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Toilet Training - American Family Physician

Nov 1, 2008 - Toilet training is a developmental task that impacts families with small children. All healthy children are eventually toilet trained, and most complete the task without medical intervention. Most research on toilet training is descriptive, although some is evidence based. In the United...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1059.html

Essentials of Skin Laceration Repair - American Family Physician

Oct 15, 2008 - Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Physicians should be familiar with various suturing techniques, including simple, running, and half-buried mattress (corner)...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p945.html

Systemic Sclerosis/Scleroderma: A Treatable Multisystem Disease - American Family ...

Oct 15, 2008 - Systemic sclerosis (systemic scleroderma) is a chronic connective tissue disease of unknown etiology that causes widespread microvascular damage and excessive deposition of collagen in the skin and internal organs. Raynaud phenomenon and scleroderma (hardening of the skin) are hallmarks...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p961.html

Oppositional Defiant Disorder - American Family Physician

Oct 1, 2008 - Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p861.html

Acute Lumbar Disk Pain: Navigating Evaluation and Treatment Choices - American Family ...

Oct 1, 2008 - Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p835.html

Multiple Myeloma: Diagnosis and Treatment - American Family Physician

Oct 1, 2008 - Multiple myeloma, the most common bone malignancy, is occurring with increasing frequency in older persons. Typical symptoms are bone pain, malaise, anemia, renal insufficiency, and hypercalcemia. Incidental discovery on comprehensive laboratory panels is common. The disease is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p853.html

Management of Mastitis in Breastfeeding Women - American Family Physician

Sep 15, 2008 - Mastitis occurs in approximately 10 percent of U.S. mothers who are breastfeeding, and it can lead to the cessation of breastfeeding. The risk of mastitis can be reduced by frequent, complete emptying of the breast and by optimizing breastfeeding technique. Sore nipples can precipitate ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p727.html

Aortic Stenosis: Diagnosis and Treatment - American Family Physician

Sep 15, 2008 - Aortic stenosis is the most important cardiac valve disease in developed countries, affecting 3 percent of persons older than 65 years. Although the survival rate in asymptomatic patients with aortic stenosis is comparable to that in age- and sex-matched control patients, the average ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p717.html

Atypical Moles - American Family Physician

Sep 15, 2008 - Atypical moles can be distinguished visually by clinical features of size greater than 6 mm in diameter, color variegation, indistinct borders, and textured surface. All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0915/p735.html

Shoulder Osteoarthritis: Diagnosis and Management - American Family Physician

Sep 1, 2008 - Osteoarthritis of the shoulder is a gradual wearing of the articular cartilage that leads to pain and stiffness. As the joint surface degenerates, the subchondral bone remodels, losing its sphericity and congruity. The joint capsule also becomes thickened, leading to further loss of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p605.html

Health Maintenance for Postmenopausal Women - American Family Physician

Sep 1, 2008 - Menopause is the permanent cessation of menstruation resulting from the loss of ovarian and follicular activity. It usually occurs when women reach their early 50s. Vasomotor symptoms and vaginal dryness are frequently reported during menopause. Estrogen is the most effective treatment ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p583.html

Role of the Primary Care Physician in Hodgkin Lymphoma - American Family Physician

Sep 1, 2008 - Approximately 8,200 new cases of Hodgkin lymphoma are diagnosed annually in the United States. Common presenting features include painless lymphadenopathy (usually above the diaphragm), cough, fever, night sweats, and weight loss. To decrease late complications, treatment has gradually ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p615.html

Evaluation and Treatment of Enuresis - American Family Physician

Aug 15, 2008 - Enuresis is defined as repeated, spontaneous voiding of urine during sleep in a child five years or older. It affects 5 to 7 million children in the United States. Primary nocturnal enuresis is caused by a disparity between bladder capacity and nocturnal urine production and failure of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p489.html

Glucosamine - American Family Physician

Aug 15, 2008 - Glucosamine is one of the most popular dietary supplements sold in the United States. Most clinical trials have focused on its use in osteoarthritis of the knee. The reported adverse effects have been relatively well studied and are generally uncommon and minor. No significant ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p471.html

