AAFP FMX 2020
...•Patient with severe COPD, still smoking −Possible pulmonary HTN, listen for: • Fixed split S2, right sided murmurs that change with respiration •Patient with HFrEF and an EF = 15% −Likely to have mitral regurgitation murmur AES Question 33 34 9/10/2020 18...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-017.pdf
AAFP FMX 2020
...male you diagnosed with HTN and HLD and were considering prescribing a statin, so you checked hepatic function panel. ALT and AST are 2x ULN. Rest of hepatic function panel is negative. Patient denies symptoms of liver disease. He takes amlodipine for HTN. He denies alcohol use. His...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-046.pdf
AAFP FMX 2020
...College of Radiology; CT=computed tomography; MRI=magnetic resonance imaging; SAH=subarachnoid hemorrhage; IIH=idiopathic intracranial hypertension. Douglas AC et al. J Am Coll Radiol. 2014;11:657‐667. Clinical Features/Red Flags Suspected Condition Recommended Imaging*...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-078.pdf
AAFP FMX 2020
...other illnesses like hypertension and hyperlipidemia. C. Explore barriers, focus on the improvements made in blood pressure and cholesterol management, and see what her goals of care may be. Joan is a 45 yo woman in your care for Type 2 diabetes, hypertension and...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-084.pdf
AAFP FMX 2020
...Mr. Smith is 62, and has DM2, HTN, and HLD. His most recent A1C was 9.3. What level of risk would you assign for this patient? A. Level 4 B. Level 5 C. Level 6 D. Need more information Mr. Smith is 62, and has DM2, HTN, and HLD. His most recent A1C was 9.3. What level of...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-111.pdf
AAFP FMX 2020
...Complex Chronic Care •HTN •HLD •CAD •CVA •PVD •Addiction •Hospital Discharge Continuity • HTN • DM • HLD • $50-$150/Visit • No matter how sick Well Care • CRC • BC • Flu Shot Condition Specific Care • diabetes • CHF Adapted from: Reframing Healthcare: A Roadmap For...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-117.pdf
AAFP FMX 2020
...given birth to an infant weighing 4,000g (approximately 9 lb) or more • Previous gestational diabetes mellitus • Hypertension (140/90 mm Hg or on therapy for hypertension) • Women with polycystic ovarian syndrome • Prediabetes 31 32 9/14/2020 17 USPSTF recommendations...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-142.pdf
AAFP FMX 2020
...Hypertension - Maternal obesity independent risk factor for development of a hypertensive disorder of pregnancy - Risk PEC doubles with every 5-7 kg/m2 increase in pre-pregnancy BMI - Women undergoing pre-pregnancy bariatric surgery significantly decreases risk development...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-148.pdf
AAFP FMX 2020
...62-year-old man presents as a new patient. He has DM Type 2, HTN, coronary artery disease and is a smoker. Total Cholesterol is 180, Triglycerides are 185, LDL is 113, HDL is 30. BP is 126/78. Meds: metformin ER 1000 mg, ASA 81 mg, atorvastatin 20 mg, lisinopril 20 mg, amlodipine 10...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-011.pdf
AAFP FMX 2020
...•Caused by venous hypertension from residual venous obstruction by thrombus •Develops in 20%-50% following a DVT despite anticoagulant treatment •Severe PTS in 5%-10% of cases •Most cases occur within 1 year of acute DVT •Symptoms similar to those of primary venous...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-013.pdf
AAFP FMX 2020
...is a 73 y.o. retired school teacher who comes in with productive cough for 2 days, some chills, and fatigue. No fever. She has Type 2 DM and HTN both controlled with medication. She has stage IV CKD with her last GFR = 25. No hemoptysis, vomiting, diarrhea, or chest pain. No flu...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-048.pdf
AAFP FMX 2020
...•Associated Conditions −Hypertension −Dyslipidemia −Small for Gestational Age Birth Weight Standards of Medical Care in Diabetes-2014 American Diabetes Association Diabetes Care 2014 Jan; 37(Supplement 1): S14-S80 When and How? •Start at age 10 or onset of puberty if before...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-097.pdf
AAFP FMX 2020
...Patient Characteristics: Age, DM, HTN, birth weight, prenatal care, Obstetrical history, multiple gestation, abruption, previa, accreta, anticoagulant use during pregnancy, (Grobman 2015) A cohort study of 115,502 women who delivered at 25 hospitals across the United States over...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-106.pdf
