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Oral Manifestations of Systemic Disease - American Family Physician

Dec 1, 2010 - Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1381.html

Oral Poisonings: Guidelines for Initial Evaluation and Treatment - American Family ...

Jan 1, 1998 - The initial evaluation and management of poisoned patients should be comprehensive and include an accurate history whenever possible, stabilization of the patient's condition, a physical assessment to evaluate the extent of poisoning and the presence of concurrent conditions, ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0101/p85.html

Oral Semaglutide (Rybelsus) for the Treatment of Type 2 Diabetes Mellitus - STEPS - ... Restricted content. Login required.

Nov 15, 2020 - Oral semaglutide (Rybelsus) is labeled as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1115/p627.html

Ordering and Understanding the Exercise Stress Test - American Family Physician

Jan 15, 1999 - The exercise stress test is a useful screening tool for the detection of significant coronary artery disease. Documentation of the patient's symptoms, medications, past and current significant illnesses, and usual level of physical activity helps the physician determine if an exercise ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p401.html

Orthostatic Hypotension - American Family Physician

Dec 15, 2003 - Orthostatic hypotension is a physical finding defined by the American Autonomic Society and the American Academy of Neurology as a systolic blood pressure decrease of at least 20 mm Hg or a diastolic blood pressure decrease of at least 10 mm Hg within three minutes of standing. The ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2393.html

Orthostatic Hypotension - American Family Physician

...an increased rate of falls, and a history of myocar- dial infarction or transient ischemic attack6; it also may be predictive of ischemic stroke.7 Pathophysiology When an adult rises to the standing posi- tion, 300 to 800 mL of blood pools in the Orthostatic hypotension is...

American Family Physician

https://www.aafp.org/afp/2003/1215/afp20031215p2393.pdf

Oseltamivir of Uncertain Benefit in Patients with Flulike Symptoms - POEMs - American ... Restricted content. Login required.

Aug 15, 2020 - Although the authors report that compared with usual care oseltamivir shortens the duration of symptoms, the methodologic biases in this study make their conclusions suspect.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p248a.html

Osteoarthritis Management: Updated Guidelines from the American College of Rheumatology... Restricted content. Login required.

Jan 15, 2021 - The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0115/p120.html

Osteoporosis - American Family Physician

Feb 1, 2009 - ...Previous: Aspirin in Patients with Actue Ischemic Stroke Next: Preconception Care Should Be Vital Issue for Both Sexes View the full table of contents >> Home / Journals / afp / Vol. 79/No. 3(February 1, 2009) / Osteoporosis...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2009/0201/p201.html

Osteoporosis - American Family Physician

Mar 1, 2004 - ...Risks of hormone therapy include heart disease, strokes, blood clots, and breast cancer. You need to discuss your health history and your family's health history with your doctor to decide whether your risks from osteoporosis outweigh the risks of hormone therapy. Tips to keep bones...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/0301/p1207.html

Osteoporosis in Men

...(odds ratio of incident verte- bral fractures = 0.44; 95% CI, 0.23 to 0.83).14 Similarly, another study of 280 men 65 years and older with stroke randomly assigned participants to receive risedronate (Actonel) or placebo.15 Men in the risedronate group had a 2.5 percent increase in...

American Family Physician

https://www.aafp.org/afp/2010/0901/afp20100901p503.pdf

Osteoporosis in Men - Letters to the Editor - American Family Physician

Jun 15, 2001 - ...the risk of immobility. Disorders of movement and balance may include the neurologic conditions that lead to hemiparesis/hemiplegia (stroke, Parkinson's disease and dementia). In particular, chronic steroid use appears to be a big problem that leads to compression fractures. The...

