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
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
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
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
High Blood Pressure in Children - American Family Physician
Apr 1, 2012 - ...See related article on childhood hypertension. What causes high blood pressure in children? High blood pressure, or hypertension, sometimes doesn't have a known cause. This is called primary hypertension and is more common in older children, children who are overweight, or children...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2012/0401/p704.html
Thrombocytopenia - American Family Physician
Mar 15, 2012 - Thrombocytopenia is defined as a platelet count of less than 150 × 103 per µL. It is often discovered incidentally when obtaining a complete blood count during an office visit. The etiology usually is not obvious, and additional investigation is required. Patients with platelet counts ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0315/p612.html
Rivaroxaban vs. Warfarin for Stroke Prevention in Patients with Nonvalvular Atrial ...
Mar 15, 2012 - How does rivaroxaban compare with warfarin for stroke prevention in patients with nonvalvular atrial fibrillation? This study concluded that rivaroxaban is noninferior to warfarin. However, noninferiority trials do not meet the same rigorous design and statistical format of traditional ...
American Family Physician : AFP Journal Club
https://www.aafp.org/afp/2012/0315/p577.html
Diagnosis and Management of Upper Gastrointestinal Bleeding - American Family Physician
Mar 1, 2012 - Upper gastrointestinal bleeding causes significant morbidity and mortality in the United States, and has been associated with increasing nonsteroidal anti-inflammatory drug use and the high prevalence of Helicobacter pylori infection in patients with peptic ulcer bleeding. Rapid ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0301/p469.html
ADA Releases Revisions to Recommendations for Standards of Medical Care in Diabetes - ...
Mar 1, 2012 - Caring for patients with diabetes mellitus requires addressing many issues beyond glycemic control. To help physicians provide optimal care for these patients, the American Diabetes Association (ADA) releases annual revisions to its clinical practice recommendations for standards of ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/0301/p514.html
Acute Respiratory Distress Syndrome: Diagnosis and Management - American Family Physician
Feb 15, 2012 - Acute respiratory distress syndrome manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include acute onset, profound hypoxemia, bilateral pulmonary infiltrates, and the absence of left atrial hypertension. Acute respiratory distress syndrome is ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0215/p352.html
Hirsutism in Women - American Family Physician
Feb 15, 2012 - Hirsutism is excess terminal hair that commonly appears in a male pattern in women. Although hirsutism is generally associated with hyperandrogenemia, one-half of women with mild symptoms have normal androgen levels. The most common cause of hirsutism is polycystic ovary syndrome, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0215/p373.html
Respiratory Indications for Polysomnography in Children - Practice Guidelines - ...
Feb 1, 2012 - Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children. This ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/0201/p290.html
AHA Updates Guidelines on CVD Prevention in Women - Practice Guidelines - American ...
Jan 1, 2012 - Major changes addressed in the American Heart Association's (AHA) 2011 guidelines on cardiovascular disease (CVD) are that benefits and risks found in the clinical practice setting were strongly considered, and recommendations were not based solely on benefits found in the clinical ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2012/0101/p70.html
Subacute Management of Ischemic Stroke - American Family Physician
Dec 15, 2011 - Ischemic stroke is the third leading cause of death in the United States and a common reason for hospitalization. The subacute period after a stroke refers to the time when the decision to not employ thrombolytics is made up until two weeks after the stroke occurred. Family physicians ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1215/p1383.html
Cirrhosis: Diagnosis, Management, and Prevention - American Family Physician
Dec 15, 2011 - Cirrhosis is the 12th leading cause of death in the United States. It accounted for 29,165 deaths in 2007, with a mortality rate of 9.7 per 100,000 persons. Alcohol abuse and viral hepatitis are the most common causes of cirrhosis, although nonalcoholic fatty liver disease is emerging ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1215/p1353.html
Diagnosis and Management of Crohn's Disease - American Family Physician
Dec 15, 2011 - Crohn’s disease is a chronic inflammatory condition affecting the gastrointestinal tract at any point from the mouth to the rectum. Patients may experience diarrhea, abdominal pain, fever, weight loss, abdominal masses, and anemia. Extraintestinal manifestations of Crohn’s disease ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1215/p1365.html
Diagnosis and Management of Rheumatoid Arthritis - American Family Physician
Dec 1, 2011 - Rheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis. Women, smokers, and those with a family history of the disease are most often affected. Criteria for diagnosis include having at least one joint with definite swelling that is not explained by another ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1201/p1245.html
Treatment and Prevention of Kidney Stones: An Update - American Family Physician
Dec 1, 2011 - Kidney stones are associated with chronic kidney disease. Preventing recurrence is largely specific to the type of stone (e.g., calcium oxalate, calcium phosphate, cystine, struvite [magnesium ammonium phosphate]), and uric acid stones); however, even when the stone cannot be retrieved,...
