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hypertension

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Amenorrhea: Evaluation and Treatment - American Family Physician

Apr 15, 2006 - A thorough history and physical examination as well as laboratory testing can help narrow the differential diagnosis of amenorrhea. In patients with primary amenorrhea, the presence or absence of sexual development should direct the evaluation. Constitutional delay of growth and puberty...

American Family Physician : Article

https://www.aafp.org/afp/2006/0415/p1374.html

Influenza Vaccination: Updated 2020-2021 Recommendations from ACIP - Practice ...

Oct 15, 2020 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has released its recommendations for routine influenza vaccination in the 2020–2021 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1015/p505.html

Treatment of Adult Obesity with Bariatric Surgery - American Family Physician

Oct 1, 2011 - Bariatric surgery procedures, including laparoscopic adjustable gastric banding, laparoscopic sleeve gastrectomy, and Roux-en-Y gastric bypass, result in an average weight loss of 50 percent of excess body weight. Remission of diabetes mellitus occurs in approximately 80 percent of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1001/p805.html

Nonalcoholic Fatty Liver Disease - American Family Physician

Jun 1, 2006 - Nonalcoholic fatty liver disease is a common condition associated with metabolic syndrome. It is the most common cause of elevated liver enzymes in U.S. adults, and is diagnosed after ruling out other causes of steatosis (fatty infiltration of liver), particularly infectious hepatitis ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1961.html

Managing the Adverse Effects of Radiation Therapy - American Family Physician

Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p381.html

Management of Hyponatremia - American Family Physician

May 15, 2004 - Hyponatremia is an important electrolyte abnormality with the potential for significant morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Hyponatremia can be classified according to the volume status of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2387.html

Management of Epistaxis - American Family Physician

Jan 15, 2005 - Family physicians frequently encounter patients with epistaxis (nasal bleeding). In rare cases, this condition may lead to massive bleeding and even death. Although epistaxis can have an anterior or posterior source, it most often originates in the anterior nasal cavity. A directed ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0115/p305.html

A Practical Approach to Hypercalcemia - American Family Physician

May 1, 2003 - Hypercalcemia is a disorder commonly encountered by primary care physicians. The diagnosis often is made incidentally in asymptomatic patients. Clinical manifestations affect the neuromuscular, gastrointestinal, renal, skeletal, and cardiovascular systems. The most common causes of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1959.html

Recognition and Management of Acute Medication Poisoning - American Family Physician

Feb 1, 2010 - Poisoning is a common cause of morbidity and mortality in the United States, with several million episodes reported annually. Acute medication poisonings account for nearly one half of all poisonings reported in the United States and should be considered in persons with an acute change ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p316.html

Coding & Documentation - Jul-Aug 2020 -- FPM Restricted content. Login required.

Aug 1, 2020 - Lab tests requiring modifier QW | Newborn: new patient or not? | Shared services for new patients | Coding sex-specific services for transgender patients | Pacemaker due to sick sinus syndrome

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2020/0700/p36.html

Radiologic Evaluation of Incidentally Discovered Adrenal Masses - American Family ...

Jun 1, 2010 - The increasing use of cross-sectional imaging has led to an increase in the incidental discovery of adrenal masses (adrenal incidentalomas). Although most of these lesions are benign, they often present a diagnostic dilemma. Before creating a management plan, the physician should ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1361.html

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.

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

https://www.aafp.org/afp/2020/0615/od1.html

Health Effects of Hawthorn - American Family Physician

Feb 15, 2010 - Hawthorn medicinal extract has long been a favored herbal remedy in Europe. The active components of this slow-acting cardiotonic agent are thought to be flavonoids and oligomeric procyanidins. The most studied hawthorn extracts are WS 1442 and LI 132. Reviews of placebo-controlled ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p465.html

Asymptomatic Bacteriuria in Adults - American Family Physician

Sep 15, 2006 - A common dilemma in clinical medicine is whether to treat asymptomatic patients who present with bacteria in their urine. There are few scenarios in which antibiotic treatment of asymptomatic bacteruria has been shown to improve patient outcomes. Because of increasing antimicrobial ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p985.html

Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Sep 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2020/0915/p335.html

Hepatitis C: Diagnosis and Treatment - American Family Physician

Jun 1, 2010 - Hepatitis C, a common chronic bloodborne infection, is found in approximately 2 percent of adults in the United States. Chronic infection is associated with serious morbidity and mortality (e.g., cirrhosis, hepatocellular carcinoma). Testing for hepatitis C is recommended for at-risk ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1351.html

JNC 7 Express: New Thinking in Hypertension Treatment - Editorials - American Family ...

