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...demyelinating polyneuropathy. ❏ C. Melkersson-Rosenthal syndrome. ❏ D. Parotid gland tumor. ❏ E. Transient ischemic attack. See the following page for discussion. The editors of AFP wel- come submissions for Photo Quiz. Guidelines for preparing and submitting a Photo Quiz...

American Family Physician

https://www.aafp.org/afp/2014/0215/afp20140215p283.pdf

...Human immunodeficiency virus enceph- alopathy presents with the triad of demen- tia, depression, and movement disorders. The most common finding on magnetic resonance imaging is cerebral atrophy. Mul- tiple hyperintense lesions are nonenhancing, poorly demarcated, and localized...

American Family Physician

https://www.aafp.org/afp/2013/0615/afp20130615p877.pdf

...home resident was admitted to the hospital with nausea, vomit- ing, diarrhea, and fever. At presentation she had type 2 diabetes mellitus, stroke, colovesi- cal fistula, atrial fibrillation, and Alzheimer’s dementia. Four days after she was admitted, she developed shortness of...

American Family Physician

https://www.aafp.org/afp/2013/0801/afp20130801p199.pdf

'I Am Convinced Family Medicine Is the Solution'

Watching a family member struggle with illness and access to care inspired third-year family medicine resident Kristina Dakis, M.D., to pursue a career in medicine.

https://www.aafp.org/news/family-doc-focus/20180212focus-dakis.html

'Think Big' to Reimagine Family Medicine, Speakers Advise

For their virtual mainstage event at the 2020 National Conference, AAFP CEO/EVP Shawn Martin and Farzad Mostashari, M.D., M.P.H., talked about the future of family medicine.

https://www.aafp.org/news/education-professional-development/20200804nc-future.html

"Alirocumab (Praluent) for the Treatment of Hyperlipidemia

August 15, 2016: STEPS

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815p310.pdf

"Conjugated Estrogens/Bazedoxifene (Duavee) for Menopausal Symptoms

February 15, 2016 STEPS

American Family Physician

https://www.aafp.org/afp/2016/0215/afp20160215p307.pdf

<27A4> Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events

October 1, 2017: Medicine by the Numbers

American Family Physician

https://www.aafp.org/afp/2017/1001/afp20171001od1.pdf

<FEFF><FEFF>Aspirin for the Prevention of Cardiovascular Disease: Recommendation ...

...aspirin in women 55 to 79 years of age when the potential benefit of a reduction in ischemic strokes outweighs the poten- tial harm of an increase in GI hemorrhage. A recommendation. The USPSTF concludes that the current evidence is insufficient to assess the bal- ance of...

American Family Physician

https://www.aafp.org/afp/2011/0615/afp20110615p1464.pdf

<FEFF>Dementia Care: More Than Just Prescription Drugs

June 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/0615/afp20170615p766.pdf

<FEFF>Myocardial Infarction: Management of the Subacute Period

...all patients with suspected ACS. A systematic review of 15 trials showed that aspirin therapy in patients who had experienced an MI reduced stroke, repeat MI, and death (abso- lute risk reduction [ARR] = 3.8%; number needed to treat [NNT] = 26).11 An adequate dosage in the acute...

American Family Physician

https://www.aafp.org/afp/2013/1101/afp20131101p581.pdf

<FEFF>The AAFP Cognitive Care Kit-A Resource for Family Physicians

November 15, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1115/afp20171115p630.pdf

<FEFF>Top 20 Research Studies of 2016 for Primary Care Physicians

April 15, 2017

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501p572.pdf

<FEFF>Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign

October 1, 2016

American Family Physician

https://www.aafp.org/afp/2016/1001/afp20161001p566.pdf

1029.pdf

...Lack of insight is one of the principal areas of concern for families of drivers with demen- tia. Some patients with dementia do not rec- ognize the impairment in their driving ability and resist efforts to prevent them from driv- ing. The patient’s spouse, family members,...

American Family Physician

https://www.aafp.org/afp/2006/0315/afp20060315p1029.pdf

1291o.pdf

...nal rhizotomy and microvascular decom- pression. These procedures involve posterior fossa exploration with its attendant risks, including stroke, meningitis, and death, although the reported incidence of these complications with microvascular decom- pression is less than 2...

