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Perioperative Cardiac Risk Reduction - American Family Physician

Feb 1, 2012 - Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0201/p239.html

Screening for Depression - American Family Physician

Jan 15, 2012 - In the United States, depression affects up to 9 percent of patients and accounts for more than $43 billion in medical care costs. The U.S. Preventive Services Task Force recommends screening in adolescents and adults in clinical practices that have systems in place to ensure accurate ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0115/p139.html

Suspected Heat-Related Illness Calls for Immediate Treatment - Letters to the Editor - ...

Jan 15, 2012 - ...evaluation and treatment for heat-related illness. I think this may mislead the reader to think that a lower temperature rules out heat stroke and a need for urgent treatment. Although that may be true by definition, I think the next step clinically should include much more than...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0115/p92.html

Antidepressants for Agitation and Psychosis in Patients with Dementia - Cochrane for ...

Jan 1, 2012 - There are few high-quality studies examining the effectiveness of antidepressants for treating the neuropsychiatric symptoms of dementia. Although there is some evidence to support the use of the selective serotonin reuptake inhibitors (SSRIs) sertraline (Zoloft) and citalopram ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0101/p20.html

Subacute Management of Ischemic Stroke - American Family Physician

Dec 15, 2011 - Ischemic stroke is the third leading cause of death in the United States and a common reason for hospitalization. The subacute period after a stroke refers to the time when the decision to not employ thrombolytics is made up until two weeks after the stroke occurred. Family physicians ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1383.html

Dabigatran (Pradaxa) for Prevention of Stroke in Atrial Fibrillation - STEPS - American...

Dec 15, 2011 - Dabigatran is superior to warfarin for stroke prevention in patients with atrial fibrillation, with similar rates of major bleeding. Because it does not require laboratory monitoring, dabigatran therapy is less complicated than warfarin therapy, but it costs significantly more.

American Family Physician : STEPS

https://www.aafp.org/afp/2011/1215/p1397.html

Diagnosis and Management of Crohn's Disease - American Family Physician

Dec 15, 2011 - Crohn’s disease is a chronic inflammatory condition affecting the gastrointestinal tract at any point from the mouth to the rectum. Patients may experience diarrhea, abdominal pain, fever, weight loss, abdominal masses, and anemia. Extraintestinal manifestations of Crohn’s disease ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1215/p1365.html

Common Cold - Clinical Evidence Handbook - American Family Physician

Dec 15, 2011 - What are the effects of treatments for common cold?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/1215/p1390.html

Arcuate, Red Plaques with Pustules on the Trunk - Photo Quiz - American Family Physician

Dec 15, 2011 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2011/1215/p1405.html

Management of Falls in Older Persons: A Prescription for Prevention - American Family ...

Dec 1, 2011 - Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1201/p1267.html

Updated Guidelines on Management of Atrial Fibrillation from the ACCF/AHA/HRS - ...

Dec 1, 2011 - The American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the Heart Rhythm Society (HRS) have released updated guidelines for the management of atrial fibrillation. Since the previous guidelines were issued in 2006, new data have become available on...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1201/p1298.html

Chronic Kidney Disease: Detection and Evaluation - American Family Physician

Nov 15, 2011 - Chronic kidney disease affects an estimated 27 million adults in the United States, and is associated with significantly increased risk of cardiovascular disease and stroke. Patients should be assessed annually to determine whether they are at increased risk of developing chronic kidney...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1138.html

Clinical Vignettes in Geriatric Depression - American Family Physician

Nov 15, 2011 - The diagnosis of depression in older patients is often complicated by comorbid conditions, such as cerebrovascular disease or dementia. Tools specific for this age group, such as the Geriatric Depression Scale or the Cornell Scale for Depression in Dementia, may assist in making the ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1115/p1149.html

Caring for Older Family Members with Depression - American Family Physician

Nov 15, 2011 - ...home for care may be more likely to be depressed. It is also more common in people who have brain conditions, like Alzheimer disease or a stroke. How is it diagnosed? If you have an older family member who may have depression, it is important for him or her to see a doctor. The...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/1115/p1155.html

ACP Releases Guideline on Intensive Insulin Therapy in Hospitalized Patients - Practice...

