AAFP and ACP Publish Recommendations on Diagnosis and Management of VTE - Practice ...
Oct 15, 2007 - Recommendations on diagnosis and management of venous throm-boembolism (VTE) have been published by the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP).
American Family Physician : Practice Guidelines
https://www.aafp.org/afp/2007/1015/p1225.html
AAFP Backs Breastfeeding, Lactation for Medical Trainees
The AAFP has updated its policy supporting breastfeeding and lactation accommodations for medical trainees, which other medical organizations plan to use as model policy for their members.
https://www.aafp.org/news/health-of-the-public/20190626breastfeedpolicy.html
AAFP Delivers Useful Clinical Resources for 2018
The AAFP offered a wide range of clinical recommendations and resources throughout 2017 -- including practice guidelines, immunization guidance and preventive services recommendations -- that members can use in 2018 and beyond.
https://www.aafp.org/news/resources-tools-2018/20180103yir-clinical.html
AAFP FMX 2020
...Hypertension: The Pressure's On! David M Schneider, MD Family Physician Santa Rosa Family Medicine Residency Clinical Professor of Family and Community Medicine, UCSF ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-012.pdf
AAFP FMX 2020
...Hypertension Treatment of Resistant Hypertension Chuck Carter, MD, FAAFP Clinical Professor University of South Carolina School of Medicine ACTIVITY DISCLAIMER The material presented here is being made available by the American Academy of Family Physicians for educational...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-016.pdf
AAFP FMX 2020
...1. Provide evidence-based management for severe asymptomatic hypertension. 2. Determine when patients with elevated blood pressure should be admitted to the hospital. 3 4 10/7/2020 3 Hypertension Emergency (Elevated BP) • This value is usually a sBP/dBP >/= to...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-032.pdf
AAFP FMX 2020
...2. Explain the 2013 changes from the American College of Obstetricians and Gynecologists (ACOG) Hypertension Disorder Guidelines with emphasis on diagnosis of preeclampsia with severe features. 3. Formulate a prevention and management strategy to include determination for the...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-155.pdf
AAFP FMX 2020
...Medical Indications: Hypertension HYPITAT RCT, 2009 • IOL or expectant care for gestational HTN or mild pre-e after 36wks • Significant reduction of maternal complications • No difference in c/s rate or neonatal morbidity • ACOG: Women w/ gestational HTN or preeclampsia w/o...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-146.pdf
AAFP FMX 2020
...• PMH - Type 2 DM; last AIC 7.2% - HTN • Medications: - Metformin 500 mg bid - Lisinopril/HCTZ 20/12.5 mg daily - Simvastatin 40 mg daily - ASA 81 mg daily • Exam: - BP 132/78, P 84, BMI 31 - Heart: irregularly irregular S1, S2 without murmur - Lungs clear; extremities without...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-005.pdf
AAFP FMX 2020
...leading to inability to cooperate • Mod stenotic valvular heart dz • Recent stroke or TIA • Severe HTN (SBP ≥200 and/or DBP ≥110) • Tachy- or bradyarrhythmias, incl AFib w/RVR Absolute Contraindications Relative Contraindications Circulation 2002;106:1883-92; Am Fam...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-006.pdf
AAFP FMX 2020
...artery hypertension D. Mechanical valve Question 1 Pregnancy is considered contraindicated for a woman with which of the following cardiac lesions: A. Unrepaired ventricular septal defect (VSD) B. Hypertrophic cardiomyopathy C. Pulmonary artery hypertension D. Mechanical...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-139.pdf
AAFP FMX 2020
...• 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guideline moved HTN from >/= 140/90 to >/= 130/80 mm Hg • Isolated Diastolic Hypertension (IDH) as >/= 80 mm Hg (expert opinion) • 18,000+ Tx of IDH over 25 years: • Tx > 80 mmHg did NOT Decrease •...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-103.pdf
AAFP FMX 2020
...• Diabetes • ASCVD • Hyperlipidemia • Hypertension Time for just one thing? • For children < 6, parental obesity is strongest predictor of childhood obesity. 27 28 9/15/2020 15 Screen for Food Insecurity (FI) Screen with Hunger Vital Sign: For each of the...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-093.pdf
AAFP FMX 2020
...A. Turner Syndrome B. Essential hypertension C. Trauma D. Diabetes mellitus E. Ehlers-Danlos syndrome Question 1 Which of the following is NOT a risk factor for thoracic aneurysm dissection? A. Turner Syndrome B. Essential hypertension C. Trauma D. Diabetes mellitus E....
