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

Oct 15, 2005 - ...has been in and out of mental health facilities most of her adult life. About three years ago, she suffered a stroke that resulted in complete left-sided hemiplegia. The stroke also caused a severe expressive aphasia, which left her able to say only two words. Luckily, she is in...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/1015/p1484.html

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

Sep 1, 2005 - ...she lasted so long or that she finally succumbed to death. She had cheated death many times before—a large myocardial infarction, a bad stroke, and severe congestive heart failure. Ursula didn’t take care of herself. She shouted, cursed, and was generally nasty to everyone. We...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2005/0901/p798.html

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

Sep 15, 2001 - ...a note from the incredibly supportive spouse of one of his patients. She is an 80-year-old woman named Angie who has suffered numerous strokes and is now residing in a long-term care facility, with a feeding gastrosto-my tube in place and a nearly complete expressive aphasia. JTL is...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2001/0915/p972.html

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

Sep 15, 2004 - ...point, she already inhabited a distant world of incoherent mumbles and odd gestures. Of late, Carmela had spiraled downhill—a seizure, a stroke, a pulmonary embolism. Now she’d stopped eating and drinking altogether. When we admitted her, she was in renal failure. Rehydrating her...

American Family Physician : Diary from a Week in Practice

https://www.aafp.org/afp/2004/0915/p1058.html

Diary of a Family Physician - Sep 01, 2021 - American Family Physician

Sep 1, 2021 - First-person accounts from the front lines of family medicine.

American Family Physician : Diary of a Family Physician

https://www.aafp.org/afp/2021/0900/p313.html

Diastolic Heart Failure: Challenges of Diagnosis and Treatment - American Family Physician

...is necessary to reduce pulmonary con- gestion. However, caution is required to avoid excessive diuresis, which can decrease preload and stroke volume. Patients with diastolic dys- function are highly sensitive to volume changes and preload. The potential benefits of beta blockers...

American Family Physician

https://www.aafp.org/afp/2004/0601/afp20040601p2609.pdf

Diastolic Heart Failure: The Challenges of Diagnosis and Treatment - American Family ...

Jun 1, 2004 - Diastolic heart failure, a major cause of morbidity and mortality, is defined as symptoms of heart failure in a patient with preserved left ventricular function. It is characterized by a stiff left ventricle with decreased compliance and impaired relaxation, which leads to increased end...

American Family Physician : Article

https://www.aafp.org/afp/2004/0601/p2609.html

Diet and Physical Activity for Cardiovascular Disease Prevention

June 1, 2016 Scientific

American Family Physician

https://www.aafp.org/afp/2016/0601/afp20160601p919.pdf

Diet and Physical Activity for Cardiovascular Disease Prevention - American Family ...

Jun 1, 2016 - Cardiovascular disease (CVD) is the leading cause of death in the United States. One-third of these deaths may be preventable through healthy lifestyle choices including diet and physical activity. The Mediterranean diet is associated with reduced cardiovascular mortality, whereas the ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0601/p919.html

Dietary Fat Modification and the Risk of Cardiovascular Events and Mortality

...total and cardiovascular-related mortality, as well as combined cardiovascular events, such as nonfatal myocardial infarction, angina, stroke, heart failure, atrial fibrillation, peripheral vascular disease, and coronary bypass surgery or angioplasty. In this review, the authors...

American Family Physician

https://www.aafp.org/afp/2013/0501/afp20130501p609.pdf

Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - ...

May 1, 2013 - According to the authors of this Cochrane review, reducing or modifying a patient's dietary fat intake did not lower the rates of either total or cardiovascular-related mortality when compared with usual or control diets. Reducing the intake of total or saturated fats decreased the risk...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0501/p609.html

Dietary Therapy for Preventing and Treating Coronary Artery Disease - American Family ...

