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Ethics in Medicine - AFP 50 Years Ago - American Family Physician

Mar 1, 2000 - ...is useless but who, if he lives on, will wreck the finances or the life of some relative who is useful? One thinks of the aged parent with a stroke who, for years, has been abusing and impoverishing his hard-working little daughter and wrecking her life, or one thinks of the idiot...

American Family Physician : AFP 50 Years Ago

https://www.aafp.org/afp/2000/0301/p1262.html

Evaluating and Treating Unintentional Weight Loss in the Elderly -- American Family ...

...(Table 1).14-18 Pulmonary disease, cardiac dis- orders (e.g., congestive heart failure), demen- tia, alcoholism and prescription medications have also been implicated in the problem.3 Although acute and chronic physical and psy- FEBRUARY 15, 2002 / VOLUME 65, NUMBER 4...

American Family Physician

https://www.aafp.org/afp/2002/0215/afp20020215p640.pdf

Evaluating and Understanding Articles About Treatment - American Family Physician

Apr 15, 2009 - Each year physicians must decide which of the thousands of newly published articles they will take time to read. To determine which articles are the most clinically useful, physicians should assess their relevance, validity, and clinical importance. Using these criteria can drastically ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p668.html

Evaluating Benefits and Harms of Anticoagulation in Patients with Atrial Fibrillation -...

Dec 15, 2018 - In patients with NVAF, anticoagulants decrease the risk of stroke by approximately 60%. However, they also significantly increase the risk of a major bleeding event or intracranial hemorrhage.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/1215/p751.html

Evaluating Dysphagia - American Family Physician

Jun 15, 2000 - Dysphagia is a problem that commonly affects patients cared for by family physicians in the office, as hospital inpatients and as nursing home residents. Familiar medical problems, including cerebrovascular accidents, gastroesophageal reflux disease and medication-related side effects, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3639.html

Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...

Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1052.html

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.html

Evaluation and Management of Delirium in Hospitalized Older Patients - American Family ...

Dec 1, 2008 - Delirium is common in hospitalized older patients and may be a symptom of a medical emergency, such as hypoxia or hypoglycemia. It is characterized by an acute change in cognition and attention, although the symptoms may be subtle and usually fluctuate throughout the day. This ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1265.html

Evaluation and Management of Galactorrhea

...for symp- toms related to hyperprolactinemia, such as amenorrhea or oligomenorrhea, low libido, erectile dysfunction, infertility, gynecomas- tia, or fractures, and symptoms related to mass effect of a pituitary adenoma, such as headache or vision changes. The physical...

American Family Physician

https://www.aafp.org/afp/2012/0601/afp20120601p1073.pdf

Evaluation and Management of Orthostatic Hypotension

...Stroke Bradykinesia, pill-rolling tremor, shuffling gait Parkinson disease Burns Intravascular volume depletion Chest pain, palpitations, shortness of breath Congestive heart failure, myocardial infarction, myocarditis, pericarditis Chills, fever, lethargy, nausea,...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p527.pdf

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

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

Apr 1, 2004 - Retinal detachment often is a preventable cause of vision loss. There are three types of retinal detachments: exudative, tractional, and rhegmatogenous. The most common type is rhegmatogenous, which results from retinal breaks caused by vitreoretinal traction. Risk factors for retinal ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1691.html

Evaluation and Management of Suspected Retinal Detachment - American Family Physician

...Photopsia Vitreoretinal traction PVD, optic neuritis, migraine, hypotension, transient ischemic attack Floaters Vitreous cells, blood PVD, PDR, uveitis Visual field loss Peripheral detachment Optic neuropathy, CVA, BRVO, BRAO Blurred vision Macular detachment PVD =...

American Family Physician

https://www.aafp.org/afp/2004/0401/afp20040401p1691.pdf

Evaluation and Treatment of Heat-Related Illnesses - American Family Physician

Jun 1, 2002 - The body's ability to regulate core temperature depends on both host (internal) and environmental (external) factors. Although athletes are commonly thought to be most at risk for heat illnesses, children and the elderly are particularly vulnerable. Heat cramps, which are caused by ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0601/p2307.html

Evaluation and Treatment of Heat-Related Illnesses - Letters to the Editor - American ...

Apr 1, 2003 - ...Clinical syndromes vary from heat syncope, heat cramps, heat exhaustion, and heat stroke.2–3 Heat syncope occurs when a person experiences orthostatic dizziness or fainting following exposure to a high environmental temperature. Heat illness is precipitated by long hours of...

American Family Physician : Letter

https://www.aafp.org/afp/2003/0401/p1439.html

Evaluation and Treatment of Swallowing Impairments - American Family Physician

Apr 15, 2000 - Swallowing disorders are common, especially in the elderly, and may cause dehydration, weight loss, aspiration pneumonia and airway obstruction. These disorders may affect the oral preparatory, oral propulsive, pharyngeal and/or esophageal phases of swallowing. Impaired swallowing, or ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2453.html

Evaluation of a First Seizure - American Family Physician

May 1, 2007 - Seizure is a common presentation in the emergency care setting, and new-onset epilepsy is the most common cause of unprovoked seizures. The patient history and physical examination should direct the type and timing of laboratory and imaging studies. No single sign, symptom, or test ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1342.html

Evaluation of Acute Headaches in Adults - American Family Physician

Feb 15, 2001 - Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management A detailed headache history helps to distinguish among the primary headache disorders.

