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hypertension

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Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: ...

Jan 15, 2017 - The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: (1) they are ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0115/od1.html

Hyperlipidemia: Drugs for Cardiovascular Risk Reduction in Adults - American Family ...

Jan 15, 2017 - Guidelines from the American College of Cardiology/American Heart Association (ACC/AHA) and the U.K. National Institute for Health and Care Excellence (NICE) indicate that lipid-lowering drugs have benefit for primary and secondary prevention of atherosclerotic cardiovascular disease ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0115/p78.html

Taking Care of Disadvantaged Patients - Curbside Consultation - American Family Physician

Jan 15, 2017 - No single person can be responsible for the health of a population. However, there are a number of strategies for taking care of members of disadvantaged populations. These range from targeted compassion and interventions for the individual patient to broad advocacy for disadvantaged ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0115/p118.html

ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus - Practice ...

Jan 1, 2017 - The American Diabetes Association (ADA) recently updated its standards of care to provide the components of diabetes care, general treatment goals, and tools to evaluate the quality of care. Key changes in the 2016 update include new screening recommendations, clarification of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0101/p40.html

Autism Spectrum Disorder: Primary Care Principles - American Family Physician

Dec 15, 2016 - Autism spectrum disorder is characterized by difficulty with social communication and restricted, repetitive patterns of behavior, interest, or activities. The Diagnostic and Statistical Manual of Mental Disorders, 5th ed., created an umbrella diagnosis that includes several previously ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1215/p972.html

Diabetes Mellitus: Management of Gastrointestinal Complications - American Family ...

Dec 15, 2016 - Gastrointestinal disorders are common complications of diabetes mellitus and include gastroparesis, nonalcoholic fatty liver disease, gastroesophageal reflux disease, and chronic diarrhea. Symptoms of gastroparesis include early satiety, postprandial fullness, nausea, vomiting of ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1215/p980.html

Screening for Lipid Disorders in Children and Adolescents: Recommendation Statement - ...

Dec 15, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years or younger.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/1215/od1.html

Hormone Therapy and Other Treatments for Symptoms of Menopause - American Family Physician

Dec 1, 2016 - The results of large clinical trials have led physicians and patients to question the safety of hormone therapy for menopause. In the past, physicians prescribed hormone therapy to improve overall health and prevent cardiac disease, as well as for symptoms of menopause. Combined ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1201/p884.html

Coding & Documentation - Nov-Dec 2016 -- FPM

Dec 1, 2016 - ...Coding for Hypertension: Painting a Picture of the Severity of Illness Skin Deep: How to Properly Code for Biopsies and Lesion Removal Coding Level 4 Office Visits Using the New E/M Guidelines Editor's Collections Documentation Guidelines Coding & Documentation...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/1100/p31.html

Erectile Dysfunction - American Family Physician

Nov 15, 2016 - Erectile dysfunction (ED) is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is common, affecting at least 12 million U.S. men. The five-question International Index of Erectile Function allows rapid clinical assessment of ED. The ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p820.html

Acute Monoarthritis: Diagnosis in Adults - American Family Physician

Nov 15, 2016 - Acute monoarthritis can be the initial manifestation of many joint disorders. The most common diagnoses in the primary care setting are osteoarthritis, gout, and trauma. It is important to understand the prevalence of specific etiologies and to use the appropriate diagnostic modalities....

American Family Physician : Article

https://www.aafp.org/afp/2016/1115/p810.html

Initial Management of Patients with HIV Infection - American Family Physician

Nov 1, 2016 - Human immunodeficiency virus (HIV) infection has become a treatable chronic disease with near-normal life expectancy when patients receive antiretroviral therapy (ART). Family physicians and other primary care clinicians commonly provide long-term comprehensive care for persons with HIV...

American Family Physician : Article

https://www.aafp.org/afp/2016/1101/p708.html

Hypertensive Urgency Not Really an Urgent Problem - POEMs - American Family Physician

Nov 1, 2016 - It seems that rapid treatment of patients with hypertensive urgency is unsuccessful and unnecessary. In this study of almost 60,000 patients, 80% did not have controlled blood pressure (less than 140/90 mm Hg) after one month of treatment, including patients who were hospitalized. On ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1101/p750a.html

Primary Care for Patients with HIV Infection: It’s Not Who Should Provide It, It’s How ...

Nov 1, 2016 - The major challenge is not to address whether primary care clinicians without substantial HIV experience should provide HIV care, but to create a framework that allows all primary care clinicians to provide the best possible care for their patients living with HIV infection.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/1101/p687.html

High-Deductible Plans May Reduce Ambulatory Care Use - Graham Center Policy One-Pagers ...

Nov 1, 2016 - Although rates of uninsured Americans are declining because of the Affordable Care Act (ACA), there is growing concern about out-of-pocket expenditures associated with private high-deductible insurance plans.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1101/p727.html

Prescribing for Opioid Addiction Is My Responsibility

Federal law requires physicians to pass an eight-hour course and apply for a waiver to prescribe buprenorphine. Alan Schwartzstein, M.D., explains why he thinks it's a worthwhile investment.

