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Management of Gastroesophageal Reflux Disease - American Family Physician

Oct 1, 2003 - The primary treatment goals in patients with gastroesophageal reflux disease are relief of symptoms, prevention of symptom relapse, healing of erosive esophagitis, and prevention of complications of esophagitis. In patients with reflux esophagitis, treatment is directed at acid ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1311.html

The Nature and Management of Labor Pain: Part II. Pharmacologic Pain Relief - American ...

Sep 15, 2003 - A group of family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators attended an evidence-based symposium in 2001 on the nature and management of labor pain and discussed a series of systematic reviews that focused on methods of labor pain ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1115.html

New Developments in the Management of Hypertension - American Family Physician

Sep 1, 2003 - The management of hypertension has evolved over the past decade. Isolated systolic blood pressure elevation, the most common form of uncontrolled hypertension, is recognized as a significant risk factor for vascular complications in patients with hypertension. Nutritional management of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p853.html

Management of Crohn's Disease--A Practical Approach - American Family Physician

Aug 15, 2003 - Crohn's disease is a chronic inflammatory disorder of the gastrointestinal tract that affects up to 480,000 persons in the United States. Symptoms include abdominal pain, diarrhea, fever, malaise, and arthralgias, and cause considerable morbidity. Speculation about genetic, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p707.html

Managing Issues Related to Antiretroviral Therapy - American Family Physician

Aug 15, 2003 - Antiretroviral regimens are complicated and difficult for patients to follow, and they can have serious side effects, such as osteonecrosis and bone demineralization. Protease inhibitor therapy has been associated with hyperlipidemia, hyperglycemia, gastrointestinal symptoms, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0815/p675.html

Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice...

Jun 1, 2003 - Although the percentage of patients who are treated for hypertension has increased, the percentage of those who demonstrate control of blood pressure has declined. As a result of this trend, clinicians may increasingly rely on ambulatory blood pressure monitoring to improve the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2343.html

Prevention and Treatment of Common Eye Injuries in Sports - American Family Physician

Apr 1, 2003 - Sports have become increasingly popular and account for numerous eye injuries each year. The sports that most commonly cause eye injuries, in order of decreasing frequency, are basketball, water sports, baseball, and racquet sports. Sports are classified as low risk, high risk, and very...

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1481.html

Fusiform Excision - American Family Physician

Apr 1, 2003 - Advertisement << Previous article Next article >> Apr 1, 2003 Issue Fusiform Excision THOMAS J. ZUBER, M.D., Saginaw Cooperative Hospital, Saginaw, Michigan Am Fam Physician. 2003 Apr 1;67(7):1539-1544. Patient Information Handout Related Content Abstract Methods and Materials...

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1539.html

Molluscum Contagiosum and Warts - American Family Physician

Mar 15, 2003 - Molluscum contagiosum and warts are benign epidermal eruptions resulting from viral infections of the skin. Molluscum contagiosum eruptions are usually self-limited and without sequelae, although they can be more extensive in immunocompromised persons. Spontaneous disappearance of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1233.html

Counseling for Physical Activity in Overweight and Obese Patients - American Family ...

Mar 15, 2003 - Obesity has reached epidemic proportions in the United States. More than 60 percent of U.S. adults are now overweight or obese (defined as at least 30 lb [13.6 kg] overweight), predisposing more than 97 million Americans to a host of chronic diseases and conditions. Physical activity ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1249.html

Counseling Issues in Tubal Sterilization - American Family Physician

Mar 15, 2003 - Female sterilization is the number one contraceptive choice among women in the United States. Counseling issues include ensuring that the woman understands the permanence of the procedure and knowing the factors that correlate with future regret. The clinician should be aware of the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0315/p1287.html

Antiviral Drugs in the Immunocompetent Host: Part II. Treatment of Influenza and ...