American Family Physician

https://www.aafp.org/afp/2008/0501/afp20080501p1291.pdf

14 Alternative Practice Styles -- Family Practice Management

...but don’t be ashamed about this. When was the last time an intensivist helped a new mom with cracked nipples, or a surgeon managed a stroke? The rotating variety of hospitalist is more common for family physicians. For example, if there are five physicians in your practice, you...

Family Practice Management

https://www.aafp.org/fpm/2001/0200/fpm20010200p33.pdf

14 Alternative Practice Styles -- FPM

Feb 1, 2001 - Perhaps the road less traveled is the right career path for you. Here are more than a dozen ideas to get you started.

Family Practice Management : Articles

https://www.aafp.org/fpm/2001/0200/p33.html

1403.pdf

...Neurologic Ischemic stroke, meralgia paresthetica Downloaded from the American Family Physician Web site at www.aafp.org/afp. Copyright© 2006 American Academy of Family Physicians. For the private, noncommercial use of one individual user of the Web site. All other rights...

American Family Physician

https://www.aafp.org/afp/2006/0415/afp20060415p1403.pdf

1953.pdf

...in systolic blood pressure of 5 mm Hg has been associated in observational studies with reductions of 14 percent in mortality caused by stroke, 9 percent in mortality caused by heart disease, and 7 percent in all-cause mortality.6 In addi- tion, a weight loss of 10 lb (4.5 kg), a...

American Family Physician

https://www.aafp.org/afp/2006/0601/afp20060601p1953.pdf

1961.pdf

...RC, Smith SC Jr, Bairey-Merz CN, Grundy SM, Cleeman JI, Lenfant C, et al. ACC/AHA/NHLBI Clinical Advisory on the use and safety of statins. Stroke 2002;33:2337-41. 31. National Cholesterol Education Program. Third report of the expert panel on detection, evaluation and treatment...

American Family Physician

https://www.aafp.org/afp/2006/0601/afp20060601p1961.pdf

1981.pdf

...Familial myocardial infarct/stroke 5,10-methylenetetrahydrofolate reductase deficiency (common) Familial hypercholesterolemia (1:500) Fabry’s disease (1:80,000 to 1:117,000) Homocystinuria (1:200,000) Muscle cramps/spasticity Multiple carboxylase deficiency (e.g.,...

American Family Physician

https://www.aafp.org/afp/2006/0601/afp20060601p1981.pdf

1997-2008 Index of Board Minutes

...of Pressure Ulcers ....................................................................................................................348 Stroke .............................................................................................................

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/1997-2008BoardIndex.pdf

1998

AFP issues for the year of 1998.

American Family Physician

https://www.aafp.org/journals/afp/issues/1998.html

1999

AFP issues for the year of 1999.

American Family Physician

https://www.aafp.org/journals/afp/issues/1999.html

2000

AFP issues for the year of 2000.

American Family Physician

https://www.aafp.org/journals/afp/issues/2000.html

2000-2010 Index of Board Minutes

...AMERICAN SOCIETY FOR COLPOSCOPY AND CERVICAL PATHOLOGY (ASCCP) (See also: CANCER under C)................................155 AMERICAN STROKE ASSOCIATION ......................................................................................................

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/2000-2010BoardIndex.pdf

2003

AFP issues for the year of 2003.

American Family Physician

https://www.aafp.org/journals/afp/issues/2003.html

2004

AFP issues for the year of 2004.

American Family Physician

https://www.aafp.org/journals/afp/issues/2004.html

2005 AHA Guidelines for CPR and Emergency Cardiac Care - Practice Guidelines - American...

May 1, 2006 - The American Heart Association (AHA) recently released new guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0501/p1644.html

2007

AFP issues for the year of 2007.

American Family Physician

https://www.aafp.org/journals/afp/issues/2007.html

2009

AFP issues for the year of 2009.

American Family Physician

https://www.aafp.org/journals/afp/issues/2009.html

2011

AFP issues for the year 2011.

