0301/p877.html

Diary from a Week in Practice - Mar 1, 2003 - American Family Physician

Mar 1, 2003 - ...history of cardiovascular disease. Her checkups have always been normal. Irene figured she was about the least likely person to develop hypertension. Surprise! While sitting in my office and describing a recent nosebleed, Irene's blood pressure was 210/110 mm Hg. Three additional...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0301/p975.html

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

Mar 1, 2005 - ...never required any surgical procedures or fractured any bones. The problem list in her chart contains only three items: isolated systolic hypertension, osteoarthritis, and hearing loss. She seems unflappable. I wonder if she lets anything bother her. Today, I ask her a question that...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0301/p892.html

Diary from a Week in Practice - May 1, 2003 - American Family Physician

May 1, 2003 - ...accompanied by his wife, and I hardly recognized either of them. A few months ago, this 38-year-old, overweight man with well-controlled hypertension on losartan (Cozaar) had screening laboratory work done. He was dismayed to learn that his fasting blood glucose level was 204 mg per...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0501/p1911.html

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

May 1, 2005 - ...Doesn’t his face look unusually red? Otis’s wife asked. Her 54-year-old husband had hypertension treated with sustained-release verapamil. He didn’t smoke cigarettes or consume alcohol. His wife was right; Otis had a ruddy face. Otis reported feeling tired and experiencing...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0501/p1695.html

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

May 15, 2001 - ...When treating hypertension, do you use A, B, C or D as your first-line drug? A = angiotensin-converting enzyme (ACE) inhibitors, B = beta blockers, C = calcium channel blockers and D = diuretics. National guidelines encourage the use of B or D. Now, a study tells us that the use of...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0515/p1953.html

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

May 15, 2002 - ...Valerie, an 80-year-old woman, was seen in the office today by RHS for a follow-up of multiple problems, including COPD, pulmonary hypertension, right ventricular hypertrophy with secondary ventricular dysrhythmias, atopic dermatitis, and type 2 diabetes. For RHS, this visit...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0515/p2031.html

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

Nov 1, 2004 - ...performed and learned he had mild coronary atherosclerosis. The findings were not a big surprise. In addition to hyperlipidemia and hypertension, there was a history of premature heart disease in Roger’s family. He was already taking aspirin, a beta blocker, an ACE inhibitor, and a...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1101/p1677.html

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

Nov 1, 2005 - ...sphygmomanometer. Her home systolic and diastolic readings averaged 4 to 6 mm Hg lower than the values obtained in my office. Her Stage 1 hypertension had been diagnosed four months earlier, and we opted to monitor it closely and try lifestyle changes. As it turned out, there really...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1101/p1696.html

Diary from a Week in Practice - Nov 15, 1999 - American Family Physician

Nov 15, 1999 - ...years earlier had shown mild inflammation at the ileocecal junction, and she was assured that all was well. Her medical history included hypertension and a hysterectomy performed seven years previously, and her only medications were a beta blocker, oral estrogen and a calcium...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/1115/p2267.html

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

Nov 15, 2001 - ...JDF was summoned to the last examination room for a blood pressure recheck. A 62-year-old woman with a history of end-stage COPD, hypertension, congestive heart failure, type 1 diabetes, ischemic heart disease, morbid obesity, chronic pain syndrome, hypothyroidism and depression was...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/1115/p1700.html

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

Nov 15, 2002 - ...as a public school teacher and had become a grandmother times three. Apart from being treated for mild hypothyroidism and moderate hypertension, she had enjoyed good health. She was happy to be retired and was enjoying assisting with the care of her grandchildren. When questioned...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/1115/p1863.html

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

Nov 15, 2004 - ...on, I picked up the receiver in the kitchen, but no one was there. Mr. Jones is a grizzled 79-year-old man. In addition to longstanding hypertension and diabetes, he has every other criteria of the metabolic syndrome (abdominal obesity, hypertriglyceridemia, low HDL cholesterol...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1115/p1901.html

Diary from a Week in Practice - Oct 1, 2001 - American Family Physician

Oct 1, 2001 - ...One of JOH's favorite patients returned to the office today for a follow-up visit. The patient has diabetes, hypertension and back pain. The back pain is the result of multiple etiologies, but primarily degenerative changes in the lumbar spine. Surgery had never been an option until...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/1001/p1178.html

