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hypertension

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Intrapartum Fetal Monitoring - American Family Physician

Dec 15, 2009 - Continuous electronic fetal monitoring was developed in the 1960s to assist in the diagnosis of fetal hypoxia during labor. Continuous electronic fetal monitoring has been shown to reduce the incidence of neonatal seizures, but there has been no beneficial effect in decreasing cerebral ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1388.html

Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician

Dec 15, 2011 - Cirrhosis is the 12th leading cause of death in the United States. It accounted for 29,165 deaths in 2007, with a mortality rate of 9.7 per 100,000 persons. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis, although nonalcoholic fatty liver disease is emerging ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1353.html

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

Sep 15, 2012 - Transient ischemic attack is defined as transient neurologic symptoms without evidence of acute infarction. It is a common and important risk factor for future stroke, but is greatly underreported. Common symptoms are sudden and transient, and include unilateral paresis, speech ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0915/p521.html

Cardiovascular Risk of Combined Oral Contraceptive Use - FPIN's Clinical Inquiries - ...

Dec 15, 2012 - Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1215/od4.html

Sudden Infant Death Syndrome - American Family Physician

Jun 1, 2015 - Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation. The incidence of SIDS has decreased more than 50% in the ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0601/p778.html

Health Maintenance in Women - American Family Physician

Jan 1, 2013 - The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0101/p30.html

Insulin Resistance Syndrome - American Family Physician

Mar 15, 2001 - Insulin resistance can be linked to diabetes, hypertension, dyslipidemia, cardiovascular disease and other abnormalities. These abnormalities constitute the insulin resistance syndrome. Because resistance usually develops long before these diseases appear, identifying and treating ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1159.html

NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians - ...

Jul 15, 2001 - The National High Blood Pressure Education Program's Working Group on High Blood Pressure in Pregnancy recently issued a report implicating hypertension as a complication in 6 to 8 percent of pregnancies. Hypertension in pregnancy is related to one of four conditions: (1) chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0715/p263.html

The Role of BNP Testing in Heart Failure - American Family Physician

Dec 1, 2006 - Brain natriuretic peptide (BNP) levels are simple and objective measures of cardiac function. These measurements can be used to diagnose heart failure, including diastolic dysfunction, and using them has been shown to save money in the emergency department setting. The high negative ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1893.html

Top 20 Research Studies of 2014 for Primary Care Physicians - American Family Physician

Sep 1, 2015 - A team of primary care clinicians with expertise in evidence-based medicine performed monthly surveillance of more than 110 English-language clinical research journals during 2014, and identified 255 studies that had the potential to change how family physicians practice. Each study was...

American Family Physician : Article

https://www.aafp.org/afp/2015/0901/p377.html

Common Questions About Outpatient Care of Premature Infants - American Family Physician

Aug 15, 2014 - Preterm births (deliveries before 37 weeks’ gestation) comprise 12% of all U.S. births and are responsible for onethird of all infant deaths. Neonatal medical advances have increased survival, and primary care physicians often care for infants who were in the neonatal intensive care ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0815/p244.html

Practical Selection of Antiemetics in the Ambulatory Setting - American Family Physician

Mar 1, 2015 - Nausea and vomiting are mediated primarily by three neurotransmitter pathways: visceral stimulation releases dopamine and serotonin; vestibular and central nervous system activation release histamine and acetylcholine; and chemoreceptor trigger zone activation releases dopamine and ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0301/p293.html

Putting Prevention into Practice - Dec 15, 2012 - American Family Physician

Dec 15, 2012 - Case study: A 73-year-old woman comes to your office for routine follow-up for hypertension. She lives alone in an apartment and walks slowly, requiring the use of a cane. She is otherwise healthy and alert. Her most recent eye examination was three years ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2012/1215/p1135.html

Indications for Anticoagulation in Atrial Fibrillation - American Family Physician

Jul 1, 1998 - Factors associated with an increased risk of thromboembolic events in patients with atrial fibrillation (AF) include increasing age, rheumatic heart disease, poor left ventricular function, previous myocardial infarction, hypertension and a past history of a thromboembolic event. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p130.html

Neglected Parasitic Infections: What Every Family Physician Needs to Know - American ...