American Family Physician : Letter

https://www.aafp.org/afp/2001/0615/p2331.html

Osteoporosis: Part I. Evaluation and Assessment - American Family Physician

Mar 1, 2001 - Osteoporosis afflicts 75 million persons in the United States, Europe and Japan and results in more than 1.3 million fractures annually in the United States. Because osteoporosis is usually asymptomatic until a fracture occurs, family physicians must identify the appropriate timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p897.html

Osteoporosis: Part II. Nonpharmacologic and Pharmacologic Treatment - American Family ...

Mar 15, 2001 - Family physicians will frequently encounter patients with osteoporosis, a condition that is often asymptomatic until a fracture occurs. Treatment of the fracture can be initiated without further diagnostic testing. Thereafter, treatment of osteoporosis includes (1) prevention of further...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1121.html

Osteoporosis: Part II. Nonpharmocologic and Pharmacologic Treatment - American Family ...

...deaths and a threefold excess risk of venous throm- bosis during the first year of the trial in women taking estrogen and a small risk of stroke in women taking estrogen and proges- terone. Recommendations at the conclusion of the trial included forgoing estrogen and progesterone...

American Family Physician

https://www.aafp.org/afp/2001/0315/afp20010315p1121.pdf

Outdoor Air Pollutants and Patient Health - American Family Physician

Jan 15, 2010 - Almost 160 million persons live in areas of the United States that exceed federal health-based air pollution standards. The two air pollutants that most commonly exceed standards are ozone and particulate matter. Ozone and particulate matter can harm anyone if levels are sufficiently ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p175.html

Outpatient Approach to Palpitations

...heart disease. Atrial fibrillation is the most common arrhythmia resulting in hos- pitalization; such patients are at increased risk of stroke. Patients with supraventricular tachycardia, long QT syn- drome, ventricular tachycardia, or palpitations associated with syncope should be...

American Family Physician

https://www.aafp.org/afp/2011/0701/afp20110701p63.pdf

Outpatient Approach to Palpitations - American Family Physician

Jul 1, 2011 - Palpitations are a common problem seen in family medicine; most are of cardiac origin, although an underlying psychiatric disorder, such as anxiety, is also common. Even if a psychiatric comorbidity does exist, it should not be assumed that palpitations are of a noncardiac etiology. ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0701/p63.html

Outpatient Management of Anticoagulation Therapy - American Family Physician

Apr 1, 2007 - The Seventh American College of Chest Physicians (ACCP) Conference on Antithrombotic and Thrombolytic Therapy provides guidelines for outpatient management of anticoagulation therapy. The ACCP guidelines recommend short-term warfarin therapy, with the goal of maintaining an ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0401/p1031.html

Outpatient Management of COVID-19: Rapid Evidence Review - American Family Physician

Oct 15, 2020 - Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. However, patients may have a wide range of symptoms representing a spectrum of mild to severe illness. Symptoms in children tend to be milder and may include fever, cough, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/1015/p478.html

Outpatient Treatment of Systolic Heart Failure - American Family Physician

Dec 1, 2004 - Optimal outpatient treatment of systolic heart failure has three goals that should be pursued simultaneously: (1) control of risk factors for the development and progression of heart failure, (2) treatment of heart failure, and (3) education of patients. Control of risk factors includes...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2157.html

Outpatient Treatment of Systolic Heart Failure - American Family Physician

...Although patients with heart failure have an increased risk of thromboembolic events (i.e., stroke, pulmonary embolism, and deep venous thrombosis) of 1.6 to 3.2 percent per year,36 results of a systematic review37 showed that antiplatelet ther- apy (primarily aspirin) is not useful...

American Family Physician

https://www.aafp.org/afp/2004/1201/afp20041201p2157.pdf

Overuse of Computed Tomography and Associated Risks - Editorials - American Family ...

