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hypertension

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Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ... Restricted content. Login required.

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

Abrupt Onset of a Tender Rash on the Upper and Lower Extremities - Photo Quiz - ...

Jan 15, 2018 - ...Previous: Nebivolol/Valsartan (Byvalson) for Hypertension Next: H. pylori Infection: ACG Updates Treatment Recommendations View the full table of contents >> Home / Journals / afp / Vol. 97/No. 2(January 15, 2018) / Photo Quiz: Abrupt Onset of a Tender Rash on the Upper and...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0115/p129.html

Envenomations: An Overview of Clinical Toxinology for the Primary Care Physician - ...

Oct 15, 2009 - About 4,000 to 6,000 venomous snakebites occur each year in the United States. Although these envenomations (also known as envenomings) are rarely fatal, about 70 percent require antivenom therapy. Few evidence-based guidelines are available for the management of envenomation. Antivenom...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p793.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

Preterm Labor - American Family Physician

Feb 15, 2010 - Preventing preterm delivery remains one of the great challenges in modern medicine. Preterm birth rates continue to increase and accounted for 12.7 percent of all U.S. births in 2005. The etiology of preterm delivery is unclear, but is likely to be complex and influenced by genetics and...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p477.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Primary Care of Adult Survivors of Childhood Cancer - American Family Physician

May 15, 2010 - There are approximately 300,000 survivors of childhood cancer in the United States, and most of them receive their medical care from primary care physicians. Adult survivors of childhood cancer are at considerable risk of long-term morbidity and mortality beyond the recurrence of their ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1250.html

Bridging Warfarin Before Colonoscopy in Patients with Atrial Fibrillation - FPIN's ...

Apr 15, 2019 - A limited number of trials that examined the risk of temporary interruption of anticoagulation before a variety of procedures did not find a reduction in the risk of stroke, but they did show an increased risk of bleeding events and venous thromboembolism (VTE) in patients who were ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0415/p519.html

Influenza Vaccination: Updated Recommendations from ACIP - Practice Guidelines - ...

Oct 15, 2019 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its recommendations for routine influenza vaccination in the 2019–2020 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1015/p505.html

Early Cardioversion No Better Than Delayed Cardioversion for Recent-Onset Symptomatic ... Restricted content. Login required.

Nov 15, 2019 - For patients presenting to the emergency department with recent-onset symptomatic atrial fibrillation, early cardioversion is no better than delayed cardioversion in achieving sinus rhythm within four weeks.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1115/p648.html

Oral H1 Antihistamines as Add-on Therapy to Topical Treatment for Eczema - Cochrane for... Restricted content. Login required.

Nov 1, 2019 - In children with eczema, there is no evidence to support the addition of oral H1 antihistamines to standard treatment regimens. In adults, the use of fexofenadine (Allegra), 120 mg per day, improves patient-assessed eczema symptoms compared with placebo (number needed to treat = 11; 95%...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1101/p541.html

Dual Antiplatelet Therapy for Patients with Cardiovascular Disease - FPIN's Clinical ... Restricted content. Login required.

Oct 15, 2019 - Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/1015/p463.html

Physician Burnout and Stress While Interacting with Patients - Curbside Consultation - ... Restricted content. Login required.

Nov 1, 2019 - Physicians, especially family physicians, face multiple stressors in modern medicine that can lead to disillusionment and burnout, which occur when the reality of practicing medicine does not match physicians' previous naive expectations.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/1101/p537.html

Interpregnancy Care: Guidelines from ACOG and SMFM - Practice Guidelines - American ...

Jul 15, 2019 - The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0715/p121.html

Common Misperceptions About Buprenorphine Prescribing for Opioid Use Disorder - ...

Oct 1, 2019 - The antidote to the opioid use disorder epidemic is the thoughtful use of evidence-based medicine and an honest understanding of what we know—and what we don't know—about caring for people with substance use disorders.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/1001/p396.html

Lung Cancer Screening: Pros and Cons - Lown Right Care: Reducing Overuse and Underuse -...

Jun 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/2019/0615/p740.html

mSEPT9 (Epi proColon) Blood Test for Colorectal Cancer Screening - Diagnostic Tests: ...

Jul 1, 2019 - Epi proColon is a blood test used for the detection of the methylated septin 9 (mSEPT9) gene. It is approved by the U.S. Food and Drug Administration for colorectal cancer screening in people at average risk who have declined first-line screening tests.

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

https://www.aafp.org/afp/2019/0701/p10.html

ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria - FPIN's ...