May 15, 2014 - Neglected parasitic infections, including Chagas disease, toxocariasis, cysticercosis, and toxoplasmosis, affect millions of persons in the United States. Relatively few resources have been devoted to surveillance, prevention, and treatment of these diseases. Chagas disease primarily ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0515/p803.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

Prevention and Management of Postpartum Hemorrhage - American Family Physician

Mar 15, 2007 - Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p875.html

Multifocal Pneumonia: Fever, Cough, and Dyspnea - Photo Quiz - American Family Physician Restricted content. Login required.

Apr 15, 2021 - An 80-year-old patient presented to the emergency department with several days of increasing shortness of breath and abnormalities on a chest radiograph.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0415/p503.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

Angiotensin-II Receptor Antagonists: Their Place in Therapy - American Family Physician

Jun 1, 1999 - Angiotensin-II receptor antagonists (or blockers) are a newer class of antihypertensive agents. These drugs are selective for angiotensin II (type 1 receptor); unlike angiotensin-converting enzyme inhibitors, they do not inhibit bradykinin metabolism or enhance prostaglandin synthesis. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3140.html

Calcium Channel Antagonists: Morbidity and Mortality - What's the Evidence? - American ...

Apr 1, 1998 - Recent studies have shown an association between the use of calcium channel antagonists for the treatment of hypertension and an increased risk of myocardial infarction, gastrointestinal hemorrhage and cancer. The interpretation of the results of these studies and their application to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1551.html

Managing Adverse Effects of Hormonal Contraceptives - American Family Physician

Dec 15, 2010 - Adverse effects of hormonal contraceptives usually diminish with continued use of the same method. Often, physi- cians only need to reassure patients that these symptoms will likely resolve within three to five months. Long-acting injectable depot medroxyprogesterone acetate is the only...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1499.html

Recognition and Management of Polymyalgia Rheumatica and Giant Cell Arteritis - ...

Nov 15, 2013 - Polymyalgia rheumatica affects proximal muscles and joints, causing disability in older adults. Giant cell arteritis affects medium and large arteries and can result in blindness. These conditions overlap significantly, often occurring together. Despite the similarities, each has ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1115/p676.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

Revised AAP Guideline on UTI in Febrile Infants and Young Children - American Family ...

Nov 15, 2012 - In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p940.html

Is Thrombolytic Therapy Effective For Pulmonary Embolism? - American Family Physician

Mar 15, 2002 - Pulmonary embolism is a disorder that is associated with significant morbidity and mortality. Right-sided heart failure and recurrent pulmonary embolism are the main causes of death associated with pulmonary embolism in the first two weeks after the embolic event. Thrombolysis is a ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1097.html

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

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

American Family Physician : Article

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

Management of Common Sleep Disorders - American Family Physician

Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p231.html

Clinical Management of Urinary Incontinence in Women - American Family Physician

May 1, 2013 - Most cases of urinary incontinence in women fall under one of three major subtypes: urge, stress, or mixed. A stepped-care approach that advances from least invasive (behavioral modification) to more invasive (surgery) interventions is recommended. Bladder retraining and pelvic floor ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0501/p634.html

Common Peripartum Emergencies - American Family Physician

Nov 1, 1998 - Peripartum emergencies occur in patients with no known risk factors. When the well-being of the fetus is in question, the fetal heart rate pattern may offer etiologic clues. Repetitive late decelerations may signify uteroplacental insufficiency, and a sinusoidal pattern may indicate ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1593.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

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

Apr 1, 1998 - Urinary tract infections (UTIs) are among the most common bacterial infections encountered by primary care physicians. Although UTIs do not occur with as great a frequency in children as in adults, they can be a source of significant morbidity in children. For reasons that are not yet ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1573.html

Screening for Abdominal Aortic Aneurysm: Recommendation Statement - U.S. Preventive ...

May 15, 2020 - The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.