Jun 1, 2011 - CT has substantially advanced medical care through improved diagnosis, but its use comes with potential harms, including cancer risk from radiation; detection of incidental findings that may lead to additional and often unnecessary diagnostic testing and treatment; and accidental ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0601/p1252.html

Overuse of Statins in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Dec 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/2019/1215/p742.html

Overview of New ACC/AHA Lipid Guidelines - POEMs - American Family Physician

Jun 1, 2019 - These updated guidelines, made without any input from primary care physicians who manage most patients with hyperlipidemia, are more complex than the 2013 guidelines and will likely lead to even more recommendations for statins, ezetimibe (Zetia), and PSK9 inhibitors.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0601/p716.html

Pain In the Quiet (Not Red) Eye - American Family Physician

Jul 1, 2010 - Although eye pain is often accompanied by redness or injection, pain can also occur with a quiet eye. Pain in a quiet eye can be the first sign of a vision-threatening condition, a more benign ophthalmologic condition, or a nonophthalmologic condition. Acute narrow-angle glaucoma is an ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p69.html

Palpitations: Evaluation in the Primary Care Setting

December 15, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1215/afp20171215p784.pdf

Palpitations: Evaluation in the Primary Care Setting - American Family Physician

Dec 15, 2017 - Palpitations are a common problem in the ambulatory primary care setting, and cardiac causes are the most concerning etiology. Psychiatric illness, adverse effects of prescription and over-the-counter medications, and substance use should also be considered. Distinguishing cardiac from ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1215/p784.html

Panic Disorder: Diagnosis and Treatment in Primary Care - Editorials - American Family ...

May 15, 1998 - ...may lead to repeated visits to the emergency department or the family physician's office because of the fear of having a heart attack or stroke, or the fear of dying. Individuals who have panic disorder live with a persistent concern about having another attack. This concern is...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0515/p2328.html

Papular Lesions on Bilateral Elbows and Knees - Photo Quiz - American Family Physician

Jan 1, 2019 - A man presented with new-onset foot pain, as well as long-standing red-yellow lesions on his elbows and knees.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0101/p47.html

Parkinson Disease - American Family Physician Restricted content. Login required.

Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...

American Family Physician : Article

https://www.aafp.org/afp/2020/1201/p679.html

Parkinson Disease: An Update - American Family Physician

Feb 15, 2013 - Parkinson disease is a progressive neurologic disorder afflicting approximately 1 percent of Americans older than 60 years. The cardinal features of Parkinson disease are bradykinesia, rigidity, tremor, and postural instability. There are a number of neurologic conditions that mimic the...

American Family Physician : Article

https://www.aafp.org/afp/2013/0215/p267.html

Parkinson Disease: An Update<FEFF>

...absence of cognitive impairment, and absence of (or well-controlled) depression.24 Risks of surgery include intracranial hemorrhage; stroke; infection; lead migra- tion, misplacement, or fracture; and death.24 A recent randomized multicenter trial compared best medical therapy to...

American Family Physician

https://www.aafp.org/afp/2013/0215/afp20130215p267.pdf

Parkinson Disease: What You Should Know - American Family Physician

Feb 15, 2013 - ...National Institute of Neurological Disorders and Stroke Website: http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease.htm The Michael J. Fox Foundation for Parkinson's Research Website: http://www.michaeljfox.org/ Read the full article. Get immediate...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2013/0215/p267-s1.html

Parkinson's Disease: Diagnosis and Treatment - American Family Physician

Dec 15, 2006 - Parkinson's disease is a common neurodegenerative disorder that can cause significant disability and decreased quality of life. The cardinal physical signs of the disease are distal resting tremor, rigidity, bradykinesia, and asymmetric onset. Levodopa is the primary treatment for ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1215/p2046.html

Patient Education - AAFP Core Educational Guidelines - American Family Physician

Oct 1, 2000 - ...education is critically important because it is clear that the leading causes of death in the United States (i.e., heart disease, cancer, stroke, lung disease and injuries) are closely associated with unhealthy lifestyles. There is also strong evidence to suggest that counseling and...