Update on the Treatment of Tuberculosis - American Family Physician

Aug 15, 2008 - Approximately one third of the world's population, including more than 11 million persons in the United States, is latently infected with Mycobacterium tuberculosis. Although most cases of tuberculosis in the United States occur in foreign-born persons from endemic countries, the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p457.html

Spontaneous Vaginal Delivery - American Family Physician

Aug 1, 2008 - Vaginal delivery is a natural process that usually does not require significant medical intervention. Management guided by current knowledge of the relevant screening tests and normal labor process can greatly increase the probability of an uncomplicated delivery and postpartum course. ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p336.html

Primary Care Issues in Patients with Mental Illness - American Family Physician

Aug 1, 2008 - Family physicians commonly care for patients with serious mental illness. Patients with psychotic and bipolar disorders have more comorbid medical conditions and higher mortality rates than patients without serious mental illness. Many medications prescribed for serious mental illness ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0801/p355.html

Restless Legs Syndrome - American Family Physician

Jul 15, 2008 - Restless legs syndrome is a common neurologic movement disorder that affects approximately 10 percent of adults. Of those affected with this condition, approximately one third have symptoms severe enough to require medical therapy. Restless legs syndrome may be a primary condition, or ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p235.html

The Mirror Lies: Body Dysmorphic Disorder - American Family Physician

Jul 15, 2008 - Body dysmorphic disorder is an increasingly recognized somatoform disorder, clinically distinct from obsessive-compulsive disorder, eating disorders, and depression. Patients with body dysmorphic disorder are preoccupied with an imagined deficit in the appearance of one or more body ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p217.html

Strategies for Breastfeeding Success - American Family Physician

Jul 15, 2008 - Breastfeeding provides significant health benefits for infants and mothers. However, the United States continues to fall short of the breastfeeding goals set by the Healthy People 2010 initiative. The American Academy of Family Physicians, the American Academy of Pediatrics, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0715/p225.html

Diabetic Foot Infection - American Family Physician

Jul 1, 2008 - Foot infections are common in patients with diabetes and are associated with high morbidity and risk of lower extremity amputation. Diabetic foot infections are classified as mild, moderate, or severe. Gram-positive bacteria, such as Staphylococcus aureus and beta-hemolytic ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p71.html

Childhood Obesity: Highlights of AMA Expert Committee Recommendations - American Family...

Jul 1, 2008 - Childhood obesity is an increasingly serious problem; 13.9 percent of children two to five years of age, 18.8 percent of children six to 11 years of age, and 17.4 percent of adolescents 12 to 19 years of age in America are obese. Practical strategies that primary care physicians can use...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p56.html

Gastrointestinal Complications of Diabetes - American Family Physician

Jun 15, 2008 - Gastrointestinal complications of diabetes include gastroparesis, intestinal enteropathy (which can cause diarrhea, constipation, and fecal incontinence), and nonalcoholic fatty liver disease. Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0615/p1697.html

Food Allergies: Detection and Management - American Family Physician

Jun 15, 2008 - Family physicians play a central role in the suspicion and diagnosis of immunoglobulin E-mediated food allergies, but they are also critical in redirecting the evaluation for symptoms that patients are falsely attributing to allergies. Although any food is a potential allergen, more ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0615/p1678.html

Chronic Pelvic Pain in Women - American Family Physician

Jun 1, 2008 - The etiology of chronic pelvic pain in women is poorly understood. Although a specific diagnosis is not found in the majority of cases, some common diagnoses include endometriosis, adhesions, irritable bowel syndrome, and interstitial cystitis. The initial history and physical ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1535.html

Lifestyle Interventions to Reduce Cancer Risk and Improve Outcomes - American Family ...