Feb 15, 2003 - Family physicians should be familiar with the various drugs available for treating and preventing viral infections. Part II of this two-part article focuses on agents used to manage influenza and respiratory syncytial virus. Rimantadine and amantadine traditionally have been used to ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p763.html

Thyroid Nodules - American Family Physician

Feb 1, 2003 - Palpable thyroid nodules occur in 4 to 7 percent of the population, but nodules found incidentally on ultrasonography suggest a prevalence of 19 to 67 percent. The majority of thyroid nodules are asymptomatic. Because about 5 percent of all palpable nodules are found to be malignant, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p559.html

Echinacea - American Family Physician

Jan 1, 2003 - Echinacea is the name of a genus of native North American plants, commonly known as the purple coneflower. The most widely used herbal product in the United States is a liquid extract made from the root of Echinacea purpurea. Because the active component of the plant has not been ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0101/p77.html

Breast-Conserving Surgery for Breast Cancer - American Family Physician

Dec 15, 2002 - Surgical treatment of breast cancer has changed significantly in recent years. Fine-needle aspirations or core-needle biopsies can be used in the diagnostic process, thus avoiding scarring incisions. The preferred method of treatment for many women with early breast cancer is ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1215/p2271.html

The Management of the Acute Migraine Headache - American Family Physician

Dec 1, 2002 - As many as 30 million Americans have migraine headaches. The impact on patients and their families can be tremendous, and treatment of migraines can present diagnostic and therapeutic challenges for family physicians. Abortive treatment options include nonspecific and migraine-specific ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1201/p2123.html

Can Melatonin Prevent or Treat Jet Lag? - Cochrane for Clinicians - American Family ...

Dec 1, 2002 - Daily doses of 0.5 to 5 mg of melatonin, taken at the target bedtime at the destination for two to five days after arrival, lessen the effects of jet lag.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/1201/p2087.html

Management of Irritable Bowel Syndrome - American Family Physician

Nov 15, 2002 - Irritable bowel syndrome is the most common functional disorder of the gastrointestinal tract and is frequently treated by family physicians. Despite patients' worries about the symptoms of irritable bowel syndrome, it is a benign condition. The diagnosis should be made using standard ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1867.html

Removal of Unwanted Facial Hair - American Family Physician

Nov 15, 2002 - Unwanted facial hair is a common problem that is seldom discussed in the primary care setting. Although men occasionally request removal of unwanted facial hair, women most often seek help with this condition. Physicians generally neglect to address the problem if the patient does not ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1907.html

Topical Tacrolimus: A New Therapy for Atopic Dermatitis - American Family Physician

Nov 15, 2002 - Atopic dermatitis is a common problem affecting up to 10 percent of all children. The mainstays of therapy have been oral antihistamines, topical emollients, topical doxepin, and topical corticosteroids. Side effects associated with higher potency topical corticosteroids have limited ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1115/p1899.html

Should We Prescribe Antibiotics for Acute Conjunctivitis? - Cochrane for Clinicians - ...

Nov 1, 2002 - This review indicates that even in high-risk patients with bacterial conjunctivitis, there is only a small benefit of treatment with antibiotics. Furthermore, most cases (64 percent) resolve spontaneously, and complications are rare. Therefore, it is reasonable to avoid antibiotic use ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/1101/p1649.html

Knee Joint Aspiration and Injection - American Family Physician

Oct 15, 2002 - Knee joint aspiration and injection are performed to aid in diagnosis and treatment of knee joint diseases. The knee joint is the most common and the easiest joint for the physician to aspirate. One approach involves insertion of a needle 1 cm above and 1 cm lateral to the superior ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1497.html

Benefits and Risks of Psychiatric Medications During Pregnancy - American Family Physician

Aug 15, 2002 - Traditionally, psychiatric medications were withheld during pregnancy because of fear of teratogenic and other effects. The emergence of evidence of the safety of most commonly used psychiatric medications, the availability of this information in the form of online databases, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p629.html

Tick Removal - American Family Physician

Aug 15, 2002 - Many methods of tick removal that have been reported in the literature have proved to be unsatisfactory in controlled studies. Some methods may even cause harm by inducing the tick to salivate and regurgitate into the host. Ticks are best removed as soon as possible, because the risk of...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p643.html

Percutaneous Vertebroplasty: New Treatment for Vertebral Compression Fractures - ...

