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
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
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
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
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
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
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
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
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
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
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
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
Donepezil to Manage Alzheimer Disease: New vs. Standard Dosing - AFP Journal Club - ...
Mar 15, 2011 - Does donepezil benefit patients with Alzheimer disease, and is the new dosage superior to the standard dosage? This study showed benefit, but the data are misleading.
American Family Physician : AFP Journal Club
https://www.aafp.org/afp/2011/0315/p742.html
Systemic Vasculitis - American Family Physician
Mar 1, 2011 - The systemic vasculitides are characterized by inflammation of blood vessel walls. Vessels of any type, in any organ can be affected, resulting in a broad spectrum of signs and symptoms. The heterogenous nature of vasculitides presents a diagnostic challenge. The American College of ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0301/p556.html
AAP Reports on Diagnosis and Prevention of Iron Deficiency Anemia - Practice Guidelines...
Mar 1, 2011 - Iron is the most common single-nutrient deficiency among children in developing countries and is a common cause of anemia in industrialized nations. A report from the American Academy of Pediatrics (AAP) provides information on the diagnosis and prevention of iron deficiency anemia.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2011/0301/p624.html
Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...
Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2011/0301/p522.html
Diagnosis and Treatment of Urinary Tract Infections in Children - American Family ...
Feb 15, 2011 - Acute urinary tract infections are relatively common in children, with 8 percent of girls and 2 percent of boys having at least one episode by seven years of age. The most common pathogen is Escherichia coli, accounting for approximately 85 percent of urinary tract infections in ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0215/p409.html
Complications of HIV Infection: A Systems-Based Approach - American Family Physician
Feb 15, 2011 - Patients with human immunodeficiency virus (HIV) infection often develop multiple complications and comorbidities. Opportunistic infections should always be considered in the evaluation of symptomatic patients with advanced HIV/AIDS, although the overall incidence of these infections ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0215/p395.html
Primary Care for Refugees - American Family Physician
Feb 15, 2011 - Over the past decade, at least 600,000 refugees from more than 60 different countries have been resettled in the United States. The personal history of a refugee is often marked by physical and emotional trauma. Although refugees come from many different countries and cultures, their ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0215/p429.html
Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment: ...
Feb 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of using the nontraditional risk factors discussed in this statement to screen asymptomatic men and women with no history of coronary heart ...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2011/0215/p441.html
Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment - Putting ...
Feb 15, 2011 - Case study: A 47-year-old man with no history of coronary heart disease (CHD), diabetes mellitus, or any CHD risk equivalent asks about smoking cessation therapies. His past laboratory results include a total cholesterol level of 230 mg per dL (5.96 mmol per L) and a high-density ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2011/0215/p449.html
Treatment of Acute Migraine Headache - American Family Physician
Feb 1, 2011 - Migraine headache is a common and potentially debilitating disorder often treated by family physicians. Before diagnosing migraine, serious intracranial pathology must be ruled out. Treating acute migraine is challenging because of substantial rates of nonresponse to medications and ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0201/p271.html
Should We Treat Moderately Elevated Triglycerides? Yes: Treatment of Moderately ...
Feb 1, 2011 - ...e.g., atherogenic dyslipidemia). Additionally, patients with hypertriglyceridemia often have metabolic syndrome (e.g., abdominal obesity, hypertension, insulin resistance, low HDL, high triglycerides), which is a risk factor for developing coronary heart disease (CHD).2 In this...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2011/0201/p242.html
Case Report: Patient with Ketoacidosis and Impaired Insulin Secretion - Letters to the ...
Feb 1, 2011 - ...of insulin resistance can cause beta cell exhaustion in the absence of autoimmunity,2 common manifestations of insulin resistance such as hypertension and obesity were absent in this patient. Alternatively, he may have had an atypical presentation of LADA in which the initial...
American Family Physician : Letter
https://www.aafp.org/afp/2011/0201/p232.html
Tips From Other Journals - American Family Physician
Feb 1, 2011 - ...system (i.e., with angiotensin-converting enzyme [ACE] inhibitors or angiotensin receptor blockers [ARBs]) may prevent patients with hypertension or other cardiovascular disease from developing diabetes mellitus. However, this effect was not a primary outcome of most trials, and...