Nov 1, 2011 - The American College of Physicians (ACP) has issued a clinical guideline on the use of intensive insulin therapy in hospitalized patients with or without diabetes mellitus to achieve glycemic control and improve health outcomes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1101/p1058.html

Evaluation of Suspected Dementia - American Family Physician

Oct 15, 2011 - As the proportion of persons in the United States older than 65 years increases, the prevalence of dementia will increase as well. Risk factors for dementia include age, family history of dementia, apolipoprotein E4 genotype, cardiovascular comorbidities, chronic anticholinergic use, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/1015/p895.html

Bell Palsy - Clinical Evidence Handbook - American Family Physician

Oct 15, 2011 - What are the effects of drug, surgical and physical treatments for Bell palsy in adults and children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/1015/p947.html

Statins for Primary Cardiovascular Prevention - Cochrane for Clinicians - American ...

Oct 1, 2011 - Trials to date have found that statins reduce all-cause mortality, composite cardiovascular outcomes, and revascularization. However, most trials included large numbers of persons with known CVD. Clear evidence of the effectiveness of statins to prevent a first cardiovascular event is ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1001/p767.html

Tips From Other Journals - American Family Physician

Oct 1, 2011 - ...at least one year. The primary outcomes included the incidence of major vascular events (i.e., myocardial infarction or coronary death) and strokes (i.e., ischemic, hemorrhagic, or unclassified). Cancer incidence and total and cause-specific mortality rates from eligible studies...

American Family Physician : Tip

https://www.aafp.org/afp/2011/1001/p826.html

Evaluation of Syncope - American Family Physician

Sep 15, 2011 - Syncope is a transient and abrupt loss of consciousness with complete return to preexisting neurologic function. It is classified as neurally mediated (i.e., carotid sinus hypersensitivity, situational, or vasovagal), cardiac, orthostatic, or neurogenic. Older adults are more likely to ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0915/p640.html

Subarachnoid Hemorrhage and the CT Scan - AFP Journal Club - American Family Physician

Sep 15, 2011 - Is CT sensitive enough to rule out subarachnoid hemorrhage? This study says yes, but rretrospective studies are inherently problematic. Normal head CT should be followed by a lumbar puncture.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0915/p632.html

Cates Plot for Risks and Benefits of Aspirin Chemoprevention - Letters to the Editor - ...

Sep 15, 2011 - ...therapy: approximately eight men will have gastrointestinal bleeding from aspirin use, and approximately one person would have a hemorrhagic stroke.1 Although this kind of simultaneous portrayal of potential benefits and risks has been described,2 we found no evidence of the...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0915/p602a.html

Pharmacologic Treatment of Hyperlipidemia - American Family Physician

Sep 1, 2011 - Pharmacologic treatment of hyperlipidemia in conjunction with therapeutic lifestyle changes can be used for both primary and secondary prevention of cardiovascular disease. Statins have the most convincing data for primary prevention, especially for higher risk patients. Therefore, risk...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p551.html

Evaluation and Management of Orthostatic Hypotension - American Family Physician

Sep 1, 2011 - Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p527.html

Treatment Options for Localized Prostate Cancer - American Family Physician

Aug 15, 2011 - In the United States, more than 90 percent of prostate cancers are detected by serum prostate-specific antigen testing. Most patients are found to have localized prostate cancer, and most of these patients undergo surgery or radiotherapy. However, many patients have low-risk cancer and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p413.html

Tips From Other Journals - American Family Physician

Aug 1, 2011 - ...Home INR Study to determine whether self-testing of INR is more effective than office testing at reducing the risk of a major event (i.e., stroke, major bleeding episode, or death). The Study: Patients were eligible to participate if they were able to reliably perform self-testing,...

