Screening for Chronic Kidney Disease - Putting Prevention into Practice - American ...
Feb 15, 2014 - A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/0215/p293.html
Urinalysis: Case Presentations for the Primary Care Physician - American Family Physician
Oct 15, 2014 - Urinalysis is useful in diagnosing systemic and genitourinary conditions. In patients with suspected microscopic hematuria, urine dipstick testing may suggest the presence of blood, but results should be confirmed with a microscopic examination. In the absence of obvious causes, the ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1015/p542.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 Treatment of Venous Ulcers - American Family Physician
Apr 15, 2010 - Venous ulcer, also known as stasis ulcer, is the most common etiology of lower extremity ulceration, affecting approximately 1 percent of the U.S. population. Possible causes of venous ulcers include inflammatory processes resulting in leukocyte activation, endothelial damage, platelet ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0415/p989.html
Diabetic Nephropathy--The Family Physician's Role - American Family Physician
May 1, 2012 - Nearly one-half of persons with chronic kidney disease have diabetes mellitus. Diabetes accounted for 44 percent of new cases of kidney failure in 2008. Diabetic nephropathy, also called diabetic kidney disease, is associated with significant macrovascular risk, and is the leading cause...
American Family Physician : Article
https://www.aafp.org/afp/2012/0501/p883.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
Screening for Coronary Heart Disease with Electrocardiography - Putting Prevention into...
Jan 15, 2014 - A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/0115/p79.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
Acute Management of Atrial Fibrillation: Part II. Prevention of Thromboembolic ...
Jul 15, 2002 - Family physicians should be familiar with the acute management of atrial fibrillation and the initiation of chronic therapy for this common arrhythmia. Initial management should include hemodynamic stabilization, rate control, restoration of sinus rhythm, and initiation of ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0715/p261.html
Primary Care of the Solid Organ Transplant Recipient - American Family Physician
Feb 1, 2016 - The advancing science of transplantation has led to more transplants and longer survival. As a result, primary care physicians are more involved in the care of transplant recipients. Immunosuppressive therapy has significantly decreased rates of transplant rejection but accounts for ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0201/p203.html
The Adult Well Male Examination - American Family Physician
May 15, 2012 - The adult well male examination should incorporate evidence-based guidance toward the promotion of optimal health and well-being, including screening tests shown to improve health outcomes. Nearly one-third of men report not having a primary care physician. The medical history should ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0515/p964.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
The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse ...
Aug 1, 2007 - Cytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0801/p391.html
Transient Ischemic Attack: Part I. Diagnosis and Evaluation - American Family Physician
Sep 15, 2012 - Transient ischemic attack is defined as transient neurologic symptoms without evidence of acute infarction. It is a common and important risk factor for future stroke, but is greatly underreported. Common symptoms are sudden and transient, and include unilateral paresis, speech ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0915/p521.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
Care of the Homeless: An Overview - American Family Physician
Apr 15, 2014 - Homelessness affects men, women, and children of all races and ethnicities. On any given night, more than 610,000 persons in the United States are homeless; a little more than one-third of these are families. Homeless persons are more likely to become ill, have greater hospitalization ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0415/p634.html
Treatment of Allergic Rhinitis - American Family Physician
Jun 15, 2010 - Allergic rhinitis is a common chronic respiratory illness that affects quality of life, productivity, and other comorbid conditions, including asthma. Treatment should be based on the patient’s age and severity of symptoms. Patients should be advised to avoid known allergens and be ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0615/p1440.html
Effect of Cocoa on Blood Pressure - Cochrane for Clinicians - American Family Physician
Apr 1, 2013 - Consuming 50 g of cocoa daily will lower blood pressure 2 to 3 mm Hg on average in adults with hypertension. Evidence of improved patient-oriented outcomes does not exist.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2013/0401/p484.html
Choosing a Skeletal Muscle Relaxant - American Family Physician
Aug 1, 2008 - Skeletal muscle relaxants are widely used in treating musculoskeletal conditions. However, evidence of their effectiveness consists mainly of studies with poor methodologic design. In addition, these drugs have not been proven to be superior to acetaminophen or nonsteroidal ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0801/p365.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
Cluster Headache - American Family Physician
Jul 15, 2013 - Cluster headache causes severe unilateral temporal or periorbital pain, lasting 15 to 180 minutes and accompanied by autonomic symptoms in the nose, eyes, and face. Headaches often recur at the same time each day during the cluster period, which can last for weeks to months. Some ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0715/p122.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
Sudden Infant Death Syndrome - American Family Physician
Jun 1, 2015 - Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation. The incidence of SIDS has decreased more than 50% in the ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0601/p778.html
Cardiovascular Risk of Combined Oral Contraceptive Use - FPIN's Clinical Inquiries - ...
