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hypertension

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E/M Coding and the Documentation Guidelines: Putting It All Together -- FPM

Oct 1, 2011 - It's time to test your E/M coding skills.

Family Practice Management : Articles

https://www.aafp.org/fpm/2011/0900/p33.html

Ear and Hearing Disorders - American Family Physician

Jun 1, 2021 - This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis externa, otitis media, and tinnitus. This collection features AFP content on ear and hearing disorders and related issues, including hearing loss, otitis ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=98

Ear Pain: Diagnosing Common and Uncommon Causes - American Family Physician

Jan 1, 2018 - Otalgia (ear pain) is a common presentation in the primary care setting with many diverse causes. Pain that originates from the ear is called primary otalgia, and the most common causes are otitis media and otitis externa. Examination of the ear usually reveals abnormal findings in ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0101/p20.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ...

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

Early Diagnosis and Treatment Vital in Cases of Foot Fractures - Letters to the Editor ...

Mar 15, 2003 - ...Hypertension Should Be Confirmed Before Treatment to the editor: I would like to thank Dr. Niedfeldt and American Family Physician for the fine article, Managing Hypertension in Athletes and Physically Active Patients. 1 However, I would like to add a point to this statement: If...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0315/p1187.html

Early Diagnosis of Dementia - American Family Physician

Feb 15, 2001 - Until recently, the most significant issue facing a family physician regarding the diagnosis and treatment of dementia was ruling out delirium and potentially treatable etiologies. However, as more treatment options become available, it will become increasingly important to diagnose ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p703.html

Early Recognition and Management of Sepsis in Adults: The First Six Hours

...Systemic mean blood pressure of < 60 mm Hg (< 80 mm Hg if previous hypertension) after 20-30 mL/kg starch or 40-60 mL/kg serum saline, or pulmonary capillary wedge pressure between 12 and 20 mm Hg Need for dopamine > 5 µg/kg per min or norepinephrine or epinephrine < 0.25 µg/kg...

American Family Physician

https://www.aafp.org/afp/2013/0701/afp20130701p44.pdf

Early Recognition and Management of Sepsis in Adults: The First Six Hours - American ...

Jul 1, 2013 - Sepsis is a complication of severe infection characterized by a systemic inflammatory response. Mortality rates from sepsis range between 25% to 30% for severe sepsis and 40% to 70% for septic shock. The clinical presentation of sepsis is highly variable depending on the etiology. The ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0701/p44.html

Eating Less Meat: A Healthy and Environmentally Responsible Dietary Choice

March 15, 2016 Editorials

American Family Physician

https://www.aafp.org/afp/2016/0315/afp20160315p451.pdf

Eating Less Meat: A Healthy and Environmentally Responsible Dietary Choice - Editorials...

Mar 15, 2016 - What should physicians tell their patients about eating meat?

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0315/p451.html

EBM Toolkit

Get information about developing evidence-based articles, including an EBM glossary, AFP's rating system, and links to additional resources.

American Family Physician

https://www.aafp.org/journals/afp/authors/ebm-toolkit.html

EBMSeries_FindingReviewArticles.pdf

...Effect on disease markers Hypertension (atherosclerosis) Diabetes (retinopathy) Gastroesophageal reflux disease (endoscopic esophagitis) Effect on risk factors for disease Blood pressure A1C Cholesterol Determining strength of Recommendations sORt A sORt C sORt B...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/EBMSeries_FindingReviewArticles.pdf

EBMSeries_PracticeGuidelines.pdf

...porating patient preferences may be criti- cal to making an appropriate decision. For example, you may offer a 60-year-old man with hypertension the option of taking daily aspirin to lower his risk of myocardial infarc- tion, but advise him that this medication will increase his...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/EBMSeries_PracticeGuidelines.pdf

Echinacea - American Family Physician

Jan 1, 2003 - Echinacea is the name of a genus of native North American plants, commonly known as the purple coneflower. The most widely used herbal product in the United States is a liquid extract made from the root of Echinacea purpurea. Because the active component of the plant has not been ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p77.html

Economic Influence on the Drafting of Practice Guidelines - Letters to the Editor - ...

