ACR Publishes Guidelines for Pharmacologic and Nonpharmacologic Treatment of Gout - ...
Sep 15, 2013 - The American College of Rheumatology (ACR) has developed recommendations for the management of gout. The recommendations call for a systematic nonpharmacologic and pharmacologic management approach that is intended to be applicable to all patients with gout.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0915/p408.html
When to Order Contrast-Enhanced CT - American Family Physician
Sep 1, 2013 - Family physicians often must determine the most appropriate diagnostic tests to order for their patients. It is essential to know the types of contrast agents, their risks, contraindications, and common clinical scenarios in which contrast-enhanced computed tomography is appropriate. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p312.html
Pituitary Adenomas: An Overview - American Family Physician
Sep 1, 2013 - Prolactinomas and nonfunctioning adenomas are the most common types of pituitary adenomas. Patients with pituitary adenomas may present initially with symptoms of endocrine dysfunction such as infertility, decreased libido, and galactorrhea, or with neurologic symptoms such as headache ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p319.html
Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician
Sep 1, 2013 - Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0901/p306.html
Undetected Childhood Sexual Trauma and Its Health Effects in Adults - Curbside ...
Sep 1, 2013 - It is essential for physicians to understand the relevance of childhood sexual trauma to adult medical conditions. Recognizing this connection can help physicians begin to manage the resulting damage. Exposure to childhood sexual trauma is highly prevalent in the United States, but is ...
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2013/0901/p328.html
Parathyroid Disorders - American Family Physician
Aug 15, 2013 - Disorders of the parathyroid glands most commonly present with abnormalities of serum calcium. Patients with primary hyperparathyroidism, the most common cause of hypercalcemia in outpatients, are often asymptomatic or may have bone disease, nephrolithiasis, or neuromuscular symptoms. ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0815/p249.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
Interventions for Lower-Extremity Lymphedema - FPIN's Clinical Inquiries - American ...
Aug 15, 2013 - Complete decongestive physiotherapy (i.e., a noninvasive protocol consisting of skin care, lymph drainage massage, exercises, and compression bandaging1) effectively improves edema, rates of infection, and quality of life in patients with lower-extremity lymphedema.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2013/0815/od1.html
Signs and Symptoms of Childhood Cancer: A Guide for Early Recognition - American Family...
Aug 1, 2013 - Although cancer in children is rare, it is the second most common cause of childhood mortality in developed countries. It often presents with nonspecific symptoms similar to those of benign conditions, leading to delays in the diagnosis and initiation of appropriate treatment. Primary ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0801/p185.html
Choosing Wisely: More Good Clinical Recommendations to Improve Health Care Quality and ...
Aug 1, 2013 - The Choosing Wisely campaign provides key clinical recommendations for physicians and patients that promote best practices and help avoid unnecessary medical interventions.
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0801/p164.html
Mediterranean Diet Reduces Cardiovascular Events - POEMs - American Family Physician
Aug 1, 2013 - In a high-risk population, a Mediterranean diet, supplemented with either nuts or olive oil, reduces the likelihood of a composite outcome of cardiovascular events or death over a five-year follow-up period (number needed to treat = 70). The relative risk reduction is approximately 30%....
American Family Physician : POEMs
https://www.aafp.org/afp/2013/0801/p201.html
Edema: Diagnosis and Management - American Family Physician
Jul 15, 2013 - Edema is an accumulation of fluid in the interstitial space that occurs as the capillary filtration exceeds the limits of lymphatic drainage, producing noticeable clinical signs and symptoms. The rapid development of generalized pitting edema associated with systemic disease requires ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p102.html
Cluster Headache - American Family Physician
Jul 15, 2013 - Cluster headache causes severe unilateral temporal or periorbital pain, lasting 15 to 180 minutes and accompanied by autonomic symptoms in the nose, eyes, and face. Headaches often recur at the same time each day during the cluster period, which can last for weeks to months. Some ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p122.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
Endocrine Society Releases Guidelines on Diagnosis and Management of ...