Aug 15, 2002 - Interventional radiologists have been performing image-guided spinal procedures for many years. Percutaneous vertebroplasty is a newer technique in which a medical grade cement is injected though a needle into a painful fractured vertebral body. This stabilizes the fracture, allowing ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p611.html

Using ACE Inhibitors Appropriately - American Family Physician

Aug 1, 2002 - When first introduced in 1981, angiotensin-converting enzyme (ACE) inhibitors were indicated only for treatment of refractory hypertension. Since then, they have been shown to reduce morbidity or mortality in congestive heart failure, myocardial infarction, diabetes mellitus, chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0801/p461.html

Managing Hypertension in Athletes and Physically Active Patients - American Family ...

Aug 1, 2002 - Athletes and other physically active patients should be screened for hypertension and given appropriate therapy if needed. Mild hypertension should be treated with non-pharmacologic measures for six months. If blood pressure control is adequate, lifestyle modifications are continued. If...

American Family Physician : Article

https://www.aafp.org/afp/2002/0801/p445.html

Environmental Control of Allergic Diseases - American Family Physician

Aug 1, 2002 - Allergic disease affects millions of persons in the United States. Environmental control measures are essential for persons who are sensitive to dust mite and cat allergens and may be important in persons who are sensitive to cockroaches and fungus. The bedroom is the most important ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0801/p421.html

Joint and Soft Tissue Injection - American Family Physician

Jul 15, 2002 - Injection techniques are helpful for diagnosis and therapy in a wide variety of musculoskeletal conditions. Diagnostic indications include the aspiration of fluid for analysis and the assessment of pain relief and increased range of motion as a diagnostic tool. Therapeutic indications ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0715/p283.html

Acute Management of Atrial Fibrillation: Part II. Prevention of Thromboembolic ...

Jul 15, 2002 - Family physicians should be familiar with the acute management of atrial fibrillation and the initiation of chronic therapy for this common arrhythmia. Initial management should include hemodynamic stabilization, rate control, restoration of sinus rhythm, and initiation of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0715/p261.html

Managing Benign Prostatic Hyperplasia - American Family Physician

Jul 1, 2002 - Medical and surgical options for the treatment of benign prostatic hyperplasia have expanded in recent years. Saw palmetto, the most widely used complementary medication, is less effective than standard medical therapy but has fewer side effects. Although non-selective alpha blockers ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p77.html

Ingrown Toenail Removal - American Family Physician

Jun 15, 2002 - Ingrown toenail is a common problem resulting from various etiologies including improperly trimmed nails, hyperhidrosis, and poorly fitting shoes. Patients commonly present with pain in the affected nail but with progression, drainage, infection, and difficulty walking occur. Excision ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0615/p2547.html

Hemorrhoidectomy for Thrombosed External Hemorrhoids - American Family Physician

Apr 15, 2002 - External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1629.html

Minimal Excision Technique for Epidermoid (Sebaceous) Cysts - American Family Physician

Apr 1, 2002 - Epidermoid cysts are asymptomatic, dome-shaped lesions that often arise from a ruptured pilosebaceous follicle. The minimal excision technique for epidermoid cyst removal is less invasive than complete surgical excision and does not require suture closure. The procedure is easy to ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1409.html

Management of Helicobacter pylori Infection - American Family Physician

Apr 1, 2002 - Helicobacter pylori is the cause of most peptic ulcer disease and a primary risk factor for gastric cancer. Eradication of the organism results in ulcer healing and reduces the risk of ulcer recurrence and complications. Testing and treatment have no clear value in patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1327.html

Venomous Snakebites in the United States: Management Review and Update - American ...

Apr 1, 2002 - Venomous snakebites, although uncommon, are a potentially deadly emergency in the United States. Rattlesnakes cause most snakebites and related fatalities. Venomous snakes in the United States can be classified as having hemotoxic or neurotoxic venom. Patients with venomous snakebites ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1367.html

Smoking Cessation: Integration of Behavioral and Drug Therapies - American Family ...

Mar 15, 2002 - Family physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1107.html

Lipoma Excision - American Family Physician

Mar 1, 2002 - Lipomas are adipose tumors that are often located in the subcutaneous tissues of the head, neck, shoulders, and back. Lipomas have been identified in all age groups but usually first appear between 40 and 60 years of age. These slow-growing, nearly always benign, tumors usually present ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p901.html

Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease ...