AAFP FMX 2020
...Hypertension Hypertension Released Coronary Heart Disease Heart DiseaseHeart Failure Diabetes Diabetes November/December 2020 Preventive Medicine Preventive HealthHealth Behaviors Asthma Asthma Depression Mental Health CareMental Health Vulnerable Elderly Care of Older...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-110.pdf
AAFP FMX 2020
...A. Obesity B. Hypertension C. Sexual dysfunction D. Infertility E. A, C and D AES Question 1 19 yo, healthy, no meds CC: irregular menstrual cycles Menarche age 12, somewhat irregular over the years For the past year, menses q 4-5 months LMP 6 months ago What other symptom(s)...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-152.pdf
AAFP FMX 2020
...cardiovascular risk factors and risk of overall cardiovascular disease: −Preeclampsia/Eclampsia/HELLP: RR 2.15, 95% CI 1.76-2.61 −HTN: RR 4.46, 95% CI 3.14-6.33 −Ischemic heart disease: RR 2.06, 95% CI 1.68-2.52 −Stroke: RR 1.53, 95% CI 1.21-1.92 −Diabetes: RR 2.27, 95% CI 1.55-3.32...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-154.pdf
AAFP FMX 2020
...cesarean (CS) rates (Induction of labor rates increasing) • Higher rates of unintended pregnancies, drug and alcohol use, grand multiparity, HTN in pregnancy • Medicaid is the single largest payor for maternity care (43% of all US births or 1.7 of 3.9 million births/year) covers...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-158.pdf
AAFP FMX 2020
...•72 yo Black male: −Has osteoarthritis of both knees controlled with prn Tylenol −HTN on amlodipine 10 and lisinopril 20 with BP 135/80 −No h/o CVD, heart failure, or DM −Non smoker −Lipids: TC 240; LDL 160; HDL 55; TG 150 •ASCVD risk? •Start aspirin? AES Question 27 28...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-004.pdf
AAFP FMX 2020
...Question 1 A 62 year-old man is seeing you today for DM follow-up, no complaints. Past medical history significant for T2DM x10yrs, HTN, s/p AMI 6 months ago. Current Meds: metformin 1,000mg BID, clopidogrel 75mg daily, ASA 81mg daily, rosuvastatin 20mg daily, lisinopril 20mg...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-009.pdf
AAFP FMX 2020
...•Encephalitis/encephalopathy −Viral, HTN, etc. (if you aren’t going to tap them and this is a consideration, cover them with acyclovir and abx) •Trauma •Non-convulsive status (more later) −Frontal lobe bizarre hyperactivity seizures −Supplementary motor area seizures −Frontal...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-033.pdf
AAFP FMX 2020
...• PMH: HTN-controlled on meds • Meds: HCTZ, ASA 81 mg daily • FH noncontributory • SH: former smoker, 30 pack- years • ROS: no palpitations, no GI sx • Exam: - By your office scale, 30# wt loss in 6 months. - BP 140/82. - Pulse 90. - No tremor. - No goiter. DDx • Cancer...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-039.pdf
AAFP FMX 2020
...• Type 2 Diabetes Mellitus • Insulin Resistance / Prediabetes / Metabolic Syndrome • Poorly Controlled Hypertension • Non-Alcoholic Fatty Liver Disease / Non-Alcoholic Steatohepatitis • Obstructive Sleep Apnea • Debilitating Knee/Hip Osteoarthritis • Urinary Stress Incontinence 9...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-041.pdf
AAFP FMX 2020
...groups of screening tests is appropriate for a 44-year-old man with chronic hepatitis C virus infection and clinical features of portal hypertension and cirrhosis? (Choose one) 53 54 9/10/2020 28 A. Barium swallow study and abdominal ultrasound B. MRI of the liver and...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-044.pdf
AAFP FMX 2020
...edema w/o clinical, biochemical or radiologic evidence of heart failure, liver failure, nephrotic syndrome or renal failure −Loop diuretic for HTN w/concurrent urinary incontinence Age and Ageing. 2015;44:213-8 STOPP •Cardiovascular −Thiazide diuretic if • Hypokalemia •...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-050.pdf
AAFP FMX 2020
...glaucoma, macular degeneration, anxiety, COPD, and she is an active smoker with no interest in quitting because it helps her nerves, and hypertension. 9 10 Risk Factors Intrinsic • Age • Previous falls • Poor vision • Frailty - low endurance, weakness • Weight loss •...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-051.pdf