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p685.html

Evaluation of Acute Headaches in Adults - American Family Physician

...Focal neurologic signs or Mass lesion, vascular malformation, Neuroimaging, collagen vascular symptoms of disease stroke, collagen vascular disease evaluation (including (other than typical aura) antiphospholipid antibodies) Papilledema Mass lesion, pseudotumor cerebri,...

American Family Physician

https://www.aafp.org/afp/2001/0215/afp20010215p685.pdf

Evaluation of Asymptomatic Atrial Fibrillation

...analysis of the outcomes of this inves- tigation in symptomatic (n = 3,576) versus asymptomatic (n = 481) patients included death, disabling stroke, disabling anoxic encephalopathy, major central nervous sys- tem hemorrhage, and cardiac arrest.5 After adjusting for left ventricular...

American Family Physician

https://www.aafp.org/afp/2012/0915/afp20120915od1.pdf

Evaluation of Asymptomatic Atrial Fibrillation - FPIN's Clinical Inquiries - American ...

Sep 15, 2012 - In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0915/od1.html

Evaluation of Dysuria in Men - American Family Physician

Sep 1, 1999 - Men with pain or a burning sensation on urination should be evaluated with a thorough history, a focused physical examination and urinalysis (both urine dipstick and microscopic examination of the urine specimen). Although dysuria may be caused by anything that leads to inflammation of ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p865.html

Evaluation of First Nonfebrile Seizures - American Family Physician

Aug 15, 2012 - Nonfebrile seizures may indicate underlying disease or epilepsy. The patient history can often distinguish epileptic seizures from nonepileptic disorders by identifying the events directly preceding the convulsion, associated conditions, and details of the seizure, including triggers, ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0815/p334.html

Evaluation of Suspected Dementia

...Guidelines The National Institute on Aging and the Alzheimer’s Association have released guidelines for clinical diagnosis of demen- tia and mild cognitive impairment. In brief, dementia can be diagnosed if cogni- tive or behavioral symptoms interfere with the patient’s ability to...

American Family Physician

https://www.aafp.org/afp/2011/1015/afp20111015p895.pdf

Evaluation of Suspected Dementia - American Family Physician

Mar 15, 2018 - Dementia is a significant and costly health condition that affects 5 million adults and is the fifth leading cause of death among Americans older than 65 years. The prevalence of dementia will likely increase in the future because the number of Americans older than 65 years is expected ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0315/p398.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

Evaluation of Syncope

...anxiety, hysterical fainting), and transient ischemic attacks (carotid in origin). Metabolic disorders (e.g., hypoglyce- mia, hypoxia, hyperventilation), seizures, acute intoxi- cations, and vertebrobasilar insufficiency may present as syncope with partial or complete loss of...

American Family Physician

https://www.aafp.org/afp/2011/0915/afp20110915p640.pdf

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

Evaluation of Syncope - American Family Physician

Oct 15, 2005 - Though relatively common, syncope is a complex presenting symptom defined by a transient loss of consciousness, usually accompanied by falling, and with spontaneous recovery. Syncope must be carefully differentiated from other conditions that may cause a loss of consciousness or ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1015/p1492.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

Apr 1, 2005 - Muscle weakness is a common complaint among patients presenting to family physicians. Diagnosis begins with a patient history distinguishing weakness from fatigue or asthenia, separate conditions with different etiologies that can coexist with, or be confused for, weakness. The pattern ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1327.html

Evaluation of the Patient with Muscle Weakness - American Family Physician

...patients with associated risk factors or symptoms.6,9 Neurologic conditions that can cause weakness include cerebrovascular dis- ease (i.e., stroke, subdural/epidural hemato- mas), demyelinating disorders (i.e., multiple sclerosis, Guillain-Barré syndrome), and neuromuscular...

American Family Physician

https://www.aafp.org/afp/2005/0401/afp20050401p1327.pdf

Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change Outcomes

...To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ abso- lute risk of having a coronary heart disease (CHD) event in 10 years.1 As Drs. Viera and Sheridan point out in this issue of American Family Physician,2 the use of global...

American Family Physician

https://www.aafp.org/afp/2010/0801/afp20100801p236.pdf

Evidence for Global CHD Risk Calculation: Risk Assessment Alone Does Not Change ...