Dec 15, 2012 - Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2012/1215/od4.html
Skin Deep: How to Properly Code for Biopsies and Lesion Removal -- FPM
Apr 1, 2019 - Learn about the new skin biopsy codes, and follow these tips to make sure you get full credit for the skin procedures you perform.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0300/p15.html
Multiple Sclerosis: A Primary Care Perspective - American Family Physician
Nov 1, 2014 - Multiple sclerosis (MS) is the most common permanently disabling disorder of the central nervous system in young adults. Relapsing remitting MS is the most common type, and typical symptoms include sensory disturbances, Lhermitte sign, motor weakness, optic neuritis, impaired ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1101/p644.html
Top 20 Research Studies of 2014 for Primary Care Physicians - American Family Physician
Sep 1, 2015 - A team of primary care clinicians with expertise in evidence-based medicine performed monthly surveillance of more than 110 English-language clinical research journals during 2014, and identified 255 studies that had the potential to change how family physicians practice. Each study was...
American Family Physician : Article
https://www.aafp.org/afp/2015/0901/p377.html
Intrauterine Devices: An Update - American Family Physician
Mar 15, 2014 - Three intrauterine devices (IUDs) are available in the United States: the copper T 380A and two levonorgestrel-releasing IUDs, one that releases 20 mcg of levonorgestrel per 24 hours, and one that releases 14 mcg per 24 hours. All are safe and effective methods of contraception that ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0315/p445.html
Prevention and Management of Postpartum Hemorrhage - American Family Physician
Mar 15, 2007 - Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0315/p875.html
Therapeutic Uses of Magnesium - American Family Physician
Jul 15, 2009 - Magnesium is an essential mineral for optimal metabolic function. Research has shown that the mineral content of magnesium in food sources is declining, and that magnesium depletion has been detected in persons with some chronic diseases. This has led to an increased awareness of proper...
American Family Physician : Article
https://www.aafp.org/afp/2009/0715/p157.html
Cesarean Delivery: Counseling Issues and Complication Management - American Family ...
Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0201/p178.html
Practical Selection of Antiemetics in the Ambulatory Setting - American Family Physician
Mar 1, 2015 - Nausea and vomiting are mediated primarily by three neurotransmitter pathways: visceral stimulation releases dopamine and serotonin; vestibular and central nervous system activation release histamine and acetylcholine; and chemoreceptor trigger zone activation releases dopamine and ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0301/p293.html
Five steps to set up ambulatory blood pressure monitoring in your practice -- FPM
Ambulatory blood pressure monitoring (ABPM) provides more accurate data than in-office blood pressure checks, which is useful for identifying issues that might otherwise stay hidden and ruling out white coat hypertension.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/ambulatory_bp_monitoring.html
Drug Dosing Adjustments in Patients with Chronic Kidney Disease - American Family ...
May 15, 2007 - Chronic kidney disease affects renal drug elimination and other pharmacokinetic processes involved in drug disposition (e.g., absorption, drug distribution, nonrenal clearance [metabolism]). Drug dosing errors are common in patients with renal impairment and can cause adverse effects ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1487.html
Putting Prevention into Practice - Dec 15, 2012 - American Family Physician
Dec 15, 2012 - Case study: A 73-year-old woman comes to your office for routine follow-up for hypertension. She lives alone in an apartment and walks slowly, requiring the use of a cane. She is otherwise healthy and alert. Her most recent eye examination was three years ago.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2012/1215/p1135.html
NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians - ...
