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Dermal Electrosurgical Shave Excision - American Family Physician

May 1, 2002 - The dermal electrosurgical shave excision is a fast and inexpensive method of removing epidermal and dermal lesions. The procedure is ideally suited for pedunculated lesions raised above the level of the surrounding skin. It consists of repetitive, unidirectional, horizontal slicing of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0501/p1883.html

Detrimental Effect of Tight Glucose Control on CV Mortality Persists Over Nine Years - ...

Mar 15, 2017 - The initial Action to Control Cardiovascular Risk in Diabetes (ACCORD) study, which compared standard treatment with intensive control, found that despite good intentions, cardiovascular (CV) and overall mortality are significantly higher when blood glucose levels are lower.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/od2.html

Diabetes and Heart Disease - American Family Physician

Oct 15, 2003 - ...If you have diabetes, you have a high risk for having a heart attack or a stroke. You are more likely to get heart disease—and at an younger age—than someone without diabetes. There are things you can do to reduce your risk for heart disease. Learning about the ABCs of diabetes can...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2003/1015/p1577.html

Diabetes Mellitus: Diagnosis and Screening - American Family Physician

Apr 1, 2010 - Based on etiology, diabetes is classified as type 1 diabetes mellitus, type 2 diabetes mellitus, latent autoimmune diabetes, maturity-onset diabetes of youth, and miscellaneous causes. The diagnosis is based on measurement of A1C level, fasting or random blood glucose level, or oral ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p863.html

Diabetes: How Do I Know if I Have it? - American Family Physician

Nov 1, 2000 - ...a hormone called insulin, or if your body doesn't use insulin the right way. If left untreated, it may result in blindness, heart attacks, strokes, kidney failure and amputations. Only half of the people who have diabetes are diagnosed because in the early stages of diabetes, there...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2000/1101/p2137.html

Diabetes: Treating Hypertension - Clinical Evidence Handbook - American Family Physician

Apr 15, 2013 - What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0415/p574.html

Diabetes: What You Need to Know - American Family Physician

Aug 1, 1999 - ...sugar levels can damage your eyes, blood vessels, nerves and kidneys. Damage to your blood vessels increases your risk of heart attack and stroke. Besides the long-term health risks of high blood sugar levels, diabetes can also cause episodes of hypoglycemia (low blood sugar),...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1999/0801/p647.html

Diabetic Ketoacidosis: Evaluation and Treatment - American Family Physician

Mar 1, 2013 - Diabetic ketoacidosis is characterized by a serum glucose level greater than 250 mg per dL, a pH less than 7.3, a serum bicarbonate level less than 18 mEq per L, an elevated serum ketone level, and dehydration. Insulin deficiency is the main precipitating factor. Diabetic ketoacidosis ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0301/p337.html

Diabetic Kidney Disease: Diagnosis, Treatment, and Prevention - American Family Physician

Jun 15, 2019 - Globally, approximately 20% of the 400 million individuals with diabetes mellitus have diabetic kidney disease (DKD). DKD is associated with higher cardiovascular and all-cause morbidity and mortality, so timely diagnosis and treatment are critical. Screening for early DKD is best done ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0615/p751.html

Diabetic Nephropathy - Clinical Evidence Handbook - American Family Physician

Dec 1, 2005 - What are the effects of treatments in persons with type 1 diabetes and early or late nephropathy? What are the effects of treatments in persons with type 2 diabetes and early or late nephropathy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2005/1201/p2299.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

Diabetic Nephropathy-The Family Physician’s Role

...with type 1 or 2 diabetes and macroalbuminuria because of a higher risk of decline in GFR, and increased risk of myocardial infarction, stroke, and all-cause mortality (number needed to harm = 11). B 36 ACE = angiotensin-converting enzyme; GFR = glomerular filtration rate....

American Family Physician

https://www.aafp.org/afp/2012/0501/afp20120501p883.pdf

Diagnosing Acute Monoarthritis in Adults

...*-Indicates angina pectoris, myocardial infarction, heart failure, cerebrovascular accident, transient ischemic attack, or peripheral vascular disease. Adapted with permission from Kienhorst LB, Janssens HJ, Fransen J, Janssen M; British Society for Rheumatology. The validation of a...

American Family Physician

https://www.aafp.org/afp/2016/1115/afp20161115p810.pdf

Diagnosing Acute Monoarthritis in Adults: A Practical Approach for the Family Physician...

Jul 1, 2003 - Acute monoarthritis can be the initial manifestation of many joint disorders. The first step in diagnosis is to verify that the source of pain is the joint, not the surrounding soft tissues. The most common causes of monoarthritis are crystals (i.e., gout and pseudogout), trauma, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p83.html

Diagnosing Acute Monoarthritis in Adults: A Practical Approach for the Family Physician...

