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hypertension

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afp20200801p147.pdf

...well studied. Treatment with danazol is no longer recommended because of the risk of hep- atotoxicity, thromboembolism, and intracranial hypertension. The results of this review, although based on small and mostly underpowered studies without data amenable to pooling, are...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p147.pdf

afp20200801p158.pdf

...Maternal preeclampsia/gestational hypertension Maternal type 1 diabetes mellitus Suspected fetal growth restriction Intrapartum Presence of meconium Presence of tachysystole Signs/symptoms of intrauterine infection Unexplained vaginal bleeding Use of oxytocin...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p158.pdf

afp20200801p181.pdf

...dis- ease, and cancer.3,4 Conversely, overreplacement can result in impaired glucose tolerance, insulin resistance, obesity, and hypertension.5 Glucocorticoid replacement therapy in pri- mary adrenal insufficiency requires continuous monitoring and adjustment. In the absence of...

American Family Physician

https://www.aafp.org/afp/2020/0801/afp20200801p181.pdf

afp20200815p229.pdf

...• Joint involvement and abdominal pain are more com- mon in children, whereas adults are more likely to have lower-extremity edema and hypertension.9 • The characteristic rash may start as erythematous papules that develop into crops of petechiae and palpable pur- pura.2,9,16 The...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p229.pdf

afp20200815p234.pdf

...for increased risk of suicidality in children, adoles- cents, and young adults, with other concerns for increased risk of seizure, hypertension, mania, visual problems, and unusual thoughts and behaviors.39 Varenicline is not indi- cated in children 16 years and younger; therefore,...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p234.pdf

afp20200815p243.pdf

...and nystatin for pharyngitis and thrush but discontinued these medications when the rash began. The medical history was significant for hypertension, atrial fibrillation, and coronary artery disease. The patient reported subjective fevers, odynophagia, and otalgia. Physical...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p243.pdf

afp20200815p248.pdf

...for a median of 5.3 years in France but only 2.0 years in South Korea. The mean age of participants was 67 years, 67% were men, 64% had hypertension, and their baseline LDL level was 135 mg per dL (3.50 mmol per L) with approximately one-half already taking a statin. Groups were...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p248.pdf

afp20200815p248a.pdf

...for a median of 5.3 years in France but only 2.0 years in South Korea. The mean age of participants was 67 years, 67% were men, 64% had hypertension, and their baseline LDL level was 135 mg per dL (3.50 mmol per L) with approximately one-half already taking a statin. Groups were...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p248a.pdf

afp20200901p307.pdf

...His medical history was significant for long- standing hypertension and hyperlipidemia and a recent diagnosis of a nonobstructing lung cancer. His additional medications included amlodipine (Norvasc) and atorvastatin (Lipitor). The patient was retired, drank one or two alcoholic...

American Family Physician

https://www.aafp.org/afp/2020/0901/afp20200901p307.pdf

afp20200915p330.pdf

...risk associated with the patient’s care is low.99214 - Office visit with a 55-year-old male established patient for management of stable hypertension and mild fatigue; on beta blocker/thiazide regimen • The number and complexity of problems addressed is one chronic illness with...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p330.pdf

afp20200915p335.pdf

...Case Scenario Mrs. H is a 76-year-old woman with hypertension and type 2 diabetes mellitus complicated by stable chronic kid- ney disease. Mrs. H also has a degenerative joint disease of the knees and walks with a cane. Her mobility and quality of life are significantly limited by...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p335.pdf

afp20200915p347.pdf

...trial to reduce cardiovascular events.26 The OmniHeart study, which evaluated macronutrient variations of the Dietary Approaches to Stop Hypertension (DASH) diet, demonstrated decreased triglyceride levels with higher intake of unsaturated fat and protein and lower intake of...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p347.pdf

afp20201001p389.pdf

...risk associated with the patient’s care is low.99214 - Office visit with a 55-year-old male established patient for management of stable hypertension and mild fatigue; on beta blocker/thiazide regimen • The number and complexity of problems addressed is one chronic illness with...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p389.pdf

afp20201001p398.pdf

...Manual readings were an average 13.4 to 14.5 mm Hg (systolic) higher than daytime ambu- latory or automated readings in patients with hypertension. https://www.aafp.org/afp/2019/1115/p646.html Tip for Using AFP at the Point of Care Are you looking for more POEMS? You can find...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p398.pdf

afp20201001p420.pdf

...Preeclampsia or pregnancy-induced hypertension* Preterm labor Restrictive lung disease Ruptured membranes Severe anemia Uncontrolled chronic medical conditions Hypertension Thyroid disease Type 1 diabetes mellitus Relative contraindications Extreme...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p420.pdf

afp20201015p478.pdf

...◦ Chronic kidney disease ◦ Chronic liver disease ◦ Chronic obstructive pulmonary disease ◦ Diabetes mellitus ◦ Hypercholesterolemia ◦ Hypertension ◦ Malignancy ◦ Obesity ◦ Obstructive sleep apnea • In pregnant women, COVID-19 may increase the risk of complications such as preterm...