Jul 15, 2001 - The National High Blood Pressure Education Program's Working Group on High Blood Pressure in Pregnancy recently issued a report implicating hypertension as a complication in 6 to 8 percent of pregnancies. Hypertension in pregnancy is related to one of four conditions: (1) chronic ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0715/p263.html
Recognition and Management of Polymyalgia Rheumatica and Giant Cell Arteritis - ...
Nov 15, 2013 - Polymyalgia rheumatica affects proximal muscles and joints, causing disability in older adults. Giant cell arteritis affects medium and large arteries and can result in blindness. These conditions overlap significantly, often occurring together. Despite the similarities, each has ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1115/p676.html
Management of Common Sleep Disorders - American Family Physician
Aug 15, 2013 - Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0815/p231.html
Nephrotic Syndrome in Adults: Diagnosis and Management - American Family Physician
Nov 15, 2009 - Nephrotic syndrome may be caused by primary (idiopathic) renal disease or by a variety of secondary causes. Patients present with marked edema, proteinuria, hypoalbuminemia, and often hyperlipidemia. In adults, diabetes mellitus is the most common secondary cause, and focal segmental ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1115/p1129.html
Revised AAP Guideline on UTI in Febrile Infants and Young Children - American Family ...
Nov 15, 2012 - In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1115/p940.html
Common Questions About Outpatient Care of Premature Infants - American Family Physician
Aug 15, 2014 - Preterm births (deliveries before 37 weeks’ gestation) comprise 12% of all U.S. births and are responsible for onethird of all infant deaths. Neonatal medical advances have increased survival, and primary care physicians often care for infants who were in the neonatal intensive care ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0815/p244.html
Arthropod Bites - American Family Physician
Dec 15, 2013 - The phylum Arthropoda includes arachnids and insects. Although their bites typically cause only local reactions, some species are venomous or transmit disease. The two medically important spiders in the United States are widow spiders (Latrodectus), the bite of which causes intense ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1215/p841.html
Neglected Parasitic Infections: What Every Family Physician Needs to Know - American ...
May 15, 2014 - Neglected parasitic infections, including Chagas disease, toxocariasis, cysticercosis, and toxoplasmosis, affect millions of persons in the United States. Relatively few resources have been devoted to surveillance, prevention, and treatment of these diseases. Chagas disease primarily ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0515/p803.html
Functional Decline in Older Adults - American Family Physician
Sep 15, 2013 - Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0915/p388.html
Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Adults - ...
May 1, 2012 - Attention-deficit/hyperactivity disorder in childhood can persist into adulthood in at least 30 percent of patients, with 3 to 4 percent of adults meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., diagnostic criteria. A number of conditions, such as thyroid ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0501/p890.html
Is Thrombolytic Therapy Effective For Pulmonary Embolism? - American Family Physician
Mar 15, 2002 - Pulmonary embolism is a disorder that is associated with significant morbidity and mortality. Right-sided heart failure and recurrent pulmonary embolism are the main causes of death associated with pulmonary embolism in the first two weeks after the embolic event. Thrombolysis is a ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0315/p1097.html
The Role of BNP Testing in Heart Failure - American Family Physician
Dec 1, 2006 - Brain natriuretic peptide (BNP) levels are simple and objective measures of cardiac function. These measurements can be used to diagnose heart failure, including diastolic dysfunction, and using them has been shown to save money in the emergency department setting. The high negative ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1201/p1893.html
Diverticular Bleeding - American Family Physician
Nov 1, 2009 - Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by ...
American Family Physician : Article
https://www.aafp.org/afp/2009/1101/p977.html
Indications for Anticoagulation in Atrial Fibrillation - American Family Physician
Jul 1, 1998 - Factors associated with an increased risk of thromboembolic events in patients with atrial fibrillation (AF) include increasing age, rheumatic heart disease, poor left ventricular function, previous myocardial infarction, hypertension and a past history of a thromboembolic event. ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0701/p130.html
Preconception Health Care - American Family Physician
Jun 15, 2002 - Appropriate preconception health care improves pregnancy outcomes. When started at least one month before conception, folic acid supplements can prevent neural tube defects. Targeted genetic screening and counseling should be offered on the basis of age, ethnic background, or family ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0615/p2507.html