Jun 1, 2008 - There are more than one half million cancer deaths in the United States each year, and one third of these deaths are attributed to suboptimal diet and physical activity practices. Maintaining a healthy weight, staying physically active throughout life, and consuming a healthy diet can ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1573.html

Update on Immunizations in Children and Adolescents - American Family Physician

Jun 1, 2008 - Over the past few years, there have been many changes to the recommendations for children and adolescents by the Advisory Committee on Immunization Practices. These include dividing the immunization schedule into two parts (i.e., ages birth to six years and seven to 18 years, with ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0601/p1561.html

Diagnosis and Management of Benign Prostatic Hyperplasia - American Family Physician

May 15, 2008 - Benign prostatic hyperplasia is a common condition affecting older men. Typical presenting symptoms include urinary hesitancy, weak stream, nocturia, incontinence, and recurrent urinary tract infections. Acute urinary retention, which requires urgent bladder catheterization, is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1403.html

The Visually Impaired Patient - American Family Physician

May 15, 2008 - Blindness or low vision affects more than 3 million Americans 40 years and older, and this number is projected to reach 5.5 million by 2020. In addition to treating a patient's vision loss and comorbid medical issues, physicians must be aware of the physical limitations and social ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1431.html

Stuttering: An Overview - American Family Physician

May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1271.html

Managing Hypertension Using Combination Therapy - American Family Physician

May 1, 2008 - Combination therapy of hypertension with separate agents or a fixed-dose combination pill offers the potential to lower blood pressure more quickly, obtain target blood pressure, and decrease adverse effects. Antihypertensive agents from different classes may offset adverse reactions ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1279.html

Physical Activity Counseling - American Family Physician

Apr 15, 2008 - Every year in the United States, at least 250,000 deaths are attributed to lack of physical activity. Because of the health benefits of physical activity, national guidelines recommend participation in 30 minutes of accumulated moderate-intensity physical activity such as walking fast ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1129.html

Pharmacologic Management of Heart Failure Caused by Systolic Dysfunction - American ...

Apr 1, 2008 - Heart failure caused by systolic dysfunction affects more than 5 million adults in the United States and is a common source of outpatient visits to primary care physicians. Mortality rates are high, yet a number of pharmacologic interventions may improve outcomes. Other interventions, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p957.html

Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection - American ...

Apr 1, 2008 - This article describes a joint update of guidelines by the American Cancer Society and the U.S. Multi-Society Task Force on Colorectal Cancer delineating evidence-based surveillance recommendations for patients after polypectomy and colorectal cancer resection. Although there are some ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p995.html

Pharmacologic Management of Adult Depression - American Family Physician

Mar 15, 2008 - Major depression is a common and treatable disease. Many patients benefit from pharmacologic treatment and, because there is little variation in antidepressant effectiveness, medication choices should be made based on patient characteristics, safety, and anticipated side effects. Most ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p785.html

Common Dental Infections in the Primary Care Setting - American Family Physician

Mar 15, 2008 - Family physicians commonly encounter patients with dental infections, such as dental caries and periodontal disease. Dental caries is caused by bacteria that destroy the enamel and dentin; it can be detected by an oral examination that shows stained pits or fissures on the tooth ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p797.html

The Role of the Family Physician in the Referral and Management of Hospice Patients - ...

Mar 15, 2008 - Hospice is available for any patient who is terminally ill and chooses a palliative care approach. Because of the close relationship that primary care physicians often have with their patients, they are in a unique position to provide end-of-life care, which includes recognizing the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0315/p807.html

Tourette's Syndrome - American Family Physician

Mar 1, 2008 - Tourette's syndrome is a movement disorder most commonly seen in school-age children. The incidence peaks around preadolescence with one half of cases resolving in early adulthood. Tourette's syndrome is the most common cause of tics, which are involuntary or semivoluntary, sudden, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p651.html

Reducing Tobacco Use in Adolescents - American Family Physician

Feb 15, 2008 - After steadily decreasing since the late 1990s, adolescent smoking rates have stabilized at levels well above national goals. Experts recommend screening for tobacco use and exposure at every patient visit, although evidence of improved outcomes in adolescents is lacking. Counseling ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0215/p483.html

