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...She had nausea that began two days after the bite. She did not have fever, sore throat, joint aches, or body aches. She had a history of hypertension, gastroesophageal reflux disease, hyperlipid- emia, and osteoarthritis. She had no history of atopic dermatitis. Examination...

American Family Physician

...A 78-year-old man with a history of diabetes mellitus and hypertension presented with a four-month history of progressively worsen- ing, painless swelling at the base of his left thumbnail. The swelling was accompanied by a serosanguineous discharge at the cuticle. There was no...

American Family Physician

"Dietary Supplements: How Family Physicians Can Address Safety Concerns by Working with...

...ingredients, including corticosteroids, phosphodiesterase type 5 inhibitors, or sibutramine.18 Serious drug-drug interactions leading to hypertension or hepatic or cardiac toxicity have been documented.19,20 What can a physician do to support and protect patients from harm if...

American Family Physician

"My Rings Won't Fit Anymore" - Photo Quiz - American Family Physician

May 1, 2005 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

"You Should See My Doctor": Cost-Effective Marketing Ideas for Your Practice -- Family ...

...HbA1c rate for your patients with diabetes. Outline your care-process models (a.k.a. critical pathways or protocols) for asth- ma, hypertension and hypercholesterolemia. Highlight your low waiting times in the office, short waits for preventive health visits or after- hours access....

Family Practice Management

"You Should See My Doctor": Cost-Effective Marketing Ideas for Your Practice -- FPM

Jan 1, 2002 - Marketing doesn’t have to be expensive, complicated or unethical. To begin, simply treat your current patients right.

Family Practice Management : Articles

(PBL) Acute and Chronic Heart Failure here for routine follow up of HTN. He is not checking blood pressures at home. He is somewhat limited in his ability to walk by knee pain, but does not report any angina or shortness of breath. History of Present Illness 5 Hypertension Osteoarthritis of the knee...


(PBL) Chronic Kidney Disease and End-Stage Renal Disease Diagnosis and Management

...Past Medical History •Hypertension •Insulin dependent diabetes mellitus •Hyperlipidemia •CKD stage 3aA1 (Cr baseline 1.3 with eGFR of 46 mL/min/1.73m2) 6 Tina’s CKD Stage: Medications •Aspirin 81mg •Lantus 20u QHS •Metformin 1000mg BID •Simvastatin 10mg daily •Metoprolol...


(PBL) Clostridioides Difficile (Pseudomembranous Colitis)

...• Hypertension • Obesity (BMI 35) • Chronic kidney disease Stage III • Diabetes Mellitus Type II • Chronic constipation Past Surgical History • None 6 Case One: Medications • lisinopril • metformin • polyethylene glycol 3350 Social History • Rare alcohol • No tobacco...


(PBL) Deep Vein Thrombosis and Pulmonary Embolism Management: The Clot Thickens

...Past Medical History • HTN, controlled - 12 years. • Former smoker, 1 ppd age 19 - 41. • Reports some mild varicose veins in recent years, asymptomatic. Medications, Allergies • HCTZ 25 mg daily, lisinopril 10 mg daily. - BP has been controlled on this regimen. • NKDA, 6...


(PBL) Dementia and Alzheimer's Disease

...HTN, controlled HLD, controlled T2DM, no CAD, no ASPVD, no CKD, no CVA • PSH and Ob/GYN: G1P1 (term uncomplicated vaginal birth) • Tobacco: no • ETOH/Drug: Never! • Allergies: none • Meds: Lisinopril 5mg, Lipitor 10mg, Metformin 500mg bid • Family History: Siblings with HTN, HLD,...


(PBL) Dermatologic Conditions: Family Docs Have Skin in the Game

...• Side Effects • Dry lips and dry skin • Decreased night vision • Headache • Epistaxis • Backache • Benign intracranial hypertension • Mild to moderate elevation in liver enzymes • Elevation in lipids, especially triglycerides • Depression and suicide 19 Isotretinoin • It is a...


(PBL) Diabetes Treatment Update: After Metformin

...Case 1 JS • 69 year old male • Type 2 Diabetes x 13 years • OSA • HTN • Grade 2 Diastolic Heart Failure • Obesity • Does not exercise Medications • amlodipine 5 mg daily • aspirin 81 mg daily • atorvastatin 20 mg daily • losartan 25 mg daily • metformin 500 mg BID (unable to...


(PBL) Integrating Behavioral Health Into Primary Care

...• Hypertension • Diabetes • Depression • Obesity 9 Acknowledgment Different Ways You Can Integrate Behavioral Health Into Primary Care 10 IBH REQUIRES TEAMWORK Some Elements that Both Facilitate and Hinder Essential Elements of Teamwork Communication...


(PBL) Musculoskeletal Exam Techniques: Evidence-Based Treatment for Upper and Lower ...

...• PMHx: HTN • Remote PSx: Appendectomy, no shoulder/neck/ortho surgeries Social History • Recently retired military - Now working as govt contractor (desk job) - But real passion is woodworking/carpentry • Enjoys sports, plays rec softball, occasional basketball when he...


(PBL) Navigating the Complexities of Contraceptive Care

...Let’s practice! • 37 year old P3 with hypertension. Blood pressure today 145/85. Wants to re- start combined oral contraceptives (COCs) (MEC 3). - Elicit patient preferences - Personalize counseling on risks and benefits - Interactively establish a plan Individualized decision...


<FEFF><FEFF>Using Nontraditional Risk Factors in Coronary Heart Disease Risk ...

...Framingham risk score do benefit. Examples of persons in the inter- mediate-risk category include a 60-year- old man with untreated hypertension who Table 1. Using Nontraditional Risk Factors in CHD Risk Assessment: Clinical Summary of the USPSTF Recommendation Population...

American Family Physician

<FEFF>Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia

Date xx, xxxx Scientific

American Family Physician

<FEFF>Hearing Loss in Older Adults

...t least 28 million U.S. adults have hearing loss.1 After hypertension and arthritis, it is the most common chronic health problem in older persons.2 The impact of hearing loss on soci- ety will increase as baby boomers age, because the age-specific prevalence of hearing loss and...

American Family Physician

<FEFF>Myocardial Infarction: Management of the Subacute Period

...and Angioten- sin Receptor Blockers. Angiotensin-converting enzyme (ACE) inhibitors are strongly recommended after an MI in patients with hypertension, diabetes mellitus, an LVEF of 40% or less, or chronic kidney disease.6,10 Randomized controlled trials (RCTs) have established that...

American Family Physician

<FEFF>Top 20 Research Studies of 2016 for Primary Care Physicians

April 15, 2017

American Family Physician

<FEFF>Top POEMs of 2015 Consistent with the Principles of the Choosing Wisely Campaign

October 1, 2016

American Family Physician

10 Steps to Preparing Your Office for ICD-10 -- Now -- FPM

Feb 1, 2014 - Don't wait any longer. You need to take steps now to meet the Oct. 1 deadline.

Family Practice Management : Articles


...was seen for the preven- tion of severe postpartum hemorrhage, and there was significantly more nausea and vomiting (NNH = 61) and hypertension (NNH = 96) in the women receiving ergometrine-oxytocin.11 Overall, the prophylactic use of oxytocin reduces post- partum hemorrhage and...

American Family Physician

13 Months of Quality Improvement: Did It Work? -- FPM

Jan 1, 2001 - The article completes a series on one group's participation in the Institute for Healthcare Improvement's chronic care quality improvement project. This article offers lessons learned from the project and explores whether the principles of quality improvement were effective.

Family Practice Management : Articles

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