Jan 15, 2002 - Coronary heart disease, the leading cause of death in women, is largely preventable. Lifestyle modifications (e.g., diet and exercise) are the cornerstone of primary and secondary prevention. Elevated levels of low-density lipoprotein cholesterol and triglycerides and low levels of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p217.html

Treating Obstructive Sleep Apnea Improves Essential Hypertension and Quality of Life - ...

Jan 15, 2002 - About one half of patients who have essential hypertension have obstructive sleep apnea, and about one half of patients who have obstructive sleep apnea have essential hypertension. A growing body of evidence suggests that obstructive sleep apnea is a major contributing factor in the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p229.html

Hypodermoclysis: An Alternate Infusion Technique - American Family Physician

Nov 1, 2001 - Hypodermoclysis, the subcutaneous infusion of fluids, is a useful and easy hydration technique suitable for mildly to moderately dehydrated adult patients, especially the elderly. The method is considered safe and does not pose any serious complications. The most frequent adverse effect...

American Family Physician : Article

https://www.aafp.org/afp/2001/1101/p1575.html

Spironolactone in Left-Sided Heart Failure: How Does It Fit In? - American Family ...

Oct 15, 2001 - The familiar diuretic spironolactone has taken on new life as a treatment for left-sided congestive heart failure. Spironolactone has been shown to decrease mortality in such patients who are New York Heart Association class IV. It can be used in addition to agents such as ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1015/p1393.html

Overview of Refractive Surgery - American Family Physician

Oct 1, 2001 - Patients with myopia, hyperopia and astigmatism can now reduce or eliminate their dependence on contact lenses and eyeglasses through refractive surgery that includes radial keratotomy (RK), photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis (LASIK), laser thermal ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1183.html

Over-the-Counter Foot Remedies - American Family Physician

Sep 1, 2001 - Several effective and inexpensive over-the-counter treatments are available for minor but troubling foot problems. In most cases, one week of therapy with topical terbinafine is effective for interdigital tinea pedis. Treatment of plantar warts with 17 percent salicylic acid with lactic...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p791.html

COPD: Management of Acute Exacerbations and Chronic Stable Disease - American Family ...

Aug 15, 2001 - Acute exacerbations of chronic obstructive pulmonary disease (COPD) are treated with oxygen (in hypoxemic patients), inhaled beta2 agonists, inhaled anticholinergics, antibiotics and systemic corticosteroids. Methylxanthine therapy may be considered in patients who do not respond to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p603.html

Advances in the Treatment of Epilepsy - American Family Physician

Jul 1, 2001 - Significant advances have been made in the diagnosis and treatment of epilepsy over the past decade. With the advent of electroencephalographic video monitoring, physicians are now able to reliably differentiate epilepsy from other conditions that can mimic it, such as pseudoseizures. ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0701/p91.html

Should We Recommend Nicotine Replacement Therapy? - Cochrane for Clinicians - American ...

Jun 1, 2001 - Yes. The patient is highly nicotine-dependent, and for smokers with moderate to severe nicotine dependence, nicotine replacement therapy with or without bupropion should be offered as part of an intensive program of physician advice, counseling and follow-up. This answer is based on an ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2001/0601/p2245.html

New Concepts In Acute Pain Therapy: Preemptive Analgesia - American Family Physician

May 15, 2001 - Pain, which is often inadequately treated, accompanies the more than 23 million surgical procedures performed each year and may persist long after tissue heals. Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p1979.html

Oral Agents in the Management of Type 2 Diabetes Mellitus - American Family Physician

May 1, 2001 - Despite exhaustive efforts to better manage patients with type 2 diabetes mellitus (formerly known as non-insulin-dependent diabetes mellitus), attempts at maintaining near normal blood glucose levels in these patients remains unsatisfactory. This continues to pose a real challenge to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0501/p1747.html

Reducing Readmissions for Congestive Heart Failure - American Family Physician

Apr 15, 2001 - Hospital admission for congestive heart failure is extremely common and quite expensive, although it is frequently preventable. New drugs and therapies have been reported to reduce admissions, decrease morbidity and mortality, and improve the quality of life for these patients. Patients...