Jan 1, 2008 - ...therapy (for example, chronic obstructive pulmonary disease, chronic stable angina, depression, diabetes mellitus, hypercholesterolemia, hypertension, and rheumatoid arthritis).5 Although some degree of altruism motivates these involvements, the economic incentives to push for...

American Family Physician : Letter

https://www.aafp.org/afp/2008/0101/p30.html

Edema: Diagnosis and Management - American Family Physician

Jul 15, 2013 - Edema is an accumulation of fluid in the interstitial space that occurs as the capillary filtration exceeds the limits of lymphatic drainage, producing noticeable clinical signs and symptoms. The rapid development of generalized pitting edema associated with systemic disease requires ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p102.html

Editorial Advisory Board

AFP Editorial Advisory Board

American Family Physician

https://www.aafp.org/journals/afp/about/eab.html

Editorials

...a landmark randomized controlled trial demonstrated the superiority of thiazide diuretics compared with other first-line medications for hypertension, prescribing of thiazide diuretics had increased only modestly.5 An eval- uation of diabetes practice guidelines produced after the...

American Family Physician

https://www.aafp.org/afp/2012/0501/afp20120501p863.pdf

Editorials

...strategies for mitigating the risk of sudden death and other cardiac events include identifying and man- aging CAD risk factors such as hypertension, hyperlipidemia, and tobacco use.2 A study that supports this approach showed that among those dying from CAD, more than 87 percent...

American Family Physician

https://www.aafp.org/afp/2012/0901/afp20120901p398.pdf

Editorials - Nov 1, 2007 - American Family Physician

Nov 1, 2007 - ...Caffeine does not cause or worsen cardiovascular disease.2 It also does not cause serious arrhythmias,3 hypertension,4,5 or coronary artery disease.6 The Joint National Commission for the Detection and Treatment of High Blood Pressure VII does not recommend restricting caffeine...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1101/p1282a.html

Editorials - Nov 1, 2007 - American Family Physician

Nov 1, 2007 - ...Next: Are Beta Blockers Effective First-line Treatments for Hypertension? View the full table of contents >> Home / Journals / afp / Vol. 76/No. 9(November 1, 2007) / Editorials: Editorials

American Family Physician : Editorials

https://www.aafp.org/afp/2007/1101/p1282.html

Edoxaban (Savaysa) for the Prevention of Thromboembolic Events - STEPS - American ...

Apr 15, 2018 - Edoxaban is an alternative to warfarin and other oral anticoagulants for the prevention of stroke in patients with nonvalvular atrial fibrillation and for the treatment of deep venous thrombosis and pulmonary embolism.

American Family Physician : STEPS

https://www.aafp.org/afp/2018/0415/p529.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

Effect of Beta Blockers on Patient's Lipid Profiles - Letters to the Editor - American ...

Apr 1, 2010 - ...Original Article: Pharmacologic Management of Hypertension in Patients with Diabetes Issue Date: December 1, 2008 Available at: https://www.aafp.org/afp/2008/1201/p1277.html to the editor: I read with interest the article on hypertension in patients with diabetes mellitus. The...

American Family Physician : Letter

https://www.aafp.org/afp/2010/0401/p838.html

Effect of Cocoa on Blood Pressure - Cochrane for Clinicians - American Family Physician

Apr 1, 2013 - Consuming 50 g of cocoa daily will lower blood pressure 2 to 3 mm Hg on average in adults with hypertension. Evidence of improved patient-oriented outcomes does not exist.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0401/p484.html

Effective Advocacy for Patients and Communities - Curbside Consultation - American ...