American Family Physician

https://www.aafp.org/afp/2020/1015/afp20201015p478.pdf

afp20201015p505.pdf

...hepatic, neurologic, hematologic, or metabolic disor- ders other than uncomplicated hypertension ◦ Pregnant women ◦ Residents of long-term care facilities • Household contacts and caregivers of higher-risk people • Health care professionals, including students and staff who...

American Family Physician

https://www.aafp.org/afp/2020/1015/afp20201015p505.pdf

afp20201101p533.pdf

...Gout is caused by monosodium urate crystal deposition in joints and tissues. Risk factors include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat and seafood; chronic kidney disease; a diet heavy in fructose-rich food and beverages; being a member...

American Family Physician

https://www.aafp.org/afp/2020/1101/afp20201101p533.pdf

afp20201115p603.pdf

...≥ 130 mm Hg systolic or ≥ 85 mm Hg diastolic, or antihy- pertensive pharmacotherapy needed in a patient with a history of hypertension Fasting glucose level ≥ 100 mg per dL (5.55 mmol per L) or pharmacotherapy needed for elevated glucose level HDL cholesterol level < 50...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p603.pdf

afp20201115p629.pdf

...risk associated with the patient’s care is low.99214 - Office visit with a 55-year-old male established patient for management of stable hypertension and mild fatigue; on beta blocker/thiazide regimen • The number and complexity of problems addressed is one chronic illness with...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p629.pdf

afp20201201p645a.pdf

...An 88-year-old woman with a history of hypertension, pulmonary embolism (receiving apixaban [Eliquis]), hypo- thyroidism, and chronic kidney disease presented with three hours of slurred speech, dizziness, and blurred vision. On arrival, her symptoms improved, and she was afebrile....

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p645a.pdf

afp20201201p648.pdf

...An 88-year-old woman with a history of hypertension, pulmonary embolism (receiving apixaban [Eliquis]), hypo- thyroidism, and chronic kidney disease presented with three hours of slurred speech, dizziness, and blurred vision. On arrival, her symptoms improved, and she was afebrile....

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p648.pdf

afp20201201p673.pdf

...17. Nerenberg KA, Zarnke KB, Leung AA, et al. Hypertension Canada’s 2018 guidelines for diagnosis, risk assessment, prevention, and treat- ment of hypertension in adults and children. Can J Cardiol. 2018; 34(5): 506-525. 18. Atzema CL, Wong A, Masood S, et al. The...

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p673.pdf

afp20201201p679.pdf

...Orthostasis Midodrine, fludrocortisone Adjust hypertension medications and try nonpharmacologic lifestyle interven- tions first Adjust motor therapies for Parkinson disease when possible (e.g., dopamine agonists, anticholinergics) May consider adding drug therapy specifically...

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p679.pdf

afp20201201p695.pdf

...shoulder but had undergone bilat- eral hip replacements and right ankle fusion. The patient had a history of type 2 diabetes mellitus and hypertension. On physical examination, the patient’s right shoulder was diffusely tender and mildly warm. The range of motion was...

American Family Physician

https://www.aafp.org/afp/2020/1201/afp20201201p695.pdf

afp20201215p759.pdf

...borderline levels can be treated with exercise, weight loss, and improved sleep. Although testosterone levels decline with obe- sity, hypertension, hyperlipidemia, type 2 dia- betes mellitus, and obstructive sleep apnea, the U.S. Food and Drug Administration has con- cluded that...

American Family Physician

https://www.aafp.org/afp/2020/1215/afp20201215p759.pdf

afp20210101p15.pdf

...Mammography, Lymphomas, Hypertension in Pregnancy, Dyspepsia Does the addition of screening ultrasonography add benefit or harm to screening mammography alone? Based on a study comparing more than 6,000 women who received ultrasonography and mammography to more than 15,000 women who...

American Family Physician

https://www.aafp.org/afp/2021/0101/afp20210101p15.pdf

afp20210201p138.pdf

...that increased detection of nonalcoholic fatty liver disease will reduce future incidence of cirrhosis or that diagnosing a patient with hypertension will lead to improvements in diet and physical activity that prevent cardiovascular events. At the same time, potential physical and...