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

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

The Pretravel Consultation - American Family Physician

Oct 15, 2016 - Key components of the pretravel consultation include intake questions regarding the traveler’s anticipated itinerary and medical history; immunizations; malaria prophylaxis; and personal protection measures against arthropod bites, traveler’s diarrhea, and injury. Most vaccinations that...

American Family Physician : Article

https://www.aafp.org/afp/2016/1015/p620.html

ACE Inhibitors or ARBs to Prevent CKD in Patients with Microalbuminuria - FPIN's ...

Oct 15, 2016 - ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/1015/p652.html

Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer:...

Oct 15, 2016 - The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life expectancy of at ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/1015/od1.html

Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer ...

Oct 15, 2016 - S.L. is a 55-year-old man who presents to your office for a routine refill of his antihypertension medication. He also takes a statin and an antidepressant. Although he smokes, his blood pressure and cholesterol are well controlled. His history and physical examination are unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/1015/p661.html

ACIP Updates Influenza Vaccination Recommendations for 2016-2017 - Practice Guidelines ...

Oct 15, 2016 - The Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices (ACIP) has released its annual recommendations for routine influenza vaccination in the 2016–2017 season.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/1015/p668.html

Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign - ...

Oct 1, 2016 - The authors applied a novel method to identify recent clinical studies that showed results consistent with the principles of the Choosing Wisely campaign. The method, based on crowdsourcing studies known as POEMs (patientoriented evidence that matters), involved analyzing POEM ratings ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1001/p566.html

Practical Ways to Improve Medication Adherence -- FPM

Oct 1, 2016 - Half of our patients do not take their medications, but we can change that.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2016/0900/p52.html

Coding & Documentation - Sep-Oct 2016 -- FPM

Oct 1, 2016 - ...Coding for Hypertension: Painting a Picture of the Severity of Illness Editor's Collections ICD-10 Coding Coding & Documentation Related Topic Searches ICD-10 MOST RECENT ISSUE Mar-Apr 2021 Access the latest issue of FPM journal Read the Issue FPM...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0900/p40.html

Exercise Is Effective Therapy for Chronic Nonbacterial Prostatitis and Chronic Pelvic ...

Oct 1, 2016 - ...CNP/CPPS; men with this condition at the start of the surveys in 1986 were excluded. The surveys also included questions on tobacco use, hypertension, duration of weekly screen time in 1988, amount of physical activity, and type of physical activity. Based on symptoms, 689 men...

American Family Physician : Letter

https://www.aafp.org/afp/2016/1001/p533.html

Pulmonary Hypertension: Diagnosis and Treatment - American Family Physician

Sep 15, 2016 - Pulmonary hypertension is a common, complex group of disorders that result from different pathophysiologic mechanisms but are all defined by a mean pulmonary arterial pressure of 25 mm Hg or greater. Patients often initially present to family physicians; however, because the symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0915/p463.html

Diagnosis and Treatment of Atrial Fibrillation - American Family Physician

Sep 15, 2016 - Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. It is the most common arrhythmia and a major source of morbidity and mortality; its prevalence increases with age. Pulse rate is sensitive, but not specific, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0915/p442.html

Medications for Chronic Asthma - American Family Physician

Sep 15, 2016 - Chronic asthma is a major health concern for children and adults worldwide. The goal of treatment is to prevent symptoms by reducing airway inflammation and hyperreactivity. Step-up therapy for symptom control involves initiation with low-dose treatment and increasing intensity at ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0915/p454.html

Clinical Diagnosis of Gout Without Joint Aspirate - Point-of-Care Guides - American ...

Sep 15, 2016 - Gout is ideally diagnosed through identification of characteristic negatively birefringent crystals under polarized light microscopy in fluid aspirated from end-organ deposits, typically from a joint. However, fewer than 10% of patients with gout see a rheumatologist, and most cases of ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2016/0915/p505.html

AAFP Releases Position Paper on Preconception care - Practice Guidelines - American ...

Sep 15, 2016 - The American Academy of Family Physicians (AAFP) has released a position paper providing evidence-based recommendations that address reproductive health care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0915/p508.html

Preventing Diagnostic Errors in Primary Care - Editorials - American Family Physician

Sep 15, 2016 - Taking specific steps to make diagnosis more reliable is something we should all consider. We will never be perfect, but we owe it to our patients and our profession to improve. A diagnostic checklist is included.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0915/p426.html

Healthy Aging with Intimations of Mortality - Close-ups - American Family Physician

Sep 15, 2016 - End-of-life discussions in moments of excellent health may pose as much of a challenge as waiting until illness arrives.

American Family Physician : Close-ups

https://www.aafp.org/afp/2016/0915/p474.html

AAFP News - Sep 15, 2016 - American Family Physician

Sep 15, 2016 - Selected policy and health issues news briefs from AAFP News.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2016/0915/p420.html

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults - American Family Physician

Sep 1, 2016 - Obstructive sleep apnea is a common disorder that causes patients to temporarily stop or decrease their breathing repeatedly during sleep. This results in fragmented, nonrestful sleep that can lead to symptoms such as morning headache and daytime sleepiness. Obstructive sleep apnea ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0901/p355.html

Update on Office-Based Strategies for the Management of Obesity - American Family ...

