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AFP Documents with Keyword: Psychiatric/Psychologic - American Family Physician

...Aug 15, 2019 Issue Asthma, Back and Neck Pain, Pain During Labor, TIA, CBT for Anxiety [AFP Clinical Answers] Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians. Aug 15, 2019 Issue Cognitive...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2430&page=0

AFP Documents with Keyword: Pulmonary Embolism - American Family Physician

...In patients at high risk of stroke because of nonvalvular atrial fibrillation, rivaroxaban is as safe and effective as warfarin. However, it should not be used in patients at risk of stroke for reasons other than nonvalvular atrial fibrillation until research shows its relative...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2431&page=2

AFP Documents with Keyword: Pulmonary Embolism - American Family Physician

...and direct oral anticoagulants are commonly used for the prevention and treatment of systemic embolism associated with atrial fibrillation, stroke, and venous thromboembolism. Low-molecular-weight heparin and select direct oral anticoagulants can be used for anticoagulation therapy...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2431

AFP Documents with Keyword: Pulmonary Embolism - American Family Physician

...and direct oral anticoagulants are commonly used for the prevention and treatment of systemic embolism associated with atrial fibrillation, stroke, and venous thromboembolism. Low-molecular-weight heparin and select direct oral anticoagulants can be used for anticoagulation therapy...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2431&page=0

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA Mar 1, 2021 Issue Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA [Medicine by the Numbers] After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA May 15, 2015 Issue Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement [U.S. Preventive Services Task Force] The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population. Apr 15, 2015...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=2

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA Feb 1, 2019 Issue Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor Stroke or TIA [POEMs] This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=1

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA Oct 15, 2012 Issue Rivaroxaban (Xarelto) for Prevention of Thromboembolic Events [STEPS] In patients at high risk of stroke because of nonvalvular atrial fibrillation, rivaroxaban is as safe and effective as warfarin. However, it should not be used in patients at...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=3

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA Jul 1, 2009 Issue Acute Stroke Diagnosis [Article] Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of ischemic...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=4

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA Jul 15, 2004 Issue Recommendations for Exercise After Stroke [Practice Guidelines] Apr 1, 2004 Issue Transient Ischemic Attacks: Part I. Diagnosis and Evaluation [Article] Transient ischemic attack is no longer considered a benign event but, rather, a...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=5

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA Mar 1, 2021 Issue Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA [Medicine by the Numbers] After atherothrombotic ischemic stroke or transient ischemic attack, adding clopidogrel to aspirin reduced recurrent strokes but increased...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=0

AFP Documents with Keyword: Stroke and TIA - American Family Physician

...Stroke and TIA May 15, 1999 Issue Stroke: Part II. Management of Acute Ischemic Stroke [Article] Optimal treatment of the patient who has sustained an acute ischemic stroke requires rapid assessment and early intervention. The leisurely approach to acute stroke management...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2447&page=6

AFP Documents with Keyword: Vascular Disorders - American Family Physician

...Short-term Risk of Stroke After TIA [Point-of-Care Guides] Five to 10 percent of patients presenting with TIA will have a stroke within the following week. Because guidelines do not mandate hospitalization for patients who have had a TIA or suspected TIA,4,5 validated clinical...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2460&page=3

AFP Documents with Keyword: Vascular Disorders - American Family Physician

...Jun 15, 2012 Issue Transient Ischemic Attack: The Rules Have Changed [AFP Journal Club] This scientific guideline includes three game changers for physicians regarding TIA. The Journal Club authors discuss why physicians should be wary of clinical guidelines that are based on...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2460&page=2

AFP Documents with Keyword: Vascular Disorders - American Family Physician

...statin therapy for slightly more than two years will prevent one myocardial infarction (MI) for every 83 persons treated and prevent one stroke for every 250 persons treated. May 15, 2017 Issue Venous Leg Ulcers [Clinical Evidence Handbook] What are the effects of treatments...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2460

AFP Documents with Keyword: Vascular Disorders - American Family Physician

...College of Physicians (ACP) has released guidelines on VTE prophylaxis in hospitalized, nonsurgical patients, including those with acute stroke. Pages: Previous 1 2 3 4 Next Advertisement Email Alerts Don't miss a single issue. Sign up for the free AFP email table of...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2460&page=1

AFP Documents with Keyword: Vascular Disorders - American Family Physician

...statin therapy for slightly more than two years will prevent one myocardial infarction (MI) for every 83 persons treated and prevent one stroke for every 250 persons treated. May 15, 2017 Issue Venous Leg Ulcers [Clinical Evidence Handbook] What are the effects of treatments...