Diagnosis and Treatment of Testicular Cancer - American Family Physician

Feb 15, 2008 - Testicular cancer is the most common malignancy in men 20 to 35 years of age and has an annual incidence of four per 100,000. If diagnosed early, the cure rate is nearly 99 percent. Risk factors for testicular cancer include cryptorchidism (i.e., undescended testicles), family history, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0215/p469.html

Acute and Chronic Paronychia - American Family Physician

Feb 1, 2008 - Paronychia is an inflammation of the folds of tissue surrounding the nail of a toe or finger. Paronychia may be classified as either acute or chronic. The main factor associated with the development of acute paronychia is direct or indirect trauma to the cuticle or nail fold. This ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0201/p339.html

Non-Neoplastic Epithelial Disorders of the Vulva - American Family Physician

Feb 1, 2008 - Lichen sclerosus, lichen planus, and lichen simplex chronicus are three of the most common non-neoplastic epithelial disorders of the vulva. Lichen sclerosus is characterized by intense vulvar itching and can affect men and women of all ages, but it manifests most commonly in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0201/p321.html

Peritonsillar Abscess - American Family Physician

Jan 15, 2008 - Peritonsillar abscess remains the most common deep infection of the head and neck. The condition occurs primarily in young adults, most often during November to December and April to May, coinciding with the highest incidence of streptococcal pharyngitis and exudative tonsillitis. A ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p199.html

Treating Eating Disorders in Primary Care - American Family Physician

Jan 15, 2008 - Binge-eating disorder, bulimia nervosa, and anorexia nervosa are potentially life-threatening disorders that involve complex psychosocial issues. A strong therapeutic relationship between the physician and patient is necessary for assessing the psychosocial and medical factors used to ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p187.html

Clavicle Fractures - American Family Physician

Jan 1, 2008 - Clavicle fractures are most common in children and young adults, typically occurring in persons younger than 25 years. Its superficial location, its thin midshaft, and the forces transmitted across it make the clavicle a common site for injury. The most common mechanism of injury is a ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p65.html

Celiac Disease - American Family Physician

Dec 15, 2007 - As many as one in every 100 to 200 persons in the United States has celiac disease, a condition resulting from an inappropriate immune response to the dietary protein gluten. The manifestations of celiac disease range from no symptoms to overt malabsorption with involvement of multiple ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1795.html

Prevention and Treatment of Sexually Transmitted Diseases: An Update - American Family ...

Dec 15, 2007 - The Centers for Disease Control and Prevention recently published revised guidelines for the prevention and treatment of sexually transmitted diseases. One new treatment strategy is the use of azithromycin as a primary, rather than alternative, medication for pregnant women with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1215/p1827.html

Diagnosis and Treatment of Otitis Media - American Family Physician

Dec 1, 2007 - Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1650.html

Chronic Pancreatitis - American Family Physician

Dec 1, 2007 - Chronic pancreatitis is the progressive and permanent destruction of the pancreas resulting in exocrine and endocrine insufficiency and, often, chronic disabling pain. The etiology is multifactorial. Alcoholism plays a significant role in adults, whereas genetic and structural defects ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1679.html

Temporomandibular Joint Disorders - American Family Physician

Nov 15, 2007 - Temporomandibular joint disorders are common in adults; as many as one third of adults report having one or more symptoms, which include jaw or neck pain, headache, and clicking or grating within the joint. Most symptoms improve without treatment, but various noninvasive therapies may ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1477.html

Nonspecific Low Back Pain and Return to Work - American Family Physician

Nov 15, 2007 - As many as 90 percent of persons with occupational nonspecific low back pain are able to return to work in a relatively short period of time. As long as no

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1497.html

Mind-Body Therapies for Headache - American Family Physician

Nov 15, 2007 - Headache is one of the most common and enigmatic problems encountered by family physicians. Headache is not a singular entity, and different pathologic mechanisms are involved in distinct types of headache. Most types of headache involve dysfunction of peripheral or central nociceptive ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1115/p1518.html

