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hypertension

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afp20180815p240.pdf

...are no known specific conditions or risk factors associated with poste- rior epistaxis.3,6 It is unclear whether seasonal changes or hypertension has a direct role.4,6,11 Physical Examination The physical examination should begin with assessment of vital signs, mental status, and...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p240.pdf

afp20180815p251.pdf

...hair and blue eyes presented for his annual physical exam- ination. His medical history was significant for type 2 diabetes mellitus, hypertension, hyperlip- idemia, and primary hypothyroidism. The physical examination revealed multi- ple nevi on his back and a nontender,...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p251.pdf

afp20180815p253.pdf

...Case Study Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque. Mrs....

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p253.pdf

afp20180815p256.pdf

...respira- tory symptoms, nausea, emesis, vision changes or scotoma, photophobia or phonophobia, or gait changes, and has no history of hypertension. She has slight neck stiffness that she attributed to vigorous exercise that morning. She had taken 800 mg of ibuprofen, which helped...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p256.pdf

afp20180901p276.pdf

...Blood Pressure Targets for Patients with Hypertension and Cardiovascular Disease Dustin K. Smith, DO, FAAFP; Paul Seales, MD; and Sajeewane Seales, MD, MPH Naval Hospital Jacksonville Family Medicine Resi- dency Program, Jacksonville, Florida Author disclosure: No relevant...

American Family Physician

https://www.aafp.org/afp/2018/0901/afp20180901p276.pdf

afp20180915od1.pdf

...risk of CVD events are usually treated with a combination of diet and exercise mod- ifications, lipid-lowering medications, aspirin, hypertension management, and interventions to encourage tobacco cessation. Other relevant USPSTF recommendations The USPSTF has made...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915od1.pdf

afp20180915p341.pdf

...cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with fewer than one adverse cardiovascular event per 1 million patients exposed.1 Eletriptan is a...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p341.pdf

afp20180915p342.pdf

...cerebrovascular disease, and uncontrolled hypertension. A 2004 American Headache Society consensus statement noted that the cardiovascular risk for triptans is relatively small, with fewer than one adverse cardiovascular event per 1 million patients exposed.1 Eletriptan is a...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p342.pdf

afp20180915p347.pdf

...Hypertension Measure blood pressure Insufficient evidence (Grade I)17 Screen annually beginning at 3 years of age (SOR C)18 Iron deficiency Complete blood count Insufficient evidence (Grade I)19 Screen at 12 months; consider sup- plements for preterm or exclusively breastfed...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p347.pdf

afp20180915p354.pdf

...Systemic disease Malignant hypertension, sys- temic lupus erythematosus, scleroderma, liver disease, vasculitides, hypersplenism Trapping, fragmentation Extravascular or intravascular Disease-specific testing Disease-specific treatment Trauma Endovascular devices,...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p354.pdf

afp20180915p368.pdf

...in life. Mater- nal benefits include decreased risk of breast cancer, ovarian cancer, cardiometabolic disease (type 2 diabetes mellitus, hypertension, and cardiovascular disease), and postpartum depression. Table 1 lists the benefits of breastfeeding.2-5 EVIDENCE SUMMARY The...

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p368.pdf

afp20181001p437.pdf

...Monitor for hypersensitivity and hypertension (3.8%) vs. hypotension (1%) Ferric gluco- nate (Ferrlecit) 62.5 mg per 5 mL of solution 10 mL diluted in 100 mL of saline over multiple treatments Give 2-mL test dose diluted in 50 mL of saline infused over one hour before...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p437.pdf

afp20181015od2.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od2.pdf

afp20181015od3.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od3.pdf

afp20181015od4.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od4.pdf

afp20181015od5.pdf

...matters. For example, nonfasting lipid levels are a better predictor of mortality than fasting lipid levels. Recent guide- lines for hypertension, including those from the U.S. Preventive Services Task Force, have emphasized the need to confirm elevated blood pressure in most...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015od5.pdf

afp20181015p476.pdf

...321 million at the time) compared with the 10 other countries (combined population of 318 million). They focused on drugs prescribed for hypertension, pain, hyperlipidemia, diabetes mellitus, gastrointestinal issues, and depression, and found that per capita expenditures in these...