American Family Physician

https://www.aafp.org/journals/afp/issues/2011.html

2012

AFP issues for the year 2012.

American Family Physician

https://www.aafp.org/journals/afp/issues/2012.html

2013 ACC/AHA Cholesterol Guideline Greatly Increases Number Eligible for Statin ...

Aug 15, 2014 - The new guideline from the ACC/AHA increases the number of adults between 40 and 75 years of age who are eligible to take statins by 12.8 million. The largest increases were among adults who would take statins for primary prevention and for adults between 60 and 75 years of age. The ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0815/od6.html

2015

AFP issues for the year 2015.

American Family Physician

https://www.aafp.org/journals/afp/issues/2015.html

2017

AFP issues for the year 2017.

American Family Physician

https://www.aafp.org/journals/afp/issues/2017.html

2018 AAFP FMX CME Schedule

...CME124 Stroke Rowland Room 208-210 • 1.00 CME credit • HEMATOLOGY/IMMUNE, PEDIATRICS CME207 Pediatric and Adolescent Immunization Update Temte Room 220-222 • 1.00 CME credit • NEPHROLOGIC CME177 Ask the Expert: Chronic Kidney Disease and End-Stage Renal Disease Shahady...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/fmx18-cme-schedule-onsite.pdf

2020 CME Session Topics

View the CME topics that will be discussed at the 2020 AAFP Family Medicine Experience (FMX) Conference: Chicago, October 13-17.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/cme/opportunities/session-topics.html

2020 Handouts

View handouts from the 2020 AAFP FMX.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/cme/handouts.html

41outp.pdf

...Stroke +10 Renal failure +10 Physical examination findings Altered mental status +20 Respiratory rate ≥ 30 breaths per minute +20 Systolic blood pressure < 90 mm Hg +20 Temperature < 95˚F (35˚C) or ≥ 104˚F (40˚C) +15 Pulse rate ≥ 125 beats per minute +10...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p41-rt1.pdf

5% Fluorouracil Is the Preferred Treatment for Actinic Keratoses - POEMs - American ...

Aug 15, 2019 - The use of topical 5% fluorouracil is most likely to result in successful elimination of actinic keratoses in a field on the head or face.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0815/p249a.html

647.pdf

...Several classes of drugs may be beneficial in the man- agement of psychotic symptoms in patients with demen- tia (Table 110-29). Atypical antipsychotics are the first-line agents for pharmacotherapy of psychotic symptoms.30 Anticonvulsants and acetylcholinesterase inhibitors may...

American Family Physician

https://www.aafp.org/afp/2006/0215/afp20060215p647.pdf

93.pdf

...45. Martin JN Jr, Thigpen BD, Moore RC, Rose CH, Cushman J, May W. Stroke and severe preeclampsia and eclampsia: a paradigm shift focusing on systolic blood pressure. Obstet Gynecol. 2005;105(2): 246-254. 46. Duley L, Henderson-Smart DJ, Meher S. Drugs for treatment of very high...

American Family Physician

https://www.aafp.org/afp/2008/0701/afp20080701p93.pdf

A 40-Year-Old Man with Chronic Generalized Rash - Photo Quiz - American Family Physician

Aug 1, 2005 - 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/2005/0801/p491.html

A Changing Climate Threatens Our Health

The health threats posed by climate change are alarming. Given the scope of the problem, everyone could potentially be affected -- and likely, many of us will be.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/a_changing_climate_threatens_our.html

A Devoted Couple - Close-ups - American Family Physician

Dec 1, 2019 - Life-long devotion and a mind-body mortality link between spouses.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/1201/p709.html

A Diagnostic Approach to Pruritus

...Stroke Other Drug ingestion Eating disorders with rapid weight loss Neuropsychiatric disorders Pregnancy Information from references 2, 3, 5, 7, 9, and 10. Pruritus 200 American Family Physician www.aafp.org/afp Volume 84, Number 2 ◆ July 15, 2011 Early...