American Family Physician : Tip
https://www.aafp.org/afp/2011/0201/p311.html
Respiratory Syncytial Virus Infection in Children - American Family Physician
Jan 15, 2011 - Respiratory syncytial virus (RSV) is an RNA virus that causes respiratory tract infections in children. In the North- ern Hemisphere, the peak infection season is November through April. By two years of age, most children will have had an RSV infection. Bronchiolitis, a lower ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0115/p141.html
Screening for Impaired Visual Acuity in Older Adults - Putting Prevention into Practice...
Jan 15, 2011 - Case study: A 68-year-old black man presents for a routine checkup and refill of his hypertension medication. He has smoked a pack of cigarettes daily for more than 45 years. He asks if he should be screened for cataracts, which his father developed in his 60s. The patient reports no ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2011/0115/p189.html
The Geriatric Assessment - American Family Physician
Jan 1, 2011 - The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually initiated when the physician identifies a potential ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0101/p48.html
Atrial Fibrillation: Diagnosis and Treatment - American Family Physician
Jan 1, 2011 - Atrial fibrillation is the most common cardiac arrhythmia. It impairs cardiac function and increases the risk of stroke. The incidence of atrial fibrillation increases with age. Key treatment issues include deciding when to restore normal sinus rhythm, when to control rate only, and how...
American Family Physician : Article
https://www.aafp.org/afp/2011/0101/p61.html
AAFP News - Jan 1, 2011 - American Family Physician
Jan 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2011/0101/p19.html
Diagnosis of Secondary Hypertension: An Age-Based Approach - American Family Physician
Dec 15, 2010 - Secondary hypertension is a type of hypertension with an underlying, potentially correctable cause. A secondary etiology may be suggested by symptoms (e.g., flushing and sweating suggestive of pheochromocytoma), examina- tion findings (e.g., a renal bruit suggestive of renal artery ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1215/p1471.html
Perioperative Antiplatelet Therapy - American Family Physician
Dec 15, 2010 - Aspirin is recommended as a lifelong therapy that should never be interrupted for patients with cardiovascular disease. Clopidogrel therapy is mandatory for six weeks after placement of bare-metal stents, three to six months after myocardial infarction, and at least 12 months after ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1215/p1484.html
Managing Adverse Effects of Hormonal Contraceptives - American Family Physician
Dec 15, 2010 - Adverse effects of hormonal contraceptives usually diminish with continued use of the same method. Often, physi- cians only need to reassure patients that these symptoms will likely resolve within three to five months. Long-acting injectable depot medroxyprogesterone acetate is the only...
American Family Physician : Article
https://www.aafp.org/afp/2010/1215/p1499.html
Updated Recommendations on Daily Aspirin Use in Patients with Diabetes - Practice ...
Dec 15, 2010 - To address the uncertainties about aspirin use in persons with diabetes, experts from the American Diabetes Association, American Heart Association, and American College of Cardiology Foundation reviewed the current evidence and updated the 2007 recommendations.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2010/1215/p1559.html
End-stage Renal Disease - Clinical Evidence Handbook - American Family Physician
Dec 15, 2010 - What are the effects of different doses for peritoneal dialysis? What are the effects of different doses and membrane fluxes for hemodialysis? What are the effects of interventions aimed at preventing secondary complications?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2010/1215/p1512.html
AAFP News - Dec 15, 2010 - American Family Physician
Dec 15, 2010 - Selected policy and health issues news briefs from AAFP News Now.
American Family Physician : AAFP News: AFP Edition
https://www.aafp.org/afp/2010/1215/p1437.html
AAP Updates Policy Statement on Athletic Participation by Children and Adolescents with...
Nov 15, 2010 - The most common cardiovascular condition in competitive athletes is hypertension. The American Academy of Pediatrics (AAP) updated its policy statement using new recommendations made in the 2005 36th Bethesda Conference guidelines; the 2004 Fourth Report on the Diagnosis, Evaluation, ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2010/1115/p1285.html
Medical Therapy for Asthma: Updates from the NAEPP Guidelines - American Family Physician
Nov 15, 2010 - Proper care of patients with asthma involves the triad of systematic chronic care plans, self-management support, and appropriate medical therapy. Controller medications (inhaled corticosteroids, long-acting beta2 agonists, and leukot- riene receptor antagonists) are the foundation of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1115/p1242.html
Coronary Artery Disease Prevention: As Easy As 1, 2, 3? - Letters to the Editor - ...
