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stroke

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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

Diagnosis, Initial Management, and Prevention of Meningitis - American Family Physician

Dec 15, 2010 - Although the annual incidence of bacterial meningitis in the United States is declining, it remains a medical emer- gency with a potential for high morbidity and mortality. Clinical signs and symptoms are unreliable in distinguishing bacterial meningitis from the more common forms of ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1491.html

Diagnostic Approach to the Confused Elderly Patient - American Family Physician

Mar 15, 1998 - Confusion in the elderly patient is usually a symptom of delirium or dementia, but it may also occur in major depression and psychoses. Until another cause is identified, the confused patient should be assumed to have delirium, which is often reversible with treatment of the underlying ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1358.html

Diagnostic Evaluation of Erectile Dysfunction - American Family Physician

Jan 1, 2000 - Erectile dysfunction, the persistent inability to attain or maintain penile erection sufficient for sexual intercourse, affects millions of men to various degrees. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p95.html

Diagnostic Evaluation of Urinary Incontinence in Geriatric Patients - American Family ...

Jun 1, 1998 - In most cases, the evaluation of urinary incontinence requires only a history, a physical examination, urinalysis and measurement of postvoid residual urine volume. The initial purposes of the evaluation are to identify conditions requiring referral or specialized work-up and to detect ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2675.html

Diagnostic Imaging: Appropriate and Safe Use - American Family Physician Restricted content. Login required.

Jan 1, 2021 - The use of diagnostic radiography has doubled in the past two decades. Image Gently (children) and Image Wisely (adults) are multidisciplinary initiatives that seek to reduce radiation exposure by eliminating unnecessary procedures and offering best practices. Patients with an estimated...

American Family Physician : Article

https://www.aafp.org/afp/2021/0101/p42.html

Diagnostic Tool for Gout Without Need for Joint Fluid Aspiration - Letters to the ...

Feb 15, 2016 - ...following conditions: angina pectoris, cerebrovascular accident, heart failure, myocardial infarction, peripheral vascular disease, transient ischemic attack 1.5 Serum uric acid level > 5.88 mg per dL (350 μmol per L) 3.5 Total ____ (out of 13 possible points) note:...

American Family Physician : Letter

https://www.aafp.org/afp/2016/0215/p256.html

Diary from a Week in Practice - Apr 1, 2001 - American Family Physician

Apr 1, 2001 - ...why she needed further testing and that she was having transient ischemic attacks and likely a stroke. The depth of denial in this patient was such that ASW had to go into great detail about the possible outcomes of untreated strokes to get her to agree to a computer tomographic...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0401/p1323.html

Diary from a Week in Practice - Apr 1, 2002 - American Family Physician

Apr 1, 2002 - ...with his head on his hands. Pulse and respiration were intact, but the man was unresponsive to questioning and looked puzzled. Fearing a stroke or transient is chemic attack with expressive aphasia, JOH requested that an ambulance be called. By the time the paramedics arrived, the...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0401/p1313.html

Diary from a Week in Practice - Apr 15, 2003 - American Family Physician

Apr 15, 2003 - ...10 days earlier with dehydration secondary to gastroenteritis. The patient had been bedridden for several years because of multiple strokes, and although her speech was slurred, any one of her daughters could understand her easily. These remarkable women were devoted to their mother...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0415/p1709.html

Diary from a Week in Practice - Aug 15, 2004 - American Family Physician

Aug 15, 2004 - ...them. It always was a pleasure to visit this particular patient during nursing home rounds. Despite a tremendous amount of disability from a stroke that had left him wheelchair-bound for more than 10 years, he managed to retain a positive attitude and sense of humor. Even when he...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0815/p683.html

Diary from a Week in Practice - Aug 15, 2005 - American Family Physician

Aug 15, 2005 - ...at least I understood why it was so high. I thought back to the day he arrived at the emergency department after having suffered an acute stroke, with paralysis on the right side. He did not seem to comprehend what had happened, and his first words after receiving the diagnosis...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0815/p616.html

Diary from a Week in Practice - Dec 15, 2003 - American Family Physician

Dec 15, 2003 - ...study showed that the combination of estrogen and progesterone slightly increased, rather than decreased, the risk of heart attacks and strokes. The numbers are small, but authorities now agree that the risks outweigh the benefits, and most women have discontinued taking hormones....

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1215/p2375.html

Diary from a Week in Practice - Dec 15, 2004 - American Family Physician

Dec 15, 2004 - ...She was bedridden because of a stroke, bad heart disease, and dementia. Despite all of her disability, she enjoyed life at home with her daughter. KS ran through a quick differential diagnosis. The most obvious etiologies were a transient ischemic attack, a seizure, or a vasovagal...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1215/p2296.html

Diary from a Week in Practice - Dec 15, 2005 - American Family Physician

Dec 15, 2005 - ...comes in. I agree that she was lucky, because Ellen has many medical problems including diabetes, hypertension, and heart disease. She had a stroke three years ago, and although she can move slowly using her walker, she spends much of her day in a wheelchair. I can only imagine how...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1215/p2467.html

Diary From a Week in Practice - Diary from a Week in Practice - American Family Physician

Dec 15, 2002 - ...convinced that the paralysis was a conversion reaction, but he did not want to miss the more remote possibility of head injury, or even a stroke. When he went back to examine the patient, he found her complaining loudly that she had to go to the bathroom. The nurse was getting ready...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/1215/p2227.html

