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Evaluation of the Solitary Pulmonary Nodule - American Family Physician

Oct 15, 2009 - Solitary pulmonary nodules are common radiologic findings, typically discovered incidentally through chest radiography or computed tomography of the neck, chest, and abdomen. Primary care physicians must decide how to pursue an evaluation of a nodule once it has been identified. The ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1015/p827.html

Endometrial Cancer - American Family Physician

Nov 15, 2009 - Endometrial cancer is the leading cause of gynecologic cancer in the United States. Etiologically, endometrial carcinoma usually results from unopposed estrogen stimulation of the endometrium, although non-estrogen-related forms occur as well. The most common presentation of endometrial...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1075.html

Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease - ...

Sep 15, 2010 - Pulmonary rehabilitation is a nonpharmacologic therapy that has emerged as a standard of care for patients with chronic obstructive pulmonary disease. It is a comprehensive, multidisciplinary, patient-centered intervention that includes patient assessment, exercise training, ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p655.html

Evaluating the Safety and Effectiveness of New Drugs - American Family Physician

Jul 1, 2010 - Prescribers seek to provide their patients with access to the latest innovations in medicine to maximize their health status. When a new drug comes to market, it often has not been as widely tested as other available therapies, and its effectiveness and safety cannot be fully evaluated....

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p53.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

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

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

Recognizing Neoplastic Skin Lesions: A Photo Guide - American Family Physician

Sep 15, 1998 - Malignant lesions of the skin are common. Patients who develop squamous cell carcinoma and malignant melanoma often have recognizable precursor conditions. A few skin lesions resemble malignancies. Lesions that are growing, spreading or pigmented, or those that occur on exposed areas of...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p873.html

Alopecia in Women - American Family Physician

Mar 1, 2003 - Alopecia can be divided into disorders in which the hair follicle is normal but the cycling of hair growth is abnormal and disorders in which the hair follicle is damaged. Androgenetic alopecia is the most common cause of hair loss in women. Other disorders include alopecia areata, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p1007.html

Diagnostic Approach to Palpitations - American Family Physician

Feb 15, 2005 - Palpitations-sensations of a rapid or irregular heartbeat-are most often caused by cardiac arrhythmias or anxiety. Most patients with arrhythmias do not complain of palpitations. However, any arrhythmia, including sinus tachycardia, atrial fibrillation, premature ventricular ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p743.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

Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician

Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0101/p29.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

A Practical Guide to Anaphylaxis - American Family Physician

Oct 1, 2003 - Anaphylaxis is a life-threatening reaction with respiratory, cardiovascular, cutaneous, or gastrointestinal manifestations resulting from exposure to an offending agent, usually a food, insect sting, medication, or physical factor. It causes approximately 1,500 deaths in the United ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1001/p1325.html

Initial Evaluation of Vertigo - American Family Physician

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

American Family Physician : Article

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

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

Otitis Externa: A Practical Guide to Treatment and Prevention - American Family Physician

Mar 1, 2001 - Otitis externa is most commonly caused by infection (usually bacterial, although occasionally fungal), but it may also be associated with a variety of noninfectious systemic or local dermatologic processes. The most characteristic symptom is discomfort that is limited to the external ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p927.html

Cerebral Palsy: An Overview - American Family Physician

Jan 1, 2006 - The presentation of cerebral palsy can be global mental and physical dysfunction or isolated disturbances in gait, cognition, growth, or sensation. It is the most common childhood physical disability and affects 2 to 2.5 children per 1,000 born in the United States. The differential ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p91.html

Weight Loss Maintenance - American Family Physician

Sep 15, 2010 - Successful long-term weight loss maintenance can be achieved by various means. A combination of dietary and physical activity interventions, along with one or more behavioral approaches, has proven successful in some persons, as documented by the National Weight Control Registry, but is...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p630.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

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

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

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

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

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

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

LASIK: A Primer for Family Physicians - American Family Physician

Jan 1, 2010 - Surgical correction of vision is becoming increasingly popular. Laser-assisted in situ keratomileusis (LASIK) is the most popular method of corneal refractive surgery. LASIK is usually limited to adults who have stable refraction. Contraindications include the use of certain ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0101/p42.html

Treatment of Constipation in Older Adults - American Family Physician

Dec 1, 2005 - Constipation is a common complaint in older adults. Although constipation is not a physiologic consequence of normal aging, decreased mobility and other comorbid medical conditions may contribute to its increased prevalence in older adults. Functional constipation is diagnosed when no ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1201/p2277.html

Skin and Soft Tissue Infections in Immunocompetent Patients - American Family Physician

Apr 1, 2010 - The increasing incidence of skin and soft tissue infections requires family physicians to be familiar with the management of these conditions. Evidence of systemic infection, such as fever, tachycardia, and hypotension, is an indication for inpatient management. Urgent surgical referral...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p893.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 for Children with Autism - American Family Physician