Jan 1, 2019 - Family physicians play diverse roles in society, often bridging individual and community perspectives. Family physicians' ethics require providing care to all persons regardless of their geographic, economic, political, racial, religious, or sexual orientation status.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0101/p44.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

Jan 15, 2001 - Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein cholesterol level can substantially reduce coronary events and death from coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p309.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

...(probably also chewing tobacco or snuff) Diabetes mellitus Hypertension (blood pressure ≥ 140/90 mm Hg or receiving antihypertensive therapy) Elevated LDL level (>130 mg per dL [>3.35 mmol per L]) Low HDL level (< 35 mg per dL [< 0.90 mmol per L]) Major negative CHD risk...

American Family Physician

https://www.aafp.org/afp/2001/0115/afp20010115p309.pdf

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -...

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

Effectiveness of Acamprosate in the Treatment

...wide, causing approximately 3 percent of deaths globally and contributing significantly to the risks of stroke, ischemic heart disease, hypertension, diabetes mellitus, and liver cancer, as well as motor vehicle collisions, drownings, and homicides.2 Although treat- ment of...

American Family Physician

https://www.aafp.org/afp/2011/0301/afp20110301p522.pdf

Effectiveness of Acamprosate in the Treatment

...wide, causing approximately 3 percent of deaths globally and contributing significantly to the risks of stroke, ischemic heart disease, hypertension, diabetes mellitus, and liver cancer, as well as motor vehicle collisions, drownings, and homicides.2 Although treat- ment of...

American Family Physician

https://www.aafp.org/afp/2011/0301/afp20110301p524.pdf

Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...

Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0301/p522.html

Effectiveness of ACL Injury Prevention Programs - FPIN's Help Desk Answers - American ...

Feb 1, 2018 - ACL injury prevention programs reduce the incidence of ACL injuries by at least 50% in a variety of sports, and should be used for all athletes. There is no evidence that any particular prevention program or component is superior.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0201/od2.html

Effectiveness of B-Complex Vitamins for Prevention of Cardiovascular Events - Cochrane ...

Apr 1, 2010 - Eight randomized clinical trials that included 24,210 patients did not show a reduction in MI, stroke, or all-cause mortality with B-complex vitamin therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/0401/p850.html

Effectiveness of Bronchodilators for Bronchiolitis

...Tachycardia, tremor, and jitteriness are commonly described adverse effects of bronchodilators. Addition- ally, mild hypertension, f lushing, cough, and some- times even decreased oxygen saturation were described in participants receiving bronchodilators. Although a small,...

American Family Physician

https://www.aafp.org/afp/2011/0501/afp20110501p1045.pdf

Effectiveness of Bronchodilators for Bronchiolitis

...Tachycardia, tremor, and jitteriness are commonly described adverse effects of bronchodilators. Addition- ally, mild hypertension, f lushing, cough, and some- times even decreased oxygen saturation were described in participants receiving bronchodilators. Although a small,...

American Family Physician

https://www.aafp.org/afp/2011/0501/afp20110501p1047.pdf

Effectiveness of Bronchodilators for Bronchiolitis Treatment - Cochrane for Clinicians ...

May 1, 2011 - Bronchodilators may transiently improve the clinical status of infants with bronchiolitis and no prior history of wheezing. However, moderately strong evidence shows that key outcomes such as oxygen saturation, need for hospitalization, length of hospitalization, and duration of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0501/p1045.html

Effectiveness of Insulin Sensitizing Drugs for Polycystic Ovary Syndrome - Cochrane for...

Nov 1, 2007 - Insulin sensitizing drugs are more effective than oral contraceptives alone at improving fasting insulin levels in patients with PCOS. Compared with metformin (Glucophage) alone, oral contraceptives alone better control irregular menstrual cycles and reduce androgen levels. There is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1101/p1308.html

Effects of Altered Dietary Salt Intake in Patients with Chronic Kidney Disease - ...

