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Diagnosis and Management of IBS in Adults - American Family Physician

Sep 1, 2012 - Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p419.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

The "ARB-MI Paradox": Real or a Fluke? - AFP Journal Club - American Family Physician

Jul 15, 2012 - The Journal Club authors discuss what factors make this meta-analysis, designed to determine whether the ARB-MI paradox is real or a statistical fluke, successful.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0715/p136.html

Choosing Wisely: Top Interventions to Improve Health and Reduce Harm, While Lowering ...

Jul 15, 2012 - Initially sponsored by nine medical specialty societies, the campaign consists of specialty-specific top-five lists of common tests and procedures that are often performed unnecessarily, when they are not likely to improve a patient's health. The primary focus of the campaign is to ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0715/p128.html

Adding ACE Inhibitors or ARBs to Standard Therapy for Stable Ischemic Heart Disease - ...

Jul 1, 2012 - Are there clinical advantages to augmenting standard therapy for stable ischemic heart disease with an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB)?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2012/0701/p21.html

AAFP News - Jul 1, 2012 - American Family Physician

Jul 1, 2012 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2012/0701/p13.html

Transient Ischemic Attack: The Rules Have Changed - AFP Journal Club - American Family ...

Jun 15, 2012 - This scientific guideline includes three game changers for physicians regarding TIA. The Journal Club authors discuss why physicians should be wary of clinical guidelines that are based on expert opinion.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0615/p1179.html

Diagnosis and Evaluation of Heart Failure - American Family Physician

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

American Family Physician : Article

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

Update on Acute Ankle Sprains - American Family Physician

Jun 15, 2012 - Ankle sprains are a common problem seen by primary care physicians, especially among teenagers and young adults. Most ankle sprains are inversion injuries to the lateral ankle ligaments, although high sprains representing damage to the tibiofibular syndesmosis are becoming increasingly ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0615/p1170.html

ACP Recommendations for VTE Prophylaxis in Hospitalized Patients - Practice Guidelines ...

Jun 15, 2012 - Most hospitalized patients have at least one risk factor for venous thromboembolism (VTE), such as pulmonary embolism or deep venous thrombosis. The American College of Physicians (ACP) has released guidelines on VTE prophylaxis in hospitalized, nonsurgical patients, including those ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0615/p1204.html

Cervical Cancer - Clinical Evidence Handbook - American Family Physician

Jun 15, 2012 - What are the effects of interventions to prevent cervical cancer? What are the effects of interventions to manage early-stage cervical cancer? What are the effects of additional interventions to manage bulky early-stage cervical cancer?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0615/p1186.html

Risk Stratification of Patients Presenting with Syncope - Point-of-Care Guides - ...

Jun 1, 2012 - A previous Point-of-Care Guide addressed risk stratification in patients with syncope and described two validated clinical decision rules. Shared variables between the two rules included abnormal findings on electrocardiography (ECG) and a history of congestive heart failure; other ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2012/0601/p1047.html

The Door to Recovery: Overcoming Drug and Alcohol Addiction - Close-ups - American ...

Jun 1, 2012 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2012/0601/p1034.html

ACCF/AHA Update Peripheral Artery Disease Management Guideline - Practice Guidelines - ...

May 15, 2012 - The American College of Cardiology Foundation (ACCF) and American Heart Association (AHA) have updated their 2005 guideline on the management of peripheral artery disease (PAD) based on new data, with particular focus on lower extremity and abdominal aortic disease. Recommendations for ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0515/p1000.html

AAFP News - May 15, 2012 - American Family Physician

May 15, 2012 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2012/0515/p953.html

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

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

American Family Physician : Article

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

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

Tips From Other Journals - American Family Physician

Apr 1, 2012 - ...daily therapy with 0.625 mg of conjugated equine estrogen (Premarin) or placebo, was stopped one year early because of an increased risk of stroke. During the intervention phase, women in the intervention group took estrogen for a median of 5.9 years. In this planned...