Oct 15, 2016 - ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/1015/p652.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

Evaluation and Management of Common Childhood Poisonings - American Family Physician

Mar 1, 2009 - Family physicians often manage substance ingestions in children, most of which are nontoxic in nature. Physicians should know the phone number of the poison control center, understand the appropriate initial assessment of suspected toxin ingestion, and recognize important toxidromes. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p397.html

Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation -... Restricted content. Login required.

Oct 1, 2019 - Treatment of AFib with a factor Xa inhibitor results in a decrease in the combined end point of stroke and embolic events (odds ratio [OR] = 0.89; 95% CI, 0.82 to 0.97), as well as a decrease in intracranial hemorrhage (OR = 0.50; 95% CI, 0.42 to 0.59) and all-cause mortality (OR = ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p405.html

Uterine Fibroids, Traumatic Brain Injury, Treating Obesity, Breast Cancer Survivors - ... Restricted content. Login required.

Oct 1, 2019 - 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/2019/1001/p400.html

Protecting Patients from Elder Abuse Scams - Close-ups - American Family Physician

Oct 1, 2019 - Protecting patients from elder abuse scams.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1001/p438.html

Geriatric Screening and Preventive Care - American Family Physician

Jul 15, 2008 - Preventive health care decisions and recommendations become more complex as the population ages. The leading causes of death (i.e., heart disease, malignant neoplasms, cerebrovascular disease, and chronic lower respiratory disease) among older adults mirror the actual causes of death ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p206.html

Coaching Patients About Successful Blood Pressure Management - Lown Right Care: ...

Mar 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/2019/0315/p357.html

Communicating Risk to Patients Who Get Their Information from the Internet - Curbside ... Restricted content. Login required.

Sep 1, 2019 - What can physicians do when our patients act on findings from the internet?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0901/p306.html

What Evidence Do We Need Before Recommending Routine Screening for Social Determinants ...

May 15, 2019 - Social determinants have a large effect on patients' health and well-being. Primary care clinicians need more evidence about their role in addressing social determinants of health, and community resources and public health support are needed to help patients with unmet social needs.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0515/p602.html

Abrupt Rash with Painful, Nonpruritic Purpura on the Lower Extremities - Photo Quiz - ...

Nov 1, 2018 - ...pain, and it progressed in an ascending fashion. The patient had a history of atrial fibrillation, chronic obstructive pulmonary disease, hypertension, hyperlipidemia, and moderate osteoarthritis. Physical examination revealed tender, nonblanching, nonpruritic purpura on the lower...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/1101/p607.html

In Healthy Older Adults, Low-Dose Aspirin Increases All-Cause and Cancer-Specific ...

Jul 15, 2019 - The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality, primarily ...

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p118a.html

Myxedema Coma: Diagnosis and Treatment - American Family Physician

Dec 1, 2000 - Myxedema coma, the extreme manifestation of hypothyroidism, is an uncommon but potentially lethal condition. Patients with hypothyroidism may exhibit a number of physiologic alterations to compensate for the lack of thyroid hormone. If these homeostatic mechanisms are overwhelmed by ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1201/p2485.html

Ocular Emergencies - American Family Physician

Sep 15, 2007 - Prompt recognition and appropriate treatment of ocular emergencies are essential in the primary care setting when the outcome may depend on timely management. All ocular emergencies, including a penetrating globe injury, retinal detachment, central retinal artery occlusion, acute ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p829.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

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

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

American Family Physician : POEMs

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

Management of Varicose Veins - American Family Physician

Dec 1, 2008 - Varicose veins are twisted, dilated veins most commonly located on the lower extremities. Risk factors include chronic cough, constipation, family history of venous disease, female sex, obesity, older age, pregnancy, and prolonged standing. The exact pathophysiology is debated, but it ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1289.html

Management of Gestational Diabetes Mellitus - American Family Physician

Nov 1, 2003 - Gestational diabetes mellitus is a common but controversial disorder. While no large randomized controlled trials show that screening for and treating gestational diabetes affect perinatal outcomes, multiple studies have documented an increase in adverse pregnancy outcomes in patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1767.html

Lofexidine (Lucemyra) for Treatment of Opioid Withdrawal Symptoms - STEPS - American ...

Mar 15, 2019 - Lofexidine has been shown to be as effective as clonidine at controlling some of the symptoms of withdrawal from opioid use. It may have a small additional benefit for maintaining abstinence in patients switched to buprenorphine or methadone for long-term maintenance.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0315/p392.html

Overuse of Cardiac Testing - Lown Right Care: Reducing Overuse and Underuse - American ...