American Family Physician : Tip

https://www.aafp.org/afp/2011/0801/p322.html

Global Warming and Your Health - American Family Physician

Aug 1, 2011 - ...Heat stroke can be deadly Average temperatures are warmer, summers last longer Increase in infectious diseases, especially those carried by insects Everyone, but especially people who live in countries that don't have good public health care systems Air pollution gets...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0801/p282.html

A Diagnostic Approach to Pruritus - American Family Physician

Jul 15, 2011 - Pruritus can be a symptom of a distinct dermatologic condition or of an occult underlying systemic disease. Of the patients referred to a dermatologist for generalized pruritus with no apparent primary cutaneous cause, 14 to 24 percent have a systemic etiology. In the absence of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0715/p195.html

Outpatient Approach to Palpitations - American Family Physician

Jul 1, 2011 - Palpitations are a common problem seen in family medicine; most are of cardiac origin, although an underlying psychiatric disorder, such as anxiety, is also common. Even if a psychiatric comorbidity does exist, it should not be assumed that palpitations are of a noncardiac etiology. ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0701/p63.html

CDC Updates Guidelines on Diagnosis and Treatment of Sexually Transmitted Diseases - ...

Jul 1, 2011 - The Centers for Disease Control and Prevention (CDC) recently updated its guidelines on the treatment of sexually transmitted diseases (STDs). The new guidelines focus on treatment, but also discuss prevention strategies and diagnostic recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0701/p123.html

Appropriate Aspirin Use for Primary Prevention of Cardiovascular Disease - Editorials: ...

Jun 15, 2011 - The factor most strongly associated with appropriate aspirin use is a conversation between the patient and physician. The National Committee for Quality Assurance has proposed that health plans measure their members' use of aspirin, as well as the extent to which physicians discuss ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1380.html

Aspirin for the Prevention of Cardiovascular Disease: Recommendation Statement - U.S. ...

Jun 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends the use of aspirin in men 45 to 79 years of age when the potential benefit of a reduction in myocardial infarctions (MIs) outweighs the potential harm of an increase in gastrointestinal (GI) hemorrhage.

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

https://www.aafp.org/afp/2011/0615/p1464.html

Aspirin for the Prevention of Cardiovascular Disease - Putting Prevention into Practice...

Jun 15, 2011 - Case study: K.T., a 48-year-old man, presents for a routine office visit. He is worried about cardiovascular disease (CVD) and asks whether he should take daily aspirin to lower his risk. His blood pressure is 120/60 mm Hg, and his total cholesterol is 180 mg per dL (4.66 mmol per L), ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0615/p1469.html

The Case Against Routine Aspirin Use for Primary Prevention in Low-Risk Adults - ...

Jun 15, 2011 - A policy of generalized aspirin use in adults for the primary prevention of CVD is probably not warranted. Instead, the benefits and risks of aspirin therapy for primary prevention need to be considered on an individual basis, and should be reserved for persons at highest long-term risk...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0615/p1387.html

Heat-Related Illness - American Family Physician

Jun 1, 2011 - Heat-related illness is a set of preventable conditions ranging from mild forms (e.g., heat exhaustion, heat cramps) to potentially fatal heat stroke. Hot and humid conditions challenge cardiovascular compensatory mechanisms. Once core temperature reaches 104°F (40°C), cellular damage ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1325.html

Caregiver Care - American Family Physician

Jun 1, 2011 - In 2009, nearly 66 million Americans (three in 10 U.S. households) reported at least one person providing unpaid care as a family caregiver. More adults with chronic conditions and disabilities are living at home than ever before, and family caregivers have an even higher level of ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1309.html

Treatment of Knee Osteoarthritis - American Family Physician

Jun 1, 2011 - Knee osteoarthritis is a common disabling condition that affects more than one-third of persons older than 65 years. Exercise, weight loss, physical therapy, intra-articular corticosteroid injections, and the use of nonsteroidal anti-inflammatory drugs and braces or heel wedges decrease...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1287.html

Overuse of Computed Tomography and Associated Risks - Editorials - American Family ...