Jul 15, 2013 - The Endocrine Society recently published evidence-based recommendations on the diagnosis and management of hypertriglyceridemia in adults. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes mellitus, ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0715/p142.html
Pharmacotherapy for Mild Hypertension - Cochrane for Clinicians - American Family ...
Jul 1, 2013 - Pharmacologic treatment of mild hypertension for up to five years does not reduce coronary events, stroke, or mortality compared with placebo.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0701/p21.html
Early Recognition and Management of Sepsis in Adults: The First Six Hours - American ...
Jul 1, 2013 - Sepsis is a complication of severe infection characterized by a systemic inflammatory response. Mortality rates from sepsis range between 25% to 30% for severe sepsis and 40% to 70% for septic shock. The clinical presentation of sepsis is highly variable depending on the etiology. The ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p44.html
Nonalcoholic Fatty Liver Disease: Diagnosis and Management - American Family Physician
Jul 1, 2013 - Nonalcoholic fatty liver disease is characterized by excessive fat accumulation in the liver (hepatic steatosis). Nonalcoholic steatohepatitis is characterized by steatosis, liver cell injury, and inflammation. The mechanism of nonalcoholic fatty liver disease is unknown but involves ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0701/p35.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
Text Message Appointment Reminders - Cochrane for Clinicians - American Family Physician
Jul 1, 2013 - Text message reminders increase attendance at health care appointments compared with no reminders or postal reminders. They are as effective as telephone call reminders but are less expensive.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0701/p20.html
Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity ...
Jun 15, 2013 - ...Population: General adult population without a known diagnosis of hypertension, diabetes mellitus, hyperlipidemia, or cardiovascular disease (CVD). Recommendation: Although the correlation among healthful diet, physical activity, and the incidence of CVD is strong, existing evidence...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2013/0615/od1.html
Amenorrhea: An Approach to Diagnosis and Management - American Family Physician
Jun 1, 2013 - Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause. Primary amenorrhea, which by definition...
American Family Physician : Article
https://www.aafp.org/afp/2013/0601/p781.html
Health Literacy and Prescribing: It Is Time to Change Old Habits - Editorials - ...
Jun 1, 2013 - In the United States, 80 million adults have substantial difficulties with reading. Approximately 1.5 million adverse drug events occur each year. Clear and concise prescription writing and labeling, and confirming a patient's understanding of the instructions can help improve adherence...
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0601/p755.html
Diabetes: Taking Control of My Health - Close-ups - American Family Physician
Jun 1, 2013 - 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/2013/0601/p758.html
AAFP News - Jun 1, 2013 - American Family Physician
Jun 1, 2013 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2013/0601/p751.html
Approach to Acute Headache in Adults - American Family Physician
May 15, 2013 - Approximately one-half of the adult population worldwide is affected by a headache disorder. The International Headache Society classification and diagnostic criteria can help physicians differentiate primary headaches (e.g., tension, migraine, cluster) from secondary headaches (e.g., ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0515/p682.html
Hard-to-Diagnose Headache: Practical Tips for Diagnosis and Treatment - Editorials - ...
May 15, 2013 - w/ Hainer
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0515/p672.html
AHA/ASA Publish Advisory on Oral Antithrombotics for Stroke Prevention in Nonvalvular ...
May 15, 2013 - New antithrombotics provide alternatives to warfarin, and may lower the threshold for thromboembolic risk for initiating therapy in patients with atrial fibrillation. This advisory summarizes existing American Heart Association/American Stroke Association (AHA/ASA) recommendations on ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0515/p732.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
Obesity in Pregnancy - Editorials - American Family Physician
May 1, 2013 - Obesity is increasingly common among pregnant women, and it can cause significant risk to mother and fetus. Family physicians who provide prenatal care should also be familiar with recommendations for the management of obesity in pregnancy.