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

https://www.aafp.org/afp/2020/0515/od1.html

hypertension.pdf

...Hypertension encounter Form Patient’s name: Age: Weight: Height: BMI (over): History of present illness Major risk factors (check if present) Target-organ damage (check if present) l Hypertension l Tobacco use l Obesity (BMI ≥ 30 kg per m2) l Physical...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/hypertension.pdf

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

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

American Family Physician : Article

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

Interventions to Reduce Cardiovascular Risk Factors in Children and Adolescents - ...

Apr 15, 1999 - Certain modifiable risk factors for cardiovascular disease have their beginnings in childhood. Cigarette smoking, hypertension, physical inactivity, obesity, hypercholesterolemia, hyperinsulinemia, homocysteinemia and poor nutrition in childhood and adolescence may all contribute to the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2211.html

When to Suspect a Genetic Syndrome - American Family Physician

Nov 1, 2012 - Family physicians should be able to recognize findings on physical examination and history that suggest the presence of a genetic syndrome to aid in the diagnosis and treatment of potentially affected patients, as well as subspecialty referral. General themes that can alert family ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p826.html

Functional Decline in Older Adults - American Family Physician

Sep 15, 2013 - Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p388.html

Hyperkalemia - American Family Physician

Jan 15, 2006 - Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors. Acute episodes of hyperkalemia commonly are ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p283.html

Naltrexone/Bupropion (Contrave) for Weight Loss - STEPS - American Family Physician

Apr 15, 2015 - Naltrexone/bupropion produces clinically significant weight loss when combined with a diet and exercise program. It decreases body weight in patients with diabetes, but its effect on diabetic outcomes is not known. A significant proportion of patients will experience adverse effects.

American Family Physician : STEPS

https://www.aafp.org/afp/2015/0415/p554.html

Preconception Health Care - American Family Physician

Jun 15, 2002 - Appropriate preconception health care improves pregnancy outcomes. When started at least one month before conception, folic acid supplements can prevent neural tube defects. Targeted genetic screening and counseling should be offered on the basis of age, ethnic background, or family ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0615/p2507.html

Primary Prevention of CHD: Nine Ways to Reduce Risk - American Family Physician

Mar 15, 1999 - Lowering cholesterol can reduce the incidence of coronary heart disease. Treating hypertension reduces overall mortality and is most effective in reducing the risk of coronary heart disease in older patients. Smoking cessation reduces the level of risk to that of nonsmokers within about...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1455.html

Recognition of Common Childhood Malignancies - American Family Physician

Apr 1, 2000 - Although cancer has an annual incidence of only about 150 new cases per 1 million U.S. children, it is the second leading cause of childhood deaths. Early detection and prompt therapy have the potential to reduce mortality. Leukemias, lymphomas and central nervous system tumors account ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2144.html

Coronary Artery Disease Prevention: What's Different for Women? - American Family ...

Apr 1, 2001 - Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk. Exercise, hypertension treatment, smoking cessation and aspirin therapy are effective measures for the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1393.html

Attenuating Cardiovascular Risk Factors in Patients with Type 2 Diabetes - American ...

Dec 15, 2000 - Patients with type 2 diabetes (formerly known as non-insulin-resistant diabetes) have a significantly increased risk of developing cardiovascular disease. Once clinical cardiovascular disease develops, these patients have a poorer prognosis than normoglycemic patients. By inducing ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1215/p2633.html

Senile Dementia of the Binswanger's Type - American Family Physician

Dec 1, 1998 - Senile dementia of the Binswanger's type is a term used to describe a dementia syndrome characterized by onset in the sixth or seventh decade of life, subcortical neurologic deficits, psychiatric disorders and evidence of hypertension or systemic vascular disease. The status of senile ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1201/p2068.html

Intensive Blood Pressure Control: Too Close for Comfort?

New research suggests that in older patients with hypertension, aggressively treating blood pressure levels may significantly increase the risk of falls and fainting.

https://www.aafp.org/news/health-of-the-public/20180912htntxfalls.html

Newer Pharmacologic Alternatives for Erectile Dysfunction - American Family Physician

Sep 15, 1999 - With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1159.html

Atrial Fibrillation: Diagnosis and Treatment - American Family Physician

Jan 1, 2011 - Atrial fibrillation is the most common cardiac arrhythmia. It impairs cardiac function and increases the risk of stroke. The incidence of atrial fibrillation increases with age. Key treatment issues include deciding when to restore normal sinus rhythm, when to control rate only, and how...

