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stroke

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Recurrent Venous Thromboembolism - American Family Physician

Feb 1, 2011 - A previous venous thromboembolism is the most important risk factor for predicting recurrence of the condition. Several studies have shown that routine testing for inherited thrombophilias is not helpful in predicting the risk of recurrence or altering treatment decisions, and therefore...

American Family Physician : Article

https://www.aafp.org/afp/2011/0201/p293.html

Anticoagulation in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ...

Jun 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/0615/p748.html

Epidural Corticosteroid Injections for Lumbosacral Radicular Pain - Cochrane for ... Restricted content. Login required.

Apr 1, 2021 - Epidural corticosteroid injections for the treatment of lumbosacral radicular pain may offer modest short-term (two weeks to three months) benefit compared with placebo injection for radicular leg pain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2021/0401/p405.html

Correction - Corrections - American Family Physician

May 15, 2021 - ...the annual risk of stroke for the patient in the case scenario was incorrectly listed as 8% instead of 3.2%. The sentence should have read: Mr. H has a 3.2% annual risk of stroke, with less than one-half of that being a risk of a disabling or fatal stroke.1,2,9,12 The online version...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0515/p581a.html

Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation

...treat- ment because of serious bleeding, patients should be prescribed an alternative anti- coagulant to prevent an increased risk of stroke.3 Although apixaban has fewer drug inter- actions than warfarin, coadministration with antiplatelet agents, fibrinolytics, hepa- rin,...

American Family Physician

https://www.aafp.org/afp/2014/0415/afp20140415p672.pdf

Metformin to Prevent Diabetes in Patients at Increased Risk - Cochrane for Clinicians -... Restricted content. Login required.

Nov 1, 2020 - In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1101/p531.html

Exercise-Associated Hyponatremia: Updated Guidelines from the Wilderness Medical ... Restricted content. Login required.

Feb 15, 2021 - The Wilderness Medical Society has published updated guidelines for prevention, diagnosis, and treatment of exercise-associated hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p252.html

Treatment Options for Localized Prostate Cancer - American Family Physician

Aug 15, 2011 - In the United States, more than 90 percent of prostate cancers are detected by serum prostate-specific antigen testing. Most patients are found to have localized prostate cancer, and most of these patients undergo surgery or radiotherapy. However, many patients have low-risk cancer and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0815/p413.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

Brief Cognitive Testing in the Detection and Diagnosis of Clinical Alzheimer-Type ... Restricted content. Login required.

Feb 1, 2021 - In adults with suspected cognitive impairment, what is the utility of brief cognitive testing in detecting clinical Alzheimer-type dementia and distinguishing it from mild cognitive impairment or normal cognition?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2021/0201/p183.html

HPV Vaccine, Especially Before Age 17, Is Associated with a Large Reduction in Invasive... Restricted content. Login required.

Mar 1, 2021 - HPV vaccination is associated with a significant reduction in the likelihood of invasive cervical cancer.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0301/p312.html

ACIP Approves 2021 Adult and Child/ Adolescent Immunization Schedules - Practice ... Restricted content. Login required.

Feb 15, 2021 - The 2021 adult and child/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2021/0215/p250.html

iCanQuit Smartphone App Is Effective in Helping with Smoking Cessation - POEMs - ... Restricted content. Login required.

Apr 1, 2021 - Use of the iCanQuit smartphone app by smokers, who were recruited through Facebook and other Internet tools, produced higher cessation rates at 12 months (28.2%) than the QuitGuide app (21.1%).

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p441.html

Musculoskeletal Surgery for Nontraumatic Pain: Not a Great Analgesic - POEMs - American... Restricted content. Login required.

Apr 1, 2021 - Musculoskeletal surgery is invaluable for unintentional injury. But for conditions associated with chronic pain (e.g., knee, shoulder, wrist, neck, back pain), even patients with objective changes on imaging that need intervention will not have better long-term pain relief with surgery ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0401/p439.html

Interpretation of the Electronic Fetal Heart Rate During Labor - American Family Physician

May 1, 1999 - Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2487.html

Dabigatran (Pradaxa) for Prevention of Stroke in Atrial Fibrillation

...Dabigatran (Pradaxa) is an orally administered direct thrombin inhibitor labeled for the prevention of stroke and systemic embolism in patients with nonvalvular atrial fibrillation. Unlike warfarin (Coumadin), it does not induce anticoagulation through depletion of clotting factors,...

American Family Physician

https://www.aafp.org/afp/2011/1215/afp20111215p1397.pdf

Oral Anticoagulants vs. Antiplatelet Therapy - Cochrane for Clinicians - American ...

May 1, 2008 - Compared with antiplatelet therapy, oral anticoagulation significantly reduces stroke at an average follow-up of one to three years, but does not reduce mortality. Intracranial or extracranial hemorrhage is more common with anticoagulation and must be weighed against its therapeutic ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0501/p1250.html

Corrections - Mar 1, 2021 - American Family Physician

Mar 1, 2021 - ...Previous: Antiplatelet Agents for Preventing Early Recurrence of Ischemic Stroke or TIA Next: Correction View the full table of contents >> Home / Journals / afp / Vol. 103/No. 5(March 1, 2021) / Corrections: Corrections...