Feb 15, 2010 - The earliest sign of autism in children is the delayed attainment of social skill milestones, including joint attention, social orienting, and pretend play. Language impairment is a common, but less specific, sign of autism. Repetitive behaviors and restricted interests may not be noted...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p453.html

Practical Selection of Antiemetics - American Family Physician

Mar 1, 2004 - An understanding of the pathophysiology of nausea and the mechanisms of antiemetics can help family physicians improve the cost-effectiveness and efficacy of therapy. Nausea and vomiting are mediated primarily by visceral stimulation through dopamine and serotonin, by vestibular and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1169.html

Saline Nasal Irrigation for Upper Respiratory Conditions - American Family Physician

Nov 15, 2009 - Saline nasal irrigation is an adjunctive therapy for upper respiratory conditions that bathes the nasal cavity with spray or liquid saline. Nasal irrigation with liquid saline is used to manage symptoms associated with chronic rhinosinusitis. Less conclusive evidence supports the use of...

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1117.html

Sexual Assault of Women - American Family Physician

Feb 15, 2010 - Sexual violence affects up to one third of women during their lifetime. Sexual assault is underreported, and more than one half of assaults are committed by someone known to the survivor. Although both men and women can be sexually assaulted, women are at greatest risk. Some groups are ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p489.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

Identification and Evaluation of Mental Retardation - American Family Physician

Feb 15, 2000 - Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1059.html

Urinary Tract Infections in Adults - American Family Physician

Mar 1, 1999 - Urinary tract infections remain a significant cause of morbidity in all age groups. Recent studies have helped to better define the population groups at risk for these infections, as well as the most cost-effective management strategies. Initially, a urinary tract infection should be ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1225.html

Intrauterine Growth Restriction: Identification and Management - American Family Physician

Aug 1, 1998 - Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p453.html

Office-Based Strategies for the Management of Obesity - American Family Physician

Jun 15, 2010 - Roughly two thirds of U.S. adults are overweight or obese. Obesity increases the risk of hypertension, type 2 diabetes mellitus, hyperlipidemia, heart disease, pulmonary disease, hepatobiliary disease, cancer, and a number of psychosocial complications. Physicians often feel unprepared ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0615/p1449.html

Care of the Returning Veteran - American Family Physician

Jul 1, 2010 - Of the 23.8 million military veterans living in the United States, approximately 3 million have served in Operation Enduring Freedom or Operation Iraqi Freedom. The injuries and illnesses that affect veterans returning from combat are predictable. Blast injuries are common and most ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0701/p43.html

Therapeutic Home Adaptations for Older Adults with Disabilities - American Family ...

Nov 1, 2009 - Family physicians commonly care for older patients with disabilities. Many of these patients need help maintaining a therapeutic home environment to preserve their comfort and independence. Patients often have little time to decide how to address the limitations of newly-acquired ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p963.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Behavior Disorders of Dementia: Recognition and Treatment - American Family Physician

Feb 15, 2006 - Psychosis may pose a greater challenge than cognitive decline for patients with dementia and their caregivers. The nature and frequency of psychotic symptoms varies over the course of illness, but in most patients, these symptoms occur more often in the later stages of disease. ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p647.html

Evaluation and Management of Common Childhood Poisonings - American Family Physician

Mar 1, 2009 - Family physicians often manage substance ingestions in children, most of which are nontoxic in nature. Physicians should know the phone number of the poison control center, understand the appropriate initial assessment of suspected toxin ingestion, and recognize important toxidromes. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p397.html

Primary Care of Adult Survivors of Childhood Cancer - American Family Physician

May 15, 2010 - There are approximately 300,000 survivors of childhood cancer in the United States, and most of them receive their medical care from primary care physicians. Adult survivors of childhood cancer are at considerable risk of long-term morbidity and mortality beyond the recurrence of their ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0515/p1250.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

Latex Allergy - American Family Physician

Dec 15, 2009 - The prevalence of latex allergy in the general population is low; however, the risk of developing latex allergy is higher in persons with increased latex exposure, such as health care workers or persons who work in the rubber industry. Children with spina bifida and others who undergo ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1215/p1413.html

Aesthetic Procedures in Office Practice - American Family Physician

Dec 1, 2009 - Since the approval of botulinum toxin, dermal fillers, and lasers for cosmetic use, minimally invasive aesthetic procedures have rapidly become the treatments of choice for age-related facial changes.