Apr 1, 2017 - Reducing salt intake lowers blood pressure and reduces proteinuria in patients with CKD, but there is no evidence to determine whether lowering salt consumption leads to clinically significant reductions in end-stage renal disease, cardiovascular events, or all-cause mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0401/p423.html

Effects of Bariatric Surgeries on Obesity and Comorbidities - Letters to the Editor - ...

Aug 1, 2012 - ...RYGB or VSG had resolution of diabetes, compared with 57 percent of those who underwent LAGB.1 Resolution of comorbid conditions, such as hypertension, sleep apnea, dyslipidemia, and gastroesophageal reflux disease, is significantly higher after RYGB than after LAGB.3 Patients...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0801/p218.html

EGD, Training and Credentialing of Family Physicians In (Position Paper)

Read AAFP's position paper on training and credentialing of family physicians in esophagogastroduodenoscopy (EGD).

About AAFP |AAFP Policies and Recommendations

https://www.aafp.org/about/policies/all/egd-training-credentialing.html

ehr-tobacco-cessation.pdf

...should be automated to appear when patients present with complaints such as cough, upper respiratory problems, diabetes, ear infections, hypertension, depression, anxiety, and asthma, and for well-patient exams. Meaningful Use The Health Information Technology for Economic and...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/ehr-tobacco-cessation.pdf

EHRs Fix Everything - and Nine Other Myths -- FPM

Mar 1, 2007 - Realistic expectations can help your conversion to electronic health records succeed.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/0300/p26.html

Eight Steps to a Chart Audit for Quality -- FPM

Aug 1, 2008 - A simple chart review can help your group answer the question on everyone's mind: How are we doing?

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0700/pa3.html

Elagolix, Estradiol, and Norethindrone Kit (Oriahnn) for the Management of Heavy ... Restricted content. Login required.

Apr 15, 2021 - Oriahnn can decrease menstrual blood loss in premenopausal patients with uterine fibroids. Although it has been studied for only six months of use and may result in significant bone loss, it is labeled for up to two years of continuous therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2021/0415/p505.html

Electrocardiograms, Family Physician Interpretation (Position Paper)

Learn about AAFP's Position Paper on family physician interpretation of electrocardiography.

About AAFP |AAFP Policies and Recommendations

https://www.aafp.org/about/policies/all/electrocardiograms-interpretation.html

Electronic Paper & Pencil: How to Develop Your Own Low-Cost Electronic Medical Record ...

May 1, 2001 - If you know how to use modern word-processing software, you can create your own electronic medical records.

Family Practice Management : Articles

https://www.aafp.org/fpm/2001/0500/p33.html

Eliminating Health Disparities: Our Mission, Our Vision, Our Cause - Editorials - ...

Oct 15, 2001 - ...The mortality rate for diabetes is twice as high in Hispanics as in whites. Rates of hypertension and obesity are also significantly higher. Although Hispanics constitute only 11 percent of the U.S. population, they account for 20 percent of reported tuberculosis cases. American...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/1015/p1333.html

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work Life

...Similarly, if a patient says he takes his hypertension medication only when he feels that his blood pressure might be elevated, you may become frustrated and consider the patient naive, lazy, or noncom- pliant. A better approach is to get curious and ask the patient a few more...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p9.pdf

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work ... Restricted content. Login required.

Oct 1, 2020 - These simple tools can help you respond effectively when you feel emotionally hijacked by difficult people or circumstances.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p9.html

Encounter Forms -- FPM Toolbox

May 4, 2020 - Download encounter forms to help ensure accurate documentation for asthma, diabetes, hypertension, and other conditions common in primary care.

Family Practice Management : FPM Toolbox : Encounter Forms

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=12

Encouraging Patients to Change Unhealthy Behaviors With Motivational Interviewing -- FPM

Jun 1, 2011 - This simple interviewing technique is designed to stimulate patients' desire to change and give them the confidence to do so.