Mar 15, 1998 - Nearly one half of Americans die of cardiovascular disease. The morbidity and mortality associated with coronary artery disease is strongly related to abnormal lipid levels, oxidation of lipids and intra-arterial clot formation. Nutrition powerfully influences each of these factors. ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1299.html

Diets for Cardiovascular Disease Prevention: What Is the Evidence? - American Family ...

Apr 1, 2009 - Patients often initiate commercial dietary plans to reduce obesity and prevent cardiovascular disease. Such plans include very low-carbohydrate, low-carbohydrate, very low-fat, and Mediterranean diets. Published evidence on several popular diets has made it easier for physicians to ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p571.html

Differences Between the AAFP Atrial Fibrillation Guideline and the AHA/ACC/HRS ...

Sep 1, 2017 - The AAFP updated its guideline on pharmacologic management of newly detected atrial fibrillation, which differs in part from the AHA/ACC/HRS guideline. It specifically highlights two questions commonly faced by family physicians, and is based on updated data from the Agency for ...

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0901/p284.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

Sep 15, 2003 - Hearing loss is a common problem that can occur at any age and makes verbal communication difficult. The ear is divided anatomically into three sections (external, middle, and inner), and pathology contributing to hearing loss may strike one or more sections. Hearing loss can be ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1125.html

Differential Diagnosis and Treatment of Hearing Loss - American Family Physician

...Do you have a history of stroke, diabetes, or heart disease? What medicines are you currently taking? Have you received any intravenous antibiotics, diuretics, salicylates, or chemotherapy? better than bone conduction. Therefore, sound is still heard when the tuning fork is...

American Family Physician

https://www.aafp.org/afp/2003/0915/afp20030915p1125.pdf

Differential Diagnosis of Polyarticular Arthritis

...sicca symptoms of dry eyes and dry mouth, eye inflammation, bowel inflammation, neurologic symptoms, and ischemic symptoms (including stroke). These signs are integral in correctly diagnosing systemic inflammatory arthropathy. OTHER CAUSES OF JOINT PAIN Neurologic causes of...

American Family Physician

https://www.aafp.org/afp/2015/0701/afp20150701p35.pdf

Differential Diagnosis of Polyarticular Arthritis - American Family Physician

Jul 1, 2015 - Polyarticular arthritis is commonly encountered in clinical settings and has multiple etiologies. The first step is to distinguish between true articular pain and nonarticular or periarticular conditions by recognizing clinical patterns through the history and physical examination. Once...

American Family Physician : Article

https://www.aafp.org/afp/2015/0701/p35.html

Differential Diagnosis of Tremor - FPIN's Clinical Inquiries - American Family Physician

May 1, 2008 - The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0501/p1305.html

Differentiation and Diagnosis of Tremor

...as a disabling, low- frequency, slow intention or postural tremor, and is typi- cally caused by multiple sclerosis with cerebellar plaques, stroke, or brainstem tumors. Other neurologic signs include dysmetria (overshoot on finger-to-nose test- ing), dyssynergia (abnormal...

American Family Physician

https://www.aafp.org/afp/2011/0315/afp20110315p697.pdf

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

Digital Media Use Associated with ADHD Symptom Development Among Adolescents - POEMs - ...

Feb 1, 2019 - High school students who reported a high frequency (many times per day) of digital media use (e.g., social networking, streaming movies or music, texting) were significantly more likely to self-report symptoms of ADHD over two years of follow-up (10% higher symptom reporting rate).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p189.html

Direct Oral Anticoagulants Preferred Over Warfarin for Nonvalvular Atrial Fibrillation ...

Dec 1, 2018 - The balance of benefits and harms favors direct oral anticoagulants over warfarin (Coumadin) for patients with nonvalvular atrial fibrillation who require anticoagulation and are already taking low-dose aspirin.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683.html

Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in ...

Apr 1, 2019 - Direct oral anticoagulants are as likely as warfarin to prevent all strokes and systemic embolic events in patients with atrial fibrillation and CKD stage 3. They do not increase the risk of major bleeding events. The evidence remains insufficient to make recommendations for the use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p422.html

Discussing Treatment Options with Patients - Curbside Consultation - American Family ...