American Family Physician

https://www.aafp.org/afp/viewRelatedDocumentsByKeyword.htm?keywordId=2460&page=0

AFP Journal Club Department Collection - American Family Physician

Three presenters review an interesting journal article on topics that affect family physicians and give their opinions about the clinical value of the studies.

For key concepts in evidence-based medicine, tips on assessing the quality of research studies, and teaching ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=17

AFP Journal Club Department Collection - American Family Physician

Three presenters review an interesting journal article on topics that affect family physicians and give their opinions about the clinical value of the studies.

For key concepts in evidence-based medicine, tips on assessing the quality of research studies, and teaching ...

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=17&page=0

AFP Welcomes Two Editorial Fellows to the Team - Inside AFP - American Family Physician

Aug 15, 2005 - ...Previous: PEG Tubes Worsen Quality of Life in Patients Who Have Had a Stroke Next: Newsletter View the full table of contents >> Home / Journals / afp / Vol. 72/No. 4(August 15, 2005) / Inside AFP: AFP Welcomes Two Editorial Fellows to the Team...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2005/0815/p552.html

AFP's Top Articles

View the top 20 articles published in American Family Physician each year based on web views.

American Family Physician

https://www.aafp.org/journals/afp/content/top-articles.html

afp20050615p2348-f1.pdf

...Step 1. Determine the patient’s annual risk of stroke using the two clinical decision rules shown below: ACCP Rule Features Risk group Annual stroke rate, % (95% CI) History of stroke or TIA; hypertension; heart failure; age older than 75 years; or more than one moderate...

American Family Physician

https://www.aafp.org/afp/2005/0615/afp20050615p2348-f1.pdf

afp20051015p1492.pdf

...dis- ease, spondylotic osteophytes or colloidal cysts that transiently block the vertebral arteries or cerebral aqueduct, vertebrobasi- lar stroke). The typical signs of epileptic seizures include déjà vu, tongue lacerations, limb jerking, and postictal confusion but not common...

American Family Physician

https://www.aafp.org/afp/2005/1015/afp20051015p1492.pdf

afp20060101p91.pdf

...3. Taylor F, National Institute of Neurological Disorders and Stroke (U.S.), Office of Science and Health Reports. Cerebral palsy: hope through research. Bethesda, Md.: The Institute, 2001. Accessed online Septem- ber 28, 2005, at: http://www.ninds.nih.gov/disorders/cerebral_palsy/...

American Family Physician

https://www.aafp.org/afp/2006/0101/afp20060101p91.pdf

afp20060115p244.pdf

...Cerebrovascular disease such as transient ischemic attack or stroke Arterial occlusion causing cerebral ischemia or infarction, especially if affecting the vertebrobasilar system Migraine Episodic headaches, usually unilateral, with throbbing accompanied by other symptoms such...

American Family Physician

https://www.aafp.org/afp/2006/0115/afp20060115p244.pdf

afp20060201p457.pdf

...because researchers found increased incidences of breast cancer (number needed to harm [NNH] = 1,250), coronary heart disease (NNH = 1,428), stroke (NNH = 1,250), and pulmonary embolism (NNH = 1,250) in the treatment group when compared with the placebo group.1 Many women find the...

American Family Physician

https://www.aafp.org/afp/2006/0201/afp20060201p457.pdf

afp20060301p841.pdf

...so stiff that the atrial muscle fails and end- diastolic volume cannot be normalized with elevated filling pressure. This process reduces stroke volume and cardiac output, causing effort intolerance. Figure 117 sum- marizes the pathophysiology of diastolic heart failure....