Jul 15, 2003 - ...JNC 7 Express: New Thinking in Hypertension Treatment LEE GREEN, M.D., M.P.H. University of Michigan Medical School Ann Arbor, Michigan Am Fam Physician. 2003 Jul 15;68(2):228-230. Related Content In May 2003, the National Heart, Lung, and Blood Institute's Seventh Joint National...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0715/p228.html

Altitude Illness: Risk Factors, Prevention, Presentation, and Treatment - American ...

Nov 1, 2010 - Altitude illness affects 25 to 85 percent of travelers to high altitudes, depending on their rate of ascent, home altitude, individual susceptibility, and other risk factors. Acute mountain sickness is the most common presentation of altitude illness and typically causes headache and ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1101/p1103.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - ...Asthma, diabetes mellitus, hypertension, obesity None Obesity, prediabetes, Hypertension, schizophrenia, seizures Diabetes, hypertension Hypertension, prediabetes None None None Hypertension Presenting signs and symptoms Cough, SOB, fever Myalgias, fever,...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645a.html

Ten EHR Strategies for Efficient Documentation -- FPM Restricted content. Login required.

Aug 1, 2020 - Applying even one of these 10 strategies can help you reduce frustration, improve productivity, and get home earlier.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p5.html

N-Acetylcysteine: Multiple Clinical Applications - American Family Physician

Aug 1, 2009 - N-acetylcysteine is the acetylated variant of the amino acid L-cysteine and is widely used as the specific antidote for acetaminophen overdose. Other applications for N-acetylcysteine supplementation supported by scientific evidence include prevention of chronic obstructive pulmonary ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0801/p265.html

Building an Outdoor Urgent Care Clinic During a Pandemic: One Clinic's Experience -- FPM Restricted content. Login required.

Oct 1, 2020 - When an infectious disease outbreak strikes, an outdoor clinic can reduce the risk of transmission and conserve personal protective equipment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p14.html

Shoulder Pain and Stiffness with Abnormal Imaging Findings - Photo Quiz - American ... Restricted content. Login required.

Dec 1, 2020 - A 51-year-old patient presented with several years of diffuse shoulder pain and abnormal imaging findings.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/1201/p695.html

Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice -- FPM Restricted content. Login required.

Jun 1, 2020 - In-office blood pressure readings are often inaccurate or insufficient. Here’s a way to get a better picture of how your patients are doing and get paid for it.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0500/p19.html

Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ... Restricted content. Login required.

Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0701/p58.html

Potential Causes of Secondary Hypertension - Letters to the Editor - American Family ...

Jul 1, 2003 - ...Causes of Secondary Hypertension Am Fam Physician. 2003 Jul 1;68(1):42. to the editor: Concerning the excellent article, Diagnosing Secondary Hypertension, 1 by Dr. Onusko, which mentions many rare but relevant possibilities for the cause of secondary hypertension, may I add one...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0701/p42.html

Alcohol Withdrawal Syndrome - American Family Physician

Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1443.html

Race-Based Treatment Decisions Perpetuate Structural Racism - Letters to the Editor - ...

Aug 1, 2020 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0801/p136.html

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and ... Restricted content. Login required.

Oct 1, 2020 - Pretending we have it together and can do it all on our own is the fastest way to professional isolation and burnout. Fortunately, there’s a better way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p20.html

Second Trimester Pregnancy Loss - American Family Physician

Nov 1, 2007 - Second trimester pregnancy loss is uncommon, but it should be regarded as an important event in a woman's obstetric history. Fetal abnormalities, including chromosomal problems, and maternal anatomic factors, immunologic factors, infection, and thrombophilia should be considered; ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1341.html

Cloudy Pleural Fluid on Thoracentesis - Photo Quiz - American Family Physician Restricted content. Login required.