American Family Physician : Editorials
https://www.aafp.org/afp/2013/0501/p606.html
Diabetes: Treating Hypertension - Clinical Evidence Handbook - American Family Physician
Apr 15, 2013 - What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2013/0415/p574.html
Updated Guidelines on Outpatient Anticoagulation - American Family Physician
Apr 15, 2013 - The American College of Chest Physicians provides recommendations for the use of anticoagulant medications for several indications that are important in the primary care setting. Warfarin, a vitamin K antagonist, is recommended for the treatment of venous thromboembolism and for the ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p556.html
Evaluation and Diagnosis of Wrist Pain: A Case-Based Approach - American Family Physician
Apr 15, 2013 - Patients with wrist pain commonly present with an acute injury or spontaneous onset of pain without a definite traumatic event. A fall onto an outstretched hand can lead to a scaphoid fracture, which is the most commonly fractured carpal bone. Conventional radiography alone can miss up ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0415/p568.html
Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults - ...
Apr 15, 2013 - Case Study: A 22-year-old primigravid woman at 20 weeks' gestation presents to your office with her boyfriend for a routine obstetric examination. She has had an uneventful pregnancy. She states that things are okay at home, even though she was laid off from her job just before finding ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2013/0415/p577.html
Effect of Cocoa on Blood Pressure - Cochrane for Clinicians - American Family Physician
Apr 1, 2013 - Consuming 50 g of cocoa daily will lower blood pressure 2 to 3 mm Hg on average in adults with hypertension. Evidence of improved patient-oriented outcomes does not exist.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0401/p484.html
Preoperative Testing Before Noncardiac Surgery: Guidelines and Recommendations - ...
Mar 15, 2013 - Preoperative testing (e.g., chest radiography, electrocardiography, laboratory testing, urinalysis) is often performed before surgical procedures. These investigations can be helpful to stratify risk, direct anesthetic choices, and guide postoperative management, but often are obtained ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0315/p414.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
Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician
Mar 1, 2013 - Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0301/p337.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
Analgesics for Osteoarthritis - Implementing AHRQ Effective Health Care Reviews - ...
Mar 1, 2013 - What are the comparative effectiveness, benefits, and adverse effects of oral and topical analgesics for osteoarthritis?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2013/0301/p354.html
AASM Updates Treatment Guidelines for Restless Legs Syndrome and Periodic Limb Movement...
Feb 15, 2013 - The American Academy of Sleep Medicine (AASM) last published recommendations on the treatment of restless legs syndrome (RLS) and periodic limb movement disorder in 2004. It recently updated these recommendations based on a literature review and meta-analysis.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2013/0215/p290.html
U.S. Preventive Services Task Force - Feb 15, 2013 - American Family Physician
Feb 15, 2013 - The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2013/0215/p283.html
Outpatient Diagnosis of Acute Chest Pain in Adults - American Family Physician
Feb 1, 2013 - Approximately 1 percent of primary care office visits are for chest pain, and 1.5 percent of these patients will have unstable angina or acute myocardial infarction. The initial goal in patients presenting with chest pain is to determine if the patient needs to be referred for further ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0201/p177.html
Intermittent Sudden Dyspneic Episodes - Photo Quiz - American Family Physician
Feb 1, 2013 - 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/2013/0201/p217.html
Caring for Latino Patients - American Family Physician
Jan 1, 2013 - Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050. Latinos are a diverse ethnic group that includes many different cultures, races, and nationalities. Barriers to care have resulted in striking disparities in ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0101/p48.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
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
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
Tips From Other Journals - American Family Physician
Dec 1, 2012 - ...induction group were more likely to be white, 35 years or older, and nulliparous. They were also more likely to have diabetes mellitus, hypertension, obesity, a macrosomic neonate, and a Bishop score less than 5. Nulliparous women who were induced took significantly longer to...