Mar 1, 2010 - Sometimes it may seem easier to inject a subacromial bursa or aspirate a knee joint than to engage in shared decision making with your patients about the use of aspirin for coronary artery disease prevention or a PSA test for prostate cancer screening. The path that led to the disparate...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/0301/p645.html

Distal Upper Extremity Edema and Discoloration - Photo Quiz - American Family Physician

Mar 15, 2007 - 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/2007/0315/p889.html

Dizziness: A Diagnostic Approach

...are many underlying conditions that may cause a sense of imbalance. Stroke is an important and life- threatening cause of dizziness that needs to be ruled out when the dizziness is associated with other symptoms of stroke. However, other neurologic findings are generally present. In...

American Family Physician

https://www.aafp.org/afp/2010/0815/afp20100815p361.pdf

Dizziness: A Diagnostic Approach - American Family Physician

Aug 15, 2010 - Dizziness accounts for an estimated 5 percent of primary care clinic visits. The patient history can generally classify dizziness into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. The main causes of vertigo are benign paroxysmal positional vertigo, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0815/p361.html

Dizziness: Approach to Evaluation and Management

February 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/0201/afp20170201p154.pdf

Dizziness: Approach to Evaluation and Management - American Family Physician

Feb 1, 2017 - Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient’s history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0201/p154.html

Do ACE Inhibitors Decrease Mortality in Patients with Hypertension? - FPIN's Clinical ...

Jul 1, 2004 - When used to treat patients with hypertension, ACE inhibitors reduce cardiovascular and all-cause mortality as effectively as diuretics, beta blockers, and calcium channel blockers.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0701/p153.html

Do I Have Diabetes? - American Family Physician

Oct 15, 1998 - ...Diabetes mellitus is a serious, chronic condition of high blood sugar. If left untreated, it may result in blindness, heart attacks, strokes, kidney failure and amputations. Diabetes is the fourth leading cause of death in the United States. More than 178,000 people die each year...

American Family Physician : Patient Handout

https://www.aafp.org/afp/1998/1015/p1369.html

Do I Have to Resuscitate This Patient Against Her Wishes? - Curbside Consultation - ...

May 1, 2003 - In this case scenario, the family physician successfully performed a task that often is forgotten during physician-patient visits—the physician frequently discussed with this patient her wishes for end-of-life care. The conversations specifically included her thoughts about respirators,...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2003/0501/p2025.html

Do-It-Yourself Disease Management -- FPM

Dec 1, 1998 - It's amazing what you can accomplish with your PC, some off-the-shelf software and a desire to improve patients' health.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/1100/p34.html

Doctor or Patient? Who Owns Medical Records?

Doctor or Patient? Who Owns Medical Records?

AAFP News : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/doctor_or_patient_who_owns.html

Does High Patient Satisfaction Mean High Quality of Care ? -- FPM

Jun 1, 2016 - Are they even related?

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2016/0500/p4.html

Does Long-Term Anticoagulation Improve Function After Stroke? - Cochrane for Clinicians...

Jun 1, 2003 - There is no evidence that anticoagulation with either heparin or warfarin improves these outcomes. There is clear evidence of increased hemorrhagic complications (both fatal and nonfatal) in patients who receive anticoagulation.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2003/0601/p2317.html

Does Niacin Have Cardiovascular Benefits in Patients with Dyslipidemia? - Letters to ...

Dec 1, 2018 - ...To the Editor: In this Cochrane for Clinicians the authors concluded that niacin does not reduce myocardial infarction (MI), strokes, or overall mortality when used for primary or secondary prevention, either alone or in addition to statins. In 2016, the U.S. Food and Drug...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1201/p631.html

Does Pioglitazone Benefit Patients With Type 2 Diabetes? - Cochrane for Clinicians - ...