Sep 1, 2020 - A man with a history of COPD from long-term tobacco use presented to the ER with worsening shortness of breath over the past week.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0901/p307.html

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

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

Family Practice Management : Articles

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

Coding for Hypertension: Painting a Picture of the Severity of Illness

...Is the patient generally healthy but presenting with a single episode of elevated blood pressure, is the patient chronically ill with hypertension that has affected other organ systems, or is the patient’s condition somewhere in between? With today’s focus on population health...

Family Practice Management

https://www.aafp.org/fpm/2020/0300/fpm20200300p23.pdf

Diagnosis and Treatment of Pulmonary Hypertension -- American Family Physician

...is more common in women than in men (ratio: 1.7 to 1). Primary pulmonary hypertension is most prevalent in persons 20 to 40 years of age. The condition has no racial predilection.1 Secondary pulmonary hypertension is rela- tively common but is underdiagnosed. Reli- able estimates...

American Family Physician

https://www.aafp.org/afp/2001/0501/afp20010501p1789.pdf

Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of LIfe --...

...because physicians do not routinely look for the disor- der. Additionally, the role of OSA in the pro- duction of essential hypertension (EH) is fre- quently not appreciated.1-4 The purpose of this article is to demonstrate how commonly OSA occurs, how the quality of patients’ lives...

American Family Physician

https://www.aafp.org/afp/2002/0115/afp20020115p229.pdf

Managing Hypertension in Athletes and Physically Active Patients -- American Family ...

...should be screened for hypertension. If the condition is diagnosed, appropriate treatment should be started to reduce the risk of mor- bidity and mortality associated with cardio- vascular disease.5 Hypertension Classification and Secondary Hypertension The sixth report of the...

American Family Physician

https://www.aafp.org/afp/2002/0801/afp20020801p445.pdf

Controlling Hypertension in Patients with Diabetes -- American Family Physician

...To reduce this risk, hypertension must be diagnosed accurately and promptly, and the patient must receive adequate treatment. To confirm the diagnosis of hypertension, blood pressures measured with standard techniques should be ele- vated on two separate occasions.6 Be- cause...

American Family Physician

https://www.aafp.org/afp/2002/1001/afp20021001p1209.pdf

Diagnosing Secondary Hypertension -- American Family Physician

...other risk factors for cardiovascular dis- orders (e.g., diabetes mellitus, hyperlipi- demia); and detection of secondary causes of hypertension. Physicians can use the mnemonic ABCDE to help deter- mine secondary causes in the patient with elevated blood pressure (Table 1)....

American Family Physician

https://www.aafp.org/afp/2003/0101/afp20030101p67.pdf

New Developments in the Management of Hypertension - American Family Physician

...Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) and are summarized in Table 1.3 Advances in the management of hypertension have refined our under- standing of systolic blood pressure, nutri- tion, medication selection, and hyperten- sion in special populations....

American Family Physician

https://www.aafp.org/afp/2003/0901/afp20030901p853.pdf

Management of Hypertension in Older Persons - American Family Physician

...adequate blood pressure control.2 Fur- thermore, persons who are normotensive at age 55 have a 90 percent lifetime risk for developing hypertension.3 This and the pres- ence of other cardiovascular risk factors in older persons (i.e., obesity, left ventricular hypertrophy, sedentary...

American Family Physician

https://www.aafp.org/afp/2005/0201/afp20050201p469.pdf

Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment

...Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment RICHARD STRINGHAM, MD, and NIPA R. SHAH, MD, University of Illinois at Chicago College of Medicine, Chicago, Illinois P ulmonary arterial hypertension (PAH) is a rare, underdiagnosed condition defined as...