American Family Physician : Tip

https://www.aafp.org/afp/2012/0401/p727a.html

Tips From Other Journals - American Family Physician

Apr 1, 2012 - ...Background: The incidence of hypertension-induced heart failure is as common as that of stroke, especially in patients with diabetes mellitus, older persons, and those at higher risk of cardiovascular disease. Numerous trials have shown that all principal antihypertensive agents...

American Family Physician : Tip

https://www.aafp.org/afp/2012/0401/ot2.html

Rivaroxaban vs. Warfarin for Stroke Prevention in Patients with Nonvalvular Atrial ...

Mar 15, 2012 - How does rivaroxaban compare with warfarin for stroke prevention in patients with nonvalvular atrial fibrillation? This study concluded that rivaroxaban is noninferior to warfarin. However, noninferiority trials do not meet the same rigorous design and statistical format of traditional ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0315/p577.html

Thrombocytopenia - American Family Physician

Mar 15, 2012 - Thrombocytopenia is defined as a platelet count of less than 150 × 103 per µL. It is often discovered incidentally when obtaining a complete blood count during an office visit. The etiology usually is not obvious, and additional investigation is required. Patients with platelet counts ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0315/p612.html

Promoting Smoking Cessation - American Family Physician

Mar 15, 2012 - Cigarette smoking causes significant morbidity and mortality in the United States. Physicians can use the five A’s framework (ask, advise, assess, assist, arrange) to promote smoking cessation. All patients should be asked about tobacco use and assessed for motivation to quit at every ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0315/p591.html

Providing Confidential Care for Adolescents - Editorials - American Family Physician

Mar 15, 2012 - Adolescents are generally healthy, but they commonly present with high-risk behaviors that are often missed by physicians. Without confidentiality, teenagers may avoid seeking services for sensitive health care needs.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0315/p556.html

Bipolar Disorders: A Review - American Family Physician

Mar 1, 2012 - Bipolar disorders are common, disabling, recurrent mental health conditions of variable severity. Onset is often in late childhood or early adolescence. Patients with bipolar disorders have higher rates of other mental health disorders and general medical conditions. Early recognition ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p483.html

Implementing Advance Directives in Office Practice - American Family Physician

Mar 1, 2012 - Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician’s office involves more than ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p461.html

Responses to Article on Benefits of Slowing Global Warming - Letters to the Editor - ...

Mar 1, 2012 - ...effects and potential for loss of central thermoregulatory set-point place our homeless population at very high risk for death from heat stroke. Global warming is clearly a contributing factor. Physicians can make a difference by appropriately advising their patients who take these...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0301/p427.html

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

Screening for Depression - American Family Physician

Jan 15, 2012 - In the United States, depression affects up to 9 percent of patients and accounts for more than $43 billion in medical care costs. The U.S. Preventive Services Task Force recommends screening in adolescents and adults in clinical practices that have systems in place to ensure accurate ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0115/p139.html

Suspected Heat-Related Illness Calls for Immediate Treatment - Letters to the Editor - ...

Jan 15, 2012 - ...evaluation and treatment for heat-related illness. I think this may mislead the reader to think that a lower temperature rules out heat stroke and a need for urgent treatment. Although that may be true by definition, I think the next step clinically should include much more than...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0115/p92.html

Antidepressants for Agitation and Psychosis in Patients with Dementia - Cochrane for ...

Jan 1, 2012 - There are few high-quality studies examining the effectiveness of antidepressants for treating the neuropsychiatric symptoms of dementia. Although there is some evidence to support the use of the selective serotonin reuptake inhibitors (SSRIs) sertraline (Zoloft) and citalopram ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0101/p20.html

Subacute Management of Ischemic Stroke - American Family Physician

Dec 15, 2011 - Ischemic stroke is the third leading cause of death in the United States and a common reason for hospitalization. The subacute period after a stroke refers to the time when the decision to not employ thrombolytics is made up until two weeks after the stroke occurred. Family physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1383.html

Dabigatran (Pradaxa) for Prevention of Stroke in Atrial Fibrillation - STEPS - American...