American Family Physician : Article

https://www.aafp.org/afp/2001/0415/p1593.html

Antimicrobial Resistence: A Plan of Action for Community Practice - American Family ...

Mar 15, 2001 - Antibiotic resistance was once confined primarily to hospitals but is becoming increasingly prevalent in family practice settings, making daily therapeutic decisions more challenging. Recent reports of pediatric deaths and illnesses in communities in the United States have raised ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0315/p1087.html

Treating Onychomycosis - American Family Physician

Feb 15, 2001 - Onychomycosis accounts for one third of fungal skin infections. Because only about one half of nail dystrophies are caused by fungus, the diagnosis should be confirmed by potassium hydroxide preparation, culture or histology before treatment is started. Newer, more effective antifungal ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0215/p663.html

Treatment of Plantar Fasciitis - American Family Physician

Feb 1, 2001 - Plantar fasciitis is a common cause of heel pain in adults. The disorder classically presents with pain that is particularly severe with the first few steps taken in the morning. In general, plantar fasciitis is a self-limited condition. However, symptoms usually resolve more quickly ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p467.html

Plasma Viral Load Testing in the Management of HIV Infection - American Family Physician

Feb 1, 2001 - The polymerase chain reaction assay, branched DNA assay and nucleic acid sequence-based amplification assay quantitate human immunodeficiency virus (HIV) RNA levels. Plasma viral load (PVL) testing has become a cornerstone of HIV disease management. Initiation of antiretroviral drug ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0201/p483.html

Effective Use of Statins to Prevent Coronary Heart Disease - American Family Physician

Jan 15, 2001 - Primary and secondary prevention trials have shown that use of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (also known as statins) to lower an elevated low-density lipoprotein cholesterol level can substantially reduce coronary events and death from coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p309.html

Paraphimosis: Current Treatment Options - American Family Physician

Dec 15, 2000 - Paraphimosis is a urologic emergency, occurring in uncircumcised males, in which the foreskin becomes trapped behind the corona and forms a tight band of constricting tissue. Often iatrogenically induced, paraphimosis can be prevented by returning the prepuce to cover the glans ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1215/p2623.html

Ambulatory Management of Burns - American Family Physician

Nov 1, 2000 - Burns often happen unexpectedly and have the potential to cause death, lifelong disfigurement and dysfunction. A critical part of burn management is assessing the depth and extent of injury. Burns are now commonly classified as superficial, superficial partial thickness, deep partial ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2015.html

Using Progestins in Clinical Practice - American Family Physician

Oct 15, 2000 - Progestational agents have many important functions, including regulation of the menstrual cycle, treatment of dysfunctional uterine bleeding, prevention of endometrial cancer and hyperplastic precursor lesions, and contraception. Because of the reported side effects of synthetic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1839.html

Use of Systemic Agents in the Treatment of Acne Vulgaris - American Family Physician

Oct 15, 2000 - Effective treatment of acne vulgaris can prevent emotional and physical scarring. Therapy varies according to the severity of the disease. Topical medication is generally adequate in clearing comedonal acne, while inflammatory acne usually requires the addition of oral medication. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1823.html

Optimizing Beta-Blocker Use After Myocardial Infarction - American Family Physician

Oct 15, 2000 - Although beta-adrenergic blockers can significantly reduce mortality after a myocardial infarction, these agents are prescribed to only a minority of patients. Underutilization of beta blockers may be attributed, in part, to fear of adverse effects, especially in the elderly and in ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1853.html

A Family Physicians' Guide to Monitoring Methotrexate - American Family Physician

Oct 1, 2000 - Methotrexate has a long history of use in the treatment of various immunologic diseases, including rheumatoid arthritis and psoriasis. Although the drug is usually prescribed by a subspecialist, a family physician may assume responsibility for monitoring methotrexate therapy. Major ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1607.html

Withholding and Withdrawing Life-Sustaining Treatment - American Family Physician

Oct 1, 2000 - Withholding or withdrawing life-sustaining therapies is ethical and medically appropriate in some circumstances. This article summarizes the American Medical Association's Education for Physicians on End-of-life Care (EPEC) curriculum module on withholding or withdrawing therapy. Before...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1555.html