American Family Physician : Article

https://www.aafp.org/afp/2011/0101/p61.html

Preventing Congestive Heart Failure - American Family Physician

Apr 15, 1998 - The morbidity, mortality and health care costs associated with congestive heart failure make prevention a more attractive public health strategy than treatment. Aggressive management of etiologic factors, including hypertension, coronary artery disease, valvular disease and excessive ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1901.html

Medical Management of Obesity - American Family Physician

Jul 15, 2000 - Obesity is one of the most common medical problems in the United States and a risk factor for illnesses such as hypertension, diabetes, degenerative arthritis and myocardial infarction. It is a cause of significant morbidity and mortality and generates great social and financial costs. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0715/p419.html

Stroke: Part I. A Clinical Update on Prevention - American Family Physician

May 1, 1999 - Clinical trials conducted during the past five years have yielded important results that have allowed us to refine our approach to stroke prevention. Treatment of isolated systolic hypertension prevents stroke and is generally well tolerated. New antiplatelet agents (clopidogrel and the...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2475.html

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

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

American Family Physician : Article

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

A Primary Care Approach to Substance Misuse - American Family Physician

Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p113.html

The AAP Practice Parameter on Urinary Tract Infections in Febrile Infants and Young ...

Oct 15, 2000 - The Committee on Quality Improvement of the American Academy of Pediatrics developed an evidence-based practice parameter on the diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children, two months to two years of age. The practice...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1815.html

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

Reducing the Risk of Adverse Drug Events in Older Adults - American Family Physician

Mar 1, 2013 - Adverse drug events occur in 15 percent or more of older patients presenting to offices, hospitals, and extended care facilities. These events are potentially preventable up to 50 percent of the time. Common serious manifestations include falls, orthostatic hypotension, heart failure, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p331.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

Top 20 Research Studies of 2013 for Primary Care Physicians - American Family Physician

Sep 15, 2014 - In 2013, we performed monthly surveillance of more than 110 English-language clinical research journals, and identified approximately 250 studies that had the potential to change the practice of family physicians. Each study was critically appraised and summarized by a group of primary ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0915/p397.html

Postexposure Prophylaxis for Common Infectious Diseases - American Family Physician

Jul 1, 2013 - Postexposure prophylaxis (PEP) is effective in preventing illness after potential or documented exposure to a variety of microbial pathogens and in reducing the risk of secondary spread of infection. Guidelines have been published by the Centers for Disease Control and Prevention and ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0701/p25.html

METRIC for Residency Programs

Family medicine residency programs easily meet the ACGME requirements for practice-based learning and improvement with METRIC. Choose from modules on: asthma and hypertension.

https://www.aafp.org/cme/programs/metric/residency.html

METRIC

Fulfill a Performance Improvement Activity of the ABFM's Family Medicine Certification requirement through a streamlined method of evaluating and strengthening your practice functions and systems. Select from topics including: Asthma and Hypertension.

https://www.aafp.org/cme/programs/metric.html

The Adult Well Male Examination - American Family Physician

May 15, 2012 - The adult well male examination should incorporate evidence-based guidance toward the promotion of optimal health and well-being, including screening tests shown to improve health outcomes. Nearly one-third of men report not having a primary care physician. The medical history should ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0515/p964.html

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

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

American Family Physician : Article

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

Top 20 Research Studies of 2012 for Primary Care Physicians - American Family Physician

Sep 15, 2013 - This is the second annual summary of top research studies in primary care. In 2012, through regular surveillance of more than 100 English-language clinical research journals, seven clinicians identified 270 studies with the potential to change primary care practice, called POEMs, or ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0915/p380.html

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

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

American Family Physician : Article

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

Olmesartan (Benicar) for Hypertension - STEPS - American Family Physician

Aug 15, 2005 - Olmesartan is a safe and effective antihypertensive agent. There is no evidence that olmesartan is more effective than other ARBs or ACE inhibitors. The longest peer-reviewed studies of olmesartan are of two months’ duration; thus, there is no evidence showing olmesartan’s long-term ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0815/p673.html

Understanding and Interpreting the Serum Protein Electrophoresis - American Family ...