American Family Physician

https://www.aafp.org/afp/2011/0715/afp20110715p195.pdf

A Diagnostic Approach to Pruritus - American Family Physician

Jul 15, 2011 - Pruritus can be a symptom of a distinct dermatologic condition or of an occult underlying systemic disease. Of the patients referred to a dermatologist for generalized pruritus with no apparent primary cutaneous cause, 14 to 24 percent have a systemic etiology. In the absence of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0715/p195.html

A Fall in the Dark - Close-ups - American Family Physician

Apr 15, 2007 - The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

American Family Physician : Close-ups

https://www.aafp.org/afp/2007/0415/p1177.html

A Family Physician Confronts Parkinson Disease - Close-ups - American Family Physician

Oct 1, 2015 - Education about promising physical therapies and treatments that may be on the horizon can be a source of encouragement for physicians and patients alike when facing a diagnosis of Parkinson disease.

American Family Physician : Close-ups

https://www.aafp.org/afp/2015/1001/p568.html

A New Approach to Making Your Doctor-Nurse Team More Productive -- FPM

Aug 1, 2008 - With proper training and delegation, your team can see more patients, deliver better care and feel more satisfied at work.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0700/p35.html

A Night at the Nursing Home -- FPM

May 1, 2008 - Sometimes, our patients give us gifts far greater than anything we've given them.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2008/0500/p46.html

A Primary Care Approach to Substance Misuse

...used enough to have that problem. You might be surprised to know that even small amounts of cocaine increase your risk of heart attack, stroke, and high blood pressure. Sometimes people have heart attacks from using cocaine just one time. Elicit response and feelings:...

American Family Physician

https://www.aafp.org/afp/2013/0715/afp20130715p113.pdf

A Primary Care Approach to Substance Misuse - American Family Physician

Jul 15, 2013 - Substance misuse is common among patients in primary care settings. Although it has a substantial health impact, physicians report low levels of preparedness to identify and assist patients with substance use disorders. An effective approach to office-based treatment includes a coherent...

American Family Physician : Article

https://www.aafp.org/afp/2013/0715/p113.html

A Primary Care Approach to the Patient with Claudication - American Family Physician

Feb 15, 2000 - Peripheral arterial occlusive disease occurs in about 18 percent of persons over 70 years of age. Usually, patients who have this disease present with intermittent claudication with pain in the calf, thigh or buttock that is elicited by exertion and relieved with a few minutes of rest. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1027.html

A Rational Approach to the Treatment of Hypertension in Special Populations - American ...

Jul 1, 1999 - Hypertension in blacks is usually characterized by low renin, expanded volume and sensitivity to salt. Diuretics are the preferred initial therapy, but response to calcium channel antagonists is also good. The blood pressure response to monotherapy with beta blockers or ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p156.html

AACE Releases Guidelines for Menopausal Hormone Therapy

...STROKE Some evidence shows that women on menopausal hor- mone therapy have more strokes, especially older women. OSTEOPOROSIS Menopausal hormone therapy should be used to prevent and treat osteoporosis when appropriate, after consider- ing the risks versus benefits in the...

American Family Physician

https://www.aafp.org/afp/2012/1101/afp20121101p864.pdf

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

AAFP Affirms Value of New Cholesterol Management Guideline

The AAFP recently gave its "affirmation of value" designation to a cholesterol management guideline jointly developed by the American College of Cardiology and the American Heart Association.

https://www.aafp.org/news/health-of-the-public/20190320acc-ahacholguidln.html

AAFP and ACP Release Practice Guideline on Management of Newly Detected Atrial ...

May 15, 2004 - The Joint Panel of the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP) have developed recommendations for adult patients with first-detected atrial fibrillation.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0515/p2474.html

AAFP Backgrounder: Obesity and Overweight

...to 42.4 percent in 2018.3 Common conditions that may be associated with obesity include coronary heart disease, end-stage renal disease, stroke, type 2 diabetes, and cancer, some of which are the leading causes of preventable death.3 Obesity is also associated with poorer mental...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/obesity/BKG-Obesity.pdf

AAFP Commission Chair

...Tia Johnson, Recording Secretary Subcommittee State Governmental Advocacy Shelby King, Staff Executive • Health Care Coverage for All (HCCA) • Monitoring the status and implementation of Health Care Payment and Practice Policy Programs • Health System Reform •...