American Family Physician : Tip
https://www.aafp.org/afp/2012/1201/p1068a.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
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
Widespread Tender Hemorrhagic Patches on the Breast - Photo Quiz - American Family ...
Nov 15, 2012 - 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/2012/1115/p953.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
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
AACE Releases Guidelines for Menopausal Hormone Therapy - Practice Guidelines - ...
Nov 1, 2012 - Menopause is diagnosed in women who have not had menses for one year. The American Association of Clinical Endocrinologists (AACE) convened a task force to review available evidence on therapies for menopausal symptoms. The task force's guidelines include recommendations for prescribing...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/1101/p864.html
Poems & Tips From Other Journals - American Family Physician
Nov 1, 2012 - ...the "white-coat hypertension" that occurs when physicians take a patient's blood pressure. (Level of Evidence: 1b) Reference: Myers MG, Godwin M, Dawes M, et al. Conventional versus automated measurement of blood pressure in primary care patients with systolic hypertension:...
American Family Physician : Tip
https://www.aafp.org/afp/2012/1101/ot3.html
Poems & Tips From Other Journals - American Family Physician
Nov 1, 2012 - ...Clinical Question: How many blood pressure readings are necessary to accurately diagnose hypertension? Bottom Line: Several blood pressure measurements, taken over time, should be averaged to obtain a patient's "true" blood pressure. Using a single measurement to determine whether...
American Family Physician : Tip
https://www.aafp.org/afp/2012/1101/ot2.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
NHLBI Expert Panel Releases Guidelines for Cardiovascular Health and Risk Reduction in ...
Oct 15, 2012 - Evidence indicates that reducing risk can slow the progression of cardiovascular disease (CVD); therefore, the National Heart, Lung, and Blood Institute (NHBLI) Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents developed ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/1015/p776.html
Chronic Atrial Fibrillation - Clinical Evidence Handbook - American Family Physician
Oct 15, 2012 - What are the effects of oral medical treatments to control heart rate in patients with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for patients with persistent nonvalvular atrial fibrillation?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2012/1015/p757.html
Rivaroxaban (Xarelto) for Prevention of Thromboembolic Events - STEPS - American Family...
Oct 15, 2012 - In patients at high risk of stroke because of nonvalvular atrial fibrillation, rivaroxaban is as safe and effective as warfarin. However, it should not be used in patients at risk of stroke for reasons other than nonvalvular atrial fibrillation until research shows its relative safety ...
American Family Physician : STEPS
https://www.aafp.org/afp/2012/1015/p768.html
AAFP News - Oct 15, 2012 - American Family Physician
Oct 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/2012/1015/p729.html
Acute Kidney Injury: A Guide to Diagnosis and Management - American Family Physician
Oct 1, 2012 - Acute kidney injury is characterized by abrupt deterioration in kidney function, manifested by an increase in serum creatinine level with or without reduced urine output. The spectrum of injury ranges from mild to advanced, sometimes requiring renal replacement therapy. The diagnostic ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1001/p631.html
Delayed Complication from a Tattoo - Photo Quiz - American Family Physician
Oct 1, 2012 - 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/2012/1001/p669.html
ACCF and AHA Update Guidelines on the Diagnosis and Treatment of Hypertrophic ...
Oct 1, 2012 - Hypertrophic cardiomyopathy (HCM) is a common genetic cardiovascular disease that affects approximately one out of every 500 persons. The American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) have updated guidelines on the diagnosis and treatment of ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/1001/p694.html
Transient Ischemic Attack: Part II. Risk Factor Modification and Treatment - American ...
Sep 15, 2012 - Interventions following a transient ischemic attack are aimed at preventing a future episode or stroke. Hypertension, current smoking, obesity, physical inactivity, diabetes mellitus, and dyslipidemia are all well-known risk factors, and controlling these factors can have dramatic ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0915/p527.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
How Do Clinical Practice Guidelines Go Awry? - AFP Journal Club - American Family ...