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1231.html

FDA Boxed Warnings: How to Prescribe Drugs Safely - American Family Physician

Feb 1, 2010 - Boxed warnings, commonly referred to as 'black box' warnings, are issued by the U.S. Food and Drug Administration and featured in the labeling of drugs associated with serious adverse reactions. These safety concerns are typically identified through the Adverse Event Reporting System ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0201/p298.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

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

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

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

Sudden Infant Death Syndrome - American Family Physician

May 15, 2009 - Sudden infant death syndrome is the leading cause of death among healthy infants, affecting 0.57 per 1,000 live births. The most easily modifiable risk factor for sudden infant death syndrome is sleeping position. To reduce the risk of sudden infant death syndrome, parents should be ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p870.html

Drug-Eluting Coronary Artery Stents - American Family Physician

Dec 1, 2009 - Many advances have been made in the percutaneous treatment of coronary artery disease during the past 30 years. Although balloon angioplasty alone is still performed, the use of coronary artery stents is much more common. Approximately 40 percent of patients treated with balloon ...

American Family Physician : Article

https://www.aafp.org/afp/2009/1201/p1245.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

Diagnosis and Treatment of Acne - American Family Physician

May 1, 2004 - Acne can cause significant embarrassment and anxiety in affected patients. It is important for family physicians to educate patients about available treatment options and their expected outcomes. Topical retinoids, benzoyl peroxide, sulfacetamide, and azelaic acid are effective in ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2123.html

Catheter Ablation of Supraventricular Arrhythmias and Atrial Fibrilation - American ...

Nov 15, 2009 - Supraventricular arrhythmias are relatively common, often persistent, and rarely life-threatening cardiac rhythm disturbances that arise from the sinus node, atrial tissue, or junctional sites between the atria and ventricles. The term

American Family Physician : Article

https://www.aafp.org/afp/2009/1115/p1089.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

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

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

Cardiomyopathy: An Overview - American Family Physician

May 1, 2009 - Cardiomyopathy is an anatomic and pathologic diagnosis associated with muscle or electrical dysfunction of the heart. Cardiomyopathies represent a heterogeneous group of diseases that often lead to progressive heart failure with significant morbidity and mortality. Cardiomyopathies may ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0501/p778.html

Outdoor Air Pollutants and Patient Health - American Family Physician

Jan 15, 2010 - Almost 160 million persons live in areas of the United States that exceed federal health-based air pollution standards. The two air pollutants that most commonly exceed standards are ozone and particulate matter. Ozone and particulate matter can harm anyone if levels are sufficiently ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0115/p175.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

Diagnosis and Treatment of Osteoporosis - American Family Physician

Feb 1, 2009 - Osteoporosis affects approximately 8 million women and 2 million men in the United States. The associated fractures are a common and preventable cause of morbidity and mortality in up to 50 percent of older women. The U.S. Preventive Services Task Force recommends using dual energy ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p193.html

Diagnostic Approach to Tinnitus - American Family Physician

Jan 1, 2004 - Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p120.html

Vitamin B12 Deficiency - American Family Physician

Mar 1, 2003 - Vitamin B12 (cobalamin) deficiency is a common cause of macrocytic anemia and has been implicated in a spectrum of neuropsychiatric disorders. The role of B12 deficiency in hyperhomocysteinemia and the promotion of atherosclerosis is only now being explored. Diagnosis of vitamin B12 ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0301/p979.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

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

Cardiac Rehabilitation - American Family Physician

Nov 1, 2009 - An estimated 80 million (nearly one in three) Americans have cardiovascular disease, which is the leading cause of morbidity and mortality worldwide. In the United States alone, more than 850,000 deaths are attributed annually to cardiovascular disease, and more than 8 million Americans...

American Family Physician : Article

https://www.aafp.org/afp/2009/1101/p955.html

Abnormal Uterine Bleeding Associated with Hormonal Contraception - American Family ...

May 15, 2002 - Millions of women in the United States use some type of hormonal contraception: combination oral contraceptive pills (OCPs), progestin-only pills, medroxyprogesterone acetate injections, or subdermal levonorgestrel implants. Abnormal uterine bleeding is a common but rarely dangerous ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2073.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

Identification and Management of Latent Tuberculosis Infection - American Family Physician

May 15, 2009 - Latent tuberculosis infection (LTBI) is a condition in which a person is infected with Mycobacterium tuberculosis, but does not currently have active tuberculosis disease. An estimated 10 to 15 million persons in the United States have LTBI. Because 5 to 10 percent of persons with LTBI ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0515/p879.html

Chronic Nonmalignant Pain in Primary Care - American Family Physician

Nov 15, 2008 - A systematic approach to chronic nonmalignant pain includes a comprehensive evaluation; a treatment plan determined by the diagnosis and mechanisms underlying the pain; patient education; and realistic goal setting. The main goal of treatment is to improve quality of life while ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1115/p1155.html

Management of Vaginitis - American Family Physician

Dec 1, 2004 - Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Vaginitis also can occur because of atrophic changes. Bacterial vaginosis is caused by proliferation of Gardnerella vaginalis, Mycoplasma hominis, and anaerobes. The diagnosis...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2125.html

Diagnosis and Treatment of Sick Sinus Syndrome - American Family Physician

Apr 15, 2003 - Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic. Patients may experience syncope, pre-syncope, palpitations, or dizziness; however, they often ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0415/p1725.html

Head and Neck Manifestations of Gastroesophageal Reflux Disease - American Family ...