Dec 15, 2011 - Dabigatran is superior to warfarin for stroke prevention in patients with atrial fibrillation, with similar rates of major bleeding. Because it does not require laboratory monitoring, dabigatran therapy is less complicated than warfarin therapy, but it costs significantly more.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/1215/p1397.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

Common Cold - Clinical Evidence Handbook - American Family Physician

Dec 15, 2011 - What are the effects of treatments for common cold?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/1215/p1390.html

Arcuate, Red Plaques with Pustules on the Trunk - Photo Quiz - American Family Physician

Dec 15, 2011 - 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/2011/1215/p1405.html

Management of Falls in Older Persons: A Prescription for Prevention - American Family ...

Dec 1, 2011 - Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1267.html

Updated Guidelines on Management of Atrial Fibrillation from the ACCF/AHA/HRS - ...

Dec 1, 2011 - The American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) have released updated guidelines for the management of atrial fibrillation. Since the previous guidelines were issued in 2006, new data have become available on...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1201/p1298.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Nov 15, 2011 - Chronic kidney disease affects an estimated 27 million adults in the United States, and is associated with significantly increased risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1138.html

Clinical Vignettes in Geriatric Depression - American Family Physician

Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1149.html

Caring for Older Family Members with Depression - American Family Physician

Nov 15, 2011 - ...home for care may be more likely to be depressed. It is also more common in people who have brain conditions, like Alzheimer disease or a stroke. How is it diagnosed? If you have an older family member who may have depression, it is important for him or her to see a doctor. The...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/1115/p1155.html

ACP Releases Guideline on Intensive Insulin Therapy in Hospitalized Patients - Practice...

Nov 1, 2011 - The American College of Physicians (ACP) has issued a clinical guideline on the use of intensive insulin therapy in hospitalized patients with or without diabetes mellitus to achieve glycemic control and improve health outcomes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1101/p1058.html

Evaluation of Suspected Dementia - American Family Physician

Oct 15, 2011 - As the proportion of persons in the United States older than 65 years increases, the prevalence of dementia will increase as well. Risk factors for dementia include age, family history of dementia, apolipoprotein E4 genotype, cardiovascular comorbidities, chronic anticholinergic use, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p895.html

Bell Palsy - Clinical Evidence Handbook - American Family Physician

Oct 15, 2011 - What are the effects of drug, surgical and physical treatments for Bell palsy in adults and children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/1015/p947.html

Statins for Primary Cardiovascular Prevention - Cochrane for Clinicians - American ...

Oct 1, 2011 - Trials to date have found that statins reduce all-cause mortality, composite cardiovascular outcomes, and revascularization. However, most trials included large numbers of persons with known CVD. Clear evidence of the effectiveness of statins to prevent a first cardiovascular event is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1001/p767.html

Tips From Other Journals - American Family Physician

Oct 1, 2011 - ...at least one year. The primary outcomes included the incidence of major vascular events (i.e., myocardial infarction or coronary death) and strokes (i.e., ischemic, hemorrhagic, or unclassified). Cancer incidence and total and cause-specific mortality rates from eligible studies...

American Family Physician : Tip

https://www.aafp.org/afp/2011/1001/p826.html

Evaluation of Syncope - American Family Physician

Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p640.html

Cates Plot for Risks and Benefits of Aspirin Chemoprevention - Letters to the Editor - ...

Sep 15, 2011 - ...therapy: approximately eight men will have gastrointestinal bleeding from aspirin use, and approximately one person would have a hemorrhagic stroke.1 Although this kind of simultaneous portrayal of potential benefits and risks has been described,2 we found no evidence of the...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0915/p602a.html

Subarachnoid Hemorrhage and the CT Scan - AFP Journal Club - American Family Physician

Sep 15, 2011 - Is CT sensitive enough to rule out subarachnoid hemorrhage? This study says yes, but rretrospective studies are inherently problematic. Normal head CT should be followed by a lumbar puncture.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0915/p632.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

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

Treatment Options for Localized Prostate Cancer - American Family Physician

Aug 15, 2011 - In the United States, more than 90 percent of prostate cancers are detected by serum prostate-specific antigen testing. Most patients are found to have localized prostate cancer, and most of these patients undergo surgery or radiotherapy. However, many patients have low-risk cancer and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p413.html