American Family Physician

https://www.aafp.org/afp/2010/0815/afp20100815p370.pdf

Diagnosis of Secondary Hypertension: An Age-Based Approach

...of Secondary Hypertension: An Age-Based Approach ANTHONY J. VIERA, MD, MPH, and DANA M. NEUTZE, MD, PhD University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina I n the United States, one in three adults has hypertension.1 Most of these...

American Family Physician

https://www.aafp.org/afp/2010/1215/afp20101215p1471.pdf

Diabetes: Treating Hypertension

...of persons with diabetes and untreated hypertension each year, and the risk is higher in those with other risk fac- tors, such as diabetic nephropathy. We cannot be sure how different treat- ments compare in persons with diabetes and hypertension. However, evidence suggests that...

American Family Physician

https://www.aafp.org/afp/2013/0415/afp20130415p574.pdf

Common Questions About the Initial Management of Hypertension

February 1, 2014 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0201/afp20150201p172.pdf

Screening for Primary Hypertension in Children and Adolescents: Recommendation Statement

February 15, 2015 USPSTF

American Family Physician

https://www.aafp.org/afp/2015/0215/afp20150215od1.pdf

Screening for Primary Hypertension in Children and Adolescents

February 15, 2015 Putting Prevention into Practice

American Family Physician

https://www.aafp.org/afp/2015/0215/afp20150215p257.pdf

Nonpharmacologic Management of Hypertension: What Works?

Scientific

American Family Physician

https://www.aafp.org/afp/2015/0601/afp20150601p772.pdf

AHA/ATS Release Guidelines on the Diagnosis and Treatment of Pediatric Pulmonary ...

April 1, 2016 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2016/0401/afp20160401p605.pdf

Pulmonary Hypertension: An Update on Diagnosis and Treatment

September 15, 2016:

American Family Physician

https://www.aafp.org/afp/2016/0915/afp20160915p463.pdf

Severe Asymptomatic Hypertension: Evaluation and Treatment

April 15, 2017

American Family Physician

https://www.aafp.org/afp/2017/0415/afp20170415p492.pdf

Secondary Hypertension: Discovering the Underlying Cause

October 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001p453.pdf

Racism in Health Care: Creating a More Equitable Health Care Experience -- FPM

Oct 1, 2020 - Imagine how it would feel to walk into a doctor’s office and see that everyone else looks different from you.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2020/0900/p3.html

AAP Updates Policy Statement on Athletic Participation by Children and Adolescents with...

...The most common cardiovascular condi- tion in competitive athletes is hypertension. The American Academy of Pediatrics (AAP) updated its policy statement using new recommendations made in the 2005 36th Bethesda Conference guidelines; the 2004 Fourth Report on the Diagnosis, Evalua-...

American Family Physician

https://www.aafp.org/afp/2010/1115/afp20101115p1285.pdf

ACC/AHA Guideline Update for the Management of ST-Segment Elevation Myocardial ...

Jun 15, 2009 - The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0615/p1080.html

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ...

Aug 15, 2020 - The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.

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

https://www.aafp.org/afp/2020/0815/p234.html

Therapies for COPD Exacerbations in Adults - Implementing AHRQ Effective Health Care ... Restricted content. Login required.

May 1, 2020 - What are the benefits and harms of pharmacologic and nonpharmacologic treatments for exacerbations of chronic obstructive pulmonary disease (COPD) in adults?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/0501/p557.html

Trigeminal Neuralgia - American Family Physician

May 1, 2008 - Trigeminal neuralgia is an uncommon disorder characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1291.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - ...An 88-year-old woman with a history of hypertension, pulmonary embolism (receiving apixaban [Eliquis]), hypothyroidism, and chronic kidney disease presented with three hours of slurred speech, dizziness, and blurred vision. On arrival, her symptoms improved, and she was afebrile....

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645.html

PID Treatment, Low Back Pain, Opioids, Plasma Injections, Sphygmomanometry - AFP ... Restricted content. Login required.