American Family Physician : AAFP Core Educational Guidelines

https://www.aafp.org/afp/2000/1001/p1712.html

Patient Handouts - American Family Physician

...Stroke and TIA Substance Abuse Thyroid and parathyroid disorders Tobacco Abuse and dependence Travel medicine Upper Respiratory Tract Infection Urinary tract infections/dysuria Vaginitis Attention Deficit/Hyperactivity Disorder Deep Venous Thrombosis and Pulmonary...

American Family Physician

https://www.aafp.org/afp/handouts/viewAll.htm

Patients with Initial Unprovoked DVT or PE Benefit from Long-Term Low-Dose Aspirin - ...

Jun 15, 2015 - Aspirin improves long-term cardiovascular and thrombotic outcomes in patients who have had an initial unprovoked episode of VTE. The risk of bleeding was no higher in the aspirin group, perhaps because those at risk of bleeding were uncovered during the initial period of anticoagulation.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0615/p872.html

PCI Has More Benefits and Harms Than CABG for Selected Patients with Left Main Coronary...

Apr 1, 2017 - Patients undergoing PCI had fewer early myocardial infarctions, but more later deaths and later myocardial infarctions. There are other benefits to PCI, including shorter hospital stay, lower cost, and faster recovery. But patients should be informed of the tradeoffs, and it is ...

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0401/p455a.html

Pediculosis and Scabies: A Treatment Update - American Family Physician

Sep 15, 2012 - Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed by visualization of live lice. Finding nits (louse egg shells) alone indicates a historical infestation. A no nit policy for schools and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p535.html

Pelvic Organ Prolapse

August 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p179.pdf

Pelvic Organ Prolapse - American Family Physician

Aug 1, 2017 - ...vaginal bleeding, problems passing urine or stool, or any change in your ability to take care of the pessary (for instance, if you have a stroke or arthritis). What are Kegel exercises? Kegels (KEE-guls) are exercises that strengthen the muscles of the pelvis. To do a Kegel, you...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2017/0801/p179-s1.html

Pelvic Organ Prolapse - American Family Physician

May 1, 2010 - ...smelling discharge, problems passing urine or stool, or any change in your ability to take care of the pessary (for instance, if you have a stroke or arthritis). What are Kegel exercises? They are exercises to strengthen the muscles of the pelvis. Your doctor can teach you how to do...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2010/0501/p1119.html

Percutaneous Interventions for Lower Extremity Peripheral Vascular Disease - American ...

Dec 15, 2001 - Peripheral vascular disease of the lower extremities is an important cause of morbidity that affects up to 10 million people in the United States. The primary care physician can easily identify patients who are at risk for the disease with a questionnaire and a relatively simple ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1215/p1965.html

Percutaneous Interventions for Lower Extremity Peripheral Vascular Disease -- American ...

...In most cases, the presence of PVD is a sign of systemic atherosclerosis, which puts these patients at high risk of stroke, myocardial infarction, and cardiovascular death. Risk factors for PVD include smok- ing, hypertension, hyperlipidemia, dia- betes, family history of cardiac or...

American Family Physician

https://www.aafp.org/afp/2001/1215/afp20011215p1965.pdf

Perioperative Antiplatelet Therapy

...L ong-term antiplatelet therapy is an important component of sec- ondary prevention after a stroke, myocardial infarction (MI), myo- cardial revascularization, or a diagnosis of peripheral arterial disease or acute coro- nary syndrome. Dual antiplatelet therapy (aspirin and...

American Family Physician

https://www.aafp.org/afp/2010/1215/afp20101215p1484.pdf

Perioperative Antiplatelet Therapy - American Family Physician

Dec 15, 2010 - Aspirin is recommended as a lifelong therapy that should never be interrupted for patients with cardiovascular disease. Clopidogrel therapy is mandatory for six weeks after placement of bare-metal stents, three to six months after myocardial infarction, and at least 12 months after ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1484.html

Perioperative Beta Blockers - Medicine by the Numbers - American Family Physician

Sep 1, 2016 - Studies show that 1 in 72 patients had a nonfatal myocardial infarction prevents while harm end points included nonfatal stroke, hypotension, and bradycardia. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0901/od1.html

Perioperative Bridging Anticoagulation Unhelpful for Invasive Procedures - POEMs - ...