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-036.pdf
AAFP FMX 2020
...• Targeted screening for high risk patients: - DM - HTN - Cardiovascular disease - Structural renal tract disease (nephrolithiasis, BPH) - Systemic disease w/possible renal involvement (SLE) - Family history - History of AKI 9 Kidney Int Suppl. 2013;3:1-150 AES Question...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-070.pdf
AAFP FMX 2020
...Joint National Committee (JNC) Hypertension guidelines NHLBI-sponsored 51 52 9/11/2020 27 AES Question What blood pressure threshold do you use to diagnose hypertension in an adult? A. 140/90 B. 150/90 for adults >60 years, 140/90 for younger adults C. 130/80...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-098.pdf
AAFP FMX 2020
...A. 35-year-old with severe hypertension B. 60-year-old with new-onset renal failure C. 60-year-old with hypertension and a 20-pack-year smoking history D. 68-year-old with a 5-pack-year smoking history E. Insufficient evidence to recommend for women age 65-75 who have ever smoked...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-162.pdf
AAFP FMX 2020
...Ascites/decompensated liver failure Right HF from other causes (RV infart, idiopathic pulmonary HTN, arrhythmogenic RV) Chronic kidney disease High-output heart failure 15 16 HFpEF Evaluation • Labs: CBC, CMP, TSH, UA • ECG: CAD, LVH, dysrhythmia - 50% have atrial...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-010.pdf
AAFP FMX 2020
...Patient Presentation HPI: A 56-year-old male with a medical history significant for HTN, HLD, GERD, hypothyroidism, and post-9/11 syndrome of COPD was brought to the clinic by his wife, after she noticed he was developing deficits in his field of vision in addition to...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-100.pdf
AAFP FMX 2020
...− HTN 2017 − PCI 2015 − Dual antiplatelet therapy (DAPT) update 2016 − Blood cholesterol to reduce CV risk − Secondary prevention for patients with ASCVD 2011 − ASCVD prevention in women 2011 − European Cardiovascular Society 2019 (US endorsement?)...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-002.pdf
AAFP FMX 2020
...AES #1 Your established 60yo M w/well controlled DM and HTN presents for medication refills. He says he’s slowed down a bit in the past year, lost a step on his kids, gained another inch in his gut (waist = 42), and doesn’t feel as vigorous in bed as he did in the past. Symptoms of...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-040.pdf
AAFP FMX 2020
...Mrs D recently retired but is active volunteering and watching her grandchildren. She was diagnosed with hypertension four years ago and is well controlled with lisinopril 20mg daily. She is moderately overweight with a BMI of 28. She was recently found to have an elevated A1c of...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-055.pdf
AAFP FMX 2020
...takes a budesonide/formoterol inhaler daily for asthma, which is typically well controlled with an ACT score of 22. He also takes an ACEi for HTN. He denies recent travel or known exposure to a COVID positive patient. He is febrile at 102F and has a pulse oximetry reading of 96%....