American Family Physician

https://www.aafp.org/afp/2006/0301/afp20060301p841.pdf

afp20060501p1558.pdf

...Cardiovascular disease (e.g., myocardial infarction, stroke) Primary hypertension Deafness Congenital or familial renal disease Dyslipidemia Primary hypertension Endocrine problems (e.g., diabetes, thyroid, adrenal) Familial endocrinopathies Hypertension Primary...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1558.pdf

afp20060601p1971.pdf

...cessation. Smoking ces- sation also is recommended for the prevention of coronary artery disease, chronic obstructive pulmonary disease, stroke, and lung cancer. Diagnosis The differential diagnosis of PVD includes musculoskeletal and neurologic causes. The most common entity...

American Family Physician

https://www.aafp.org/afp/2006/0601/afp20060601p1971.pdf

afp20060701p105.pdf

...Stroke 4 2 3 2 2 1 Surgery Minor, without prolonged immobilization 1 1 1 1 1 1 Major, without prolonged immobilization 2 1 1 1 1 1 Major, with prolonged immobilization 4 2 2 2 2 1 Thyroid disorders Simple goiter, hyperthyroidism, hypothyroidism 1 1 1 1 1 1 Uterine...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p105.pdf

afp20060801p449.pdf

...Antidepressant discontinuation syndrome also may be misdiagnosed as severe con- ditions including stroke, other neurologic conditions, infectious diseases, and adverse effects of other medications the patient is taking.29 Antidepressant discontinuation syndrome has been reported...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p449.pdf

afp20060915p971.pdf

...Collaboration. Collaborative over- view of randomised trials of antiplatelet therapy-I: prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various catego- ries of patients. [Published correction appears in BMJ 1994;308:1540] BMJ...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p971.pdf

afp20060915p991.pdf

...10 percent of patients with hemolytic uremic syndrome develop cen- tral nervous system problems and subse- quent coma, hemiparesis, or stroke.27,28 In one review of 49 hemolytic uremic syn- drome studies, investigators found that of 3,476 patients with diarrhea-positive hemo- lytic...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p991.pdf

afp20061101p1547.pdf

...claudica- tion. Neurologic manifestations may include mononeuropathies, peripheral polyneuropa- thies, and, rarely, transient ischemic attacks or strokes.1,6 As with PMR, physical examination in a patient with GCA may be unremarkable. Patients with gradual-onset GCA may pres- ent...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1547.pdf

afp20061115p1739.pdf

...testicular torsion is the absence of the crem- asteric reflex. This reflex is elicited by strok- ing or pinching the medial thigh, causing contraction of the cremaster muscle, which elevates the testis. The cremasteric reflex is considered positive if the testicle moves at least 0.5...

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1739.pdf

afp20061215p2046.pdf

...Vascular parkinsonism Stepwise progression; CVA or TIA, comorbid cardiovascular disease Fixed deficits from previous events Lesions in white matter with or without basal ganglia5 Common because of the prevalence of cerebrovascular disease5 Essential tremor History in...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2046.pdf

afp20070101p85.pdf

...Carotid Artery Disease Stroke causes an estimated 273,000 deaths annually in the United States, making it the third leading cause of death.1 Stroke also is the most common cause of disability; 15 to 30 percent of patients are permanently disabled, and 20 percent will require insti-...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p85.pdf

afp20070301p656.pdf

...History of stroke Uncontrolled systemic hypertension Intermediate Mild angina pectoris (Canadian class I or II‡) Previous MI by history or pathologic Q waves Compensated or prior heart failure Diabetes mellitus (particularly insulin-dependent) Renal...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p656.pdf

afp20070401p1008.pdf

...increasing left ventricular blood volume, chamber size, and stroke volume. In contrast, standing and the Valsalva maneuver decrease venous return, thereby decreasing left ven- tricular size and stroke volume. Increased stroke volume causes murmurs to become louder with squatting and...