Treating Fibromyalgia - American Family Physician

Oct 1, 2000 - Fibromyalgia is an extremely common chronic condition that can be challenging to manage. Although the etiology remains unclear, characteristic alterations in the pattern of sleep and changes in neuroendocrine transmitters such as serotonin, substance P, growth hormone and cortisol ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1575.html

Management of Bipolar Disorder - American Family Physician

Sep 15, 2000 - Bipolar disorder most commonly is diagnosed in persons between 18 and 24 years of age. The clinical presentations of this disorder are broad and include mania, hypomania and psychosis. Frequently associated comorbid conditions include substance abuse and anxiety disorders. Patients with...

American Family Physician : Article

https://www.aafp.org/afp/2000/0915/p1343.html

Primary Care Treatment of Post-traumatic Stress Disorder - American Family Physician

Sep 1, 2000 - Post-traumatic stress disorder, a psychiatric disorder, arises following exposure to perceived life-threatening trauma. Its symptoms can mimic those of anxiety or depressive disorders, but with appropriate screening, the diagnosis is easily made. Current treatment strategies combine ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1035.html

Intra-articular Hyaluronic Acid Injections for Knee Osteoarthritis - American Family ...

Aug 1, 2000 - Knee osteoarthritis is a common but often difficult problem to manage in primary care. Traditional nonsurgical management, consisting of lifestyle modification, physical therapy and pharmacologic therapy (e.g., analgesics, anti-inflammatory medications), is often ineffective or leaves ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0801/p565.html

Management of Benign Aphthous Ulcers - American Family Physician

Jul 1, 2000 - Aphthous ulcers are a common and painful problem. Benign aphthae tend to be small (less than 1 cm in diameter) and shallow. Aphthous ulcers that occur in conjunction with symptoms of uveitis, genital ulcerations, conjunctivitis, arthritis, fever or adenopathy should prompt a search for ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0701/p149.html

Uterine Fibroid Embolization - American Family Physician

Jun 15, 2000 - Interventional radiologists have performed uterine artery embolization to treat women with emergency uterine bleeding since the 1970s. In this procedure, the physician guides a small angiographic catheter into the uterine arteries and injects a stream of tiny particles that decreases ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3601.html

Treatment of Recurrent Vulvovaginal Candidiasis - American Family Physician

Jun 1, 2000 - Vulvovaginal candidiasis is considered recurrent when at least four specific episodes occur in one year or at least three episodes unrelated to antibiotic therapy occur within one year. Although greater than 50 percent of women more than 25 years of age develop vulvovaginal candidiasis ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3306.html

Current Management of Mitral Valve Prolapse - American Family Physician

Jun 1, 2000 - Mitral valve prolapse is a pathologic anatomic and physiologic abnormality of the mitral valve apparatus affecting mitral leaflet motion.

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3343.html

Treatment of Prostatitis - American Family Physician

May 15, 2000 - The term prostatitis is applied to a series of disorders, ranging from acute bacterial infection to chronic pain syndromes, in which the prostate gland is inflamed. Patients present with a variety of symptoms, including urinary obstruction, fever, myalgias, decreased libido or ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3015.html

Treatment of Seborrheic Dermatitis - American Family Physician

May 1, 2000 - Seborrheic dermatitis is a chronic inflammatory disorder affecting areas of the head and trunk where sebaceous glands are most prominent. Lipophilic yeasts of the Malassezia genus, as well as genetic, environmental and general health factors, contribute to this disorder. Scalp seborrhea...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2703.html

Practical Use of the Pessary - American Family Physician

May 1, 2000 - The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Pessaries can also be used in the treatment of stress urinary incontinence. The wide ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2719.html

Management of Herpes Zoster (Shingles) and Postherpetic Neuralgia - American Family ...

Apr 15, 2000 - Herpes zoster (commonly referred to as

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2437.html

Developing and Communicating a Long-Term Treatment Plan for Asthma - American Family ...