Jun 1, 2011 - CT has substantially advanced medical care through improved diagnosis, but its use comes with potential harms, including cancer risk from radiation; detection of incidental findings that may lead to additional and often unnecessary diagnostic testing and treatment; and accidental ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0601/p1252.html

Primary Prevention of CVD: Treating Dyslipidemia - Clinical Evidence Handbook - ...

May 15, 2011 - What are the effects of pharmacologic cholesterol-lowering interventions in persons at low, medium, and high risk of CHD? What are the effects of a reduced- or modified-fat diet in persons at risk of CHD?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0515/p1207.html

Urticaria: Evaluation and Treatment - American Family Physician

May 1, 2011 - Urticaria involves intensely pruritic, raised wheals, with or without edema of the deeper cutis. It is usually a self-limited, benign reaction, but can be chronic. Rarely, it may represent serious systemic disease or a life-threatening allergic reaction. Urticaria has a lifetime ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0501/p1078.html

AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...

Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0415/p993.html

Should Carotid Artery Stenosis Be Examined as a Cause of Dizziness? - Letters to the ...

Apr 15, 2011 - ...to cause dizziness, such as stroke (nonspecific dizziness) and vertebrobasilar transient ischemic attack (vertigo).1 The study also lists transient ischemic attack as a dangerous cause of dizziness, but the likelihood of a transient ischemic attack presenting as isolated presyncopal...

American Family Physician : Letter

https://www.aafp.org/afp/2011/0415/p879.html

Alvimopan (Entereg) for the Treatment of Postoperative Ileus - STEPS - American Family ...

Apr 15, 2011 - Use of alvimopan should be restricted to patients at a higher risk of postoperative ileus following abdominal surgeries, such as hospitalized patients undergoing bowel resection with primary anastomosis. It is an expensive option with limited indications; head-to-head studies with ...

American Family Physician : STEPS

https://www.aafp.org/afp/2011/0415/p978.html

Carpal Tunnel Syndrome - American Family Physician

Apr 15, 2011 - ...Previous: AHA/ASA Guidelines on Prevention of Recurrent Stroke Next: Subclinical Hyperthyroidism: What It Means to You View the full table of contents >> Home / Journals / afp / Vol. 83/No. 8(April 15, 2011) / Carpal Tunnel Syndrome...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0415/p965.html

Medical Management of Stable Coronary Artery Disease - American Family Physician

Apr 1, 2011 - All patients with stable coronary artery disease require medical therapy to prevent disease progression and recurrent cardiovascular events. Three classes of medication are essential to therapy: lipid-lowering, antihypertensive, and antiplatelet agents. Lipid-lowering therapy is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0401/p819.html

Transfusion of Blood and Blood Products: Indications and Complications - American ...

Mar 15, 2011 - Red blood cell transfusions are used to treat hemorrhage and to improve oxygen delivery to tissues. Transfusion of red blood cells should be based on the patient’s clinical condition. Indications for transfusion include symptomatic anemia (causing shortness of breath, dizziness, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p719.html

Differentiation and Diagnosis of Tremor - American Family Physician

Mar 15, 2011 - Tremor, an involuntary, rhythmic, oscillatory movement of a body part, is the most common movement disorder encountered in clinical practice. Rest tremors occur in a body part that is relaxed and completely supported against gravity. Action tremors occur with voluntary contraction of a ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p697.html

Screening for Obesity in Children and Adolescents - Putting Prevention into Practice - ...

Mar 15, 2011 - Case study: A seven-year-old boy presents with his mother for a routine well-child visit. He does not report any problems, his medical history is unremarkable, and he has no family history of heart disease or diabetes mellitus.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0315/p737.html

Screening for Obesity in Children and Adolescents: Recommendation Statement - U.S. ...

Mar 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen children six years and older for obesity, and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status.

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

https://www.aafp.org/afp/2011/0315/p739.html

Tremor - American Family Physician

Mar 15, 2011 - ...and psychiatric drugs, can cause tremors. Anxiety and other psychological problems, an overactive thyroid, alcohol abuse or withdrawal, stroke or head injuries, and Wilson disease (a rare liver disease) can also cause tremors. Parkinson disease causes a resting tremor, and is most...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2011/0315/p703.html

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