Jan 15, 2016 - Bridging anticoagulation worsens outcomes for patients with atrial fibrillation who undergo an elective invasive procedure, resulting in more episodes of major bleeding and no difference in the rate of stroke or venous thromboembolism.

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0115/p130.html

Perioperative Cardiac Risk Reduction

...4. History of cerebrovascular disease (e.g., transient ischemic attack, stroke) 5. Preoperative treatment with insulin 6. Preoperative serum creatinine level > 2.0 mg per dL (176.80 µmol per L) Score Risk index class Risk of major cardiac complication (%) 0 I 0.4 1...

American Family Physician

https://www.aafp.org/afp/2012/0201/afp20120201p239.pdf

Perioperative Cardiac Risk Reduction - American Family Physician

Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p239.html

Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...

May 15, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0515/afp20170515p645.pdf

Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common ...

May 15, 2017 - Several medications have been used perioperatively in patients undergoing noncardiac surgery in an attempt to improve outcomes. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery to avoid increasing the ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0515/p645.html

Peripheral Arterial Disease - American Family Physician

Feb 1, 2004 - ...arteries that supply blood to the heart, it can cause chest pain or a heart attack. If arteries to the brain are affected, it may cause a stroke. Over time, PAD also can cause loss of feeling or weakness in the affected leg. Where can I get more information about PAD? Your doctor....

American Family Physician : Patient Handout

https://www.aafp.org/afp/2004/0201/p533.html

Peripheral Arterial Disease - Clinical Evidence Handbook - American Family Physician

Jul 1, 2006 - What are the effects of treatments for persons with chronic peripheral arterial disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2006/0701/p137.html

Peripheral Arterial Disease - Clinical Evidence Handbook - American Family Physician

Jun 1, 2002 - What are the effects of treatments for chronic peripheral arterial disease?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/0601/p2321.html

Peripheral Vascular Disease: Diagnosis and Treatment - American Family Physician

Jun 1, 2006 - Peripheral vascular disease is a manifestation of systemic atherosclerosis that leads to significant narrowing of arteries distal to the arch of the aorta. The most common symptom of peripheral vascular disease is intermittent claudication. At other times, peripheral vascular disease ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1971.html

Personalizing Prevention: The U.S. Surgeon General's Family History Initiative - ...

Jan 1, 2005 - ...the information. Although this campaign ultimately will encompass many diseases, the initial focus currently is on heart disease; diabetes; stroke; and breast, ovarian, and colon cancers. In addition, there are two open entries for other diseases specific to a given family. The...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0101/p36.html

Pertussis: A Reemerging Infection

...complica- tions of chronic cough include lack of sleep, subconjuncti- val hemorrhage, abdominal hernias, or even intracranial hemorrhage and stroke from vertebral artery dissection.14 Unlike infants, adults and adolescents with pertussis rarely develop pneumonia or require...

American Family Physician

https://www.aafp.org/afp/2013/1015/afp20131015p507.pdf

Pertussis: A Reemerging Infection - American Family Physician

Oct 15, 2013 - Pertussis, also known as whooping cough, is an acute respiratory tract infection that has increased in incidence in recent years. The initial catarrhal stage presents with nonspecific symptoms of malaise, rhinorrhea, sneezing, lacrimation, and mild cough. During the paroxysmal stage, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p507.html

Pet Therapy’s Role in a Patient Care Regimen

November 1, 2016: Curbside Consultation

American Family Physician

https://www.aafp.org/afp/2016/1101/afp20161101p737.pdf

Petechiae in a Newborn - Photo Quiz - American Family Physician

Dec 1, 2015 - Five hours after birth, scattered petechiae developed over the trunk and extremities of a newborn.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2015/1201/p1017.html

Pharmacogenetics: Using Genetic Information to Guide Drug Therapy

Date xx, xxxx Scientific

American Family Physician

https://www.aafp.org/afp/2015/1001/afp20151001p588.pdf

Pharmacogenetics: Using Genetic Information to Guide Drug Therapy - American Family ...