Tips From Other Journals - American Family Physician

Aug 1, 2011 - ...Home INR Study to determine whether self-testing of INR is more effective than office testing at reducing the risk of a major event (i.e., stroke, major bleeding episode, or death). The Study: Patients were eligible to participate if they were able to reliably perform self-testing,...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0801/p322.html

Global Warming and Your Health - American Family Physician

Aug 1, 2011 - ...Heat stroke can be deadly Average temperatures are warmer, summers last longer Increase in infectious diseases, especially those carried by insects Everyone, but especially people who live in countries that don't have good public health care systems Air pollution gets...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0801/p282.html

A Diagnostic Approach to Pruritus - American Family Physician

Jul 15, 2011 - Pruritus can be a symptom of a distinct dermatologic condition or of an occult underlying systemic disease. Of the patients referred to a dermatologist for generalized pruritus with no apparent primary cutaneous cause, 14 to 24 percent have a systemic etiology. In the absence of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0715/p195.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

CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases - ...

Jul 1, 2011 - The Centers for Disease Control and Prevention (CDC) recently updated its guidelines on the treatment of sexually transmitted diseases (STDs). The new guidelines focus on treatment, but also discuss prevention strategies and diagnostic recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0701/p123.html

Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease - Editorials: ...

Jun 15, 2011 - The factor most strongly associated with appropriate aspirin use is a conversation between the patient and physician. The National Committee for Quality Assurance has proposed that health plans measure their members' use of aspirin, as well as the extent to which physicians discuss ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1380.html

Aspirin for the Prevention of Cardiovascular Disease: Recommendation Statement - U.S. ...

Jun 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends the use of aspirin in men 45 to 79 years of age when the potential benefit of a reduction in myocardial infarctions (MIs) outweighs the potential harm of an increase in gastrointestinal (GI) hemorrhage.

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

https://www.aafp.org/afp/2011/0615/p1464.html

Aspirin for the Prevention of Cardiovascular Disease - Putting Prevention into Practice...

Jun 15, 2011 - Case study: K.T., a 48-year-old man, presents for a routine office visit. He is worried about cardiovascular disease (CVD) and asks whether he should take daily aspirin to lower his risk. His blood pressure is 120/60 mm Hg, and his total cholesterol is 180 mg per dL (4.66 mmol per L), ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0615/p1469.html

The Case Against Routine Aspirin Use for Primary Prevention in Low-Risk Adults - ...

Jun 15, 2011 - A policy of generalized aspirin use in adults for the primary prevention of CVD is probably not warranted. Instead, the benefits and risks of aspirin therapy for primary prevention need to be considered on an individual basis, and should be reserved for persons at highest long-term risk...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1387.html

Heat-Related Illness - American Family Physician

Jun 1, 2011 - Heat-related illness is a set of preventable conditions ranging from mild forms (e.g., heat exhaustion, heat cramps) to potentially fatal heat stroke. Hot and humid conditions challenge cardiovascular compensatory mechanisms. Once core temperature reaches 104°F (40°C), cellular damage ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1325.html

Caregiver Care - American Family Physician

Jun 1, 2011 - In 2009, nearly 66 million Americans (three in 10 U.S. households) reported at least one person providing unpaid care as a family caregiver. More adults with chronic conditions and disabilities are living at home than ever before, and family caregivers have an even higher level of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1309.html

Treatment of Knee Osteoarthritis - American Family Physician

Jun 1, 2011 - Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1287.html

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

Primary Prevention of CVD: Treating Dyslipidemia - Clinical Evidence Handbook - ...

May 15, 2011 - What are the effects of pharmacologic cholesterol-lowering interventions in persons at low, medium, and high risk of CHD? What are the effects of a reduced- or modified-fat diet in persons at risk of CHD?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0515/p1207.html

Urticaria: Evaluation and Treatment - American Family Physician

May 1, 2011 - Urticaria involves intensely pruritic, raised wheals, with or without edema of the deeper cutis. It is usually a self-limited, benign reaction, but can be chronic. Rarely, it may represent serious systemic disease or a life-threatening allergic reaction. Urticaria has a lifetime ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0501/p1078.html

AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...

Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0415/p993.html

Alvimopan (Entereg) for the Treatment of Postoperative Ileus - STEPS - American Family ...

Apr 15, 2011 - Use of alvimopan should be restricted to patients at a higher risk of postoperative ileus following abdominal surgeries, such as hospitalized patients undergoing bowel resection with primary anastomosis. It is an expensive option with limited indications; head-to-head studies with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0415/p978.html

Should Carotid Artery Stenosis Be Examined as a Cause of Dizziness? - Letters to the ...

Apr 15, 2011 - ...to cause dizziness, such as stroke (nonspecific dizziness) and vertebrobasilar transient ischemic attack (vertigo).1 The study also lists transient ischemic attack as a dangerous cause of dizziness, but the likelihood of a transient ischemic attack presenting as isolated presyncopal...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0415/p879.html

Carpal Tunnel Syndrome - American Family Physician

Apr 15, 2011 - ...Previous: AHA/ASA Guidelines on Prevention of Recurrent Stroke Next: Subclinical Hyperthyroidism: What It Means to You View the full table of contents >> Home / Journals / afp / Vol. 83/No. 8(April 15, 2011) / Carpal Tunnel Syndrome...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0415/p965.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

Transfusion of Blood and Blood Products: Indications and Complications - American ...

Mar 15, 2011 - Red blood cell transfusions are used to treat hemorrhage and to improve oxygen delivery to tissues. Transfusion of red blood cells should be based on the patient’s clinical condition. Indications for transfusion include symptomatic anemia (causing shortness of breath, dizziness, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p719.html

Differentiation and Diagnosis of Tremor - American Family Physician

Mar 15, 2011 - Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p697.html

Screening for Obesity in Children and Adolescents - Putting Prevention into Practice - ...

Mar 15, 2011 - Case study: A seven-year-old boy presents with his mother for a routine well-child visit. He does not report any problems, his medical history is unremarkable, and he has no family history of heart disease or diabetes mellitus.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0315/p737.html

Screening for Obesity in Children and Adolescents: Recommendation Statement - U.S. ...

Mar 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen children six years and older for obesity, and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status.

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

https://www.aafp.org/afp/2011/0315/p739.html

Tremor - American Family Physician

Mar 15, 2011 - ...and psychiatric drugs, can cause tremors. Anxiety and other psychological problems, an overactive thyroid, alcohol abuse or withdrawal, stroke or head injuries, and Wilson disease (a rare liver disease) can also cause tremors. Parkinson disease causes a resting tremor, and is most...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0315/p703.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

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

Tips From Other Journals - American Family Physician

Mar 1, 2011 - ...occurrence of a major fatal or nonfatal cardiovascular event (i.e., myocardial infarction or stroke). Various secondary outcomes (i.e., separate assessments for myocardial infarction, stroke, congestive heart failure, and all-cause mortality) also were evaluated. Results: Baseline...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0301/p612a.html

Tips From Other Journals - American Family Physician

Mar 1, 2011 - ...primary outcome was a composite of the first occurrence of a major fatal or nonfatal cardiovascular event (i.e., myocardial infarction or stroke). Baseline characteristics were similar between groups: 37 percent had experienced a previous cardiovascular event and 60 percent were...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0301/p612.html

Tips From Other Journals - American Family Physician

Mar 1, 2011 - ...to lower homocysteine levels, would slow diabetic nephropathy and prevent subsequent vascular events, such as myocardial infarction and stroke. The Study: The DIVINe (Diabetic Intervention with Vitamins to Improve Nephropathy) study, a multicenter, randomized, double-blind,...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0301/p613.html

AAN Releases Guideline on Magnetic Resonance Imaging for Diagnosing Acute Ischemic ...

Feb 15, 2011 - Computed tomography (CT) is the diagnostic standard for acute stroke even though its accuracy has not been formally established. Its sensitivity for diagnosing ischemic stroke in the initial hours is limited; therefore, improved accuracy is needed to develop and provide optimal stroke ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0215/p483.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

Guanfacine (Intuniv) for Attention-Deficit/Hyperactivity Disorder - STEPS - American ...