Nov 15, 2018 - This is the first of a new collaboration between AFP and the Lown Institute. This new feature 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/2018/1115/p561.html

Radiologic Evaluation of Hematuria: Guidelines from the American College of Radiology's...

Aug 1, 2008 - Hematuria, symptomatic and incidental, that involves more than three red blood cells per high-power field on two of three properly collected urinalysis specimens warrants some type of imaging to evaluate the upper tracts. Traditionally, excretory urography or the intravenous pyelogram ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p347.html

Coronary Syndrome, HPV Vaccination, Acute Sore Throat, Food Allergies, Breastfeeding - ...

Jun 15, 2019 - 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/2019/0615/p737.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Saline Irrigation for Allergic Rhinitis - Cochrane for Clinicians - American Family ...

May 1, 2019 - asal saline irrigation reduces the severity of allergy symptoms for up to eight weeks vs. no treatment. It is uncertain if adding nasal saline to pharmacologic treatment further improves symptoms over pharmacologic treatment alone.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0501/p544.html

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.html

Different Durations of Corticosteroid Therapy for COPD Exacerbations - Cochrane for ...

Mar 1, 2019 - Treatment of acute exacerbations of COPD with a shorter course of systemic corticosteroids (seven or fewer days) is likely to be as effective and safe as treating with longer courses (more than seven days).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0301/p295.html

Phentermine/Topiramate (Qsymia) for Chronic Weight Management - STEPS - American Family...

Oct 15, 2014 - Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use ...

American Family Physician : STEPS

https://www.aafp.org/afp/2014/1015/p576.html

Preoperative Evaluation - American Family Physician

Jul 15, 2000 - A history and physical examination, focusing on risk factors for cardiac, pulmonary and infectious complications, and a determination of a patient's functional capacity, are essential to any preoperative evaluation. In addition, the type of surgery influences the overall perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0715/p387.html

Effective Advocacy for Patients and Communities - Curbside Consultation - American ...

Jan 1, 2019 - Family physicians play diverse roles in society, often bridging individual and community perspectives. Family physicians' ethics require providing care to all persons regardless of their geographic, economic, political, racial, religious, or sexual orientation status.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0101/p44.html

AFP 2019: New Fellow, New Features, Top 20 Articles of 2018, and AFP Statistics - ...

May 1, 2019 - An overview of the past year and announcement of new features.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0501/p538.html

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

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

American Family Physician : Photo Quiz

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

Screening for Cardiovascular Disease Risk with Electrocardiography: Recommendation ...

Sep 15, 2018 - The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.

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

https://www.aafp.org/afp/2018/0915/od1.html

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved ...

May 15, 2019 - A simple clinical prediction rule using noninvasive data can identify patients at low, moderate, and high risk for HFPEF.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0515/od3.html

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

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

American Family Physician : STEPS

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

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

Radiologic Evaluation of Suspected Congenital Heart Disease in Adults - American Family...

Sep 15, 2009 - The population of adults with congenital heart disease is increasing in North America. Radiologic imaging is critical for the initial assessment and for surveillance in this population. Chest radiography and echocardiography are valuable first-line tools for evaluation. However, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0915/p597.html

Screening for Atrial Fibrillation with Electrocardiography - Putting Prevention into ...

Mar 15, 2019 - M.T. is a 67-year-old woman who presents to your office requesting electrocardiography (ECG). Her brother was recently diagnosed with atrial fibrillation after screening with ECG, and she is concerned that she may have the same condition.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0315/p383.html

Nebulized Hypertonic Saline for Bronchiolitis - Medicine by the Numbers - American ...

Jul 1, 2018 - Despite reported benefits associated with the use of hypertonic saline for bronchiolitis, we have chosen a yellow recommendation because the more recent trials and systematic reviews have shown either much smaller effect size or no benefit at all compared with the older trials. Learn more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0701/p23.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1125.html

Cardiomyopathy: An Overview - American Family Physician

May 1, 2009 - Cardiomyopathy is an anatomic and pathologic diagnosis associated with muscle or electrical dysfunction of the heart. Cardiomyopathies represent a heterogeneous group of diseases that often lead to progressive heart failure with significant morbidity and mortality. Cardiomyopathies may ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0501/p778.html

Screening for Atrial Fibrillation with Electrocardiography: Recommendation Statement - ...

Mar 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for atrial fibrillation with electrocardiography.

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

https://www.aafp.org/afp/2019/0315/od1.html

Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control - American ...