Apr 15, 2000 - The treatment of asthma, according to current guidelines, requires complex treatment regimens that change as clinical conditions improve or deteriorate. We have developed a practical way to communicate long-term treatment plans in chart form in the primary care setting that is easy for ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0415/p2419.html

Management of Giant Cell Arteritis and Polymyalgia Rheumatica - American Family Physician

Apr 1, 2000 - Giant cell arteritis and polymyalgia rheumatica are closely related disorders that affect persons more than 50 years of age and cause substantial morbidity. Patients with giant cell arteritis typically have a localized headache, nonspecific systemic symptoms, temporal artery tenderness ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2061.html

Drug Therapy for Obesity - American Family Physician

Apr 1, 2000 - Obesity is a common health problem in the United States, and effective treatment is challenging. Obesity is associated with an increased mortality rate and risk factors such as hypertension, hyperlipidemia and diabetes mellitus. Numerous treatments are available for obesity. Behavioral ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2131.html

Treatment of Common Cutaneous Herpes Simplex Virus Infections - American Family Physician

Mar 15, 2000 - Herpes simplex virus infection is increasingly common in the United States. New antiviral medications have expanded treatment options for the two most common cutaneous manifestations, orolabial and genital herpes. Acyclovir therapy remains an effective and often less expensive option. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1697.html

Management of Bacterial Endocarditis - American Family Physician

Mar 15, 2000 - Most cases of bacterial endocarditis involve infection with viridans streptococci, enterococci, coagulase-positive staphylococci or coagulase-negative staphylococci. The choice of antibiotic therapy for bacterial endocarditis is determined by the identity and antibiotic susceptibility ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1725.html

Approach to Vaso-occlussive Crisis in Adults with Sickle Cell Disease - American Family...

Mar 1, 2000 - The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Acute episodes of severe pain (crises) are the primary reason that these patients seek medical care in hospital emergency departments. Frequently, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1349.html

Treatment of Nonmalignant Chronic Pain - American Family Physician

Mar 1, 2000 - Nonmalignant, chronic pain is associated with physical, emotional and financial disability. Recent animal studies have shown that remodeling within the central nervous system causes the physical pathogenesis of chronic pain. This central neural plasticity results in persistent pain ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1331.html

Somatizing Patients: Part II. Practical Management - American Family Physician

Mar 1, 2000 - Somatization is the experiencing of physical symptoms in response to emotional distress. It is a common and costly disorder that is frustrating to patients and physicians. Successful treatment of somatization requires giving an acceptable explanation of the symptoms to the patient, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1423.html

Treatment of Psoriasis: An Algorithm-Based Approach for Primary Care Physicians - ...

Feb 1, 2000 - Psoriasis is characterized by red, thickened plaques with a silvery scale. The lesions vary in size and degree of inflammation. Psoriasis is categorized as localized or generalized, based on the severity of the disease and its overall impact on the patient's quality of life and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p725.html

Dietary Therapy for Children with Hypercholesterolemia - American Family Physician

Feb 1, 2000 - Accumulating evidence clearly shows that atherosclerosis begins in youth. The National Cholesterol Education Program (NCEP) has recommended that children at high risk of developing coronary artery disease as adults be screened so that those with elevated low-density lipoprotein (LDL) ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p675.html

Topical Therapy for Acne - American Family Physician

Jan 15, 2000 - Acne is a common problem in adolescents and young adults. The disorder is caused by abnormal desquamation of follicular epithelium that results in obstruction of the pilosebaceous canal. This obstruction leads to the formation of comedones, which can become inflamed because of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p357.html

Knee Braces: Current Evidence and Clinical Recommendations for Their Use - American ...

Jan 15, 2000 - Methods of preventing and treating knee injuries have changed with the rapid development and refinement of knee braces. Prophylactic knee braces are designed to protect uninjured knees from valgus stresses that could damage the medial collateral ligaments. However, no conclusive ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p411.html

Management of Acute Gastroenteritis in Children - American Family Physician

Dec 1, 1999 - Acute gastroenteritis is a common and costly clinical problem in children. It is a largely self-limited disease with many etiologies. The evaluation of the child with acute gastroenteritis requires a careful history and a complete physical examination to uncover other illnesses with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1201/p2555.html

Type 1 Diabetes Mellitus and the Use of Flexible Insulin Regimens - American Family ...