Jan 1, 2005 - Serum protein electrophoresis is used to identify patients with multiple myeloma and other serum protein disorders. Electrophoresis separates proteins based on their physical properties, and the subsets of these proteins are used in interpreting the results. Plasma protein levels ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0101/p105.html

Urinalysis: A Comprehensive Review - American Family Physician

Mar 15, 2005 - A complete urinalysis includes physical, chemical, and microscopic examinations. Midstream clean collection is acceptable in most situations, but the specimen should be examined within two hours of collection. Cloudy urine often is a result of precipitated phosphate crystals in alkaline...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1153.html

Hearing Loss in Older Adults - American Family Physician

Jun 15, 2012 - Hearing loss affects approximately one-third of adults 61 to 70 years of age and more than 80 percent of those older than 85 years. Men usually experience greater hearing loss and have earlier onset compared with women. The most common type is age-related hearing loss; however, many ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0615/p1150.html

Assessment of Microscopic Hematuria in Adults - American Family Physician

May 15, 2006 - Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible. Etiologies of microscopic hematuria range from incidental causes to life-threatening urinary tract neoplasm. The lack ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0515/p1748.html

Care of the College Student - American Family Physician

Nov 1, 2013 - There are approximately 20 million students in U.S. colleges and universities. Although this population is characterized as having good health, 600,000 students report some form of disability or some type of medical problem, including attention-deficit/hyperactivity disorder, learning ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1101/p596.html

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

Managing Difficult Encounters: Understanding Physician, Patient, and Situational ...

Mar 15, 2013 - Family physicians commonly find themselves in difficult clinical encounters. These encounters often leave the physician feeling frustrated. The patient may also be dissatisfied with these encounters because of unmet needs, unfulfilled expectations, and unresolved medical issues. ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0315/p419.html

Fitness-Related Cardiac Arrhythmias - Editorials - American Family Physician

Jan 15, 2019 - How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0115/p78.html

Systemic Vasculitis - American Family Physician

Mar 1, 2011 - The systemic vasculitides are characterized by inflammation of blood vessel walls. Vessels of any type, in any organ can be affected, resulting in a broad spectrum of signs and symptoms. The heterogenous nature of vasculitides presents a diagnostic challenge. The American College of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0301/p556.html

Diagnosis and Management of Benign Prostatic Hyperplasia - American Family Physician

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

American Family Physician : Article

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

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

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

American Family Physician : Article

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

Screening for Impaired Visual Acuity in Older Adults - Putting Prevention into Practice...

Jan 15, 2011 - Case study: A 68-year-old black man presents for a routine checkup and refill of his hypertension medication. He has smoked a pack of cigarettes daily for more than 45 years. He asks if he should be screened for cataracts, which his father developed in his 60s. The patient reports no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0115/p189.html

Evaluation of First Nonfebrile Seizures - American Family Physician

Aug 15, 2012 - Nonfebrile seizures may indicate underlying disease or epilepsy. The patient history can often distinguish epileptic seizures from nonepileptic disorders by identifying the events directly preceding the convulsion, associated conditions, and details of the seizure, including triggers, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0815/p334.html

Improving Adherence to Treatment for Hypertension - Cochrane for Clinicians - American ...

Jun 1, 2005 - The most effective strategy to improve patient compliance with antihypertensive medication is to simplify the dosing regimen. There is more limited evidence to support a variety of motivational strategies. Patient education alone is ineffective.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0601/p2089.html

NSAID Prescribing Precautions - American Family Physician

Dec 15, 2009 - Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used, but have risks associated with their use, including significant upper gastrointestinal tract bleeding. Older persons, persons taking anticoagulants, and persons with a history of upper gastrointestinal tract bleeding ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1371.html

Complications of HIV Infection: A Systems-Based Approach - American Family Physician

Feb 15, 2011 - Patients with human immunodeficiency virus (HIV) infection often develop multiple complications and comorbidities. Opportunistic infections should always be considered in the evaluation of symptomatic patients with advanced HIV/AIDS, although the overall incidence of these infections ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p395.html

Improving the Quality of Care for Patients with Hypertension - Practice Guidelines - ...