Aug 1, 2010 - To prevent heart attack, stroke, or death, the American Heart Association recommends estimating patients’ absolute risk of having a coronary heart disease (CHD) event in 10 years. Before physicians adopt routine risk calculation, we should use the evidence to determine the best use of ...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0801/p236.html

Evidence Lacking on CVD-related Screening, Risk Assessment

On Jan. 16, the U.S. Preventive Services Task Force released two draft recommendation statements and accompanying draft evidence reviews related to screening for cardiovascular disease, finding a paucity of evidence to recommend for or against either practice.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180122uspstfcvdscreens.html

Evidence Lacking on HBP Screening in Children, Adolescents

On Nov. 10, the U.S. Preventive Services Task Force issued a final recommendation statement, final evidence review and evidence summary on screening for high blood pressure in children and adolescents.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20201119hpbchildren.html

Evidence on Screening for Atrial Fibrillation Inconclusive

The U.S. Preventive Services Task Force is accepting comments on a draft recommendation statement that concludes current evidence is insufficient to assess the balance and harms of screening for atrial fibrillation.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20210504uspstfafib.html

Evidence Supporting Niacin Therapy Is More Nuanced Than Article States - Letters to the...

Dec 1, 2018 - ...event (cardiac death, nonfatal myocardial infarction, revascularization procedure, hospitalization for acute coronary syndrome, or stroke),2 to no effect on any outcome.3 Although the two latest niacin trials did not show a benefit for niacin, it has been suggested that different...

American Family Physician : Letter

https://www.aafp.org/afp/2018/1201/p630.html

EvidenceNOW: Advancing Heart Health in Primary Care

Early research findings about how to help small- and medium-sized primary care practices with cardiovascular disease prevention are available in an Annals of Family Medicine supplement.

AAFP News : Patient Care

https://www.aafp.org/news/health-of-the-public/20180420ahrqsupplement.html

Evolocumab (Repatha) for the Treatment of Hyperlipidemia - STEPS - American Family ...

Nov 15, 2016 - Evolocumab is generally safe and effective at lowering serum LDL cholesterol levels for select patients who need marked cholesterol reduction and can tolerate injections. However, it remains unknown whether evolocumab prevents premature death from cardiovascular events.

American Family Physician : STEPS

https://www.aafp.org/afp/2016/1115/p843.html

Examining the Heart of Family Medicine: Family History - Editorials - American Family ...

Apr 15, 2010 - ...accompanying table) about screening family history for asthma and allergies (atopic disease); diabetes; major depression and mood disorders; stroke; cardiovascular disease; and five common cancers (breast, ovarian, colorectal, prostate, and lung).3 The panel statement,3 evidence...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0415/p961.html

Excess, Shortage, or Sufficient Physician Workforce: How Could We Know? - Graham Center...

Nov 1, 2005 - At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do to achieve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1101/p1670.html

Excessive Daytime Sleepiness - American Family Physician

Mar 1, 2009 - Excessive daytime sleepiness is one of the most common sleep-related patient symptoms, and it affects an estimated 20 percent of the population. Persons with excessive daytime sleepiness are at risk of motor vehicle and work-related incidents, and have poorer health than comparable ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p391.html

Exercise During Pregnancy - American Family Physician

Apr 15, 1998 - Exercise has become a vital part of many women's lives. However, theoretic concerns have been raised about the safety of some forms of exercise during pregnancy. Because of the physiologic changes associated with pregnancy, as well as the hemodynamic response to exercise, some ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1846.html

Exercise for Older Patients Who Are Acutely Hospitalized - Cochrane for Clinicians - ...

Jul 1, 2007 - The effects of exercise interventions on functional outcomes are unclear, but there is a trend toward functional improvement. Multidisciplinary interventions that include exercise also show several other benefits, including reduction in length of hospitalization and hospital costs; ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0701/p69.html

Exercise is an Effective Intervention in Overweight and Obese Patients - Cochrane for ...

May 1, 2007 - Exercise leads to a weight loss of 1 lb, 2 oz to 16 lb, 12 oz (0.5 to 7.6 kg), compared with a 3-oz (0.1-kg) weight loss to a weight gain of 1 lb, 9 oz (0.7 kg) with no treatment. Patients participating in higher-intensity exercise lose 3 lb, 5 oz (1.5 kg) more than those participating ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0501/p1333.html

Exercise Is Medicine. Here's How I Get Patients Started

Ninety percent of Americans don't meet recommendations for physical activity. Alex Mroszczyk-McDonald, M.D., has seen the good that exercise can do, and in this Fresh Perspectives blog post he shares ways to get more patients off the couch.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20180516fp-exercise.html

Exercise Stress Testing: Indications and Common Questions

September 1, 2017

American Family Physician

https://www.aafp.org/afp/2017/0901/afp20170901p293.pdf

Exercise Stress Testing: Indications and Common Questions - American Family Physician

Sep 1, 2017 - Exercise stress testing is a validated diagnostic test for coronary artery disease in symptomatic patients, and is used in the evaluation of patients with known cardiac disease. Testing of asymptomatic patients is generally not indicated. It may be performed in select deconditioned ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0901/p293.html

Exercise to Improve Functioning in Patients with Dementia

August 1, 2016: FPIN Help Desk

American Family Physician

https://www.aafp.org/afp/2016/0801/afp20160801p242.pdf

Exercise to Improve Functioning in Patients with Dementia - FPIN's Help Desk Answers - ...

Aug 1, 2016 - Exercise programs lasting at least two months moderately increase the ability of patients with dementia to perform ADLs.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0801/p242.html

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