Oct 1, 2007 - Pioglitazone produces a reduction in A1C levels similar to that produced by other drugs. One trial found that although pioglitazone, used as an adjunct to other antihyperglycemic medications, may lead to a statistically significant reduction in morbidity and mortality in patients with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1001/p969.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk?

...in blood pressure and cir- culating lipid levels.1,2 To determine whether these changes lead to fewer acute myocardial infarctions (MIs) and strokes, we prespeci- fied cardiovascular outcomes as secondary end points in a randomized controlled trial (RCT) of calcium supplementation...

American Family Physician

https://www.aafp.org/afp/2013/0201/afp20130201od1.pdf

Does Widespread Calcium Supplementation Pose Cardiovascular Risk?

...a statistically significant increase in myocardial infarction (MI), compared with those treated with placebo. The composite end point of MI, stroke or cerebrovascular accident, or sudden death was higher in the calcium group, but statistical significance was not demonstrated when...

American Family Physician

https://www.aafp.org/afp/2013/0201/afp20130201od2.pdf

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? No: Concerns Are ...

Feb 1, 2013 - When patients are randomized and cardiovascular events are carefully adjudicated, there is no compelling evidence that calcium supplementation increases the rate of major cardiovascular events.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od2.html

Does Widespread Calcium Supplementation Pose Cardiovascular Risk? Yes: The Potential ...

Feb 1, 2013 - The bolus administration of this micronutrient should be abandoned in most circumstances, and patients should be encouraged to obtain their calcium intake from an appropriately balanced diet.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2013/0201/od1.html

Domino Returns With Top 10 Updates for FPs

Frank Domino, M.D., wowed attendees with his annual 'Top 10 Updates in Evidence-based Medicine' discussion at this year’s virtual Family Medicine Experience.

AAFP News : News From 2020 COD and FMX

https://www.aafp.org/news/2020-congress-fmx/20201021fmx-domino.html

Domino: Beer is OK (If You Exercise), But Avoid Kale

Frank Domino, M.D., delivered his popular "Top 10 Updates in Evidence-based Medicine" Sept. 27 during the Family Medicine Experience in Philadelphia. As usual, his presentation drew a huge crowd.

AAFP News : News From 2019 COD and FMX

https://www.aafp.org/news/2019-congress-fmx/20191001fmx-domino.html

Don’t Screen for Carotid Artery Stenosis, Says Task Force

The U.S. Preventive Services Task Force recently issued a draft recommendation statement and draft evidence review on screening asymptomatic adults for carotid artery stenosis.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20200817uspstfacas.html

DOT Examinations: Practical Aspects and Regulatory Review - American Family Physician

Aug 1, 1998 - Most certification examinations of commercial drivers are simple, and relatively few drivers are disqualified. If these examinations are not done properly, however, the public can be exposed to potentially unqualified drivers. Should an accident occur, the physician who examined the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p415.html

Downsides of Detecting Atrial Fibrillation in Asymptomatic Patients - Editorials - ...

Mar 15, 2019 - Despite the lack of outcomes evidence, the rise of wearable ECG sensors will cause many individuals to seek care for misdiagnosed AF. The best intervention for patients with correct diagnoses remains unclear. Primary care physicians must use their skills in discussing uncertainty and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0315/p354.html

Drug Dosing in Older Patients with Chronic Kidney Disease - Letters to the Editor - ...

Dec 15, 2007 - ...Next: Enoxaparin Preferred Following Acute Ischemic Stroke View the full table of contents >> Home / Journals / afp / Vol. 76/No. 12(December 15, 2007) / Drug Dosing in Older Patients with Chronic Kidney Disease...

American Family Physician : Letter

https://www.aafp.org/afp/2007/1215/p1766.html

Drug Interactions With Tobacco Smoke

...Hormonal contraceptives • á Risk of cardiovascular adverse effects (e.g., stroke, myocardial infarction, thromboembolism) in women who smoke and use oral contraceptives. Ortho Evra patch users shown to have 2-fold á risk of venous thromboembolism compared to oral contraceptive...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/tobacco/drug-interactions.pdf

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