Sep 1, 2016 - Obesity is a common condition that is associated with numerous medical problems such as cardiovascular disease, pulmonary disease, and diabetes mellitus. Primary care physicians have an important role in helping patients develop a successful weight loss plan to improve their overall ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0901/p361.html

Physicians, Wellness Should Begin With Us

Venis Wilder, M.D., writes that when physicians neglect their own needs, their ability to care for others suffers, as well.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/physicians_wellness_should_begin_with.html

How to Recognize OSA and What It Means for Your Health - American Family Physician

Sep 1, 2016 - ...Hypertension (not controlled with medicine) Depression Increased risk of motor vehicle crashes Overall increased risk of death Where can I get more information? Your doctor American Sleep Apnea Association http://www.sleepapnea.org/ National Heart, Lung, and Blood Institute...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2016/0901/p355-s1.html

Systemic Lupus Erythematosus: Primary Care Approach to Diagnosis and Management - ...

Aug 15, 2016 - Systemic lupus erythematosus is an autoimmune disease that affects many systems, including the skin, musculoskeletal, renal, neuropsychiatric, hematologic, cardiovascular, pulmonary, and reproductive systems. Family physicians should be familiar with the manifestations of lupus to aid ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0815/p284.html

Screening for Depression in Adults - Putting Prevention into Practice - American Family...

Aug 15, 2016 - A.B., a 29-year-old man, presents to your office for a routine visit. He has a history of being overweight and has hypertension that is controlled by diet and exercise.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0815/p305.html

Behavioral Disorders in Dementia: Appropriate Nondrug Interventions and Antipsychotic ...

Aug 15, 2016 - Behavioral and psychological symptoms of dementia pose management challenges for caregivers and clinicians. Firstline nonpharmacologic treatments include eliminating physical and emotional stressors, modifying the patient’s environment, and establishing daily routines. Family members ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0815/p276.html

Treating Painful Diabetic Peripheral Neuropathy: An Update - American Family Physician

Aug 1, 2016 - Painful diabetic peripheral neuropathy occurs in approximately 25% of patients with diabetes mellitus who are treated in the office setting and significantly affects quality of life. It typically causes burning pain, paresthesias, and numbness in a stocking-glove pattern that progresses...

American Family Physician : Article

https://www.aafp.org/afp/2016/0801/p227.html

Vision Loss in Older Adults - American Family Physician

Aug 1, 2016 - Vision loss affects 37 million Americans older than 50 years and one in four who are older than 80 years. The U.S. Preventive Services Task Force concludes that current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in adults...

American Family Physician : Article

https://www.aafp.org/afp/2016/0801/p219.html

How to Document and Code Medicare Preventive Services -- FPM

Aug 1, 2016 - Think of this as your field guide to the rules surrounding Medicare preventive services.

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0700/p9.html

Coding & Documentation - Jul-Aug 2016 -- FPM

Aug 1, 2016 - ...Coding for Hypertension: Painting a Picture of the Severity of Illness Editor's Collections Coding ICD-10 Coding Coding & Documentation Related Topic Searches ICD-10 CPT: Modifiers MOST RECENT ISSUE Mar-Apr 2021 Access the latest issue of FPM journal...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0700/p38.html

Diagnosis and Treatment of Polycystic Ovary Syndrome - American Family Physician

Jul 15, 2016 - Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the syndrome is complex and there is no single defect from which it is known to result, it is ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p106.html

Current Concepts in Adult Acute Rhinosinusitis - American Family Physician

Jul 15, 2016 - Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory care. Most cases of acute rhinosinusitis are caused by viral upper respiratory infections. A meta-analysis based on individual patient data found that common clinical signs and symptoms were ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0715/p97.html

Genetic Test Results That Identify Increased Risk Do Not Change Behavior - POEMs - ...

Jul 15, 2016 - Patients informed via genetic test results that they were at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabetes mellitus or hypertension were no more likely to change their diet or increase their physical activity. ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0715/p168.html

Liraglutide (Saxenda) for Weight Loss - STEPS - American Family Physician

Jul 15, 2016 - Liraglutide, combined with lifestyle counseling, produces a clinically significant and sustained weight loss that continues as long as it is used. Nausea and vomiting, however, are common adverse effects, and about one in 10 patients will discontinue treatment.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/0715/p161.html

Trigeminal Neuralgia - Clinical Evidence Handbook - American Family Physician

Jul 15, 2016 - What are the effects of ongoing treatments in persons with trigeminal neuralgia?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2016/0715/p133.html

Diagnosis and Management of Vertebral Compression Fractures - American Family Physician

Jul 1, 2016 - Vertebral compression fractures (VCFs) are the most common complication of osteoporosis, affecting more than 700,000 Americans annually. Fracture risk increases with age, with four in 10 white women older than 50 years experiencing a hip, spine, or vertebral fracture in their lifetime. ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0701/p44.html

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