https://www.aafp.org/dam/AAFP/documents/commissions/restricted/CommissionChair.pdf

AAFP Condemns All Forms of Racism

AAFP Condemns All Forms of Racism.

https://www.aafp.org/news/media-center/statements/aafp-condemns-all-forms-of-racism.html

AAFP Delivers Useful Clinical Resources for 2018

The AAFP offered a wide range of clinical recommendations and resources throughout 2017 -- including practice guidelines, immunization guidance and preventive services recommendations -- that members can use in 2018 and beyond.

https://www.aafp.org/news/resources-tools-2018/20180103yir-clinical.html

AAFP FMX 2020

...• The main goals of AF therapy are to improve symptoms, reduce morbidity (stroke, heart failure), and (possibly) reduce mortality. - AF may independently increase mortality above the mortality risk imposed by underlying diseases (CHF, CAD, HTN, etc.) 31 32 Outline •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-005.pdf

AAFP FMX 2020

...- Clinical or subclinical CV dz-excluding stroke. - CKD, GFR 20-60-excluding polycystic kidney dz. - 10-yr Framingham risk ≥15%. - Age ≥75. • DM and prior stroke excluded. • Composite endpoint: MI + ACS + stroke + HF + CV death. NEJM 2015;373:2103‐16 SPRINT Trial - Results...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-012.pdf

AAFP FMX 2020

...Stroke and TIA Alvin B. Lin, MD, FAAFP CAQ Geriatric Medicine Solo Private Practice, Las Vegas, NV ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-080.pdf

AAFP FMX 2020

...- 1.6% ARR in primary composite outcome: death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke - 1.4% ARR: hospitalization for heart failure - 2.5% ARR: death from any cause - Funded by Boehringer Ingelheim and Eli Lilly N Engl J Med...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-037.pdf

AAFP FMX 2020

...• Diabetes negates protective effect women have related to CVD and stroke risk • Triples risk of CVD in women, doubles it in men • 27% relative increase in stroke risk for women vs men • Differential shown in several studies and across Asian and non-Asian populations GDM...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-007.pdf

AAFP FMX 2020

...vertigo • Intracranial mass • Stroke/TIA - Posterior circulation • Chiari malformation • Multiple sclerosis Narrowing Your Diagnosis Duration Timing Episodic Constant Seconds BPPV Minutes-Hours Meniere disease Migraine TIA Days Migraine Vestibular neuritisCVA...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-074.pdf

AAFP FMX 2020

...• Adverse effects may develop such as a stroke/myocardial ischemia Pathophysiology • Poorly understood • Common mechanism believed to be a ‘tipping’ point when vascular resistance increases due to humoral vasoconstrictors • A critical arterial pressure overwhelms target...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-032.pdf

AAFP FMX 2020

...•Great masquerader −Pulmonary Embolism −ACS −Stroke •Missed 1 in 5 cases AAS is out to get you! 9 10 10/7/2020 6 Thoracic Aortic Dissection •Aortic dissection is relatively uncommon −2.6-3.5 per 100,000 person-years −60- to 80-year-old men • Women tend to...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-036.pdf

AAFP FMX 2020

...consider PCSK9 inhibitors • Very high risk = ACS (within 12 months, MI, Ischemic stroke, symptomatic PAD) Alenghat FJ, Davis AM, JAMA 2019 Feb 4 Grundy SM, et al. 2018 Guideline on the Management of Blood Cholesterol. Circulation. Nov 2018 AES Question 29 30 A....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-011.pdf

AAFP FMX 2020

...• ↓ CHF [HR = 0.58 (0.49-0.70)], ↓ Stroke [HR = 0.51 (0.41-0.63)] European Heart Journal (2019) 0, 1-12 What is a Hazard’s Ratio? 29 30 10/16/2020 16 EBM: What is a Hazards Ratio? • Hazard Ratio: Estimate of effect of an intervention on outcome at a given time....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-103.pdf

AAFP FMX 2020

...A. Current breast cancer B. Depression C. History of transient ischemic attack D. History of venous thromboembolism E. Unexplained vaginal bleeding Question 2 Which of the following is not a contraindication to hormone replacement therapy? 9 10 9/14/2020 6 A....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-147.pdf