Nov 15, 1999 - The management of type 1 diabetes mellitus (formerly known as insulin-dependent diabetes) has changed dramatically over the past 30 years. In particular, new insulin strategies have improved the ability to maintain near-normal glycemia. Factors such as onset, peak and duration of action...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2343.html

Preventing Stroke in Patients with Transient Ischemic Attacks - American Family Physician

Nov 15, 1999 - Stroke is the third most common overall cause of death and the leading cause of adult disability in the United States. New therapeutic interventions instituted in the period immediately after a stroke have revolutionized the approach to ischemic cerebrovascular disease. Recognition of a...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2329.html

Educational Guidelines for Achieving Tight Control and Minimizing Complications of Type...

Nov 1, 1999 - Tight glucose control with intensive therapy in patients with type 1 diabetes (formerly known as juvenile-onset or insulin-dependent diabetes) can delay the onset and slow the progression of retinopathy, nephropathy and neuropathy. Optimal blood glucose control is defined by a target ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p1985.html

Outpatient Detoxification of the Addicted or Alcoholic Patient - American Family Physician

Sep 15, 1999 - Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1175.html

Atopic Dermatitis: A Review of Diagnosis and Treatment - American Family Physician

Sep 15, 1999 - Atopic dermatitis is a common, potentially debilitating condition that can compromise quality of life. Its most frequent symptom is pruritus. Attempts to relieve the itch by scratching simply worsen the rash, creating a vicious circle. Treatment should be directed at limiting itching, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1191.html

Newer Pharmacologic Alternatives for Erectile Dysfunction - American Family Physician

Sep 15, 1999 - With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1159.html

Raloxifene: A Selective Estrogen Receptor Modulator - American Family Physician

Sep 15, 1999 - Raloxifene is a selective estrogen receptor modulator that produces both estrogen-agonistic effects on bone and lipid metabolism and estrogen-antagonistic effects on uterine endometrium and breast tissue. Because of its tissue selectivity, raloxifene may have fewer side effects than are...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1131.html

Peyronie's Disease: Current Management - American Family Physician

Aug 1, 1999 - Peyronie's disease is an acquired inflammatory condition of the penis associated with penile curvature and,in some cases, pain. It primarily affects men between 45 and 60 years of age, although an age range of 18 to 80 years has been reported. If left untreated, Peyronie's disease may ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p549.html

Vasectomy Techniques - American Family Physician

Jul 1, 1999 - Vasectomy can be performed by means of various techniques, although each vasectomy technique requires isolation and division of the vas and operative management of the vasal ends. Removal of at least 15 mm of vas is recommended, although division of the vas without removal of a segment ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p137.html

Treatment of Type 2 Diabetes Mellitus - American Family Physician

May 15, 1999 - Type 2 diabetes mellitus (formerly called non-insulin-dependent diabetes) causes abnormal carbohydrate, lipid and protein metabolism associated with insulin resistance and impaired insulin secretion. Insulin resistance is a major contributor to progression of the disease and to ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2835.html

Treatment Guidelines for Primary Nonretentive Encopresis and Stool Toileting Refusal - ...

Apr 15, 1999 - Nonretentive encopresis refers to inappropriate soiling without evidence of fecal constipation and retention. This form of encopresis accounts for up to 20 percent of all cases. Characteristics include soiling accompanied by daily bowel movements that are normal in size and consistency....

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2171.html

Medical Treatments for Balding in Men - American Family Physician

Apr 15, 1999 - Two drugs are available for the treatment of balding in men. Minoxidil, a topical product, is available without a prescription in two strengths. Finasteride is a prescription drug taken orally once daily. Both agents are modestly effective in maintaining (and sometimes regrowing) hair ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2189.html

Topical Therapies for Glaucoma: What Family Physicians Need to Know - American Family ...

Apr 1, 1999 - Medication classes historically used in the management of glaucoma include beta blockers, miotics, sympathomimetics and carbonic anhydrase inhibitors. Because topically applied medications are more site specific, they are preferred in the treatment of glaucoma. Compared with oral ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1871.html

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