Ulcerative Colitis: Diagnosis and Treatment - American Family Physician

Nov 1, 2007 - Ulcerative colitis is a chronic disease with recurrent symptoms and significant morbidity. The precise etiology is still unknown. As many as 25 percent of patients with ulcerative colitis have extraintestinal manifestations. The diagnosis is made endoscopically. Tests such as ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1323.html

Second Trimester Pregnancy Loss - American Family Physician

Nov 1, 2007 - Second trimester pregnancy loss is uncommon, but it should be regarded as an important event in a woman's obstetric history. Fetal abnormalities, including chromosomal problems, and maternal anatomic factors, immunologic factors, infection, and thrombophilia should be considered; ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1341.html

Methamphetamine Abuse - American Family Physician

Oct 15, 2007 - Methamphetamine is a stimulant commonly abused in many parts of the United States. Most methamphetamine users are white men 18 to 25 years of age, but the highest usage rates have been found in native Hawaiians, persons of more than one race, Native Americans, and men who have sex with ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1169.html

Outpatient Care of the Premature Infant - American Family Physician

Oct 15, 2007 - An increasing number of infants in the United States are born prematurely, with current statistics estimating about 13 percent of all births. Although survival rates and outcomes for premature infants have dramatically improved in recent decades, morbidity and mortality are still ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1159.html

Medications for COPD: A Review of Effectiveness - American Family Physician

Oct 15, 2007 - Chronic obstructive pulmonary disease (COPD) is a common problem among patients presenting to primary care. This condition has multiple individual and combined treatment regimens. The goals of treatment are to improve quality of life, exercise tolerance, sleep quality, and survival; and...

American Family Physician : Article

https://www.aafp.org/afp/2007/1015/p1141.html

Bell's Palsy: Diagnosis and Management - American Family Physician

Oct 1, 2007 - Bell's palsy is a peripheral palsy of the facial nerve that results in muscle weakness on one side of the face. Affected patients develop unilateral facial paralysis over one to three days with forehead involvement and no other neurologic abnormalities. Symptoms typically peak in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1001/p997.html

Peptic Ulcer Disease - American Family Physician

Oct 1, 2007 - Peptic ulcer disease usually occurs in the stomach and proximal duodenum. The predominant causes in the United States are infection with Helicobacter pylori and use of nonsteroidal anti-inflammatory drugs. Symptoms of peptic ulcer disease include epigastric discomfort (specifically, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1001/p1005.html

Treatment of Lateral Epicondylitis - American Family Physician

Sep 15, 2007 - Lateral epicondylitis is a common overuse syndrome of the extensor tendons of the forearm. It is sometimes called tennis elbow, although it can occur with many activities. The condition affects men and women equally and is more common in persons 40 years or older. Despite the prevalence...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p843.html

Gout: An Update - American Family Physician

Sep 15, 2007 - Arthritis caused by gout (i.e., gouty arthritis) accounts for millions of outpatient visits annually, and the prevalence is increasing. Gout is caused by monosodium urate crystal deposition in tissues leading to arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0915/p801.html

Treatment Options for Actinic Keratosis - American Family Physician

Sep 1, 2007 - Actinic keratoses are rough, scaly lesions that commonly occur on sun-exposed areas of the skin. The prevalence of the condition increases with age. Actinic keratoses are thought to be carcinomas in situ, which can progress to squamous cell carcinomas. The decision to treat can be based...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p667.html

Management of Type 2 Diabetes in Youth: An Update - American Family Physician

Sep 1, 2007 - Although type 1 diabetes historically has been more common in patients eight to 19 years of age, type 2 diabetes is emerging as an important disease in this group. Type 2 diabetes accounts for 8 to 45 percent of new childhood diabetes. This article is an update from the National ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0901/p658.html

Treatment Options for Insomnia - American Family Physician

Aug 15, 2007 - The frequency of sleep disruption and the degree to which insomnia significantly affects daytime function determine the need for evaluation and treatment. Physicians may initiate treatment of insomnia at an initial visit; for patients with a clear acute stressor such as grief, no ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0815/p517.html