AAFP FMX 2020

...•Every 34 seconds, one American has a coronary event •CAD often leads to heart failure and stroke and is the single largest killer of men and women in the U.S •Heart disease is the leading cause of mortality in the United States, with ~ 650,000 in 2017 (now tied with Cancer)1...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-002.pdf

AAFP FMX 2020

...- Primary outcome (nonfatal MI, nonfatal stroke, death from cardiovascular causes): 352 (intensive) vs. 371 (standard) (HR 0.90; 95% CI 0.78 to 1.04) - Death: 257 vs. 203 (HR 1.22; 95% CI 1.01 to 1.46) Intensive therapy arm discontinued at 3.5 years. 41 42 Factors...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-038.pdf

AAFP FMX 2020

...• Residual/recurrent stenosis • Death • Stroke • Aortic rupture • Aortic regurgitation Transcatheter Aortic Valve Replacement (TAVR) •For high risk patients who are not suitable candidates for surgical valve repair, TAVR is emerging as a viable option. •First study - 699...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-017.pdf

AAFP FMX 2020

...or Cr > 1.1 mg/dL • pulmonary edema • abruption • HELLP, liver hematoma • Abruption • Maternal stroke, MI, • (give streroids if < 34 weeks but do not wait) < 34 weeks: 24-48 hours after steroids, < 34 weeks and labor < 34 weeks for indications maternal or fetal ≥ 34 weeks,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-155.pdf

AAFP FMX 2020

...4 Suicide (7.6%) CLRD (5.3%) Stroke (5.8%) Stroke (8.1%) 5 Homicide (3.8%) Diabetes (3.8%) Alzheimer's disease (4.4%) CLRD (4.9%) Source: CDC, :https://www.cdc.gov/women/lcod/2017/all-races-origins/index.htm#anchor_1571151327 8 Priority Areas for the Well-Woman Visit...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-162.pdf

AAFP FMX 2020

...leading to inability to cooperate • Mod stenotic valvular heart dz • Recent stroke or TIA • Severe HTN (SBP ≥200 and/or DBP ≥110) • Tachy- or bradyarrhythmias, incl AFib w/RVR Absolute Contraindications Relative Contraindications Circulation 2002;106:1883-92; Am Fam...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-006.pdf

AAFP FMX 2020

...• Immobilization (15%) −Hospitalization or NH resident −Long travel (> 4-6 hours) −Stroke −Spinal cord injury • Cancer (20%) • Hypercoaguable states: Pregnancy/postpartum Oral contraceptive use Sickle Cell Disease Nephrotic syndrome Advanced CKD Factor V Leiden Prothrombin...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-013.pdf

AAFP FMX 2020

...•FDA requires labeling of testosterone products to include a warning about a possible increased risk for heart attacks and strokes •FDA does not support use of testosterone treatment in all patients with age-related low testosterone without informed decision making AES...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-040.pdf

AAFP FMX 2020

...stroke • hypertension • type 2 diabetes mellitus, • osteoporosis • obesity • colon and breast cancer • anxiety and depression • cognitive decline 7 8 More Benefits of Exercise • Improved outcomes in • mood disorders • dementia • chronic pain • congestive heart failure •...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-049.pdf

AAFP FMX 2020

...• Black box warning of increased risk of MI, stroke and CV death. Contraindicated if CV event in last 12 mos. 53 54 9/15/2020 28 Shared Decision Making Drug Dose Average retail price (GOOD RX) Insurance copays vary Treatment NNT Alendronate 70mg Oral Q week...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-055.pdf

AAFP FMX 2020

...• Useful adjunct/acceptable alternative: addiction, stroke rehab, OA, HA, LBP, tennis elbow, menstrual cramps, carpal tunnel, fibromyalgia • Sufficient evidence of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-058.pdf

AAFP FMX 2020

...• Bowel disorders, urinary incontinence, stroke, age 55-64, diabetes mellitus, vaginal delivery Brown, et al. 2012 Int J Clin Practice 66(11);1101-1108 Fecal Incontinence Accidental Bowel Leakage •Multifactorial: • Stool consistency • Rate of delivery to rectum, • Rectal...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-071.pdf