Oct 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/1001/p398.html

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

Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2020/0615/p748.html

Treatment of Edema - American Family Physician

Jun 1, 2005 - Edema is the result of an imbalance in the filtration system between the capillary and interstitial spaces. The kidneys play a key role in regulating extracellular fluid volume by adjusting sodium and water excretion. Major causes of edema include venous obstruction, increased capillary...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2111.html

Heavy Menstrual Bleeding in Premenopausal Patients and the Role of NSAIDs - Cochrane ... Restricted content. Login required.

Aug 1, 2020 - NSAIDs are effective for reducing heavy menstrual bleeding in premenopausal patients with menorrhagia when compared with placebo.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0801/p147.html

Hypertension Encounter Form

...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 inactivity l Dyslipidemia l Diabetes mellitus l Microalbuminuria or glomerular filtration rate < 60 mL per minute l Age > 55...

Family Practice Management

https://www.aafp.org/fpm/2004/0300/fpm20040300p79-rt1.pdf

Urinary Tract Infections During Pregnancy - American Family Physician

Feb 1, 2000 - Urinary tract infections are common during pregnancy, and the most common causative organism is Escherichia coli. Asymptomatic bacteriuria can lead to the development of cystitis or pyelonephritis. All pregnant women should be screened for bacteriuria and subsequently treated with ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p713.html

Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ... Restricted content. Login required.

Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0715/p115.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

Primary Care for Refugees - American Family Physician

Feb 15, 2011 - Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p429.html

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

May 1, 1999 - Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2487.html

Lymphadenopathy: Differential Diagnosis and Evaluation - American Family Physician

Oct 15, 1998 - Although the finding of lymphadenopathy sometimes raises fears about serious illness, it is, in patients seen in primary care settings, usually a result of benign infectious causes. Most patients can be diagnosed on the basis of a careful history and physical examination. Localized ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1313.html

Chlorthalidone Vs. Hydrochlorothiazide for Treatment of Hypertension

December 1, 2015 Clinical Inquiries

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1015.pdf

Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...

Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p785.html

Facial Rash with Oral Lesions - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 15, 2020 - An older patient presented with a pruritic facial rash and oral lesions.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0815/p243.html

Hyperpigmentation of the Tongue and Buccal Mucosa - Photo Quiz - American Family Physician Restricted content. Login required.

Aug 1, 2020 - ...infectious disease, and cancer.3,4 Conversely, overreplacement can result in impaired glucose tolerance, insulin resistance, obesity, and hypertension.5 Glucocorticoid replacement therapy in primary adrenal insufficiency requires continuous monitoring and adjustment. In the absence...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0801/p181.html

Common Bacterial Skin Infections - American Family Physician

Jul 1, 2002 - Family physicians frequently treat bacterial skin infections in the office and in the hospital. Common skin infections include cellulitis, erysipelas, impetigo, folliculitis, and furuncles and carbuncles. Cellulitis is an infection of the dermis and subcutaneous tissue that has poorly ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p119.html

Small Reduction in Cardiovascular Outcome After Ischemic Stroke with Lower LDL Target, ... Restricted content. Login required.

Aug 15, 2020 - A lower LDL target slightly reduced the likelihood of a broad composite outcome (number needed to treat [NNT] = 43 over 3.5 years), largely by reducing nonfatal strokes (NNT = 77; statistical significance not reported).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0815/p247.html

Late Pregnancy Bleeding - American Family Physician

Apr 15, 2007 - Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1199.html

Medical Therapy for Asthma: Updates from the NAEPP Guidelines - American Family Physician

Nov 15, 2010 - Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1115/p1242.html

Generalized Anxiety Disorder - American Family Physician

Oct 1, 2000 - Patients with generalized anxiety disorder experience worry or anxiety and a number of physical and psychologic symptoms. The disorder is frequently difficult to diagnose because of the variety of presentations and the common occurrence of comorbid medical or psychiatric conditions. The...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1591.html

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

Mar 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health 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/2020/0315/p370.html

Prescribing Opioids for Chronic Pain: Unintended Consequences of the 2016 CDC Guideline...

Apr 15, 2020 - Since the 2016 CDC guideline for the use of opioid pain relievers was released, there has been a significant reduction in opioid prescribing, and the guideline has been adopted by state Medicaid agencies, insurers, and others. Widespread implementation of the guideline has had ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0415/p458.html

Diagnosing DVT in Nonpregnant Adults in the Primary Care Setting - Point-of-Care Guides... Restricted content. Login required.