Vibrio vulnificus Infection: Diagnosis and Treatment - American Family Physician

Aug 15, 2007 - Vibrio vulnificus infection is the leading cause of death related to seafood consumption in the United States. This virulent, gram-negative bacterium causes two distinct syndromes. The first is an overwhelming primary septicemia caused by consuming raw or undercooked seafood, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0815/p539.html

Prevention of Recurrent Ischemic Stroke - American Family Physician

Aug 1, 2007 - Recurrent ischemic stroke and transient ischemic attack are common problems in primary care, with stroke survivors averaging 10 outpatient visits per year. Risk factors such as hypertension, diabetes, and hypercholesterolemia should be evaluated during each office visit. Attention ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p382.html

Screening and Treatment for Sexually Transmitted Infections in Pregnancy - American ...

Jul 15, 2007 - Many sexually transmitted infections are associated with adverse pregnancy outcomes. The Centers for Disease Control and Prevention recommends screening all pregnant women for human immunodeficiency virus infection as early as possible. Treatment with highly active antiretroviral ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p265.html

Home Monitoring of Glucose and Blood Pressure - American Family Physician

Jul 15, 2007 - Home monitoring of blood glucose and blood pressure levels can provide patients and physicians with valuable information in the management of diabetes mellitus and hypertension. Home monitoring allows patients to play an active role in their care and may improve treatment adherence and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p255.html

Dupuytren's Disease: Diagnosis and Treatment - American Family Physician

Jul 1, 2007 - Dupuytren's disease is a progressive condition that causes the fibrous tissue of the palmar fascia to shorten and thicken. The disease is common in men older than 40 years; in persons of Northern European descent; and in persons who smoke, use alcohol, or have diabetes. Patients present...

American Family Physician : Article

https://www.aafp.org/afp/2007/0701/p86.html

Cysticercosis: An Emerging Parasitic Disease - American Family Physician

Jul 1, 2007 - Cysticercosis (i.e., tapeworm infection) is an increasingly common medical problem in the United States, especially in the Southwest and other areas of heavy emigration from endemic areas or in populations with significant travel to these areas. The larval stage of the pork tape-worm, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0701/p91.html

Treatment of Menorrhagia - American Family Physician

Jun 15, 2007 - Menorrhagia is defined as excessive uterine bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. The classic definition of menorrhagia (i.e., greater than 80 mL of blood loss per cycle) is rarely used clinically. Women describe the loss or ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0615/p1813.html

Schizophrenia: A Review - American Family Physician

Jun 15, 2007 - Schizophrenia is a debilitating mental illness that affects 1 percent of the population in all cultures. It affects equal numbers of men and women, but the onset is often later in women than in men. Schizophrenia is characterized by positive and negative symptoms. Positive symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0615/p1821.html

Medical Emergency Preparedness in Office Practice - American Family Physician

Jun 1, 2007 - Most primary care physicians report at least one emergency presenting to their office per year. Asthma, anaphylaxis, shock, seizures, and cardiac arrest are among the most common adult and childhood emergencies in the office setting. Most offices are not fully prepared for these medical...

American Family Physician : Article

https://www.aafp.org/afp/2007/0601/p1679.html

Cerumen Impaction - American Family Physician

May 15, 2007 - Cerumen is a naturally occurring, normally extruded product of the external auditory canal. It is usually asymptomatic, but when it becomes impacted it can cause complications such as hearing loss, pain, or dizziness. It also can interfere with examination of the tympanic membrane. ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0515/p1523.html

Management of Hypertriglyceridemia - American Family Physician

May 1, 2007 - Hypertriglyceridemia is associated with an increased risk of cardiovascular events and acute pancreatitis. Along with lowering low-density lipoprotein cholesterol levels and raising high-density lipoprotein cholesterol levels, lowering triglyceride levels in high-risk patients (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1365.html

Evaluation of a First Seizure - American Family Physician

May 1, 2007 - Seizure is a common presentation in the emergency care setting, and new-onset epilepsy is the most common cause of unprovoked seizures. The patient history and physical examination should direct the type and timing of laboratory and imaging studies. No single sign, symptom, or test ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1342.html