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-099.pdf
AAFP FMX 2020
...into your office… • 78-year-old female • Hypertension, Chronic Kidney Disease, Atrial Fibrillation on Coumadin, Rheumatoid Arthritis • No recent hospitalizations • 12 medications • No alcohol or smoking • 80-year-old male • Hypertension, Diabetes, COPD, Heart Failure...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-115.pdf
AAFP FMX 2020
...History of Hypertension •ASA daily from 13 weeks •Chronic hypertension-treat if > 150 systolic and/or >105 diastolic •Previous pre-eclampsia-screen, observe closely •Consider checking kidney function ACOG Practice Bulletin #203 Chronic Hypertension in Pregnancy 12/18 AES...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-157.pdf
AAFP FMX 2020
...•Patient with severe COPD, still smoking −Possible pulmonary HTN, listen for: • Fixed split S2, right sided murmurs that change with respiration •Patient with HFrEF and an EF = 15% −Likely to have mitral regurgitation murmur AES Question 33 34 9/10/2020 18...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-017.pdf
AAFP FMX 2020
...male you diagnosed with HTN and HLD and were considering prescribing a statin, so you checked hepatic function panel. ALT and AST are 2x ULN. Rest of hepatic function panel is negative. Patient denies symptoms of liver disease. He takes amlodipine for HTN. He denies alcohol use. His...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-046.pdf
AAFP FMX 2020
...College of Radiology; CT=computed tomography; MRI=magnetic resonance imaging; SAH=subarachnoid hemorrhage; IIH=idiopathic intracranial hypertension. Douglas AC et al. J Am Coll Radiol. 2014;11:657‐667. Clinical Features/Red Flags Suspected Condition Recommended Imaging*...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-078.pdf
AAFP FMX 2020
...• Hypertension - Initiation of BP therapy is indicated for previously untreated patients with ischemic stroke or TIA who, after the first several days, have an established BP ≥140 mmHg systolic or ≥90 mmHg diastolic (Class I; Level of Evidence B). - Initiation of therapy for...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-080.pdf
AAFP FMX 2020
...other illnesses like hypertension and hyperlipidemia. C. Explore barriers, focus on the improvements made in blood pressure and cholesterol management, and see what her goals of care may be. Joan is a 45 yo woman in your care for Type 2 diabetes, hypertension and...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-084.pdf
AAFP FMX 2020
...Mr. Smith is 62, and has DM2, HTN, and HLD. His most recent A1C was 9.3. What level of risk would you assign for this patient? A. Level 4 B. Level 5 C. Level 6 D. Need more information Mr. Smith is 62, and has DM2, HTN, and HLD. His most recent A1C was 9.3. What level of...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-111.pdf
AAFP FMX 2020
...given birth to an infant weighing 4,000g (approximately 9 lb) or more • Previous gestational diabetes mellitus • Hypertension (140/90 mm Hg or on therapy for hypertension) • Women with polycystic ovarian syndrome • Prediabetes 31 32 9/14/2020 17 USPSTF recommendations...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-142.pdf
AAFP FMX 2020
...Hypertension - Maternal obesity independent risk factor for development of a hypertensive disorder of pregnancy - Risk PEC doubles with every 5-7 kg/m2 increase in pre-pregnancy BMI - Women undergoing pre-pregnancy bariatric surgery significantly decreases risk development...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-148.pdf
AAFP FMX 2020
...62-year-old man presents as a new patient. He has DM Type 2, HTN, coronary artery disease and is a smoker. Total Cholesterol is 180, Triglycerides are 185, LDL is 113, HDL is 30. BP is 126/78. Meds: metformin ER 1000 mg, ASA 81 mg, atorvastatin 20 mg, lisinopril 20 mg, amlodipine 10...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-011.pdf
AAFP FMX 2020
...•Caused by venous hypertension from residual venous obstruction by thrombus •Develops in 20%-50% following a DVT despite anticoagulant treatment •Severe PTS in 5%-10% of cases •Most cases occur within 1 year of acute DVT •Symptoms similar to those of primary venous...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-013.pdf
AAFP FMX 2020
...is a 73 y.o. retired school teacher who comes in with productive cough for 2 days, some chills, and fatigue. No fever. She has Type 2 DM and HTN both controlled with medication. She has stage IV CKD with her last GFR = 25. No hemoptysis, vomiting, diarrhea, or chest pain. No flu...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-048.pdf
AAFP FMX 2020