AAFP FMX 2020

...•For patients with acute myocardial infarction or stroke, oxygen should not be initiated when SpO2 is ≥93% (strong recommendation), as hyperoxia can be harmful; •Those at risk for hypercapnic respiratory failure should be maintained at lower targets (i.e., 88%-92%); •A few...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-102.pdf

AAFP FMX 2020

...•Use ASA in men > 50 yo for CV risk reduction •Use ASA in women > 60 yo for stroke risk reduction Aspirin - other usages •Aspirin for secondary prevention of CVD - Yes, do this •Aspirin for primary prevention in patients at high risk for colon cancer - consider. •Aspirin...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-004.pdf

AAFP FMX 2020

...•Heat stroke: Beware of agitated delirium (more later) •Hypothermia 33 34 10/7/2020 18 Infection • Infection but don’t blame it on that cystitis!! (CJEM. 2007 Mar;9(2):87-92.) −Mental status changes just as likely with and without positive urine culture. More...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-033.pdf

AAFP FMX 2020

...•Early on will compensate with increased HR (cardiac output and stroke volume are well maintained) •Decreased peripheral vascular resistance but warm extremities •Those on Beta-blockers, Calcium Channel Blockers etc may not have an increased HR or if poorly controlled HTN may...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-035.pdf

AAFP FMX 2020

...(33-55%). • Neuropsych sx (conflicting data, mostly neg). • CAD (conflicting data, ? more likely <65 yo or TSH >10). • HF (esp TSH >10). • ? Stroke (conflicting data, maybe only age 18-49). • Mortality (conflicting data). • Impaired fertility (conflicting data). • NAFLD. JCEM...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-039.pdf

AAFP FMX 2020

...•Antiplatelets/anticoagulants −ASA >160mg/d −ASA w/h/o peptic ulcer disease w/o PPI −ASA + antiplt for 2o stroke prevention unless s/p stent <12mo or concurrent acute coronary syndrome or high grade symptomatic carotid stenosis Age and Ageing. 2015;44:213-8 STOPP...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-050.pdf

AAFP FMX 2020

...arthritis, incontinence, stroke • Fear of falling Risk Factors Extrinsic • Environment - Dim lighting - Obstacles - Lack of support - hand rails, grab bars • Medications • Improper use of Assistive Devices 11 12 Screen • USPSTF - does not recommend in depth...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-051.pdf

AAFP FMX 2020

...18 yo AA female. Presents with fatigue. • Mother died 6 mo ago hemorrhagic stroke (HTN) • Heavy periods over the last 3 years • ROS negative for weight change, appetite change, diarrhea, constipation, depression or anxiety • ROS positive for racing heart, irregular periods,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-076.pdf

AAFP FMX 2020

...•Overactivity of NMDA receptors is proposed to cause excitotoxicity (epilepsy, dementia, and stroke) •Low activity of NMDA receptors is proposed to cause Schizophrenia 29 30 10/7/2020 16 Anti-NMDA (N-methyl D-aspartate) receptor antibody encephalitis •Acute form...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-075.pdf

AAFP FMX 2020

...Heart Disease Cancer Accidents Stroke National Vital Statistics Reports, Vol. 67, No. 6, July 26, 2018 7 8 9/11/2020 5 AES Question Question 1 HIV testing is recommended for teens who: A. Report a history of IV drug use B. Report high-risk sexual activity C....

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-091.pdf

AAFP FMX 2020

...any longer than if you don’t take it. If you take the drug for at least 2-3 years, you may be less likely to have another heart attack or stroke but at least 99 out of 100 people who take it won’t benefit at all. I have no way of knowing whether or not you will personally be the 1...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-107.pdf

AAFP FMX 2020

...• 3-4 X increased risk chronic HTN • 4.2 X increased risk heart failure • 81% increased risk stroke • 5-12 X increased risk end stage renal disease • 2 X increased risk arrhythmias, coronary artery disease and mortality • 3 month comprehensive cardiovascular postpartum...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-139.pdf

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