Nov 15, 2010 - ...of clinical trials have suggested that beta blockers may lead to an increased risk of cardiovascular events and death in patients with hypertension who have not already had an MI (i.e., beta blockers for secondary prevention).4,5 Thus, recommending beta blockers for secondary...
American Family Physician : Letter
https://www.aafp.org/afp/2010/1115/p1167.html
Urinary Tract Infection in Children - Clinical Evidence Handbook - American Family ...
Nov 15, 2010 - What are the effects of treatment for acute UTI in children? What are the effects of interventions to prevent recurrence of UTI in children?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2010/1115/p1252.html
ACOG Recommendations on Emergency Contraception - Practice Guidelines - American Family...
Nov 15, 2010 - American College of Obstetricians Gynecologists (ACOG) recommendations on emergency contraception. Common indications include contraceptive failure (e.g., condom breakage, missed doses of oral contraceptives) and failure to use any form of contraception.
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2010/1115/p1278.html
How to Prevent Cervical Cancer - American Family Physician
Nov 15, 2010 - ...Previous: AAP Updates Policy Statement on Athletic Participation by Children and Adolescents with Systemic Hypertension Next: Sexual Behaviors in Children View the full table of contents >> Home / Journals / afp / Vol. 82/No. 10(November 15, 2010) / How to Prevent Cervical...
American Family Physician : Patient Handout
https://www.aafp.org/afp/2010/1115/p1217.html
Altitude Illness: Risk Factors, Prevention, Presentation, and Treatment - American ...
Nov 1, 2010 - Altitude illness affects 25 to 85 percent of travelers to high altitudes, depending on their rate of ascent, home altitude, individual susceptibility, and other risk factors. Acute mountain sickness is the most common presentation of altitude illness and typically causes headache and ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1101/p1103.html
Postpartum Major Depression - American Family Physician
Oct 15, 2010 - Postpartum major depression is a disorder that is often unrecognized and must be distinguished from baby blues. Antenatal depressive symptoms, a history of major depressive disorder, or previous postpartum major depression significantly increase the risk of postpartum major depression. ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1015/p926.html
Milnacipran (Savella) for Fibromyalgia - STEPS - American Family Physician
Oct 15, 2010 - Milnacipran can decrease the overall pain scores and improve symptoms of fibromyalgia. Safety in patients with severe comorbid medical and psychiatric conditions is unknown because these groups of patients were excluded from the study.
American Family Physician : STEPS
https://www.aafp.org/afp/2010/1015/p901.html
Obesity in Adults - Clinical Evidence Handbook - American Family Physician
Oct 15, 2010 - What are the effects of drug treatments in adults with obesity? What are the effects of bariatric surgery in adults with morbid obesity?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2010/1015/p974.html
Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...
Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p785.html
CDC Updates Guidelines for Influenza Vaccination for 2010-2011 Season - Practice ...
Oct 1, 2010 - The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has released updated recommendations on influenza control for the 2010–2011 season. Seasonal influenza vaccines in 2010–2011 will contain A/California/7/2009 (H1N1)-like, ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2010/1001/p838.html
Proteinuria in Children - American Family Physician
Sep 15, 2010 - Proteinuria is common in children and may represent a benign condition or a serious underlying renal disease or systemic disorder. Proteinuria may occur secondary to glomerular or tubular dysfunction. Although a 24-hour urine protein excretion test is usually recommended, it may be ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0915/p645.html
Contraception Choices in Women with Underlying Medical Conditions - American Family ...
Sep 15, 2010 - Primary care physicians often prescribe contraceptives to women of reproductive age with comorbidities. Novel delivery systems (e.g., contraceptive patch, contraceptive ring, single-rod implantable device) may change traditional risk and benefit profiles in women with comorbidities. ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0915/p621.html
Updated Guideline on Diagnosis and Treatment of Intra-Abdominal Infections - Practice ...
Sep 15, 2010 - The Surgical Infection Society and Infectious Diseases Society of America recently updated recommendations for diagnosis and treatment of intra-abdominal infections. Intra-abdominal infections are the second most common cause of infectious mortality in intensive care units. Complicated ...
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2010/0915/p694.html
Enlarged Tonsils and Fatigue - Photo Quiz - American Family Physician
Sep 15, 2010 - 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/2010/0915/p669.html
Preventive Health: Time for Change - Editorials - American Family Physician
Sep 15, 2010 - It is time to make a decision. Which will be our health promotion strategy—primary prevention or secondary prevention?