...effusion may not be readily visible. In the knee joint, the bulge sign can signal a small effusion. The medial or lateral com- partment is stroked, and the fluid moves through the suprapatellar area into the oppo- site compartment, resulting in a visible bulge. To detect effusion in...

American Family Physician

https://www.aafp.org/afp/2003/0701/afp20030701p83.pdf

Diagnosis and Evaluation of Heart Failure

...nervous and renin- angiotensin-aldosterone systems increases blood pressure (for tissue perfusion) and blood volume (enhancing preload, stroke volume, and cardiac output by the Frank- Starling mechanism). These compensatory mechanisms can also lead to further myocar- dial...

American Family Physician

https://www.aafp.org/afp/2012/0615/afp20120615p1161.pdf

Diagnosis and Evaluation of Heart Failure - American Family Physician

Jun 15, 2012 - Heart failure is a common clinical syndrome characterized by dyspnea, fatigue, and signs of volume overload, which may include peripheral edema and pulmonary rales. Heart failure has high morbidity and mortality rates, especially in older persons. Many conditions, such as coronary ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0615/p1161.html

Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Adults

...medications for ADHD did not increase the risk of serious cardiovascular events, including myocardial infarction, sudden cardiac death, or stroke.30 Of note, other medications used in children with ADHD, such as modafinil (Provigil) and the alpha ago- nists clonidine (Catapres)...

American Family Physician

https://www.aafp.org/afp/2012/0501/afp20120501p890.pdf

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

Diagnosis and Management of Chronic Heart Failure in Adults - Practice Guidelines - ...

Mar 1, 2007 - Changes in the diagnosis and management of chronic heart failure in adults are reflected in updated guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0301/p742.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

Diagnosis and Management of Diastolic Dysfunction and Heart Failure - American Family ...

Mar 1, 2006 - Diastolic heart failure occurs when signs and symptoms of heart failure are present but left ventricular systolic function is preserved (i.e., ejection fraction greater than 45 percent). The incidence of diastolic heart failure increases with age; therefore, 50 percent of older patients...

American Family Physician : Article

https://www.aafp.org/afp/2006/0301/p841.html

Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults -...

May 1, 2015 - Generalized anxiety disorder (GAD) and panic disorder (PD) are among the most common mental disorders in the United States, and they can negatively impact a patient’s quality of life and disrupt important activities of daily living. Evidence suggests that the rates of missed diagnoses ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p617.html

Diagnosis and Management of IBS in Adults

...Serious adverse events including myocardial infarction, unstable angina, and stroke Available only for emergency use through the U.S. Food and Drug Administration34 5-HT = 5-hydroxytryptamine; IBS = irritable bowel syndrome; NNT = number needed to treat; SSRI = selective...

American Family Physician

https://www.aafp.org/afp/2012/0901/afp20120901p419.pdf

Diagnosis and Management of IBS in Adults - American Family Physician

Sep 1, 2012 - Irritable bowel syndrome is defined as abdominal discomfort or pain associated with altered bowel habits for at least three days per month in the previous three months, with the absence of organic disease. In North America, the prevalence of irritable bowel syndrome is 5 to 10 percent ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p419.html

Diagnosis and Management of Osteoporosis

August 15, 2015 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0815/afp20150815p261.pdf

Diagnosis and Management of Osteoporosis - American Family Physician

Aug 15, 2015 - Osteoporosis-related fractures affect approximately one in two white women and one in five white men in their lifetime. The impact of fractures includes loss of function, significant costs, and increased mortality. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0815/p261.html

Diagnosis and Treatment of Antiphospholipid Syndrome - Practice Guidelines - American ...

Jul 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines for the diagnosis and treatment of antiphospholipid syndrome.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0701/p184.html

Diagnosis and Treatment of Atrial Fibrillation

September 15, 2016

American Family Physician

https://www.aafp.org/afp/2016/0915/afp20160915p442.pdf

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

Diagnosis and Treatment of Hypothermia - American Family Physician

Dec 15, 2004 - Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems. The clinical presentation of hypothermia includes a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2325.html

Diagnosis and Treatment of Obstructive Sleep Apnea in Adults

September 1, 2016

American Family Physician

https://www.aafp.org/afp/2016/0901/afp20160901p355.pdf

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

Diagnosis and Treatment of Osteoporosis - American Family Physician

Feb 1, 2009 - Osteoporosis affects approximately 8 million women and 2 million men in the United States. The associated fractures are a common and preventable cause of morbidity and mortality in up to 50 percent of older women. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p193.html

Diagnosis and Treatment of Peripheral Arterial Disease

...aspirin nor clopidogrel improves claudication symptoms, antiplatelet therapy is recom- mended to reduce the risk of myocardial infarction, stroke, or vascular death in patients with symptomatic PAD. Aspirin (75 to 325 mg daily) and clopidogrel (75 mg daily) are considered safe and...