Sep 15, 2012 - Many guidelines are dominated by recommendations from experts and are not based on sound clinical studies. The development of clinical practice guidelines needs to be transparent and devoid of commercial, financial, and political influences. Physicians should also be wary of outdated ...
American Family Physician : AFP Journal Club
https://www.aafp.org/afp/2012/0915/p514.html
Heavy Metal Poisoning Should Be Recognized as a Cause of Hypertension in Children - ...
Sep 1, 2012 - ...Heavy Metal Poisoning Should Be Recognized as a Cause of Hypertension in Children Am Fam Physician. 2012 Sep 1;86(5):394. Original Article: High Blood Pressure in Children and Adolescents Issue Date: April 1, 2012 Available at: https://www.aafp.org/afp/2012/0401/p693.html to the...
American Family Physician : Letter
https://www.aafp.org/afp/2012/0901/p394.html
Consider Postural Orthostatic Tachycardia Syndrome in Patients with Syncope - Letters ...
Sep 1, 2012 - ...Next: Heavy Metal Poisoning Should Be Recognized as a Cause of Hypertension in Children View the full table of contents >> Home / Journals / afp / Vol. 86/No. 5(September 1, 2012) / Consider Postural Orthostatic Tachycardia Syndrome in Patients with Syncope...
American Family Physician : Letter
https://www.aafp.org/afp/2012/0901/p392.html
Should Family Physicians Use Coronary Artery Calcium Scores to Screen for Coronary ...
Sep 1, 2012 - Yes: Screening Improves CAD Risk Management in Selected Patients. Sudden death is often the first manifestation of atherosclerotic coronary artery disease (CAD). One-third of deaths from CAD in the Atherosclerosis Risk in Communities study occurred without warning signs, and there was ...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2012/0901/p398.html
Weight Loss for Patients with Nonalcoholic Fatty Liver Disease - Cochrane for ...
Sep 1, 2012 - There are insufficient high-quality studies to determine patient-oriented outcomes of weight loss for the treatment of fatty liver disease. Nonetheless, weight loss remains a reasonable goal because it may reduce liver inflammation and improve comorbidities. In two of the studies ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2012/0901/p415.html
AAFP News - Sep 1, 2012 - American Family Physician
Sep 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/2012/0901/p395.html
Nocturnal Leg Cramps - American Family Physician
Aug 15, 2012 - Up to 60 percent of adults report that they have had nocturnal leg cramps. The recurrent, painful tightening usually occurs in the calf muscles and can cause severe insomnia. The exact mechanism is unknown, but the cramps are probably caused by muscle fatigue and nerve dysfunction ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0815/p350.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
Benign Prostatic Hyperplasia and Male Lower Urinary Tract Symptoms - Clinical Evidence ...
Aug 15, 2012 - What are the effects of medical, herbal, and surgical treatments in men with BPH?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2012/0815/p359.html
Hypothyroidism: An Update - American Family Physician
Aug 1, 2012 - Hypothyroidism is a clinical disorder commonly encountered by the primary care physician. Untreated hypothyroidism can contribute to hypertension, dyslipidemia, infertility, cognitive impairment, and neuromuscular dysfunction. Data derived from the National Health and Nutrition ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0801/p244.html
Effects of Bariatric Surgeries on Obesity and Comorbidities - Letters to the Editor - ...
Aug 1, 2012 - ...RYGB or VSG had resolution of diabetes, compared with 57 percent of those who underwent LAGB.1 Resolution of comorbid conditions, such as hypertension, sleep apnea, dyslipidemia, and gastroesophageal reflux disease, is significantly higher after RYGB than after LAGB.3 Patients...