Oct 1, 2015 - Clinical pharmacogenetics, the use of genetic data to guide drug therapy decisions, is beginning to be used for medications commonly prescribed by family physicians. However, clinicians are largely unfamiliar with principles supporting clinical use of this type of data. For example, ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p588.html

Pharmacologic Cardioversion for Atrial Fibrillation and Flutter - Cochrane for ...

Dec 1, 2005 - There is no evidence that rhythm control in older patients with atrial fibrillation is more effective than rate control for improving patient-oriented outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1201/p2217.html

Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...

Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1277.html

Pharmacologic Prevention of Osteoporotic Fractures - American Family Physician

Oct 1, 2004 - Osteoporosis is characterized by low bone mineral density and a deterioration in the microarchitecture of bone that increases its susceptibility to fracture. The World Health Organization defines osteoporosis as a bone mineral density that is 2.5 standard deviations or more below the ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1293.html

Pharmacologic Prevention of Osteoporotic Fractures - American Family Physician

...to 0.96) by one third compared with placebo. However, hormone therapy was associated with increased risks of breast cancer, heart attacks, strokes, and blood clots in the lung; these risks appear to outweigh the benefits of hormone therapy for fracture prevention.38 RECOMBINANT...

American Family Physician

https://www.aafp.org/afp/2004/1001/afp20041001p1293.pdf

Pharmacologic Therapy for Acute Pain

...about COX-2 selective NSAIDs and, to a lesser extent, nonselective NSAIDs has centered on their cardiovascular adverse effects (i.e., stroke, myocardial infarction, and thrombus forma- tion),13 and these drugs include an FDA boxed warning regarding these risks. An analysis of six...

American Family Physician

https://www.aafp.org/afp/2013/0601/afp20130601p766.pdf

Pharmacologic Therapy for Acute Pain - American Family Physician Restricted content. Login required.

Jul 1, 2021 - Pharmacologic management of acute pain should be tailored for each patient, including a review of treatment expectations and a plan for the time course of prescriptions. Acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment options for most patients ...

American Family Physician : Article

https://www.aafp.org/afp/2021/0700/p63.html

Pharmacologic Therapy for Acute Pain - American Family Physician

Jun 1, 2013 - The approach to patients with acute pain begins by identifying the underlying cause and a disease-specific treatment. The first-line pharmacologic agent for the symptomatic treatment of mild to moderate pain is acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID). The choice ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0601/p766.html

Pharmacologic Therapy for Heart Failure - FPIN's Help Desk Answers - American Family ...

Jul 1, 2019 - Compared with monotherapy, the combination of an ACE inhibitor and an ARB has not been shown to improve cardiovascular or overall mortality in patients with symptomatic heart failure. The combination is associated with an increased number of adverse drug effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0701/p49.html

Pharmacologic Treatment of Alzheimer's Disease: An Update - American Family Physician

Oct 1, 2003 - Alzheimer's disease is characterized by the development of senile plaques and neurofibrillary tangles, which are associated with neuronal destruction, particularly in cholinergic neurons. Drugs that inhibit the degradation of acetylcholine within synapses are the mainstay of therapy. ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1365.html

Pharmacologic Treatment of Alzheimer’s Disease: An Update - American Family Physician

...in patients with Alzheimer’s disease,33 and the combination of estrogen and progestin actually may increase the risk for dementia and stroke.34,35 ANTI-INFLAMMATORY DRUGS Inflammation surrounding �-amyloid plaques with resultant destruction of neurons is thought to be a key...