American Family Physician

https://www.aafp.org/afp/2021/0201/afp20210201p138.pdf

afp20210215od1.pdf

...Importance The prevalence of hypertension (both primary and second- ary) in children and adolescents in the United States ranges from 3% to 4% in most studies.1-5 Primary hypertension in children and adolescents occurs primarily in children older than 13 years and has no known cause...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215od1.pdf

afp20210215p199.pdf

...To the Editor: An 85-year-old patient with hypertension, coronary artery disease, peripheral vascular disease, vascu- lar dementia, diabetes mellitus, and chronic kidney disease was residing in an assisted living facility due to dementia and care dependency. The patient’s family was...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p199.pdf

afp20210215p200a.pdf

...To the Editor: An 85-year-old patient with hypertension, coronary artery disease, peripheral vascular disease, vascu- lar dementia, diabetes mellitus, and chronic kidney disease was residing in an assisted living facility due to dementia and care dependency. The patient’s family was...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p200a.pdf

afp20210215p201.pdf

...To the Editor: An 85-year-old patient with hypertension, coronary artery disease, peripheral vascular disease, vascu- lar dementia, diabetes mellitus, and chronic kidney disease was residing in an assisted living facility due to dementia and care dependency. The patient’s family was...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p201.pdf

afp20210215p247.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p247.pdf

afp20210215p247a.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p247a.pdf

afp20210215p248.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p248.pdf

afp20210215p249.pdf

...for patients who have undergone any form of bariatric surgery. They defined obesity-related illnesses as type 2 diabetes mellitus, hypertension, obstructive sleep apnea, ischemic heart disease, cardiac failure, dyslipid- emia, and venous thromboembolism. The authors excluded...

American Family Physician

https://www.aafp.org/afp/2021/0215/afp20210215p249.pdf

afp20210301p291.pdf

...Hypertension During previous pregnancy only (now resolved) 2 1 1 1 1 1 Systolic < 159 mm Hg and dia- stolic < 99 mm Hg 3 1 2 1 1 1 Systolic ≥ 160 mm Hg, diastolic ≥ 100 mm Hg, and/or with vascu- lar disease 4 2 3 2 2 1 Inflammatory bowel disease Ulcerative...

American Family Physician

https://www.aafp.org/afp/2021/0301/afp20210301p291.pdf

afp20210315p337.pdf

...that have been reported with topical corticosteroid use include cata- racts, glaucoma, adrenal suppression, decreased growth rate, hypertension, hyperglycemia, and Cushing syndrome.20 Adverse effects are rare with low-potency topical corticosteroids.17 Evi- dence suggests that the...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p337.pdf

afp20210315p355.pdf

...Pulmonary hypertension Hematologic conditions Coagulation disorders Current anticoagulation Thrombocytopenia Hepatic conditions Cirrhosis or hepatitis with abnormal liver function or coagulopathy Neuromuscular conditions Multiple sclerosis Muscular dystrophy...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p355.pdf

afp20210315p366.pdf

...States.1 Known modifiable risk factors for CVD include smoking, being overweight or obese, diabetes mellitus, elevated blood pressure or hypertension, dyslipidemia, lack of physical activity, and unhealthy diet. Adults who adhere to national guidelines for a healthy diet2 and...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p366.pdf

afp20210315p373.pdf

... A. Idiopathic intracranial hypertension.  B. Malignant hypertension.  C. Optic neuritis.  D. Secondary syphilis. See the following page for discussion. FIGURE 1 The editors of AFP welcome submissions for Photo Quiz. Guidelines for preparing and submitting a...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p373.pdf

afp20210401p404.pdf

...suggests that active management may reduce the incidence of maternal anemia (NNT = 28; 95% CI, 17 to 73). Potential harms of postnatal hypertension, pain, and readmission to the hospital because of bleeding have been identi- fied.1 (Strength of Recommendation: B, Cochrane review...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p404.pdf

afp20210401p405.pdf

...suggests that active management may reduce the incidence of maternal anemia (NNT = 28; 95% CI, 17 to 73). Potential harms of postnatal hypertension, pain, and readmission to the hospital because of bleeding have been identi- fied.1 (Strength of Recommendation: B, Cochrane review...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p405.pdf

afp20210401p422.pdf

...but can be useful in the evaluation of other neurologic conditions, such as spontaneous intracranial hypotension, idiopathic intracranial hypertension, multiple sclerosis, Guillain-Barré syndrome, and malignancy. Bacterial meningitis has a high mortality rate and characteristic...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p422.pdf

afp20210401p439.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p439.pdf

afp20210401p439a.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p439a.pdf

afp20210401p440.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p440.pdf

afp20210401p441.pdf

...hypertension, dia- betes mellitus, chronic kidney disease, or severe coronary disease. At baseline, the mean age of participants was 70 years, 46% were women, 12% had a previous TIA or stroke, 12% had chronic kidney disease, 28% had heart failure, 88% had hypertension, and 44% had...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p441.pdf

afp20210401p442.pdf

...Pressure - history of hypertension Note: 0 to 1 criteria = low risk of OSA; 2 or more criteria = high risk of OSA. OSA = obstructive sleep apnea. Downloaded from the American Family Physician website at www.aafp.org/afp. Copyright © 2021 American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p442.pdf

afp20210415p455.pdf

...sions, we find the evidence supports infrequent lipid monitoring. Risk calculators demonstrate that patient factors such as obesity, hypertension, diabetes, and tobacco use influence risk scores significantly more than cholesterol values. Cho- lesterol levels are stable for up to 10...

American Family Physician

https://www.aafp.org/afp/2021/0415/afp20210415p455.pdf

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