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

Oct 15, 2002 - ...74-year-old woman who had been her patient for nearly 10 years. The woman had always been in excellent health, except for well-controlled hypertension. Two days earlier, she had an intracerebral hemorrhage, and she was now unresponsive. She would occasionally open her eyes, but she...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/1015/p1426.html

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

Oct 15, 2004 - ...to undergo a hysterectomy because of heavy menstrual periods and large fibroids. Her only medication was lisinopril for treatment of mild hypertension. The nurse mentioned that she was quite upset—her hysterectomy had been canceled that morning because of the abnormal laboratory...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1015/p1474.html

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

Oct 15, 2005 - ...a 15-minute appointment. A review of the patient’s chart revealed that he is a healthy man whose only medical problem is well-controlled hypertension. The patient does not smoke and exercises four times per week despite significant hip arthritis. Ask your nurse to get an...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1015/p1484.html

Diary from a Week in Practice - Sep 1, 1999 - American Family Physician

Sep 1, 1999 - ...A patient visited CAG for follow-up of obesity, hypertension and obstructive sleep apnea. Three months earlier, sleep studies had shown severe sleep apnea, which explained the patient's chronic fatigue. One month after starting treatment with continuous partial airway pressure...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/0901/p796.html

Diary from a Week in Practice - Sep 1, 2000 - American Family Physician

Sep 1, 2000 - ...had two children, they had been trying to conceive again for more than a year without success. The only change in their history was his hypertension (well-controlled with a low-dose, sustained-release formulation of nifedipine). He had improved his nutrition and his weight....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2000/0901/p1003.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

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

Sep 1, 2005 - ...My left foot’s asleep all the time, stated Chester. He had type 2 diabetes, hypertension, and hyperlipidemia. On the plus side, he exercised every day, kept his weight under control, and stopped smoking cigarettes about 25 years ago. His most recent A1C level was 6.9 percent and...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0901/p798.html

Diary of a Family Physician - Dec 15, 2020 - American Family Physician

Dec 15, 2020 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2020/1215/p758.html

Diary of a Family Physician - Feb 15, 2021 - American Family Physician

Feb 15, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0215/p240.html

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

...enzyme inhibitors and angiotensin-receptor blockers may be beneficial in patients with diastolic dysfunction, especially those with hypertension. Evidence from adequately powered randomized controlled trials, however, is not available yet. The outcomes of ongoing clinical trials may...

American Family Physician

https://www.aafp.org/afp/2004/0601/afp20040601p2609.pdf

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

Diet and Physical Activity for Cardiovascular Disease Prevention

June 1, 2016 Scientific

American Family Physician

https://www.aafp.org/afp/2016/0601/afp20160601p919.pdf

Diet and Physical Activity for Cardiovascular Disease Prevention - American Family ...

Jun 1, 2016 - Cardiovascular disease (CVD) is the leading cause of death in the United States. One-third of these deaths may be preventable through healthy lifestyle choices including diet and physical activity. The Mediterranean diet is associated with reduced cardiovascular mortality, whereas the ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0601/p919.html

Dietary Advice to Lower Cardiovascular Risk - Cochrane for Clinicians - American Family...

May 1, 2006 - Dietary advice to lower fat and salt intake and increase intake of fruits, vegetables, and fiber produces modest improvements in cardiovascular risk factors. More intensive counseling yields greater effects.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0501/p1551.html

Dietary Supplements: How Family Physicians Can Address Safety Concerns by Working with ...

Jan 15, 2016 - Your patients are likely using some type of dietary supplement, whether they tell you or not. What can a physician do to support and protect patients from harm if they choose to use readily available dietary supplements?

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0115/p97.html

Dietary Therapy for Children with Hypercholesterolemia - American Family Physician

Feb 1, 2000 - Accumulating evidence clearly shows that atherosclerosis begins in youth. The National Cholesterol Education Program (NCEP) has recommended that children at high risk of developing coronary artery disease as adults be screened so that those with elevated low-density lipoprotein (LDL) ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p675.html

Dietary Therapy for Preventing and Treating Coronary Artery Disease - American Family ...