American Family Physician

https://www.aafp.org/afp/2003/1001/afp20031001p1365.pdf

Pharmacologic Treatment of Hyperlipidemia - American Family Physician

Sep 1, 2011 - Pharmacologic treatment of hyperlipidemia in conjunction with therapeutic lifestyle changes can be used for both primary and secondary prevention of cardiovascular disease. Statins have the most convincing data for primary prevention, especially for higher risk patients. Therefore, risk...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p551.html

Pharmacologic Treatment of Hypertension in Adults 60 Years and Older: A Guideline You ...

May 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501p547.pdf

Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older: A Guideline ...

May 1, 2017 - A high standard must be met when guidelines recommend lifelong preventive medications, knowing that at best, a small minority of patients will benefit and that all are risking harm.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0501/p547.html

Pharmacologic Treatment of Hypertension: ACP and AAFP Release Recommendations for ...

May 1, 2017 - The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) have made recommendations for all clinicians to treat hypertension in persons 60 years and older, based on the benefits and harms of higher (less than 150 mm Hg) and lower (140 mm Hg or less) ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0501/p588.html

Pharmacotherapy for Mild Hypertension - Cochrane for Clinicians - American Family ...

Jul 1, 2013 - Pharmacologic treatment of mild hypertension for up to five years does not reduce coronary events, stroke, or mortality compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0701/p21.html

Photo Quiz

...and fingertips. Pul- monary, hepatic, and cerebral arteriovenous malforma- tions are possible and may lead to embolic stroke, brain abscess, and hemorrhagic stroke. A hereditary hemorrhagic telangiectasia diagnosis is clinical and based on the Curacao criteria: sponta- neous,...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p89.pdf

PHS Guidelines for Management of Occupational Exposure to HBV, HCV and HIV: HIV ...

Jan 15, 2002 - Guidelines for the management of health care personnel who have occupational exposure to blood and other body fluids that might contain hepatitis B virus (HBV), hepatitis C virus (HCV) or human immunodeficiency virus (HIV) are available from the U.S. Public Health Service (PHS).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/0115/p322.html

Physical Activity Guidelines for Older Adults - American Family Physician

Jan 1, 2010 - Few older adults in the United States achieve the minimum recommended amount of physical activity. Lack of physical activity contributes to many chronic diseases that occur in older adults, including heart disease, stroke, diabetes mellitus, lung disease, Alzheimer disease, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0101/p55.html

Physical Activity: Updated Recommendations from HHS - Practice Guidelines - American ...

Jul 1, 2019 - The U.S. Department of Health and Human Services recently published updated recommendations on physical activity based on a systematic review of the effect of physical activity on health. The committee addressed 38 questions and 104 subquestions and graded the evidence based on ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0701/p58.html

Physical Examination for the Special Olympics - Editorials - American Family Physician

Apr 15, 2002 - ...and cervical subluxation are restricted from training or competing in specific sports and activities, including alpine skiing, butterfly stroke, diving, diving starts in swimming, equestrian sports, gymnastics, high jump, pentathlon, soccer, and squat lifting. In one study,5 29...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0415/p1516.html

Physical Fitness Training for Patients with Stroke - Cochrane for Clinicians - American...

Jun 1, 2017 - There is moderate-quality evidence that physical fitness training improves disability after stroke. Cardiovascular training that includes only aerobic exercise has a moderate effect on disability (standard mean difference [SMD] = 0.52 on a pooled disability scale), although it is not ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0601/p701.html

Physician's Bookshelf - Sep 15, 1999 - American Family Physician

Sep 15, 1999 - ...Management of Stroke: A Practical Guide for the Prevention, Evaluation and Treatment of Acute Stroke By Harold P. Adams Jr., Gregory J. del Zoppo and Rudiger von Kummer. Pp. 224. Price, $17.95. Professional Communications, 400 Center Bay Dr., West Islip, NY 11795, 1998. Phone:...