Evaluation and Treatment of Acute Low Back Pain - American Family Physician

Apr 15, 2007 - Acute low back pain with or without sciatica usually is self-limited and has no serious underlying pathology. For most patients, reassurance, pain medications, and advice to stay active are sufficient. A more thorough evaluation is required in selected patients with

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1181.html

Work-Related Eye Injuries and Illnesses - American Family Physician

Apr 1, 2007 - More than 65,000 work-related eye injuries and illnesses, causing significant morbidity and disability, are reported in the United States annually. A well-equipped eye tray includes fluorescein dye, materials for irrigation and foreign body removal, a short-acting mydriatic agent, and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0401/p1017.html

Diagnosis and Treatment of Impetigo - American Family Physician

Mar 15, 2007 - Impetigo is a highly contagious, superficial skin infection that most commonly affects children two to five years of age. The two types of impetigo are nonbullous impetigo (i.e., impetigo contagiosa) and bullous impetigo. The diagnosis usually is made clinically, but rarely a culture ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p859.html

Infertility - American Family Physician

Mar 15, 2007 - Infertility is defined as failure to achieve pregnancy during one year of frequent, unprotected intercourse. Evaluation generally begins after 12 months, but it can be initiated earlier if infertility is suspected based on history or if the female partner is older than 35 years. Major ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0315/p849.html

Asbestos-Related Lung Disease - American Family Physician

Mar 1, 2007 - The inhalation of asbestos fibers may lead to a number of respiratory diseases, including lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma. Although exposure is now regulated, patients continue to present with these diseases because of the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0301/p683.html

Treatment Options for Atopic Dermatitis - American Family Physician

Feb 15, 2007 - Atopic dermatitis is a common inflammatory skin condition that usually affects children. It is a chronic disease, with periods of remission and flare-ups, that adversely affects the quality of life of patients and their families. Aggressive therapy with emollients is an important ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0215/p523.html

Treatment of the Common Cold - American Family Physician

Feb 15, 2007 - The common cold is a viral illness that affects persons of all ages, prompting frequent use of over-the-counter and prescription medications and alternative remedies. Treatment focuses on relieving symptoms (e.g., cough, nasal congestion, rhinorrhea). Dextromethorphan may be beneficial ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0215/p515.html

Clinical Presentations of Parvovirus B19 Infection - American Family Physician

Feb 1, 2007 - Although most persons with parvovirus B19 infection are asymptomatic or have mild, nonspecific, cold-like symptoms, several clinical conditions have been linked to the virus. Parvovirus B19 usually infects children and causes the classic

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p373.html

Amblyopia - American Family Physician

Feb 1, 2007 - Amblyopia, a decrease in visual acuity, is a major public health problem with a prevalence of 1 to 4 percent in the United States. It is thought to develop early in life during the critical period of visual development. Early recognition of amblyogenic risk factors such as strabismus, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p361.html

Management of Patellofemoral Pain Syndrome - American Family Physician

Jan 15, 2007 - Patellofemoral pain syndrome (PFPS) is the most common cause of knee pain in the outpatient setting. It is caused by imbalances in the forces controlling patellar tracking during knee flexion and extension, particularly with overloading of the joint. Risk factors include overuse, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0115/p194.html

Appropriate Prescribing of Medications: An Eight-Step Approach - American Family Physician

Jan 15, 2007 - A systematic approach advocated by the World Health Organization can help minimize poor-quality and erroneous prescribing. This six-step approach to prescribing suggests that the physician should (1) evaluate and dearly define the patient's problem; (2) specify the therapeutic ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0115/p231.html

Childhood and Adolescent Depression - American Family Physician

Jan 1, 2007 - Major depression affects 3 to 5 percent of children and adolescents. Depression negatively impacts growth and development, school performance, and peer or family relationships and may lead to suicide. Biomedical and psychosocial risk factors include a family history of depression, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0101/p73.html