Mar 15, 1998 - Nearly one half of Americans die of cardiovascular disease. The morbidity and mortality associated with coronary artery disease is strongly related to abnormal lipid levels, oxidation of lipids and intra-arterial clot formation. Nutrition powerfully influences each of these factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1299.html

Diets for Health: Goals and Guidelines - American Family Physician

Jun 1, 2018 - Diet is the single most significant risk factor for disability and premature death. Patients and physicians often have difficulty staying abreast of diet trends, many of which focus primarily on weight loss rather than nutrition and health. Recommending an eating style can help patients...

American Family Physician : Article

https://www.aafp.org/afp/2018/0601/p721.html

Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...

Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p295.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1125.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

...persistent pulmonary hypertension associated with mechanical ventilation, conditions requiring extracorporeal membrane oxygenation Syndromes associated with progressive hearing loss (e.g., neurofibromatosis, osteopetrosis, Usher’s syndrome) Neurodegenerative disorders (e.g.,...

American Family Physician

https://www.aafp.org/afp/2003/0915/afp20030915p1125.pdf

Diffuse, Bright-Red Rash with Desquamation and Scaling in an Adult - Photo Quiz - ...

Jun 1, 2015 - A man presented with fever; chills; and a pruritic, peeling, red rash over his entire body. He also had pain in his hands.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2015/0601/p791.html

Digesting the ICD-10 GI Codes -- FPM

Feb 1, 2015 - This overview of the common gastrointestinal disorders in primary care will help you get ready for ICD-10 and avoid, say, K30 - indigestion.

Family Practice Management : Articles

https://www.aafp.org/fpm/2015/0100/p19.html

Digoxin Therapy for Heart Failure: An Update - American Family Physician

Aug 15, 2006 - Digoxin therapy has long been used to treat heart failure; however, its effectiveness was not completely known until recently. Results of the Digitalis Investigation Group trial showed that adding digoxin to standard heart failure therapy had no effect on mortality. However, adding ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0815/p613.html

Diplopia and Ptosis - Photo Quiz - American Family Physician

Jul 15, 2010 - 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/2010/0715/p187.html

Disaster-Related Physical and Mental Health: A Role for the Family Physician - American...

Mar 15, 2007 - Natural disasters, technologic disasters, and mass violence impact millions of persons each year. The use of primary health care services typically increases for 12 or more months following major disasters. A conceptual framework for assisting disaster victims involves understanding the...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p841.html

Disease Mongering and Excessive Daytime Sleepiness - Letters to the Editor - American ...

Oct 15, 2009 - ...Next: Thiazide Diuretics Remain First-Line Treatment for Hypertension View the full table of contents >> Home / Journals / afp / Vol. 80/No. 8(October 15, 2009) / Disease Mongering and Excessive Daytime Sleepiness...

American Family Physician : Letter

https://www.aafp.org/afp/2009/1015/p775.html

Disorders of Puberty: An Approach to Diagnosis and Management

November 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1101/afp20171101p590.pdf

Disorders of Puberty: An Approach to Diagnosis and Management - American Family Physician

Nov 1, 2017 - Disorders of puberty can profoundly impact physical and psychosocial well-being. Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p590.html

Distributed Ambulatory Research in Therapeutics Network (DARTNet)

DARTNet is a rapidly growing collaboration of PBRNs that are working to build a national collection of electronic health record (EHR) data, claims data, and patient reported outcomes data. The networks seek to blend quality improvement, effectiveness and translational research with a ...

https://www.aafp.org/family-physician/patient-care/nrn/studies/all/dartnet.html

Diversity

Diversity, Equity, and Inclusion in AFP

American Family Physician

https://www.aafp.org/journals/afp/content/diversity.html

Diverticular Bleeding - American Family Physician

Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p977.html

Dizziness: A Diagnostic Approach

...Alpha-1 agonist metabolite; to avoid supine hypertension, the third dose should be given by 6 p.m.; should be used only in severely impaired patients; in placebo-controlled trials, midodrine was associated with increased standing blood pressures and fewer orthostatic symptoms...