May 15, 2005 - ...with Hypertension Am Fam Physician. 2005 May 15;71(10):2008-2010. The Agency for Healthcare Research and Quality (AHRQ) of the U.S. Department of Health and Human Services has published a technical review on improving the quality of care for patients with hypertension. Closing the...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0515/p2008.html

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

An Approach to Interpreting Spirometry - American Family Physician

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

American Family Physician : Article

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

Key Recommendations on Managing Dyslipidemia for Cardiovascular Risk Reduction: ...

Apr 15, 2021 - In June 2020, the third iteration of the U.S. Department of Veterans Affairs and Department of Defense guidelines on managing dyslipidemia was published. These recommendations create a simple, pragmatic, evidence-based approach that can be valuable to family physicians.

American Family Physician : Editorials

https://www.aafp.org/afp/2021/0415/p455.html

Diagnosis of Ear Pain - American Family Physician

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

American Family Physician : Article

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

Update on the Management of Chronic Kidney Disease - American Family Physician

Oct 15, 2012 - Chronic kidney disease is common and associated with significant morbidity. Given the high risk of cardiovascular morbidity and mortality in patients with chronic kidney disease, it is important to identify and treat related risk factors. However, there is growing uncertainty about the ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1015/p749.html

Health Effects of Garlic - American Family Physician

Jul 1, 2005 - Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0701/p103.html

Bleeding and Bruising: A Diagnostic Work-up - American Family Physician

Apr 15, 2008 - Primary care physicians are often asked about easy bruising, excessive bleeding, or risk of bleeding before surgery. A thorough history, including a family history, will guide the appropriate work-up, and a physical examination may provide clues to diagnosis. A standardized bleeding ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1117.html

Five Steps to Mastering Agenda Setting -- FPM Restricted content. Login required.

Apr 1, 2021 - Use this guide to up-front agenda setting to help you strike a balance between meeting complex patient needs and staying on time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0300/p27.html

Medical Management of Stable Coronary Artery Disease - American Family Physician

Apr 1, 2011 - All patients with stable coronary artery disease require medical therapy to prevent disease progression and recurrent cardiovascular events. Three classes of medication are essential to therapy: lipid-lowering, antihypertensive, and antiplatelet agents. Lipid-lowering therapy is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0401/p819.html

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement - U.S. ...

May 15, 2021 - The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

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

https://www.aafp.org/afp/2021/0515/p614.html

Blunt Costophrenic Angle in a Patient with Pancreatitis - Photo Quiz - American Family ... Restricted content. Login required.

May 15, 2021 - A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2021/0515/p625.html

Use of Diuretics to Treat Hypertension in Diabetic Persons - Letters to the Editor - ...

Nov 1, 2004 - ...Use of Diuretics to Treat Hypertension in Diabetic Persons Am Fam Physician. 2004 Nov 1;70(9):1646-1648. to the editor: I read with great interest the article, New Developments in the Management of Hypertension, 1 in American Family Physician, which provides an excellent...

American Family Physician : Letter

https://www.aafp.org/afp/2004/1101/p1646a.html

Hepatitis B: Diagnosis and Treatment - American Family Physician

Apr 15, 2010 - Although an estimated 1 million persons in the United States are chronically infected with hepatitis B virus, the prevalence of hepatitis B has declined since the implementation of a national vaccination program. Hepatitis B virus is transmitted in blood and secretions. Acute infection ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p965.html

Countdown to the E/M Coding Changes -- FPM Restricted content. Login required.

Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p29.html

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

Top 20 Research Studies of 2011 for Primary Care Physicians - American Family Physician

Nov 1, 2012 - In 2011, through regular surveillance of more than 100 English-language research journals, a group of seven clinicians identified approximately 250 studies with the potential to improve the practice of primary care physicians and the outcomes of patients (designated as POEMs ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p835.html

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