Dec 15, 2019 - What is the best approach to the evaluation of nonpregnant adults with suspected first lower extremity deep venous thrombosis (DVT) in the outpatient primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/1215/p778.html

Gout: An Update - American Family Physician

Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p801.html

Bone Infections, Sinusitis, Antihypertensive Therapy and COVID-19, Toilet Training, ... Restricted content. Login required.

Jun 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0615/p718.html

Lower Extremity Petechiae and Purpura - Photo Quiz - American Family Physician Restricted content. Login required.

May 1, 2020 - A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0501/p567.html

Management of Acute Renal Failure - American Family Physician

Nov 1, 2005 - Acute renal failure is present in 1 to 5 percent of patients at hospital admission and affects up to 20 percent of patients in intensive care units. The condition has prerenal, intrarenal, and postrenal causes, with prerenal conditions accounting for 60 to 70 percent of cases. The cause...

American Family Physician : Article

https://www.aafp.org/afp/2005/1101/p1739.html

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

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

American Family Physician : Article

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

Red Eye and Aching in the Extremities - Photo Quiz - American Family Physician Restricted content. Login required.

Jun 15, 2020 - A woman presented with redness and pain in her right eye that was achy and associated with watery discharge but no visual changes.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0615/p755.html

Adult Hypertension Treatment Algorithm

...ADULT HYPERTENSION TREATMENT ALGORITHM Basic • H and P • BMP • Urinalysis • Micro-albumin If ACE intolerant If not in control If not in control Beta blocker metoprolol succinate ER 25 mg X 1 daily 50 mg X 1 daily 100 mg X 1 daily (Keep heart...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p23-rt1.pdf

Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ... Restricted content. Login required.

May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0515/p618.html

Stuttering: An Overview - American Family Physician

May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1271.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

Management of Status Epilepticus - American Family Physician

Aug 1, 2003 - Status epilepticus is an increasingly recognized public health problem in the United States. Status epilepticus is associated with a high mortality rate that is largely contingent on the duration of the condition before initial treatment, the etiology of the condition, and the age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0801/p469.html

Child with Swollen Eyes - Photo Quiz - American Family Physician

Sep 1, 2019 - A six-year-old child presented with eye swelling, cold-like symptoms, and fever.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0901/p313.html

Initial Evaluation of Vertigo - American Family Physician

Jan 15, 2006 - Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Meniere's disease cause most cases of vertigo; however, family physicians must consider other causes including cerebrovascular disease, migraine, psychological disease, perilymphatic fistulas, multiple sclerosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p244.html

Introducing a One-Page Adult Preventive Health Care Schedule: USPSTF Recommendations at...

May 1, 2016 - The Adult Preventive Health Care Schedule provides a concise and informative visual representation of USPSTF recommendations.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0501/p738.html

Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ... Restricted content. Login required.

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

American Family Physician : STEPS

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

Five Days of Penicillin for Strep Throat Is Equal to 10 Days - POEMs - American Family ... Restricted content. Login required.

Apr 1, 2020 - Five days of 800-mg penicillin four times a day produced noninferior results to 10 days of 1,000-mg penicillin three times a day, with shorter symptom duration. This is not the first study to show similar benefits with a shorter duration of oral antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0401/p434.html

The Commercial Motor Vehicle Driver Medical Examination: Practical Issues - American ...

Apr 15, 2010 - The commercial motor vehicle driver medical examination aims to ensure that commercial drivers can safely perform all driving and nondriving work-related tasks. In conducting the examination and completing the related certification, the medical examiner must follow mandated medical ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0415/p975.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...

Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.

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

https://www.aafp.org/afp/2019/1015/od1.html

The Effectiveness of Outpatient Telehealth Consultations - Implementing AHRQ Effective ...

Nov 1, 2019 - Telehealth consultations improve clinical outcomes in the areas of wound care, psychiatry, and certain chronic conditions.

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2019/1101/p575.html

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