Feb 15, 2011 - Guanfacine is an effective short-term treatment option for ADHD in children six to 12 years of age. Sedation is a marked problem in many children. Patients should take the medication daily to avoid adverse effects that occur with abrupt discontinuation or when the guanfacine is restarted.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0215/p468.html

Allergic Conjunctivitis - American Family Physician

Feb 15, 2011 - ...Previous: AAN Releases Guideline on Magnetic Resonance Imaging for Diagnosing Acute Ischemic Stroke Next: Hay Fever View the full table of contents >> Home / Journals / afp / Vol. 83/No. 4(February 15, 2011) / Allergic Conjunctivitis...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0215/p476.html

Treatment of Acute Migraine Headache - American Family Physician

Feb 1, 2011 - Migraine headache is a common and potentially debilitating disorder often treated by family physicians. Before diagnosing migraine, serious intracranial pathology must be ruled out. Treating acute migraine is challenging because of substantial rates of nonresponse to medications and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p271.html

Recurrent Venous Thromboembolism - American Family Physician

Feb 1, 2011 - A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p293.html

Tips From Other Journals - American Family Physician

Feb 1, 2011 - ...the incidence of diabetes; a composite cardiovascular outcome including development of heart failure, nonfatal myocardial infarction or stroke, unstable angina, arterial revascularization, or cardiovascular-associated death; and a similar composite cardiovascular outcome that...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0201/p311.html

Specialized Nutrition Support - American Family Physician

Jan 15, 2011 - Specialized nutrition support should be offered to patients who are malnourished or at risk of becoming malnour- ished when it would benefit patient outcomes or quality of life. Improving the nutritional value of ingested food and tailoring intake to the patient’s preferences, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p173.html

Shoulder Pain - Clinical Evidence Handbook - American Family Physician

Jan 15, 2011 - What are the effects of oral and topical drug treatment in persons with shoulder pain?What are the effects of local injections, nondrug and surgical treatments in persons with shoulder pain?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0115/p137.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

The Geriatric Assessment - American Family Physician

Jan 1, 2011 - The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually initiated when the physician identifies a potential ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0101/p48.html

Atrial Fibrillation - American Family Physician

Jan 1, 2011 - ...Blood can clot when it pools. If the clot gets free, it can travel to your brain and cause a stroke. The trembling in the upper chambers can cause the lower chambers to get off beat. This makes it difficult for your heart to pump blood through your body. What are the symptoms? You...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0101/p71.html

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

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

Diagnosis, Initial Management, and Prevention of Meningitis - American Family Physician

Dec 15, 2010 - Although the annual incidence of bacterial meningitis in the United States is declining, it remains a medical emer- gency with a potential for high morbidity and mortality. Clinical signs and symptoms are unreliable in distinguishing bacterial meningitis from the more common forms of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1491.html

Updated Recommendations on Daily Aspirin Use in Patients with Diabetes - Practice ...

Dec 15, 2010 - To address the uncertainties about aspirin use in persons with diabetes, experts from the American Diabetes Association, American Heart Association, and American College of Cardiology Foundation reviewed the current evidence and updated the 2007 recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/1215/p1559.html

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

Frontotemporal Dementia: A Review for Primary Care Physicians - American Family Physician

Dec 1, 2010 - Frontotemporal dementia (FTD) is one of the most common forms of dementia in persons younger than 65 years. Variants include behavioral variant FTD, semantic dementia, and progressive nonfluent aphasia. Behavioral and language manifestations are core features of FTD, and patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1372.html

Sudden Cardiac Death and Implantable Cardioverter-Defibrillators - American Family ...

Dec 1, 2010 - Sudden cardiac death is a major public health problem, affecting 500,000 patients in the United States annually. An implantable cardioverter-defibrillator (ICD) can terminate malignant ventricular arrhythmias and has been shown to improve survival in high-risk populations. Although ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1201/p1357.html

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