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...She had nausea that began two days after the bite. She did not have fever, sore throat, joint aches, or body aches. She had a history of hypertension, gastroesophageal reflux disease, hyperlipid- emia, and osteoarthritis. She had no history of atopic dermatitis. Examination...

American Family Physician

...A 78-year-old man with a history of diabetes mellitus and hypertension presented with a four-month history of progressively worsen- ing, painless swelling at the base of his left thumbnail. The swelling was accompanied by a serosanguineous discharge at the cuticle. There was no...

American Family Physician

"Dietary Supplements: How Family Physicians Can Address Safety Concerns by Working with...

...ingredients, including corticosteroids, phosphodiesterase type 5 inhibitors, or sibutramine.18 Serious drug-drug interactions leading to hypertension or hepatic or cardiac toxicity have been documented.19,20 What can a physician do to support and protect patients from harm if...

American Family Physician

"My Rings Won't Fit Anymore" - Photo Quiz - American Family Physician

May 1, 2005 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

<FEFF><FEFF>Using Nontraditional Risk Factors in Coronary Heart Disease Risk ...

...Framingham risk score do benefit. Examples of persons in the inter- mediate-risk category include a 60-year- old man with untreated hypertension who Table 1. Using Nontraditional Risk Factors in CHD Risk Assessment: Clinical Summary of the USPSTF Recommendation Population...

American Family Physician

<FEFF>Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia

Date xx, xxxx Scientific

American Family Physician

<FEFF>Myocardial Infarction: Management of the Subacute Period

...and Angioten- sin Receptor Blockers. Angiotensin-converting enzyme (ACE) inhibitors are strongly recommended after an MI in patients with hypertension, diabetes mellitus, an LVEF of 40% or less, or chronic kidney disease.6,10 Randomized controlled trials (RCTs) have established that...

American Family Physician

<FEFF>See related article on page 000.

...vasculitis, and temporal arteritis.26 Chronic morning headaches may be associated with anxiety and depression, insomnia, sleep apnea, hypertension, musculoskeletal conditions, and use of anxiolytics and alcohol.27 • A transdisciplinary team approach, including cog- nitive...

American Family Physician

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

April 15, 2017

American Family Physician

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

October 1, 2016

American Family Physician


...Striae, buffalo hump, significant central obesity, easy bruising, hypertension, or proximal muscle weakness Cushing’s disease Tanner staging (Table 1) Primary versus secondary amenorrhea Thyroid examination Thyroid disease Transverse vaginal septum; imperforate hymen...

American Family Physician


...Cardiovascular Hypertension, hyperlipidemia, cardiomyopathy, long QT syndrome, atrial fibrillation Pulmonary Reactive airway disease, obstructive sleep apnea, restrictive lung disease Musculoskeletal Debilitating osteoarthritis, chronic low back pain, immobility...

American Family Physician


...Nonpharmacologic Strategies for Managing Hypertension RANDY WEXLER, M.D., M.P.H., and GLEN AUKERMAN, M.D. Ohio State University College of Medicine, Columbus, Ohio D espite all that is known about its adverse health consequences, high blood pressure still is poorly controlled in the...

American Family Physician


...Insulin resistance (metabolic syndrome [i.e., obesity, diabetes, hypertriglyceridemia, and hypertension]), lipoatrophy Medications (amiodarone [Cordarone], diltiazem [Cardizem], highly active antiretroviral therapy, steroids, tamoxifen [Nolvadex]) Refeeding syndrome Severe...

American Family Physician


...Cardiovascular: hypertension Neurologic: tumors may develop in the brain, on cranial nerves, or on the spinal cord Orthopedic: enlargement and deformation of bones, scoliosis Prader-Willi syndrome Dermatologic: leg edema or ulceration, lesions on head and anterior legs from...

American Family Physician


...Decongestants Oral: agitation, anorexia, dysrhythmia, dystonic reactions, headache, hypertension, irritability, nausea, palpitations, seizure, sleeplessness, tachycardia, vomiting Topical: drying of nasal membranes, nosebleeds, rebound nasal congestion Dextromethorphan...

American Family Physician


...In adults, obesity is strongly associated with type 2 diabetes, hypertension, osteo- arthritis, gout, dyslipidemia, cardiovascular disease, and biliary tract disease.4 There is also a strong association between obesity and cancers of the colon, breast (in postmeno- pausal women),...

American Family Physician


...9. Ananth CV, Savitz DA, Williams MA. Placental abruption and its associa- tion with hypertension and prolonged rupture of membranes: a meth- odologic review and meta-analysis. Obstet Gynecol 1996;88:309-18. 10. Gonen R, Hannah ME, Milligan JE. Does prolonged preterm premature...

American Family Physician


...Midlife to late-life onset; associated with risk factors such as hypertension and coronary artery disease Fatigue, exertional and paroxysmal nocturnal dyspnea, and peripheral edema Decreased DLCO, predominantly used to exclude other diagnoses Tuberculosis Onset at any age;...

American Family Physician


...Pressure in Pregnancy defined four categories of hypertension in pregnancy: chronic hypertension, gestational hypertension, preeclampsia, and preeclamp- sia superimposed on chronic hypertension.1 Chronic Hypertension Chronic hypertension is defined as a blood pressure measurement...

American Family Physician

A Burning Red Rash

October 15, 2017: Photo Quiz

American Family Physician

A Burning Red Rash - Photo Quiz - American Family Physician

Oct 15, 2017 - A man presented with a painful rash that began on his left chest and spread to his left back. There are no lesions anywhere else on his body.

American Family Physician : Photo Quiz

A Common Sense Approach to Perioperative Evaluation - Editorials - American Family ...

Nov 15, 2002 - ...on possible previous or current coronary artery disease (CAD), diabetes mellitus, congestive heart failure (CHF), vascular disease, and hypertension, all of which are markers of a long-term adverse prognosis. Physical examination, simple laboratory tests, such as hematocrit, renal...

American Family Physician : Editorials

A Different Look at Corticosteroids - American Family Physician

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

American Family Physician : Article

A Diffuse Nodular Eruption - Photo Quiz - American Family Physician Restricted content. Login required.

May 1, 2022 - A 40-year-old man presented with erythematous, raised, painful nodules across his trunk, back, arms, and legs and unintended weight loss.

American Family Physician : Photo Quiz

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