Diary from a Week in Practice - Jan 1, 2004 - American Family Physician

Jan 1, 2004 - ...Am I too young to have a stroke? Bridget wanted to know. The 43-year-old woman sounded frantic over the telephone. She had woken this morning unable to move the left side of her face, and she was frightened by her appearance reflected in the bathroom mirror. Get to the emergency...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0101/p66.html

Diary from a Week in Practice - Jan 15, 2005 - American Family Physician

Jan 15, 2005 - ...I pay a call on Helen in the nursing wing of a retirement community. Helen’s husband died of a stroke two years ago. Now, because of advancing parkinsonism, she requires round-the-clock nursing care from a staff that is refreshingly capable and affectionate. Helen’s daughter happens...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0115/p276.html

Diary from a Week in Practice - Jul 01, 1998 - American Family Physician

Jul 1, 1998 - ...relationship from doctor-to-patient into doctor-to-friend. JRH has taken care of one such couple for years and has supported them through a stroke, an ulcer, removal of a meningioma and removal of a cataract. More recently, the husband and wife have each developed diabetes, and this...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1998/0701/p85.html

Diary from a Week in Practice - Jun 1, 1998 - American Family Physician

Jun 1, 1998 - ...know that you may be able to improve functional outcomes in patients with hemiplegic stroke by prescribing fluoxetine and physical therapy? One study from Italy published in the May 1996 issue of Stroke (p. 1211) showed that the fluoxetine/physical therapy approach was superior to...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1998/0601/p2669.html

Diary from a Week in Practice - Jun 1, 2003 - American Family Physician

Jun 1, 2003 - ...Next: Does Long-Term Anticoagulation Improve Function After Stroke? View the full table of contents >> Home / Journals / afp / Vol. 67/No. 11(June 1, 2003) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/0601/p2312.html

Diary from a Week in Practice - Jun 15, 2004 - American Family Physician

Jun 15, 2004 - ...and his wife. Actually, he rarely was ill and was lucky enough never to have spent the night in the hospital. He had experienced a transient ischemic attack several months earlier, but he had fully recuperated. He enjoyed a full, active life. Aside from his age and well-controlled...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0615/p2814.html

Diary from a Week in Practice - Mar 1, 2002 - American Family Physician

Mar 1, 2002 - ...never considered or would have believed that this healthy teenager had just suffered a stroke on the football field. Yet his evaluation confirmed a right-sided, middle-cerebral artery hemorrhagic stroke secondary to a right carotid-artery dissection. Thanks to RB's grit,...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0301/p833.html

Diary from a Week in Practice - May 1, 1999 - American Family Physician

May 1, 1999 - ...Next: Stroke: Part I. A Clinical Update on Prevention View the full table of contents >> Home / Journals / afp / Vol. 59/No. 9(May 1, 1999) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/1999/0501/p2469.html

Diary from a Week in Practice - May 15, 2001 - American Family Physician

May 15, 2001 - ...tells us that the use of a diuretic reduces the risk of stroke in patients with high blood pressure (Arch Intern Med 2001;161:37–43). According to this study, thiazide diuretics were associated with a lower risk of ischemic stroke, which makes them the best choice as first-line...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0515/p1953.html

Diary from a Week in Practice - May 15, 2002 - American Family Physician

May 15, 2002 - ...the first time. She delivered twice in the 1950s. She remained a patient until her death, three weeks after she experienced a hemispheric stroke. Over the course of 52 years, the natural history of multiple disorders was documented in her records: generalized anxiety disorder,...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2002/0515/p2031.html

Diary from a Week in Practice - Nov 1, 2003 - American Family Physician

Nov 1, 2003 - ...the pieces. When Mrs. Christie was found on the floor of her bedroom, unable to get up, her daughter feared the elderly woman had suffered a stroke. Mrs. Christie was evaluated in the emergency department, and by the time all her test results had come back as normal, she felt...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1101/p1763.html

Diary from a Week in Practice - Nov 1, 2005 - American Family Physician

Nov 1, 2005 - ...become dependent on a drug for the rest of my life, she told me after the hypertension was initially diagnosed, but I don’t want to have a stroke or heart attack either. This morning, I noticed the unmistakable scent of garlic in the room. Eleanor admitted she had been eating two or...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1101/p1696.html

Diary from a Week in Practice - Oct 1, 2003 - American Family Physician

Oct 1, 2003 - ...Next: Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic Stroke? View the full table of contents >> Home / Journals / afp / Vol. 68/No. 7(October 1, 2003) / Diary from a Week in Practice: Diary from a Week in Practice...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2003/1001/p1303.html

Diary from a Week in Practice - Oct 1, 2004 - American Family Physician

Oct 1, 2004 - ...one of his gloves. It certainly had the appearance of a living creature, but was too big to be a body louse. It appeared to be a black ant. Stroking his beard slowly and nodding his head, JOH praised Willie on his perceptive acumen, examined his deeply scratched arms and torso with...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1001/p1262.html

Diary from a Week in Practice - Oct 15, 2004 - American Family Physician

Oct 15, 2004 - ...explained. KS and second-year resident AH were visiting a patient at home. Two years earlier, this 78-year-old woman had had a terrible stroke, which left her bedridden with a feeding tube. Although awake at times, she was aphasic and incommunicative, at least to the physicians. Her...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/1015/p1474.html

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