American Family Physician : Corrections

https://www.aafp.org/afp/2021/0301/p263.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ...

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Transient Ischemic Attack - American Family Physician

Sep 15, 2012 - ...Transient Ischemic Attack Am Fam Physician. 2012 Sep 15;86(6):1. See related articles on transient ischemic attack: diagnosis and evaluation and transient ischemic attack: risk factor modification and treatment. What is a transient ischemic attack (TIA)? A transient ischemic...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2012/0915/p521-s1.html

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide

...Fewer Deaths/Strokes/ Revascularizations with Metformin Than Glipizide Clinical Question Does metformin (Glucophage) affect car- diovascular events in patients with type 2 diabetes mellitus? Bottom Line Over five years, treatment with metformin for three years, with other...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p131a.pdf

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide

...Fewer Deaths/Strokes/ Revascularizations with Metformin Than Glipizide Clinical Question Does metformin (Glucophage) affect car- diovascular events in patients with type 2 diabetes mellitus? Bottom Line Over five years, treatment with metformin for three years, with other...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p131.pdf

Fewer Deaths/Strokes/Revascularizations with Metformin Than Glipizide

...Fewer Deaths/Strokes/ Revascularizations with Metformin Than Glipizide Clinical Question Does metformin (Glucophage) affect car- diovascular events in patients with type 2 diabetes mellitus? Bottom Line Over five years, treatment with metformin for three years, with other...

American Family Physician

https://www.aafp.org/afp/2014/0115/afp20140115p136.pdf

Bariatric Surgery Associated with Decreased All-Cause Mortality and Lower Rates of ... Restricted content. Login required.

Feb 15, 2021 - Based on population registry data, bariatric surgery is associated with lower all-cause mortality and a lower risk of developing many subsequent obesity-related conditions.

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0215/p248.html

Twenty-Year Follow-Up of Women's Health Initiative Trials: Lower Breast Cancer ... Restricted content. Login required.

Jan 15, 2021 - The cumulative 20-year follow-up report from the Women's Health Initiative hormone therapy trials found significantly lower breast cancer incidence and mortality among postmenopausal women who previously took conjugated equine estrogen (CEE; Premarin) alone (with a prior hysterectomy) ...

American Family Physician : POEMs

https://www.aafp.org/afp/2021/0115/od1.html

Initial Evaluation of Vertigo - American Family Physician

Jan 15, 2006 - Benign paroxysmal positional vertigo, acute vestibular neuronitis, and Meniere's disease cause most cases of vertigo; however, family physicians must consider other causes including cerebrovascular disease, migraine, psychological disease, perilymphatic fistulas, multiple sclerosis, and...

American Family Physician : Article

https://www.aafp.org/afp/2006/0115/p244.html

Antepartum Perineal Massage for Intrapartum Lacerations - FPIN's Help Desk Answers - ... Restricted content. Login required.

Jan 15, 2021 - Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2021/0115/p115.html

Oral Semaglutide (Rybelsus) for the Treatment of Type 2 Diabetes Mellitus - STEPS - ... Restricted content. Login required.

Nov 15, 2020 - Oral semaglutide (Rybelsus) is labeled as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus

American Family Physician : STEPS

https://www.aafp.org/afp/2020/1115/p627.html

Hereditary Hemorrhagic Telangiectasia: Diagnosis and Management - American Family ...

Oct 1, 2010 - Hereditary hemorrhagic telangiectasia is an uncommon autosomal dominant disease that occurs in approximately one in 5,000 to 8,000 persons. This multisystem disorder can affect the nose, skin, gastrointestinal tract, lungs, liver, and brain. Epistaxis is the most common presenting ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p785.html

Geriatric Failure to Thrive - American Family Physician

Jul 15, 2004 - In elderly patients, failure to thrive describes a state of decline that is multifactorial and may be caused by chronic concurrent diseases and functional impairments. Manifestations of this condition include weight loss, decreased appetite, poor nutrition, and inactivity. Four ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0715/p343.html

Case Reports: Rhabdomyolysis Associated with COVID-19 - Letters to the Editor - ...

Dec 1, 2020 - ...commonly headache, anosmia, and ageusia—in addition to the more well-recognized respiratory findings. Other manifestations include stroke, impairment of consciousness, coma, seizure, and encephalopathy.1 An early case series from Wuhan, China, identified neurologic features in 78 of...

American Family Physician : Letter

https://www.aafp.org/afp/2020/1201/p645.html

Counseling Patients About Hormone Therapy and Alternatives for Menopausal Symptoms - ...