American Family Physician : Article
https://www.aafp.org/afp/2011/1201/p1234.html
Chronic Kidney Disease: Detection and Evaluation - American Family Physician
Nov 15, 2011 - Chronic kidney disease affects an estimated 27 million adults in the United States, and is associated with significantly increased risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney...
American Family Physician : Article
https://www.aafp.org/afp/2011/1115/p1138.html
Clinical Vignettes in Geriatric Depression - American Family Physician
Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1115/p1149.html
Evaluation and Management of Heart Murmurs in Children - American Family Physician
Oct 1, 2011 - Heart murmurs are common in healthy infants, children, and adolescents. Although most are not pathologic, a murmur may be the sole manifestation of serious heart disease. Historical elements that suggest pathology include family history of sudden cardiac death or congenital heart ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1001/p793.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
Abuse of Over-the-Counter Medications Among Teenagers and Young Adults - Editorials - ...
Oct 1, 2011 - In recent years, recognition of over-the-counter (OTC) medication abuse by patients—especially teenagers and young adults—has increased.1 Abuse is defined as the use of a drug to experience psychoactive effects instead of for its medical indication. OTC medications are easily abused ...
American Family Physician : Editorials
https://www.aafp.org/afp/2011/1001/p745.html
Statins for Primary Cardiovascular Prevention - Cochrane for Clinicians - American ...
Oct 1, 2011 - Trials to date have found that statins reduce all-cause mortality, composite cardiovascular outcomes, and revascularization. However, most trials included large numbers of persons with known CVD. Clear evidence of the effectiveness of statins to prevent a first cardiovascular event is ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2011/1001/p767.html
Improving Medication Adherence in Patients with Comorbidities - FPIN's Clinical ...
Oct 1, 2011 - Interventions that involve pharmacists to review, simplify, and monitor medication use significantly improve adherence in patients with multiple medical conditions.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2011/1001/od1.html
Evaluation of Syncope - American Family Physician
Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0915/p640.html
Evaluation and Management of Orthostatic Hypotension - American Family Physician
Sep 1, 2011 - Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic...
American Family Physician : Article
https://www.aafp.org/afp/2011/0901/p527.html
Pharmacologic Treatment of Hyperlipidemia - American Family Physician
Sep 1, 2011 - Pharmacologic treatment of hyperlipidemia in conjunction with therapeutic lifestyle changes can be used for both primary and secondary prevention of cardiovascular disease. Statins have the most convincing data for primary prevention, especially for higher risk patients. Therefore, risk...
American Family Physician : Article
https://www.aafp.org/afp/2011/0901/p551.html
Diagnostic Approach to Chronic Constipation in Adults - American Family Physician
Aug 1, 2011 - Constipation is traditionally defined as three or fewer bowel movements per week. Risk factors for constipation include female sex, older age, inactivity, low caloric intake, low-fiber diet, low income, low educational level, and taking a large number of medications. Chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0801/p299.html
Updated Dietary Guidelines from the USDA and HHS - Practice Guidelines - American ...
Aug 1, 2011 - The U.S. Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (HHS) jointly created the updated version of the Dietary Guidelines for Americans, 2010. The updated guidelines are based on two main concepts: focusing on balancing caloric intake over time ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0801/p332.html
Tips From Other Journals - American Family Physician
Aug 1, 2011 - ...The Study: The authors randomized 299 men 75 years or older with hypertension to receive daily placebo or vitamin B supplementation at doses known to reduce homocysteine levels (25 mg of B6, 2 mg of B9 [folic acid], and 400 mcg of B12). The primary outcome was assessment of...
American Family Physician : Tip
https://www.aafp.org/afp/2011/0801/p320.html
Antibiotic Prophylaxis to Prevent Recurrent UTI in Children - FPIN's Clinical Inquiries...
Jul 15, 2011 - Antibiotic prophylaxis to prevent recurrent UTI may be considered in infants and children with or without vesicoureteral reflux (VUR) after a first UTI.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2011/0715/od1.html
ACCF/AHA Release Guideline for Early Cardiovascular Risk Assessment - Practice ...
Jul 15, 2011 - Atherosclerotic cardiovascular disease is the leading cause of death among adults in the United States. Because coronary heart disease (CHD) has a long asymptomatic latent period, there is an opportunity for early preventive measures. The American College of Cardiology Foundation (ACCF)...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0715/p234.html
Outpatient Approach to Palpitations - American Family Physician
Jul 1, 2011 - Palpitations are a common problem seen in family medicine; most are of cardiac origin, although an underlying psychiatric disorder, such as anxiety, is also common. Even if a psychiatric comorbidity does exist, it should not be assumed that palpitations are of a noncardiac etiology. ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0701/p63.html
Treatment of Alzheimer Disease - American Family Physician
Jun 15, 2011 - Alzheimer disease is the most common form of dementia, affecting more than one-third of Americans older than 85 years. It is characterized by progressive memory loss and cognitive decline. Amyloid plaque accumulation, neurofibrillary tau tangles, and depletion of acetylcholine are among...