American Family Physician

https://www.aafp.org/afp/2010/0815/afp20100815p361.pdf

Dizziness: A Diagnostic Approach - American Family Physician

Aug 15, 2010 - Dizziness accounts for an estimated 5 percent of primary care clinic visits. The patient history can generally classify dizziness into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. The main causes of vertigo are benign paroxysmal positional vertigo, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p361.html

Dizziness: Approach to Evaluation and Management

February 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/0201/afp20170201p154.pdf

Dizziness: Approach to Evaluation and Management - American Family Physician

Feb 1, 2017 - Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient’s history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p154.html

Do ACE Inhibitors Decrease Mortality in Patients with Hypertension? - FPIN's Clinical ...

Jul 1, 2004 - When used to treat patients with hypertension, ACE inhibitors reduce cardiovascular and all-cause mortality as effectively as diuretics, beta blockers, and calcium channel blockers.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0701/p153.html

Do Electronic Health Records Improve Processes and Outcomes of Preventive Care? - ...

May 15, 2012 - Electronic health records (EHRs) are thought to be valuable tools to prompt physicians to provide preventive services. How strong is the evidence that EHRs can improve processes and outcomes of preventive care?

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0515/p956.html

Do I Get to Decide Who Should Have a Baby? - Curbside Consultation - American Family ...

Mar 1, 2003 - In this case scenario, the patient believes that having her boyfriend's child will solve her problems, and she wants to continue the ovulation induction therapy. The physician should consider the effects on the unborn child's future, as well as the future of the mother and, therefore, ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0301/p1139.html

Do I Have to Resuscitate This Patient Against Her Wishes? - Curbside Consultation - ...

May 1, 2003 - In this case scenario, the family physician successfully performed a task that often is forgotten during physician-patient visits—the physician frequently discussed with this patient her wishes for end-of-life care. The conversations specifically included her thoughts about respirators,...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0501/p2025.html

Doctor-Patient Duet - Close-ups - American Family Physician

Aug 1, 2009 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2009/0801/p280.html

Documentation Elements for Common Diagnoses

...Essential hypertension I10 n/a Hypertensive heart disease* I11.- With or without heart failure** Hypertensive chronic kidney disease I12.- With stage 5 chronic kidney disease or end stage renal disease With stage 1 through stage 4 chronic kidney disease, or...

Family Practice Management

https://www.aafp.org/fpm/2015/0900/fpm20150900p15-rt1.pdf

Documenting Diabetes Mellitus Under ICD-10

...to remember to code all additional diagno- ses. As family physicians, we know that our patients who have diabetes often also have hypertension, hyperlipidemia, and obesity and may use tobacco products. Each of these additional issues requires separate coding. These additional...

Family Practice Management

https://www.aafp.org/fpm/2013/1100/fpm20131100p22-rt1.pdf

Documenting History in Compliance With Medicare's Guidelines -- FPM

Apr 1, 2010 - The difference between one level and the next may be no more than a word or two.

Family Practice Management : Articles

https://www.aafp.org/fpm/2010/0300/p22.html

Does a Low-Sodium Diet Reduce Blood Pressure? - FPIN's Clinical Inquiries - American ...

Jan 15, 2004 - Reducing sodium intake does lead to a slightly lower average blood pressure. However, no evidence from controlled trials proves that reducing sodium intake decreases morbidity or mortality, or proves that modest sodium restriction is harmful.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0115/p359.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

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

Domino Returns With Top 10 Updates for FPs

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

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

Don't Be a Target for a Malpractice Suit - Family Practice Management

...standard operating procedures that govern how often you see patients with chronic conditions. For example, you might see patients with hypertension every three months and patients on statins every six months. Most patients with a chronic illness need follow-up at some regular...

Family Practice Management

https://www.aafp.org/fpm/2006/0600/fpm20060600p57.pdf

Don't Be a Target for a Malpractice Suit -- FPM

Jun 1, 2006 - Protect yourself with these tips from a family physician who has successfully defended his care and that of other physicians.

Family Practice Management : Articles

https://www.aafp.org/fpm/2006/0600/p57.html

Donepezil to Manage Alzheimer Disease: New vs. Standard Dosing

...moderate to severe Alzheimer disease as defined by the DSM-IV, but were ambulatory and otherwise healthy. Those with con- trolled hypertension, diabetes mellitus, coronary artery disease, and hypothyroidism were eligible. Patients with other illnesses were excluded, as were patients...