American Family Physician : Editorials
https://www.aafp.org/afp/2010/0915/p610.html
Interpreting and Evaluating the Details of the JUPITER Study - Letters to the Editor - ...
Sep 15, 2010 - ...cardiovascular disease when possible. There are multiple risk detection tools available: family history, smoking, diet, lack of exercise, hypertension, and lipid levels. I believe we can now add inflammation to this list. Similarly, we can possibly add to our armamentarium of...
American Family Physician : Letter
https://www.aafp.org/afp/2010/0915/p571.html
Tips From Other Journals - American Family Physician
Sep 15, 2010 - ...Hypertension High-density lipoprotein cholesterol < 35 mg per dL (0.91 mmol per L) or triglyceride level > 250 mg per dL (2.82 mmol per L) Women with polycystic ovary syndrome Impaired glucose tolerance or impaired fasting glucose on previous tests Other...
American Family Physician : Tip
https://www.aafp.org/afp/2010/0915/p684.html
Hyperlipidemia Treatment in Children: The Younger, the Better - Editorials: ...
Sep 1, 2010 - Despite the absence of data in children demonstrating morbidity and mortality reduction by aggressive treatment of lipid disorders, the overwhelming data in adults (e.g., decreasing LDL cholesterol, improved morbidity and mortality) and evidence of atherosclerotic lesions developing in ...
American Family Physician : Editorials: Controversies in Family Medicine
https://www.aafp.org/afp/2010/0901/p460.html
Pulmonary Arterial Hypertension: An Update on Diagnosis and Treatment - American Family...
Aug 15, 2010 - Pulmonary arterial hypertension is defined as a mean pulmonary arterial pressure greater than 25 mm Hg at rest or 30 mm Hg during physical activity. Pulmonary arterial hypertension is classified into subgroups, including idiopathic, heritable, and pulmonary arterial hypertension ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p370.html
Dizziness: A Diagnostic Approach - American Family Physician
Aug 15, 2010 - Dizziness accounts for an estimated 5 percent of primary care clinic visits. The patient history can generally classify dizziness into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. The main causes of vertigo are benign paroxysmal positional vertigo, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p361.html
Lowering Sodium Intake Can Help Reduce Hypertension - Letters to the Editor - American ...
Aug 15, 2010 - ...Lowering Sodium Intake Can Help Reduce Hypertension Am Fam Physician. 2010 Aug 15;82(4):322-324. Original Article: Evaluation and Management of the Patient with Difficult-to-Control or Resistant Hypertension Issue Date: May 15, 2009 Available at: htt...
American Family Physician : Letter
https://www.aafp.org/afp/2010/0815/p322.html
Managing the Adverse Effects of Radiation Therapy - American Family Physician
Aug 15, 2010 - Nearly two thirds of patients with cancer will undergo radiation therapy as part of their treatment plan. Given the increased use of radiation therapy and the growing number of cancer survivors, family physicians will increasingly care for patients experiencing adverse effects of ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0815/p381.html
Social Media and Other AFP Online Enhancements - Inside AFP - American Family Physician
Aug 15, 2010 - ...This resource compiles the best content from AFP Online for 35 core clinical topics (such as coronary artery disease, diabetes, hypertension, and obesity), and we will be adding more topics in the future. These collections include articles, AFP's Point-of-Care Guides, Cochrane for...
American Family Physician : Inside AFP
https://www.aafp.org/afp/2010/0815/p321.html
Side Effects of Radiation Therapy - American Family Physician
Aug 15, 2010 - ...Next: Lowering Sodium Intake Can Help Reduce Hypertension View the full table of contents >> Home / Journals / afp / Vol. 82/No. 4(August 15, 2010) / Side Effects of Radiation Therapy
American Family Physician : Patient Handout
https://www.aafp.org/afp/2010/0815/p394.html
Global Risk of Coronary Heart Disease: Assessment and Application - American Family ...
Aug 1, 2010 - Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0801/p265.html
Acutely Swollen Tongue in a Middle-Aged Woman - Photo Quiz - American Family Physician
Aug 1, 2010 - 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/2010/0801/p279.html
Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change ...
Aug 1, 2010 - To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ absolute risk of having a coronary heart disease (CHD) event in 10 years. Before physicians adopt routine risk calculation, we should use the evidence to determine the best use of ...
American Family Physician : Editorials
https://www.aafp.org/afp/2010/0801/p236.html