Jul 15, 2002 - Atrial fibrillation is the arrhythmia most commonly encountered in family practice. Serious complications can include congestive heart failure, myocardial infarction, and thromboembolism. Initial treatment is directed at controlling the ventricular rate, most often with a calcium ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0715/p249.html

A Different Look at Corticosteroids - American Family Physician

Aug 1, 1998 - Systemic corticosteroids have been used in the treatment of numerous medical conditions for approximately 50 years. Short-acting products such as hydrocortisone are the least potent. Prednisone and methylprednisolone, which are intermediate-acting products, are four to five times more ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p443.html

Why Are We So Slow to Adopt Some Evidence-Based Practices? - Editorials - American ...

Dec 15, 2018 - Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/1215/p709.html

Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors - Putting ...

Jan 15, 2019 - A 46-year-old Asian American woman with no significant medical history presents to your clinic for the first time for a pre-employment physical examination.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0115/p123.html

Genetic Factors In Drug Metabolism - American Family Physician

Jun 1, 2008 - Patients vary widely in their response to drugs. Having an understanding of the pharmacokinetic and pharmacodynamic properties of various medications is importantwhen assessing ethnic differences in drug response. Genetic factors can account for 20 to 95 percent of patient variability. ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1553.html

Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...

Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0301/od1.html

Identifying and Using Good Practice Guidelines - American Family Physician

Jul 1, 2009 - Performance measurement and payment are increasingly linked to goals established by practice guidelines. The best guidelines are based on systematic reviews and patient-oriented evidence, use an evidence-rating system such as the Strength of Recommendation Taxonomy, and are ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p67.html

Liraglutide (Saxenda) for Weight Loss - STEPS - American Family Physician

Jul 15, 2016 - Liraglutide, combined with lifestyle counseling, produces a clinically significant and sustained weight loss that continues as long as it is used. Nausea and vomiting, however, are common adverse effects, and about one in 10 patients will discontinue treatment.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0715/p161.html

Consider Cardiovascular Risk Factors Before Prescribing Triptans for Migraine - Letters...

Sep 15, 2018 - ...triptans include, but are not limited to, peripheral vascular disease, coronary artery disease, cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0915/p342.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.html

Pharmacologic Interventions for Apathy in Patients with Alzheimer Disease - Cochrane ...

Jan 1, 2019 - Methylphenidate may improve apathy in select patients with AD (mean difference [MD] = –4.99 on the apathy evaluation scale; 95% confidence interval [CI], –9.55 to –0.43), although the clinical significance associated with these findings remains unclear and the evidence is considered low...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p14.html

Sudden Infant Death Syndrome - American Family Physician

May 15, 2009 - Sudden infant death syndrome is the leading cause of death among healthy infants, affecting 0.57 per 1,000 live births. The most easily modifiable risk factor for sudden infant death syndrome is sleeping position. To reduce the risk of sudden infant death syndrome, parents should be ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p870.html

Food Insecurity: How You Can Help Your Patients - Editorials - American Family Physician

Aug 1, 2018 - Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0801/p143.html

Urinary Tract Infection in Children - American Family Physician

Dec 15, 2005 - Up to 7 percent of girls and 2 percent of boys will have a symptomatic, culture-confirmed urinary tract infection by six years of age. Urinary tract infection may be suspected because of urinary symptoms in older children or because of fever, nonspecific symptoms, or failure to thrive ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1215/p2483.html

Statin Use for the Primary Prevention of Cardiovascular Disease in Adults - Putting ...

Dec 15, 2017 - L.D., a 66-year-old generally healthy white man, presents for his annual physical. He has no history of cardiovascular disease (CVD); he has had consistent systolic blood pressure measurements of 140 mm Hg; he is not taking any medications; he does not smoke; he exercises three times ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/1215/p805.html

Top 20 POEMs Should Provide Better Context of Study Quality and Scope - Letters to the ...

Jan 15, 2019 - ...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measurements using a bare arm vs. a shirt sleeve, is...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p74.html

Ambulatory Blood Pressure Important for Decision-Making About Treatment - POEMs - ...

Oct 15, 2018 - This study supports the guidelines recommending that treatment decisions be based on ambulatory blood pressure measurements rather than in-office blood pressure results. The difference between the two measurements in this cohort was 19/11 mm Hg, which is enough to change the decision to...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1015/od5.html

Feed Thickener for Newborn Infants with Gastroesophageal Reflux - Cochrane for ...

Sep 1, 2018 - Feed thickeners decrease the number of reflux episodes in full-term formula-fed infants. Additionally, full-term formula-fed infants with GER who are given thickeners are more than twice as likely to be asymptomatic compared with infants not receiving thickeners at one to eight weeks of...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0901/p275.html

Lower Systolic BP During Antihypertensive Treatment Associated with More Deaths in ...