Parkinson's Disease: Diagnosis and Treatment - American Family Physician

Dec 15, 2006 - Parkinson's disease is a common neurodegenerative disorder that can cause significant disability and decreased quality of life. The cardinal physical signs of the disease are distal resting tremor, rigidity, bradykinesia, and asymmetric onset. Levodopa is the primary treatment for ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1215/p2046.html

Vasectomy: An Update - American Family Physician

Dec 15, 2006 - Vasectomy remains an important option for contraception. Research findings have clarified many questions regarding patient selection, optimal technique, postsurgical follow-up, and risk of long-term complications. Men who receive vasectomies tend to be non-Hispanic whites, well ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1215/p2069.html

Prevention of Unintentional Childhood Injuries - American Family Physician

Dec 1, 2006 - Injuries are the leading cause of death in children and teenagers in the United States. The leading causes of unintentional injury vary by age and include drowning, poisoning, suffocation, fires, burns, falls, and motor vehicle, bicycle, and pedestrian-related crashes. Most injuries are...

American Family Physician : Article

https://www.aafp.org/afp/2006/1201/p1864.html

Testicular Torsion - American Family Physician

Nov 15, 2006 - Each year, testicular torsion affects one in 4,000 males younger than 25 years. Early diagnosis and definitive management are the keys to avoid testicular loss. All prepubertal and young adult males with acute scrotal pain should be considered to have testicular torsion until proven ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1739.html

Acute Ankle Sprain: An Update - American Family Physician

Nov 15, 2006 - Acute ankle injury, a common musculoskeletal injury, can cause ankle sprains. Some evidence suggests that previous injuries or limited joint flexibility may contribute to ankle sprains. The initial assessment of an acute ankle injury should include questions about the timing and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1115/p1714.html

Polymyalgia Rheumatica and Giant Cell Arteritis - American Family Physician

Nov 1, 2006 - Polymyalgia rheumatica and giant cell arteritis are common, closely related vasculitic conditions that almost exclusively occur in patients older than 50 years. They may be manifestations of the same underlying disease and often coexist. Patients with polymyalgia rheumatica usually ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1547.html

Nutrition in Toddlers - American Family Physician

Nov 1, 2006 - Toddlers make a transition from dependent milk-fed infancy to independent feeding and a typical omnivorous diet. This stage is an important time for physicians to monitor growth using growth charts and body mass index and to make recommendations for healthy eating. Fat and cholesterol ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1101/p1527.html

Hirschsprung's Disease: Diagnosis and Management - American Family Physician

Oct 15, 2006 - Hirschsprung's disease (congenital megacolon) is caused by the failed migration of colonic ganglion cells during gestation. Varying lengths of the distal colon are unable to relax, causing functional colonic obstruction. Hirschsprung's disease most commonly involves the rectosigmoid ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1319.html

Preventing Cardiovascular Disease in Women - American Family Physician

Oct 15, 2006 - Cardiovascular disease (CVD) has been the primary cause of death in women for almost a century, and more women than men have died of CVD every year since 1984. Although CVD incidence can be reduced by adherence to a heart-healthy lifestyle and detection and treatment of major risk ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1331.html

Kawasaki Disease: Summary of the American Heart Association Guidelines - American ...

Oct 1, 2006 - Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries. The etiology of Kawasaki disease remains unknown, although an infectious agent is strongly suspected based on clinical and epidemiologic features. A genetic predisposition is also ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1001/p1141.html

A Practical Guide to Crisis Management - American Family Physician

Oct 1, 2006 - Family physicians often treat patients who are experiencing psychological or medical crises. Any event perceived as overwhelming by the patient may trigger a crisis reaction consisting of psychological and physiological symptoms. Physicians are encouraged to assist patients who are ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1001/p1159.html

Guidelines for the Use of Antibiotics in Acute Upper Respiratory Infections - American ...

Sep 15, 2006 - To help physicians with the appropriate use of antibiotics in children and adults with upper respiratory tract infection, a multidisciplinary team evaluated existing guidelines and summarized key practice points. Acute otitis media in children should be diagnosed only if there is abrupt...

American Family Physician : Article

https://www.aafp.org/afp/2006/0915/p956.html

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