Family Practice Management : Articles

https://www.aafp.org/fpm/2011/0500/p21.html

End-of-Life Care - American Family Physician

Sep 1, 2020 - This collection features AFP content on end-of-life care and related issues, including advance directives, hospice care, legal and ethical issues, nursing home care, palliative care, and terminal illness. This collection features AFP content on end-of-life care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=57

End-stage Renal Disease

...• Risk factors for ESRD include older age; hypertension; diabetes mellitus; obe- sity; history of renal disease; and tobacco, heroin, or analgesic use. • ESRD leads to fluid retention, anemia, disturbances of bone and mineral metabo- lism, and increased risk of cardiovascular...

American Family Physician

https://www.aafp.org/afp/2010/1215/afp20101215p1512.pdf

End-stage Renal Disease - Clinical Evidence Handbook - American Family Physician

Dec 15, 2010 - What are the effects of different doses for peritoneal dialysis? What are the effects of different doses and membrane fluxes for hemodialysis? What are the effects of interventions aimed at preventing secondary complications?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/1215/p1512.html

Endocrine Society Releases Guidelines on Diagnosis and Management of Hypertriglyceridemia

...and cardiovascular disease. These patients also should be assessed for other cardiovascular risk factors, such as central obesity, hypertension, abnormal glucose metabolism, and liver dysfunction. Management Much of the increase in serum triglyceride levels that occurs in adults...

American Family Physician

https://www.aafp.org/afp/2013/0715/afp20130715p142.pdf

Endocrine Society Releases Guidelines on Diagnosis and Management of ...

Jul 15, 2013 - The Endocrine Society recently published evidence-based recommendations on the diagnosis and management of hypertriglyceridemia in adults. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes mellitus, ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0715/p142.html

Endometrial Biopsy: Tips and Pitfalls - American Family Physician

May 1, 2020 - Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0501/p551.html

Endometrial Cancer - American Family Physician

Jun 1, 1999 - Endometrial cancer is the fourth most common cancer in women, accounting for approximately 6,000 deaths per year in the United States. It is more common in women who are older, white, affluent obese and of low parity. Hypertension and diabetes mellitus are also predisposing factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3069.html

Endometrial Cancer - American Family Physician

Nov 15, 2009 - Endometrial cancer is the leading cause of gynecologic cancer in the United States. Etiologically, endometrial carcinoma usually results from unopposed estrogen stimulation of the endometrium, although non-estrogen-related forms occur as well. The most common presentation of endometrial...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1075.html

Enhance Racial Disparities Training, Say Primary Care Residents

Researchers surveyed primary care residents to determine their awareness of racial disparities in diabetes and how prepared they feel to discuss these disparities with patients.

https://www.aafp.org/news/education-professional-development/20180824residentsdiabetes.html

Enlarged Tonsils and Fatigue - Photo Quiz - American Family Physician

Sep 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/2010/0915/p669.html

Envenomations: An Overview of Clinical Toxinology for the Primary Care Physician - ...

Oct 15, 2009 - About 4,000 to 6,000 venomous snakebites occur each year in the United States. Although these envenomations (also known as envenomings) are rarely fatal, about 70 percent require antivenom therapy. Few evidence-based guidelines are available for the management of envenomation. Antivenom...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p793.html

Epistaxis: Outpatient Management - American Family Physician

Aug 15, 2018 - Epistaxis is a common emergency encountered by primary care physicians. Up to 60% of the general population experience epistaxis, and 6% seek medical attention for it. More than 90% of cases arise from the anterior nasal circulation, and most treatments can be easily performed in the ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p240.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

Erectile Dysfunction

November 15, 2016:

American Family Physician

https://www.aafp.org/afp/2016/1115/afp20161115p820.pdf

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p820.html

Ergogenic Aids: Counseling the Athlete - American Family Physician

Mar 1, 2001 - Numerous ergogenic aids that claim to enhance sports performance are used by amateur and professional athletes. Approximately 50 percent of the general population have reported taking some form of dietary supplements, while 76 to 100 percent of athletes in some sports are reported to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p913.html

Ergogenic Aids: Counseling the Athlete - American Family Physician

...Serious and irreversible side effects Hypertension from mineralocorticoid effects Dysplastic changes in collagen fibrils, resulting in severe tendon ruptures Liver tumors (hepatocellular carcinoma, hepatic adenoma, hepatic cholangiocarcinoma) Psychosis (i.e., steroid...

