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hypertension

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afp20060501p1558.pdf

...Hypertension in Children and Adolescents GREGORY B. LUMA, M.D., and ROSEANN T. SPIOTTA, M.D., Jamaica Hospital Medical Center Family Medicine Residency Program, New York, New York T he prevalence and rate of diagnosis of hypertension in children and adolescents appear to be increas-...

American Family Physician

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

afp20060515p1748.pdf

...Malignant hypertension Renal artery embolism/thrombosis Renal venous thrombosis Sickle cell disease extrarenal Benign prostatic hypertrophy Calculi Coagulopathy related Drug induced (warfarin [Coumadin], heparin) Secondary to systemic disease Congenital...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1748.pdf

afp20060601p1971.pdf

...modification. Medical therapy is directed at reduc- ing platelet aggregation. In addition, patients with contributing disorders such as hypertension, diabetes, and hyperlipidemia need to have these conditions managed as aggressively as possible. Surgical therapies include stents,...

American Family Physician

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

afp20060801p420.pdf

...that limits food and fluid intake. Cerebral hypoxia from severe paroxysms1 can cause sei- zures and encephalopathy. Refractory pulmonary hypertension can be a late sequela in infants with pertussis.1,7 Clinical Presentation Pertussis symptoms are described in three stages:...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p420.pdf

afp20060801p437.pdf

...hypertension Special considerations Focus on aerobic activities that use large muscle groups. Patients should exercise 30 to 60 minutes, three to seven days per week to effectively lower blood pressure; daily exercise may be most effective. Intensities of 40 to 70...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p437.pdf

afp20060815p613.pdf

...A: high risk of heart failure; no underlying structural cardiac disease (e.g., hypertension, diabetes, hyperlipidemia) No correlation B: asymptomatic structural heart disease (e.g., left ventricular hypertrophy) I: no limitation of patient activities; ordinary physical...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p613.pdf

afp20060901p756.pdf

...decompensation, character- ized by ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, or variceal bleeding from portal hypertension. Physical examination of patients with cirrhosis may reveal a variety of findings that necessitate a hepatic- or gastro-...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p756.pdf

afp20060901p767.pdf

...and treatment. Major complica- tions of cirrhosis include ascites, spontaneous bacterial peritonitis, hepatic encephalopathy, portal hypertension, variceal bleeding, and hepatorenal syndrome. Ascites Ascites is defined as the pathologic accumula- tion of fluid in the peritoneal...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p767.pdf

afp20060915p971.pdf

...Tight control of blood glucose levels and risk factors for cardiovascu- lar disease (e.g., hypertension, hypercholesterolemia) can substantially reduce the incidence of microvascular and macrovascular complica- tions from type 1 diabetes. Physicians play an important role in help-...

American Family Physician

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

afp20060915p991.pdf

...Acute renal failure results when micro- thrombi are deposited in kidney parenchyma. This manifests in the form of hypertension associated with oliguria and anuria, which are early signs of acute renal failure. The central nervous system is another organ system that could become...

American Family Physician

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

afp20061001p1132.pdf

...MA, Post P, Rabiner M, et al. Adapting your practice: treatment and recommendations for homeless patients with cardiovascular diseases: hypertension, hyperlipidemia and heart failure. Nashville, Tenn.: Health Care for the Homeless Clinicians’ Network, National Health Care for the...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1132.pdf

afp20061001p1151.pdf

...number who have healthy eating habits have declined.18 These changes are associated with sharply higher incidences of type 2 diabetes, hypertension, and hyperlipidemia in this population.19 Physicians should advise their adolescent patients to strive for 30 minutes of moderate to...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1151.pdf

afp20061015p1331.pdf

...and an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker in addition to pharmacologic therapy for hyperlipidemia, hypertension, and diabetes. Women who already are at optimal or low risk for CVD should be encouraged to maintain or further improve their healthy...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1331.pdf

afp20061101p1537.pdf

...examination or as an incidental finding on an imaging study. Patients at highest risk for AAA are older men who use tobacco and have hypertension, peripheral vascular disease, and a family history of AAA.4,14,38-40 Smoking is the strongest independent risk factor; 90 percent of...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1537.pdf

afp20061115p1749.pdf

...syndromes, chest pain centers, acute myocardial infarction, asymptomatic patients, valvular heart disease, rhythm disturbances, and hypertension. Adjustment of the ST heart rate can identify myocardial ischemia in asymptomatic patients with elevated cardiac risk. Intermediate- and...

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1749.pdf

afp20070115p231.pdf

...her osteoarthritis now reports ankle edema. In your absence, a colleague had started her on a calcium channel blocker for newly diagnosed hypertension. Scenario 4: A 20-year-old woman with sinus pain who was prescribed a fluoroquin- olone by the overnight call physician called...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p231.pdf

afp20070301p656.pdf

...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 insufficiency Preoperative...

American Family Physician

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

afp20070315p841.pdf

...It is common for disaster victims to require assistance in the management of chronic health problems (e.g., dia- betes, hypertension, CHF). Simple provision of medica- tion and medical supplies may be sufficient. Depending on the degree to which the disaster has impacted com- munity...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p841.pdf

afp20070315p875.pdf

...of two to four hours. Because ergot alkaloid agents raise blood pressure, they are contrain- dicated in women with preclampsia or hypertension.33 Other adverse effects include nausea and vomiting.33 Prostaglandins enhance uterine contractility and cause vasoconstriction.34 The...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p875.pdf

afp20070401p1008.pdf

...Athletes with stage 2 hypertension (i.e., blood pressure above the 99th percentile [based on age, sex, and height] plus 5 mm Hg; or blood pressure more than 160/100 mm Hg for athletes older than 18 years) should be restricted from participation until hypertension is controlled. C...

American Family Physician

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

afp20070401p1031.pdf

...systemic embolism; age older than 75 years; impaired left ventricular systolic function and/or congestive heart failure; history of hypertension or diabetes. §-In patients 65 to 75 years of age without other risk factors; of note, aspirin (325 mg) is an acceptable alternative in...

American Family Physician

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

afp20070415p1199.pdf

...Chronic hypertension Multiparity Multiple gestations Older age Previous cesarean delivery Tobacco use Uterine curettage Placental abruption8-10 Chronic hypertension Multiparity Preeclampsia Previous abruption Short umbilical cord Sudden...

American Family Physician

https://www.aafp.org/afp/2007/0415/afp20070415p1199.pdf

afp20070415p1219.pdf

...of Patients with Suspected CAD Evaluation of patient history will reveal the presence of cardiac risk factors, including age, sex, hypertension, diabetes, smoking, physical inactivity, obesity, abnormal lipid profile, and family history in any first­degree female relative 65 years...

American Family Physician

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

afp20070515p1503.pdf

...occur in more than 30 percent of women 40 to 60 years of age. Risk factors include nulliparity, obesity, family history, black race, and hypertension. Many tumors are asymptomatic and may be diagnosed incidentally. Although a causal relationship has not been established, fibroid...

American Family Physician

https://www.aafp.org/afp/2007/0515/afp20070515p1503.pdf

afp20070715p255.pdf

...and blood pressure levels can provide patients and physicians with valuable information in the management of diabetes mellitus and hypertension. Home moni- toring allows patients to play an active role in their care and may improve treatment adherence and clinical outcomes. Glucose...

American Family Physician

https://www.aafp.org/afp/2007/0715/afp20070715p255.pdf

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