American Family Physician

https://www.aafp.org/afp/2011/0315/afp20110315p742.pdf

Donepezil to Manage Alzheimer Disease: New vs. Standard Dosing - AFP Journal Club - ...

Mar 15, 2011 - Does donepezil benefit patients with Alzheimer disease, and is the new dosage superior to the standard dosage? This study showed benefit, but the data are misleading.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0315/p742.html

DOs read AFP

Subscribe to add American Family Physician to your daily practice.

American Family Physician

https://www.aafp.org/journals/afp/offer/dos-read-afp.html

DOT Examinations: Practical Aspects and Regulatory Review - American Family Physician

Aug 1, 1998 - Most certification examinations of commercial drivers are simple, and relatively few drivers are disqualified. If these examinations are not done properly, however, the public can be exposed to potentially unqualified drivers. Should an accident occur, the physician who examined the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p415.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Drop in Number of FPs Who Deliver Babies May Create Rural Crisis

A projected shortage of obstetricians and a declining percentage of family physicians who provide maternity care could create a crisis for women in underserved areas.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20170815lv-ruralob.html

Drug Dosing Adjustments in Patients with Chronic Kidney Disease - American Family ...

May 15, 2007 - Chronic kidney disease affects renal drug elimination and other pharmacokinetic processes involved in drug disposition (e.g., absorption, drug distribution, nonrenal clearance [metabolism]). Drug dosing errors are common in patients with renal impairment and can cause adverse effects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1487.html

Drug Therapy for Obesity - American Family Physician

Apr 1, 2000 - Obesity is a common health problem in the United States, and effective treatment is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Numerous treatments are available for obesity. Behavioral ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2131.html

Drug Treatments for Polycystic Ovary Syndrome - American Family Physician

Apr 15, 2009 - Polycystic ovary syndrome is a condition present in approximately 5 to 10 percent of women of childbearing age. Diagnosis can be difficult because the signs and symptoms can be subtle and varied. These may include hirsutism, infertility, menstrual irregularities, and biochemical ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p671.html

Drugs for Conversion of Atrial Fibrillation - American Family Physician

Aug 1, 1998 - Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p471.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ...

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

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

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

...clot propagation and preventing the recurrence of thrombus, the occurrence of pulmonary embolism, and the development of pulmo- nary hypertension, which can be a complication of multiple recurrent pulmonary emboli. About 30 percent of patients with deep venous thrombosis or...

American Family Physician

https://www.aafp.org/afp/2004/0615/afp20040615p2841.pdf

Dyspepsia - American Family Physician

Sep 1, 2020 - This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD. This collection features AFP on dyspepsia and related issues, including Helicobacter pylori infection, general epigastric dysfunction, and GERD.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=8

Dysphagia: Evaluation and Collaborative Management - American Family Physician Restricted content. Login required.

Jan 15, 2021 - Dysphagia is common but may be underreported. Specific symptoms, rather than their perceived location, should guide the initial evaluation and imaging. Obstructive symptoms that seem to originate in the throat or neck may actually be caused by distal esophageal lesions. Oropharyngeal ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0115/p97.html

Dysuria: Evaluation and Differential Diagnosis in Adults

...Hypertension Glomerulonephritis Fever Pyelonephritis; systemic illness Genitals (women) Vulvar vesicles, ulcers, pustules; inguinal lymphadenopathy; cervical discharge Herpes simplex virus infection; chancroid; other sexually transmitted infections Vaginal discharge...

American Family Physician

https://www.aafp.org/afp/2015/1101/afp20151101p778.pdf

Dysuria: Evaluation and Differential Diagnosis in Adults - American Family Physician

Nov 1, 2015 - The most common cause of acute dysuria is infection, especially cystitis. Other infectious causes include urethritis, sexually transmitted infections, and vaginitis. Noninfectious inflammatory causes include a foreign body in the urinary tract and dermatologic conditions. ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1101/p778.html

E/M Changes for 2021: The Beginning, Not the End -- FPM

Feb 1, 2021 - The E/M coding revisions aren’t perfect, but they represent a huge step forward in reducing physicians’ documentation burden, audit risk, and complexity of code selection.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2021/0100/p8.html

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