American Family Physician : Article
https://www.aafp.org/afp/2011/0615/p1403.html
Common Adverse Effects of Antiretroviral Therapy for HIV Disease - American Family ...
Jun 15, 2011 - Family physicians are treating patients infected with human immunodeficiency virus in their practices more often. Long-term complications of this disease are multifactorial and can be related to the virus itself or to adverse effects of antiretroviral therapy. Each drug class has side ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0615/p1443.html
Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease - Editorials: ...
Jun 15, 2011 - The factor most strongly associated with appropriate aspirin use is a conversation between the patient and physician. The National Committee for Quality Assurance has proposed that health plans measure their members' use of aspirin, as well as the extent to which physicians discuss ...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2011/0615/p1380.html
Aspirin for the Prevention of Cardiovascular Disease: Recommendation Statement - U.S. ...
Jun 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends the use of aspirin in men 45 to 79 years of age when the potential benefit of a reduction in myocardial infarctions (MIs) outweighs the potential harm of an increase in gastrointestinal (GI) hemorrhage.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2011/0615/p1464.html
IOM Releases Report on Dietary Refernce Intakes for Calcium and Vitamin D - Practice ...
Jun 1, 2011 - The Institute of Medicine (IOM) assessed current information on potential health outcomes associated with calcium and vitamin D.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0601/p1352.html
APA Releases Guidelines on Treatment of Patients with Major Depressive Disorder - ...
May 15, 2011 - The American Psychiatric Association (APA) recently updated its guideline on the treatment of major depressive disorder. The new evidence-based guideline summarizes recommendations on the use of antidepressants and other drug therapies; psychotherapy, including cognitive behavior ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0515/p1219.html
Croup: An Overview - American Family Physician
May 1, 2011 - Croup is a common illness responsible for up to 15 percent of emergency department visits due to respiratory disease in children in the United States. Croup symptoms usually start like an upper respiratory tract infection, with low-grade fever and coryza followed by a barking cough and ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0501/p1067.html
Acute Rhinosinusitis in Adults - American Family Physician
May 1, 2011 - Rhinosinusitis is one of the most common conditions for which patients seek medical care. Subtypes of rhinosinusitis include acute, subacute, recurrent acute, and chronic. Acute rhinosinusitis is further specified as bacterial or viral. Most cases of acute rhinosinusitis are caused by ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0501/p1057.html
Clinical Indicators of Obstructive Sleep Apnea - FPIN's Clinical Inquiries - American ...
May 1, 2011 - Clinical indicators (e.g., sex, snoring severity, history of apnea, age, menopausal status, waist-to-hip ratio, body habitus) can predict OSA as diagnosed using overnight polysomnography or sleep study.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2011/0501/od1.html
Effectiveness of Bronchodilators for Bronchiolitis Treatment - Cochrane for Clinicians ...
May 1, 2011 - Bronchodilators may transiently improve the clinical status of infants with bronchiolitis and no prior history of wheezing. However, moderately strong evidence shows that key outcomes such as oxygen saturation, need for hospitalization, length of hospitalization, and duration of ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2011/0501/p1045.html
Preventing Dementia: Is There Hope for Progress? - Editorials - American Family Physician
May 1, 2011 - Undoubtedly, there is an increasing need to clarify the modifiable risk factors for cognitive impairment. Because the prevalence of dementia doubles every five years, the global burden of dementia will increase significantly—an impact that warrants a more anticipatory approach to ...
American Family Physician : Editorials
https://www.aafp.org/afp/2011/0501/p1034.html
AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...
Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0415/p993.html
Medical Management of Stable Coronary Artery Disease - American Family Physician
Apr 1, 2011 - All patients with stable coronary artery disease require medical therapy to prevent disease progression and recurrent cardiovascular events. Three classes of medication are essential to therapy: lipid-lowering, antihypertensive, and antiplatelet agents. Lipid-lowering therapy is ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0401/p819.html
Appetite Suppressants as Adjuncts for Weight Loss - FPIN's Clinical Inquiries - ...
Apr 1, 2011 - Phentermine and diethylpropion are appetite suppressants approved for use in the United States as adjuncts in the treatment of obesity. These agents demonstrate a modest weight loss benefit when combined with dietary modifications and exercise.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2011/0401/od1.html
Health Maintenance in School-aged Children: Part I. History, Physical Examination, ...
Mar 15, 2011 - The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0315/p683.html
Transfusion of Blood and Blood Products: Indications and Complications - American ...
Mar 15, 2011 - Red blood cell transfusions are used to treat hemorrhage and to improve oxygen delivery to tissues. Transfusion of red blood cells should be based on the patient’s clinical condition. Indications for transfusion include symptomatic anemia (causing shortness of breath, dizziness, ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0315/p719.html
Diabetic Nephropathy: Preventing Progression - Clinical Evidence Handbook - American ...
Mar 15, 2011 - What are the effects of treatments to prevent progression of nephropathy in persons with type 1 and type 2 diabetes and early and late nephropathy?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2011/0315/p732.html