American Family Physician

https://www.aafp.org/afp/2018/1015/afp20181015p476.pdf

afp20181101p590.pdf

...Comorbidities such as hypertension, hyperlipidemia, nephropathy, and retinopathy should be assessed in children and adolescents with type 2 diabetes. C 6, 11, 22 A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p590.pdf

afp20181101p595.pdf

...Obstetric: visual disturbance (scotomata), proteinuria, hypertension Nonobstetric or obstetrically aggravated: tension or migraine headache, meningitis, sinusitis (viral, allergic, bacterial), sub- arachnoid hemorrhage, brain tumor Obstetric: preeclampsia HELLP = hemolysis,...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p595.pdf

afp20181101p607.pdf

...pain, and it progressed in an ascending fashion. The patient had a history of atrial fibrillation, chronic obstructive pulmonary disease, hypertension, hyperlipidemia, and mod- erate osteoarthritis. Physical examination revealed tender, non- blanching, nonpruritic purpura on the...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p607.pdf

afp20181115p561.pdf

...Case Scenario A 62-year-old white man with hypertension pres- ents for a routine physical examination. He does not smoke and has a body mass index of 32 kg per m2. After being sedentary for many years, he is about to begin an exercise program. His wife thinks he should get his heart...

American Family Physician

https://www.aafp.org/afp/2018/1115/afp20181115p561.pdf

afp20181115p577.pdf

...Hypertension 14 26.3 30.2 Asthma 14 20.1 14.9 History of infectious disease 14 14.3 21 Arthritis or rheumatism 14 12.9 15 Heart conditions 14 10.4 9.8 Diabetes mellitus or high blood glucose levels 14 7.2 9 Information from references 13 through 15. 580...

American Family Physician

https://www.aafp.org/afp/2018/1115/afp20181115p577.pdf

afp20181201p645.pdf

...Rare, indolent, or incompletely studied: breast or uterine cancer, cardiovas- cular and cerebrovascular disease, hypertension, liver dysfunction Increased acne/oily skin, amen- orrhea risk, clitoral size, facial and body hair, fat redistribution, muscle mass, strength, vaginal...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p645.pdf

afp20181201p661.pdf

...Prednisone 40 to 60 mg by mouth daily Hypertension, fluid retention, weight gain, hypernatremia, elevated blood glucose, osteoporosis, mood disorder, increased risk of infection, narrow angle glaucoma None Blood pressure, electrolyte panel, blood glucose level, mental status,...

American Family Physician

https://www.aafp.org/afp/2018/1201/afp20181201p661.pdf

afp20190101p14.pdf

...mishap in the cognitively impaired, as well as potential drug- drug and disease-drug interactions (e.g., agitation, open-angle glaucoma, hypertension, other cardio- vascular conditions) in this aging population. The practice recommendations in this activity are available at http://...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p14.pdf

afp20190101p15.pdf

...mishap in the cognitively impaired, as well as potential drug- drug and disease-drug interactions (e.g., agitation, open-angle glaucoma, hypertension, other cardio- vascular conditions) in this aging population. The practice recommendations in this activity are available at http://...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p15.pdf

afp20190101p17.pdf

...Dry mouth, hypertension, insomnia, mydriasis, nausea, nervousness, seizures Do not use within 14 days of MAOI $30 COPD = chronic obstructive pulmonary disease; ER = extended release; MAOI = monoamine oxidase inhibitor. *-Estimated retail price of one month’s treatment...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p17.pdf

afp20190101p44.pdf

...for a follow-up visit and for medication refills after she had been laid off from her job. She has a history of type 2 diabetes mellitus, hypertension, and breast cancer. She was worried that she would not be able to afford access to health care after losing her employer-based...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p44.pdf

afp20190101p47.pdf

...lesions on his elbows and knees that had been present for about five years. The patient’s history included tobacco use, newly diag- nosed hypertension, and a recent transient ischemic attack. Before the transient ischemic attack, he was not seeing a physician regularly. Physical...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p47.pdf

afp20190101p53.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p53.pdf

afp20190101p53a.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p53a.pdf

afp20190101p54.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p54.pdf

afp20190101p55.pdf

...Clinical Question Is lower systolic blood pressure associated with better outcomes in older patients who take anti- hypertension medications? Bottom Line In this small cohort study of patients older than 85 years, lower systolic blood pressure during treatment with...

American Family Physician

https://www.aafp.org/afp/2019/0101/afp20190101p55.pdf

afp20190115p109.pdf

...Heart failure, atrial fibrillation, pulmonary hypertension, dilated cardiomyopathy Echocardiography Musculoskeletal Infectious Epidural abscess Back pain and local tenderness, fever, late neurologic compromise MRI with contrast media, then CT-guided biopsy...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p109.pdf

afp20190115p123.pdf

...in the past six months. She does not have a history of smoking, chest pain, or shortness of breath. She has never been diagnosed with hypertension or hypercho- lesterolemia, but her brother and father have both. Downloaded from the American Family Physician website at...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p123.pdf

afp20190115p74.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p74.pdf

afp20190115p76.pdf

...evidence. We are concerned that in the presentation of clinical questions and bottom-line answers for Cardiovascular Disease and Hypertension, some of these considerations are missing. Study 1, an investigation on blood pressure measure- ments using a bare arm vs. a shirt sleeve,...