American Family Physician : Letter
https://www.aafp.org/afp/2012/0801/p218.html
AAFP News - Aug 1, 2012 - American Family Physician
Aug 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/2012/0801/p225.html
Causes and Evaluation of Chronic Dyspnea - American Family Physician
Jul 15, 2012 - Chronic dyspnea is shortness of breath that lasts more than one month. The perception of dyspnea varies based on behavioral and physiologic responses. Dyspnea that is greater than expected with the degree of exertion is a symptom of disease. Most cases of dyspnea result from asthma, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0715/p173.html
Heart Failure - Clinical Evidence Handbook - American Family Physician
Jul 15, 2012 - What are the effects of multidisciplinary interventions, exercise, and drug treatments for heart failure?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2012/0715/p182.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
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
AAFP News - Jul 15, 2012 - American Family Physician
Jul 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/2012/0715/p125.html
Interventions to Prevent Childhood Obesity - Cochrane for Clinicians - American Family ...
Jul 1, 2012 - Overall, children up to 12 years of age benefited from school-based obesity prevention interventions; this effect was not demonstrated among adolescents 13 years and older. Although the overall effect size was small, interventions that promoted physical activity, alone or in combination...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2012/0701/p30.html
Tips From Other Journals - American Family Physician
Jul 1, 2012 - ...contraindications to estrogen-containing pills (e.g., a history of venous thromboembolism, complex migraine headaches, uncontrolled hypertension), preterm birth, small- or large-for-gestational-age newborn, and a newborn with a major congenital anomaly. Baseline data were collected,...
American Family Physician : Tip
https://www.aafp.org/afp/2012/0701/p80a.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
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
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
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
Chronic Rash in a Middle-Aged Woman - Photo Quiz - American Family Physician
May 15, 2012 - 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/2012/0515/p987.html
Corrections - May 15, 2012 - American Family Physician
May 15, 2012 - ...sentence should have read: Persons with kidney stones are more likely to have traditional risk factors for chronic kidney disease (e.g., hypertension, preexisting kidney disease, diabetes, proteinuria, albuminuria). The first line of Table 4 (page 1237) under the Type of medication...
American Family Physician : Corrections
https://www.aafp.org/afp/2012/0515/p950b.html
Do Electronic Health Records Improve Processes and Outcomes of Preventive Care? - ...
May 15, 2012 - Electronic health records (EHRs) are thought to be valuable tools to prompt physicians to provide preventive services. How strong is the evidence that EHRs can improve processes and outcomes of preventive care?
American Family Physician : Editorials
https://www.aafp.org/afp/2012/0515/p956.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
Managing Adverse Birth Outcomes: Helping Parents and Families Cope - American Family ...
May 1, 2012 - Unexpected adverse fetal and neonatal outcomes (e.g., stillbirth, birth trauma, congenital anomalies) present a crisis for the family and the medical care team. In cases of stillbirth, the family physician should be flexible in supporting the parents’ choices, validate the loss, and ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0501/p900.html
New Feature to Help Physicians Implement AHRQ Effective Health Care Reviews - ...
May 1, 2012 - To more effectively disseminate the results of comparative effectiveness research into practice, AHRQ's Effective Health Care Program produces concise summaries of its reviews for patients, policy makers, and physicians. AFP has partnered with AHRQ to introduce a new journal feature, ...
American Family Physician : Editorials
https://www.aafp.org/afp/2012/0501/p863.html
NICE Updates Guidelines on Management of Chronic Heart Failure - Practice Guidelines - ...
Apr 15, 2012 - Heart failure is associated with poor prognosis and quality of life, as well as high health care costs. In 2010, the National Institute for Health and Clinical Excellence (NICE) updated its previous guideline on the management of chronic heart failure in adults. This update focuses on ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/0415/p832.html
High Blood Pressure in Children and Adolescents - American Family Physician
Apr 1, 2012 - High blood pressure in children and adolescents is a growing health problem that is often overlooked by physicians. Normal blood pressure values for children and adolescents are based on age, sex, and height, and are available in standardized tables. Prehypertension is defined as a ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0401/p693.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