American Family Physician : Physician's Bookshelf

https://www.aafp.org/afp/1999/0915/p1265.html

Physicians Can Help Patients Begin Grieving Process for Loss of a Loved One - Letters ...

Jan 1, 2020 - ...Previous: Screening for Atrial Fibrillation to Initiate Stroke-Protective Therapy Next: Branched-chain Amino Acids for Patients with Hepatic Encephalopathy View the full table of contents >> Home / Journals / afp / Vol. 101/No. 1(January 1, 2020) / Physicians Can Help...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0101/p7.html

Physicians Need Practical Tools to Treat the Complex Problems of Overweight and Obesity...

Jun 1, 2001 - ...from hypertension, lipid disorders, type 2 diabetes mellitus (formerly known as non-insulin-dependent diabetes), coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and other respiratory problems, and certain cancers.3 The total annual cost attributable...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0601/p2139.html

Pioglitazone After Stroke or TIA Reduces Stroke and MI, but Also Has Significant Harms ...

Aug 15, 2016 - In patients with a recent stroke or TIA and evidence of insulin resistance, pioglitazone reduces the likelihood of myocardial infarction (MI) or stroke (number needed to treat [NNT] = 36 over five years) but increases the risk of significant weight gain (number needed to treat to harm ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0815/p319.html

Pitfalls of Direct-to-Consumer Vascular Screening Tests - Editorials - American Family ...

Apr 15, 2015 - As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and significant.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0415/p518.html

PLAC Test for Lp-PLA2 Activity to Predict Coronary Heart Disease - Diagnostic Tests: ... Restricted content. Login required.

Jan 1, 2020 - The PLAC test is a blood test used to measure serum activity of lipoprotein-associated phospholipase A2 (Lp-PLA2), an enzyme that breaks down oxidized low-density lipoprotein in the vascular wall.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0101/p44.html

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0901/p269.html

POEMS

...to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall Mortality Clinical Question What are the benefits of treating mild hypertension? Bottom Line Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1020.pdf

POEMS

...to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall Mortality Clinical Question What are the benefits of treating mild hypertension? Bottom Line Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1020a.pdf

POEMS

...to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall Mortality Clinical Question What are the benefits of treating mild hypertension? Bottom Line Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1021.pdf

POEMS

...to Treating Mild Hypertension to Prevent Stroke, CV Deaths, and Overall Mortality Clinical Question What are the benefits of treating mild hypertension? Bottom Line Treating mild hypertension over five years decreases the risk of stroke, cardiovascular (CV) death, and overall...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1022.pdf

POEMS

...mg per dL (0.16 mmol per L) more than the placebo. However, there was no significant effect on major vascular events, major coronary events, stroke, cardiovascular mortality, or all-cause mortality. There was a borderline significant reduction in the likelihood of requiring...

American Family Physician

https://www.aafp.org/afp/2014/1101/afp20141101p660a.pdf

POEMS

...mg per dL (0.16 mmol per L) more than the placebo. However, there was no significant effect on major vascular events, major coronary events, stroke, cardiovascular mortality, or all-cause mortality. There was a borderline significant reduction in the likelihood of requiring...

American Family Physician

https://www.aafp.org/afp/2014/1101/afp20141101p660.pdf

POEMS

...mg per dL (0.16 mmol per L) more than the placebo. However, there was no significant effect on major vascular events, major coronary events, stroke, cardiovascular mortality, or all-cause mortality. There was a borderline significant reduction in the likelihood of requiring...

American Family Physician

https://www.aafp.org/afp/2014/1101/afp20141101p662.pdf

POEMs

...of TIA or Minor Stroke Clinical Question Does adding clopidogrel (Plavix) improve outcomes over aspirin alone in the early treatment of transient ischemic attack (TIA) or minor stroke? Bottom Line Patients with minor stroke (National Insti- tutes of Health [NIH] Stroke Scale...

American Family Physician

https://www.aafp.org/afp/2014/0101/afp20140101p55.pdf

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