American Family Physician

https://www.aafp.org/afp/2013/0901/afp20130901p306.pdf

Diagnosis and Treatment of Peripheral Arterial Disease - American Family Physician

Sep 1, 2013 - Peripheral arterial disease (PAD) is atherosclerosis leading to narrowing of the major arteries distal to the aortic arch. The most common presenting symptom is claudication; however, only 10% of patients have classic claudication. Approximately 8 to 12 million Americans have PAD, ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0901/p306.html

Diagnosis and Treatment of Premenstrual Dysphoric Disorder -- American Family Physician

...Department of Veterans Affairs, Nebraska-Western Iowa Health Care System, 4101 Woolworth Ave., Omaha, NE 68105 (e-mail: subhash.bha- tia@med.va.gov). Reprints are not available from the authors. first-line treatment of choice for severe PMDD (Table 4).8-14,27-37 Fluoxetine, in a...

American Family Physician

https://www.aafp.org/afp/2002/1001/afp20021001p1239.pdf

Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician

Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1725.html

Diagnosis and Treatment of Sick Sinus Syndrome -- American Family Physician

...of conditions such as congestive heart failure, angina pec- toris, and cerebral vascular accident.8 Periph- eral thromboembolism and stroke, which can occur in the presence of bradycardia- tachycardia syndrome (alternating brady- arrhythmias and tachyarrhythmias), may be related to...

American Family Physician

https://www.aafp.org/afp/2003/0415/afp20030415p1725.pdf

Diagnosis and Treatment of the Acute Scrotum - American Family Physician

Feb 15, 1999 - Testicular torsion must be considered in any patient who complains of acute scrotal pain and swelling. Torsion of the testis is a surgical emergency because the likelihood of testicular salvage decreases as the duration of torsion increases. Conditions that may mimic testicular torsion,...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p817.html

Diagnosis Coding for Value-Based Payment: A Quick Reference Tool

...Ischemic stroke Varies 100 0.265 ICD-10 - HCC CODING REFERENCE 3 of 3 Cardiac disease Angina I20.9 88 0.140 Coronary artery disease with angina I25.119 88 0.140 Unstable angina I20.0 87 0.218 Acute myocardial infarction I21.3 86 0.233 Pulmonary hypertension I27.2...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p26.pdf

Diagnosis Coding for Value-Based Payment: A Quick Reference Tool -- FPM

Apr 1, 2018 - Use this cheat sheet to identify diagnosis codes that are weighted for risk adjustment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p26.html

Diagnosis of Acute Stroke

April 15, 2015 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0415/afp20150415p528.pdf

Diagnosis of Acute Stroke - American Family Physician

Apr 15, 2015 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0415/p528.html

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism

...Paralytic stroke Pregnancy/postpartum Previous venous thromboembolism Thrombophilia Weak risk factors (odds ratio < 2) Bed rest longer than three days Immobility due to sitting (e.g., car or air travel longer than eight hours) Increasing age Laparoscopic...

American Family Physician

https://www.aafp.org/afp/2012/1115/afp20121115p913.pdf

Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism - American Family Physician

Nov 15, 2012 - Venous thromboembolism manifests as deep venous thrombosis (DVT) or pulmonary embolism, and has a mortality rate of 6 to 12 percent. Well-validated clinical prediction rules are available to determine the pretest probability of DVT and pulmonary embolism. When the likelihood of DVT is ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p913.html

Diagnosis of Eating Disorders in Primary Care - American Family Physician

Jan 15, 2003 - Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women. Eating disorders are associated with devastating medical and psychologic consequences, including death, osteoporosis, growth ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p297.html

Diagnosis of Eating Disorders in Primary Care -- American Family Physician

...patients who undergo refeeding. In addition to bradycardia, cardiac findings may include acrocyanosis and decrease in overall heart size and stroke volume. Cardiomegaly can indicate ipecac use. Electrocardiogram findings may include bradycardia, prolonged QT interval, and...

American Family Physician

https://www.aafp.org/afp/2003/0115/afp20030115p297.pdf

Diagnosis of Urinary Incontinence

...Loss of neurologic control caused by stroke, dementia, spinal cord injury, Parkinson disease Mixed 20 to 30 percent of patients with chronic incontinence Combination of stress and urge incontinence Involuntary leakage associated with symptoms of urgency; loss of urine with...

American Family Physician

https://www.aafp.org/afp/2013/0415/afp20130415p543.pdf

Diagnosis of Urinary Incontinence - American Family Physician

Apr 15, 2013 - Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician’s office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0415/p543.html

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