Jan 1, 2019 - In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with antihypertensive medications is associated with higher death rates and greater cognitive decline.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0101/p54.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...

Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1265.html

Fetal Chromosomal Abnormalities: Antenatal Screening and Diagnosis - American Family ...

Jan 15, 2009 - Pregnant women of all ages should be offered screening and invasive diagnostic testing for chromosomal abnormalities before 20 weeks' gestation. New developments in screening methods have increased the number of options for patients. Diagnostic options include chorionic villus sampling ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p117.html

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

Ruling Out Pulmonary Embolism in the Primary Care Setting - Point-of-Care Guides - ...

Jun 1, 2018 - What is the best approach to evaluate patients with suspected pulmonary embolism in the outpatient, primary care setting?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0601/p750.html

Obesity in Pregnancy: Risks and Management - Editorials - American Family Physician

May 1, 2018 - As obesity becomes more common, it is important for all maternity care clinicians to understand the risks and associated management of obesity in pregnancy. Elevated prepregnancy weight increases the absolute risk of many adverse fetal and maternal outcomes.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0501/p559.html

Adverse Drug Reactions: Types and Treatment Options - American Family Physician

Nov 1, 2003 - Drug hypersensitivity results from interactions between a pharmacologic agent and the human immune system. These types of reactions constitute only a small subset of all adverse drug reactions. Allergic reactions to medications represent a specific class of drug hypersensitivity ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1781.html

Lower Extremity Erythema - Photo Quiz - American Family Physician

Jul 15, 2018 - A man who lived a hermit lifestyle presented with an open eschar over the left medial malleolus.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0715/p107.html

Identifying Patients with Headache Who Are at Risk of Subarachnoid Hemorrhage - ...

Aug 15, 2018 - When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0815/p256.html

Health-Related Concerns of the Female Athlete: A Lifespan Approach - American Family ...

Mar 15, 2009 - Exercise is beneficial for women of all ages and is associated with long-term health benefits and enhanced well-being. Nevertheless, active women and girls are at risk for conditions resulting from sports and exercise participation. Because of their unique physiology, children are more ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0315/p489.html

Diabetes: ADA Releases Revised Position Statement on Standards of Medical Care - ...

Aug 1, 2018 - Because the evidence regarding medical care for persons with diabetes mellitus continues to evolve, the American Diabetes Association (ADA) annually updates its standards. In addition, starting in 2018, the ADA will also periodically update its guidance online if warranted.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0801/p187.html

Diagnosis and Treatment of Acne - American Family Physician

May 1, 2004 - Acne can cause significant embarrassment and anxiety in affected patients. It is important for family physicians to educate patients about available treatment options and their expected outcomes. Topical retinoids, benzoyl peroxide, sulfacetamide, and azelaic acid are effective in ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2123.html

Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician

Jun 15, 2003 - Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2527.html

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

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

American Family Physician : Cochrane for Clinicians

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

Screening for Preeclampsia: Recommendation Statement - U.S. Preventive Services Task ...

Jan 15, 2018 - The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.

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

https://www.aafp.org/afp/2018/0115/od1.html

Evaluation of Acute Headaches in Adults - American Family Physician

Feb 15, 2001 - Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders.

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p685.html

Radon: A Leading Environmental Cause of Lung Cancer - Editorials - American Family ...

Sep 1, 2018 - Protracted exposure to radon is the leading environmental cause of cancer deaths in the United States. Family physicians play a key role in informing patients about the health risks.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0901/p280.html

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

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

American Family Physician : Practice Guidelines

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

Diagnostic Approach to Tinnitus - American Family Physician

Jan 1, 2004 - Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p120.html

Diagnosing Night Sweats - American Family Physician

Mar 1, 2003 - Night sweats are a common outpatient complaint, yet literature on the subject is scarce. Tuberculosis and lymphoma are diseases in which night sweats are a dominant symptom, but these are infrequently found to be the cause of night sweats in modern practice. While these diseases remain ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p1019.html

Syncope Evaluation and Treatment Guidelines from ACC, AHA, and HRS - Practice ...

Apr 1, 2018 - The American College of Cardiology (ACC), American Heart Association (AHA), and Heart Rhythm Society (HRS) have released guidelines to assist physicians in evaluating and treating syncope.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0401/p478.html

Solitary Ulcerated Lesion on the Arm - Photo Quiz - American Family Physician

Aug 15, 2018 - A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2018/0815/p251.html

Systolic Blood Pressure of At Least 140 mm Hg Best Place to Begin Treatment - POEMs - ...

Aug 15, 2018 - Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but does not ...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0815/p249.html

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