Oct 1, 2010 - The results of recent large clinical trials have led physicians and patients to question the safety of menopausal hormone therapy. In the past, physicians prescribed hormone therapy in an attempt to improve overall health and prevent cardiac disease. Hormone therapy appears to increase ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1001/p801.html

Appropriate Use of Opioids for Chronic Pain - Lown Right Care: Reducing Overuse and ... Restricted content. Login required.

Sep 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/0915/p335.html

Specialized Nutrition Support - American Family Physician

Jan 15, 2011 - Specialized nutrition support should be offered to patients who are malnourished or at risk of becoming malnour- ished when it would benefit patient outcomes or quality of life. Improving the nutritional value of ingested food and tailoring intake to the patient’s preferences, ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p173.html

KardiaMobile for ECG Monitoring and Arrhythmia Diagnosis - Diagnostic Tests: What ... Restricted content. Login required.

Nov 1, 2020 - KardiaMobile is a mobile single lead ECG device that is FDA approved for detection of atrial fibrillation, bradycardia, and tachycardia.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/1101/p562.html

Tobacco Cessation Telehealth Guide -- FPM

Dec 1, 2020 - Smoking cessation counseling and pharmacotherapy options are cost-effective ways to help patients quit smoking. Learn the role telehealth can play in your practice’s efforts, along with billing, coding, and documentation tips.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p13.html

VTE, Antiplatelet Therapy, Treatment for Veterans, HIV Prophylaxis, Diabetes Mellitus ... Restricted content. Login required.

Sep 15, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/0915/p332.html

American Heart Association Issues Guidelines on Imaging in Transient Ischemic Attacks ...

Apr 1, 1998 - ...in Transient Ischemic Attacks and Stroke SHARON SCOTT MOREY Am Fam Physician. 1998 Apr 1;57(7):1682-1686. The American Heart Association (AHA) has released practice guidelines on the use of diagnostic imaging in patients with transient ischemic attacks (TIAs) and acute stroke. The...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/0401/p1682.html

National Stroke Association Develops a Consensus Statement on Prevention of Stroke - ...

Jul 1, 1999 - ...National Stroke Association Develops a Consensus Statement on Prevention of Stroke SHARON SCOTT MOREY Am Fam Physician. 1999 Jul 1;60(1):314-317. The National Stroke Association (NSA) has developed an evidence-based consensus statement on the prevention of a first stroke....

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1999/0701/p314.html

Preparticipation Physical Evaluation: AAFP and Others Update Recommendations - Practice...

Jun 1, 2020 - The American Academy of Family Physicians (AAFP)and others have published the 5th edition of the preparticipation physical evaluation monograph. Revisions include new mental health and transgender sections and expansion of the female athlete chapter.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0601/p692.html

Frostbite, Antiplatelet Therapy, Stuttering, Asthma, Cardioversion - AFP Clinical ... Restricted content. Login required.

Nov 1, 2020 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2020/1101/p525.html

Psychogenic Nonepileptic Seizures - American Family Physician

Sep 1, 2005 - Psychogenic nonepileptic seizures are episodes of movement, sensation, or behaviors that are similar to epileptic seizures but do not have a neurologic origin; rather, they are somatic manifestations of psychologic distress. Patients with psychogenic nonepileptic seizures frequently are...

American Family Physician : Article

https://www.aafp.org/afp/2005/0901/p849.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

Increased Daily Steps Associated with Reduced All-Cause Mortality - POEMs - American ... Restricted content. Login required.

Oct 15, 2020 - This study found that a greater number of daily steps was significantly associated with lower all-cause mortality.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1015/od4.html

Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure - STEPS - ... Restricted content. Login required.

Jul 15, 2020 - Dapagliflozin can be added to existing treatment to reduce the risk of hospitalization for heart failure in patients with type 2 diabetes who have established CVD or are at high risk of CVD. It may also decrease the risk of renal disease progression and death from renal failure.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0715/p115.html

Hepatitis C: Diagnosis and Treatment - American Family Physician

Jun 1, 2010 - Hepatitis C, a common chronic bloodborne infection, is found in approximately 2 percent of adults in the United States. Chronic infection is associated with serious morbidity and mortality (e.g., cirrhosis, hepatocellular carcinoma). Testing for hepatitis C is recommended for at-risk ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0601/p1351.html

Trigeminal Neuralgia - American Family Physician

May 1, 2008 - Trigeminal neuralgia is an uncommon disorder characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1291.html

Transitioning to Direct Primary Care -- FPM Restricted content. Login required.

Aug 1, 2020 - Imagine practicing medicine without all the administrative burdens related to billing insurance. Here’s how one physician made the switch.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0700/p29.html

Management of Influenza - American Family Physician

Nov 1, 2010 - Influenza is a contagious airborne viral illness characterized by abrupt onset of symptoms. Fever, myalgia, headache, rhinitis, sore throat, and cough are commonly reported symptoms. The diagnosis should be made clinically, and the decision to begin antiviral therapy should not be ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1101/p1087.html

Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia - Cochrane ... Restricted content. Login required.

Sep 1, 2020 - For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0901/p272.html

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