American Family Physician

https://www.aafp.org/afp/2007/0401/afp20070401p1008.pdf

afp20070401p1031.pdf

...(VTE), the prevention of systemic embolism associated with atrial fibrillation or the use of prosthetic heart valves, and the prevention of stroke and recurrent myocardial infarc- tion in select patients.1 The LMWHs have changed the course of outpatient antico- agulation therapy...

American Family Physician

https://www.aafp.org/afp/2007/0401/afp20070401p1031.pdf

afp20070415p1219.pdf

...1. American Heart Association. Heart disease and stroke statistics - 2006 update. Dallas, Tex.: American Heart Association, 2006. Accessed December 13, 2006 at: http://www.americanheart.org/downloadable/ heart/1136308648540Statupdate2006.pdf. 2. Klocke FJ, Baird MG, Lorell BH,...

American Family Physician

https://www.aafp.org/afp/2007/0415/afp20070415p1219.pdf

afp20070501p1342.pdf

...seizures are caused by a recent or current event, whereas remote symp- tomatic seizures are caused by a chronic abnormality such as an old stroke. A pro- voked seizure is caused by an identifiable transient disturbance such as an electrolyte abnormality (e.g., hypocalcemia). In the...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1342.pdf

afp20070501p1365.pdf

...events or all-cause mortality but decreased the secondary end point of total cardiovas- cular events (i.e., coronary heart disease events, stroke, or revascularization).15 Combination therapy raises safety con- cerns. All statins (especially at higher doses) increase the risk of...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1365.pdf

afp20070601p1679.pdf

...range of emergencies, from stroke in older patients to meningitis in infants. Adult patients may misinterpret the urgency of their condition or purposefully avoid the emergency department. Parents of critically ill children are often unaware of the severity of their child’s illness....

American Family Physician

https://www.aafp.org/afp/2007/0601/afp20070601p1679.pdf

afp20070801p382.pdf

...Stroke LORI M. DICKERSON, PharmD, PETER J. CAREK, MD, MS, and ROBERT GLEN QUATTLEBAUM, MD, MPH Trident Medical Center/Medical University of South Carolina Family Medicine Residency Program, Charleston, South Carolina E very year in the United States, 700,000 persons have a...

American Family Physician

https://www.aafp.org/afp/2007/0801/afp20070801p382.pdf

afp20070815p517.pdf

...COPD, end-stage renal disease, gastroesophageal reflux disease, HIV/AIDS, hyperthyroidism, nocturia caused by prostatic hypertrophy, stroke Medications Anticholinergic agents; antidepressants (SSRIs, bupropion [Wellbutrin]), MAOIs; antiepileptics (lamotrigine [Lamictal],...

American Family Physician

https://www.aafp.org/afp/2007/0815/afp20070815p517.pdf

afp20071001p997.pdf

...Central nervous system lesions (e.g., mul- tiple sclerosis, stroke, tumor) can also cause facial nerve palsy. However, some motor neu- rons to the forehead cross sides at the level of the brainstem, so the fibers in the facial nerve going to the forehead come from both cere- bral...

American Family Physician

https://www.aafp.org/afp/2007/1001/afp20071001p997.pdf

afp20071015p1169.pdf

...pleasur- able rush followed by euphoria, heightened attention, and increased energy. Possible adverse effects include myocardial infarction, stroke, seizures, rhabdomyolysis, cardiomyopathy, psychosis, and death. Chronic methamphetamine use is associated with neurologic and...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1169.pdf

afp20071215p1837.pdf

...for the initiation or continuation of psychotropic medications. Increasing evidence associates the use of atypical antipsychotics for demen- tia in skilled nursing facilities with a higher risk of cerebrovascular accidents and mor- tality.17 Table 2 lists the indications for using...

American Family Physician

https://www.aafp.org/afp/2007/1215/afp20071215p1837.pdf

afp20080301p643.pdf

...reten- tion.15 up to 56 percent of patients who have suffered a stroke will experience urinary retention, primar- ily because of detrusor hyporeflexia. in a prospective study, 23 of 80 patients with ischemic stroke developed Table 2. Pharmacologic Agents Associated with Urinary...

American Family Physician

https://www.aafp.org/afp/2008/0301/afp20080301p643.pdf

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