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p76.pdf

afp20190115p78.pdf

...cyclists with an average age of 66 years, 15% had ventricular tachycardia compared with only 3% of golfers matched for age, weight, hypertension, and cardiac conditions requiring medication (P = .05).17 Pacemaker insertion is the definitive treatment for symptomatic bradycardia....

American Family Physician

https://www.aafp.org/afp/2019/0115/afp20190115p78.pdf

afp20190201p179.pdf

...Risk Factors Risk factors for renal cell carcinoma include hypertension, tobacco use, obesity, and acquired cystic kidney disease in the setting of end-stage renal disease.1,3,6 Occupational exposure to trichloroethylene can lead to the develop- ment of renal cell carcinoma and...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p179.pdf

afp20190215p237.pdf

...Gomis R, Hanefeld M, Karasik A, Laakso M; STOP-NIDDM Trial Research Group. Acarbose treatment and the risk of cardiovascular disease and hypertension in patients with impaired glucose tolerance: the STOP-NIDDM trial. JAMA. 2003; 290(4): 486-494. 21. Holman RR, Coleman RL, Chan...

American Family Physician

https://www.aafp.org/afp/2019/0215/afp20190215p237.pdf

afp20190301od1.pdf

...Among secondary maternal outcomes, there was little to no difference in incidence of gestational hypertension, preeclampsia, or preterm birth despite a high level of het- erogeneity between the included trials. Women who received met- formin did not have significantly different...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301od1.pdf

afp20190301p294.pdf

...was assessed in four studies (n = 457), as was relapse (n = 478). Adverse effects that were studied included hyperglycemia (n = 345), hypertension (n = 311), and other (n = 503), which included gastrointestinal bleeding, symptomatic gastrointestinal reflux, symptoms of congestive...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301p294.pdf

afp20190301p295.pdf

...was assessed in four studies (n = 457), as was relapse (n = 478). Adverse effects that were studied included hyperglycemia (n = 345), hypertension (n = 311), and other (n = 503), which included gastrointestinal bleeding, symptomatic gastrointestinal reflux, symptoms of congestive...

American Family Physician

https://www.aafp.org/afp/2019/0301/afp20190301p295.pdf

afp20190315od1.pdf

...hypertension, age ≥ 75 years, diabetes mellitus, prior stroke or transient ischemic attack or thromboembolism [doubled]) (developed by Gage and colleagues, Washington University School of Medicine) or its updated version, CHA2DS2-VASc (congestive heart failure, hypertension, age ≥...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315od1.pdf

afp20190315p354.pdf

...variation in stroke risk, ranging from 0.4% to 9.3% per year, which persisted across any single CHA2DS2-VASc (congestive heart failure; hypertension; age 75 years or older [doubled]; diabetes mellitus; prior stroke, transient ischemic attack, or thromboembolism [doubled]; vascular...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p354.pdf

afp20190315p362.pdf

...Analysis of data from the National Health and Nutrition Examination Survey demonstrated that the most significant PAD risk factors are hypertension, diabetes mellitus, chronic kidney disease, hyperlipidemia, and smoking. The odds of having PAD increase with each additional risk...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p362.pdf

afp20190315p383.pdf

...every day and teaches yoga four times a week for two to three hours per session. She has a body mass index of 24 kg per m2. She has hypertension, which is controlled with chlor- thalidone, and hypothyroidism, which is treated with levothyroxine. Her most recent thyroid levels were...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p383.pdf

afp20190315p392.pdf

...sedation (13%), dizziness (19%), bra- dycardia (24%), and hypotension (30%).1 Abrupt discontinuation of lofexidine can cause rebound hypertension, as well as diarrhea, chills, and hyper- hidrosis. It is recommended that patients discon- tinue use gradually. Effectiveness...

American Family Physician

https://www.aafp.org/afp/2019/0315/afp20190315p392.pdf

afp20190401p435.pdf

...Type 2 diabetes mellitus, hypertension, gallbladder disease, or thyroid disease 1.3 to 3 Information from references 18 and 20. 438 American Family Physician www.aafp.org/afp Volume 99, Number 7 ◆ April 1, 2019 ABNORMAL UTERINE BLEEDING bleeding).5 Other causative...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p435.pdf

afp20190415od1.pdf

...No hypertension, dys- lipidemia, or abnormal blood glucose levels Individualize the decision to provide or refer to behavioral counseling Individualize the decision to provide or refer to behavioral counseling Provide or refer to intensive behavioral counseling...

American Family Physician

https://www.aafp.org/afp/2019/0415/afp20190415od1.pdf

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