Sep 1, 1999 - Gastroesophageal reflux disease (GERD) is the most common esophageal disease. Besides the typical presentation of heartburn and acid regurgitation, either alone or in combination, GERD can cause atypical symptoms. An estimated 20 to 60 percent of patients with GERD have head and neck ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p873.html

Acupuncture for Pain - American Family Physician

Sep 1, 2009 - Acupuncture is increasingly used as an alternative or complementary therapy for the treatment of pain. It is well tolerated, with a low risk of serious adverse effects. Traditional and modern acupuncture techniques may result in reported improvement in pain patterns. Research on ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0901/p481.html

Evaluation and Management of Herpes Zoster Ophthalmicus - American Family Physician

Nov 1, 2002 - Herpes zoster ophthalmicus occurs when the varicella-zoster virus is reactivated in the ophthalmic division of the trigeminal nerve. Herpes zoster ophthalmicus represents up to one fourth of all cases of herpes zoster. Most patients with herpes zoster ophthalmicus present with a ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1723.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

Diets for Cardiovascular Disease Prevention: What Is the Evidence? - American Family ...

Apr 1, 2009 - Patients often initiate commercial dietary plans to reduce obesity and prevent cardiovascular disease. Such plans include very low-carbohydrate, low-carbohydrate, very low-fat, and Mediterranean diets. Published evidence on several popular diets has made it easier for physicians to ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p571.html

Smell and Taste Disorders: A Primary Care Approach - American Family Physician

Jan 15, 2000 - Smell and taste disorders are common in the general population, with loss of smell occurring more frequently. Although these disorders can have a substantial impact on quality of life and may represent significant underlying disease, they are often overlooked by the medical community. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p427.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

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

Nonpharmacologic Management of Chronic Insomnia - American Family Physician

Jan 15, 2009 - Chronic insomnia is highly prevalent in our society, with an incidence of 10 to 30 percent. It is a major cost to society in terms of health care expenditure and reduced productivity. Nonpharmacologic interventions have been studied and shown to produce reliable and sustained ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p125.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

Cognitive Therapy for Depression - American Family Physician

Jan 1, 2006 - Cognitive therapy is a treatment process that enables patients to correct false self-beliefs that can lead to negative moods and behaviors. The fundamental assumption is that a thought precedes a mood; therefore, learning to substitute healthy thoughts for negative thoughts will improve...

American Family Physician : Article

https://www.aafp.org/afp/2006/0101/p83.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

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

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

Abnormal Uterine Bleeding - American Family Physician

Apr 15, 2004 - Abnormal uterine bleeding is a common presenting symptom in the family practice setting. In women of childbearing age, a methodical history, physical examination, and laboratory evaluation may enable the physician to rule out causes such as pregnancy and pregnancy-related disorders, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0415/p1915.html

Counseling on Early Childhood Concerns: Sleep Issues, Thumb Sucking, Picky Eating, and ...

Jul 15, 2009 - Sleep issues, thumb sucking, coping with picky eating, and determining if a child is ready for school are common concerns of families with young children. Information and resources to help counsel on these topics include recommendations from the American Academy of Sleep Medicine, the ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0715/p139.html

Diagnosis and Management of Acute Interstitial Nephritis - American Family Physician

Jun 15, 2003 - Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2527.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

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

Recent Advances in Radiation Therapy - American Family Physician

Dec 1, 2008 - Recent advances have improved the effectiveness, decreased the complications, and expanded the implications of radiation therapy. These advances include three-dimensional conformal radiation therapy, intensity-modulated radiation therapy, stereotactic radiotherapy, brachytherapy, and ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1201/p1254.html

Fetal Chromosomal Abnormalities: Antenatal Screening and Diagnosis - American Family ...

Jan 15, 2009 - Pregnant women of all ages should be offered screening and invasive diagnostic testing for chromosomal abnormalities before 20 weeks' gestation. New developments in screening methods have increased the number of options for patients. Diagnostic options include chorionic villus sampling ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0115/p117.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.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

The Patient with Excessive Worry - American Family Physician

Mar 15, 2006 - Worry is a normal response to uncertainty. Education, empathetic support, reassurance, and passage of time usually ameliorate ordinary worries. However, these common-sense strategies for dealing with transient worries often prove ineffective for patients with excessive worry, many of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0315/p1049.html

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