American Family Physician

https://www.aafp.org/afp/2001/0301/afp20010301p913.pdf

Escaping the Tyranny of the Urgent by Delivering Planned Care -- Family Practice ...

...it barely merits description: A patient with uncontrolled hypertension scheduled for a 15-minute follow-up visit complains of an upper respiratory infection, so you treat the URI and then quickly adjust the patient’s hypertension meds and exhort the patient one more time to please...

Family Practice Management

https://www.aafp.org/fpm/2006/0500/fpm20060500p37.pdf

Escaping the Tyranny of the Urgent by Delivering Planned Care -- FPM

May 1, 2006 - These four components can help you provide care that is more proactive, organized and satisfying.

Family Practice Management : Articles

https://www.aafp.org/fpm/2006/0500/p37.html

Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ...

Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0315/p339.html

Essentials of the Diagnosis of Heart Failure - American Family Physician

Mar 1, 2000 - Although heart failure is a common clinical syndrome, especially in the elderly, its diagnosis is often missed. A detailed clinical history is crucial and should address not only current signs and symptoms of heart failure but also signs and symptoms that point to a specific cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1319.html

Estimating Cardiovascular Risk - Point-of-Care Guides - American Family Physician

May 1, 2017 - The primary prevention of cardiovascular disease (CVD) depends on accurate estimation of cardiovascular risk. However, a recent systematic review identified 363 prediction models.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2017/0501/p580.html

Estimating the Risks of Coronary Angioplasty -- FPM

Dec 1, 2004 - The article presents an evidence-based approach to estimating the likelihood of in-hospital complications in a patient undergoing coronary angioplasty.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/1100/p71.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

Ethinyl Estradiol/Levonorgestrel (Seasonale) for Oral Contraception - STEPS - American ...

Apr 15, 2005 - Women using ethinyl estradiol/levonorgestrel can expect similar or improved effectiveness and fewer menstrual cycles. Due in part to an increased incidence of unexpected bleeding in the first six months of use, a greater percentage of women will discontinue this regimen than will those ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0415/p1581.html

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.html

Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...

Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1052.html

Evaluating the Child with Purpura - American Family Physician

Aug 1, 2001 - Purpura is the result of hemorrhage into the skin or mucosal membrane. It may represent a relatively benign condition or herald the presence of a serious underlying disorder. Purpura may be secondary to thrombocytopenia, platelet dysfunction, coagulation factor deficiency or vascular ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p419.html

Evaluating the Child with Purpura -- American Family Physician

...Hypertension Chronic renal failure, renal vasculitis Characteristics of purpura Location on lower extremities Henoch-Schönlein purpura Location on palms and soles Rickettsial infection Palpable purpura Vasculitis Associated signs Arthritis, abdominal tenderness,...

American Family Physician

https://www.aafp.org/afp/2001/0801/afp20010801p419.pdf

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.html

Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach - American Family Physician

Apr 15, 2013 - Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0415/p568.html

Evaluation and Management of Common Childhood Poisonings - American Family Physician

Mar 1, 2009 - Family physicians often manage substance ingestions in children, most of which are nontoxic in nature. Physicians should know the phone number of the poison control center, understand the appropriate initial assessment of suspected toxin ingestion, and recognize important toxidromes. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p397.html

Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...

Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1265.html

Evaluation and Management of Heart Murmurs in Children - American Family Physician

Oct 1, 2011 - Heart murmurs are common in healthy infants, children, and adolescents. Although most are not pathologic, a murmur may be the sole manifestation of serious heart disease. Historical elements that suggest pathology include family history of sudden cardiac death or congenital heart ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1001/p793.html

Evaluation and Management of Orthostatic Hypotension

...treatment response in patients with an autonomic disorder. Goals of treatment involve improving hypotension without excessive supine hypertension, relieving ortho- static symptoms, and improving standing time. Treatment includes correcting reversible causes and discontinuing...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p527.pdf

Evaluation and Management of Orthostatic Hypotension - American Family Physician

Sep 1, 2011 - Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p527.html

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

Apr 1, 2004 - Retinal detachment often is a preventable cause of vision loss. There are three types of retinal detachments: exudative, tractional, and rhegmatogenous. The most common type is rhegmatogenous, which results from retinal breaks caused by vitreoretinal traction. Risk factors for retinal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1691.html

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

...from the accumulation of serous and/ or hemorrhagic fluid in the subretinal space because of hydrostatic factors (e.g., severe acute hypertension), or inflammation (e.g., sarcoid uveitis), or neoplastic effusions. Exudative reti- nal detachment generally resolves with success- ful...

American Family Physician

https://www.aafp.org/afp/2004/0401/afp20040401p1691.pdf

Evaluation and Management of the Patient with Difficult-to-Control or Resistant ...

May 15, 2009 - High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p863.html

Evaluation and Prevention of Diabetic Neuropathy - American Family Physician

Jun 1, 2005 - Diabetic neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2123.html

Evaluation and Prevention of Diabetic Neuropathy - American Family Physician

...persistent sinus tachycardia, no variation in heart rate during activities, and bradycardia. Barorecep- tor disease contributes to supine hypertension. In a patient with type 1 diabetes, an autonomic imbalance may result in a prolonged QT interval on the electrocardiogram (ECG),...

American Family Physician

https://www.aafp.org/afp/2005/0601/afp20050601p2123.pdf

Evaluation and Treatment of ADHD - American Family Physician

Sep 1, 2001 - Symptoms of attention-deficit/hyperactivity disorder (ADHD) are present in as many as 9 percent of school-age children. ADHD-specific questionnaires can help determine whether children meet diagnostic criteria for the disorder. The recommended evaluation also includes documenting the ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p817.html

Evaluation and Treatment of ADHD -- American Family Physician

...Average: 1.9 hours; 20 to 60 minutes 3 to 6 hours Contraindications: motor tics, glaucoma, history of seizures, range: 0.3 to 4 hours hypertension, pregnancy Recommended monitoring: height, weight, blood pressure, pulse Precautions: avoid decongestants Adverse effects: rebound or...

American Family Physician

https://www.aafp.org/afp/2001/0901/afp20010901p817.pdf

Evaluation and Treatment of Childhood Obesity - American Family Physician

Feb 15, 1999 - The prevalence of childhood obesity in the United States has risen dramatically in the past several decades. Although 25 to 30 percent of children are affected, this condition is underdiagnosed and undertreated. Hormonal and genetic factors are rarely the cause of childhood obesity; ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p861.html

Evaluation and Treatment of Heat-Related Illnesses - American Family Physician

Jun 1, 2002 - The body's ability to regulate core temperature depends on both host (internal) and environmental (external) factors. Although athletes are commonly thought to be most at risk for heat illnesses, children and the elderly are particularly vulnerable. Heat cramps, which are caused by ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2307.html

Evaluation and Treatment of Heat-Related Illnesses -- American Family Physician

...heatstroke Hypokalemia Obesity Poor acclimatization Sleep deprivation Sunburn Sweat gland dysfunction Uncontrolled diabetes Uncontrolled hypertension/thyroid disorder Upper respiratory tract infection Information from references 1, and 6 through 8. tioned, well-acclimatized...

American Family Physician

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

Evaluation and Treatment of Hematospermia - American Family Physician

Dec 15, 2009 - Hematospermia can be a distressing symptom for patients, but most cases are effectively managed by a primary care physician. Although the condition is usually benign, significant underlying pathology must be excluded by history, physical examination, laboratory evaluation, and, in ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1421.html

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