...•Associated Conditions −Hypertension −Dyslipidemia −Small for Gestational Age Birth Weight Standards of Medical Care in Diabetes-2014 American Diabetes Association Diabetes Care 2014 Jan; 37(Supplement 1): S14-S80 When and How? •Start at age 10 or onset of puberty if before...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-097.pdf
AAFP FMX 2020
...Patient Characteristics: Age, DM, HTN, birth weight, prenatal care, Obstetrical history, multiple gestation, abruption, previa, accreta, anticoagulant use during pregnancy, (Grobman 2015) A cohort study of 115,502 women who delivered at 25 hospitals across the United States over...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-106.pdf
AAFP FMX 2020
...• height/weight, body mass index (BMI) • hypertension (systolic/diastolic blood pressure) • blood lipids (HDL/LDL and total cholesterol, triglycerides) • blood glucose (blood sugar and hemoglobin A1c levels) - Psychosocial risks • depression/life satisfaction • stress/anger •...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-122.pdf
AAFP FMX 2020
...cardiovascular risk factors and risk of overall cardiovascular disease: −Preeclampsia/Eclampsia/HELLP: RR 2.15, 95% CI 1.76-2.61 −HTN: RR 4.46, 95% CI 3.14-6.33 −Ischemic heart disease: RR 2.06, 95% CI 1.68-2.52 −Stroke: RR 1.53, 95% CI 1.21-1.92 −Diabetes: RR 2.27, 95% CI 1.55-3.32...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-154.pdf
AAFP FMX 2020
...cesarean (CS) rates (Induction of labor rates increasing) • Higher rates of unintended pregnancies, drug and alcohol use, grand multiparity, HTN in pregnancy • Medicaid is the single largest payor for maternity care (43% of all US births or 1.7 of 3.9 million births/year) covers...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-158.pdf
AAFP FMX 2020
...•72 yo Black male: −Has osteoarthritis of both knees controlled with prn Tylenol −HTN on amlodipine 10 and lisinopril 20 with BP 135/80 −No h/o CVD, heart failure, or DM −Non smoker −Lipids: TC 240; LDL 160; HDL 55; TG 150 •ASCVD risk? •Start aspirin? AES Question 27 28...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-004.pdf
AAFP FMX 2020
...Question 1 A 62 year-old man is seeing you today for DM follow-up, no complaints. Past medical history significant for T2DM x10yrs, HTN, s/p AMI 6 months ago. Current Meds: metformin 1,000mg BID, clopidogrel 75mg daily, ASA 81mg daily, rosuvastatin 20mg daily, lisinopril 20mg...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-009.pdf
AAFP FMX 2020
...risk of acute myocardial infarction. For severe global stress, the size of the effect was less than that for smoking but comparable with hypertension and abdominal obesity.18 Salim Yusuf, et.al. Association of psychosocial risk factors with risk of acute myocardial infarction in...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-019.pdf
AAFP FMX 2020
...•Encephalitis/encephalopathy −Viral, HTN, etc. (if you aren’t going to tap them and this is a consideration, cover them with acyclovir and abx) •Trauma •Non-convulsive status (more later) −Frontal lobe bizarre hyperactivity seizures −Supplementary motor area seizures −Frontal...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-033.pdf
AAFP FMX 2020
...• Type 2 Diabetes Mellitus • Insulin Resistance / Prediabetes / Metabolic Syndrome • Poorly Controlled Hypertension • Non-Alcoholic Fatty Liver Disease / Non-Alcoholic Steatohepatitis • Obstructive Sleep Apnea • Debilitating Knee/Hip Osteoarthritis • Urinary Stress Incontinence 9...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-041.pdf
AAFP FMX 2020
...• PMH: HTN-controlled on meds • Meds: HCTZ, ASA 81 mg daily • FH noncontributory • SH: former smoker, 30 pack- years • ROS: no palpitations, no GI sx • Exam: - By your office scale, 30# wt loss in 6 months. - BP 140/82. - Pulse 90. - No tremor. - No goiter. DDx • Cancer...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-039.pdf
AAFP FMX 2020
...groups of screening tests is appropriate for a 44-year-old man with chronic hepatitis C virus infection and clinical features of portal hypertension and cirrhosis? (Choose one) 53 54 9/10/2020 28 A. Barium swallow study and abdominal ultrasound B. MRI of the liver and...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-044.pdf
AAFP FMX 2020
...• Reduced risk / prevention of: • cardiovascular disease • thromboembolic stroke • hypertension • type 2 diabetes mellitus, • osteoporosis • obesity • colon and breast cancer • anxiety and depression • cognitive decline 7 8 More Benefits of Exercise • Improved outcomes in...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-049.pdf
AAFP FMX 2020
...edema w/o clinical, biochemical or radiologic evidence of heart failure, liver failure, nephrotic syndrome or renal failure −Loop diuretic for HTN w/concurrent urinary incontinence Age and Ageing. 2015;44:213-8 STOPP •Cardiovascular −Thiazide diuretic if • Hypokalemia •...
Events
https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-050.pdf