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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

Primary Immunodeficiencies - American Family Physician

Nov 15, 2003 - Primary immunodeficiencies include a variety of disorders that render patients more susceptible to infections. If left untreated, these infections may be fatal. The disorders constitute a spectrum of more than 80 innate defects in the body's immune system. Primary immunodeficiencies ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p2001.html

The Patient with Daily Headaches - American Family Physician

Dec 15, 2004 - The term 'chronic daily headache' (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable cause of ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2299.html

Evidence-Based Prenatal Care: Part II. Third-Trimester Care and Prevention of ...

Apr 15, 2005 - All pregnant women should be offered screening for asymptomatic bacteriuria, syphilis, rubella, and hepatitis B and human immunodeficiency virus infection early in pregnancy. Women at increased risk should be tested for hepatitis C infection, gonorrhea, and chlamydia. All women should ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1555.html

A Practical Guide to Infant Oral Health - American Family Physician

Dec 1, 2004 - Early childhood caries is the most common chronic disease in young children and may develop as soon as teeth erupt. Bacteria, predominately mutans streptococci, metabolize simple sugars to produce acid that demineralizes teeth, resulting in cavities. Physicians should examine children's...

American Family Physician : Article

https://www.aafp.org/afp/2004/1201/p2113.html

Cytomegalovirus - American Family Physician

Feb 1, 2003 - Cytomegalovirus (CMV) is a prevalent viral pathogen. The majority of persons with acute CMV will experience an inapparent infection. Primary CMV infection will cause up to 7 percent of cases of mononucleosis syndrome and will manifest symptoms almost indistinguishable from those of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p519.html

Emergency Contraception - American Family Physician

Aug 15, 2004 - Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control or after unprotected intercourse. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p707.html

Blunt Trauma in Pregnancy - American Family Physician

Oct 1, 2004 - Trauma is the most common cause of nonobstetric death among pregnant women in the United States. Motor vehicle crashes, domestic violence, and falls are the most common causes of blunt trauma during pregnancy. All pregnant patients with traumatic injury should be assessed formally in a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1303.html

Allergen Immunotherapy - American Family Physician

Aug 15, 2004 - Allergen immunotherapy (also called allergy vaccine therapy) involves the administration of gradually increasing quantities of specific allergens to patients with IgE-mediated conditions until a dose is reached that is effective in reducing disease severity from natural exposure. The ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p689.html

Gastric Cancer: Diagnosis and Treatment Options - American Family Physician

Mar 1, 2004 - Although the overall incidence of gastric cancer has steadily declined in the United States, it is estimated that more than 12,000 persons died from gastric cancer in 2003. The incidence of distal stomach tumors has greatly declined, but reported cases of proximal gastric carcinomas, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0301/p1133.html

Treatment Options for Prostate Cancer: Evaluating the Evidence - American Family Physician

May 15, 2005 - Controversy surrounds the management options for localized prostate cancer-conservative management, prostatectomy, and radiation. Choosing among these options is difficult because of long-term side effects that include sexual, urinary, and bowel dysfunction. Some recent studies suggest ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1915.html

Safety of Radiographic Imaging During Pregnancy - American Family Physician

Apr 1, 1999 - Maternal illness during pregnancy is not uncommon and sometimes requires radiographic imaging for proper diagnosis and treatment. The patient and her physician may be concerned about potential harm to the fetus from radiation exposure. In reality, however, the risks to the developing ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1813.html

Neonatal Herpes Simplex Virus Infections - American Family Physician

Mar 15, 2002 - Neonatal herpes simplex virus infections can result in serious morbidity and mortality. Many of the infections result from asymptomatic cervical shedding of virus after a primary episode of genital HSV in the third trimester. Antibodies to HSV-2 have been detected in approximately 20 ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1138.html

Diaphragm Fitting - American Family Physician

Jan 1, 2004 - When used with a spermicide, the diaphragm can be a more effective barrier contraceptive than the male condom. The diaphragm allows female-controlled contraception. It also provides moderate protection against sexually transmitted diseases and is less expensive than some contraceptive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p97.html

Ambulatory Detoxification of Patients with Alcohol Dependence - American Family Physician

Feb 1, 2005 - Detoxification from alcohol can be undertaken in ambulatory settings with patients who are alcohol-dependent and show signs of mild to moderate withdrawal when they are not drinking. An appropriate candidate for outpatient detoxification should have arrangements to start an alcohol ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p495.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

Treatment of Cholesterol Abnormalities - American Family Physician

Mar 15, 2005 - Cardiovascular disease and its subset coronary heart disease are leading causes of morbidity and mortality in the United States and worldwide. In general, higher levels of low-density lipoprotein cholesterol are associated with an increased risk of coronary heart disease, myocardial ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0315/p1137.html

Common Hair Loss Disorders - American Family Physician

Jul 1, 2003 - Hair loss (alopecia) affects men and women of all ages and often significantly affects social and psychologic well-being. Although alopecia has several causes, a careful history, dose attention to the appearance of the hair loss, and a few simple studies can quickly narrow the potential...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p93.html

Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell...

Aug 1, 2004 - Type 2 diabetes is characterized by progressive beta-cell failure. Indications for exogenous insulin therapy in patients with this condition include acute illness or surgery, pregnancy, glucose toxicity, contraindications to or failure to achieve goals with oral antidiabetic ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0801/p489.html

Failure to Thrive - American Family Physician

Sep 1, 2003 - Failure to thrive is a condition commonly seen by primary care physicians. Prompt diagnosis and intervention are important for preventing malnutrition and developmental sequelae. Medical and social factors often contribute to failure to thrive. Either extreme of parental attention ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p879.html

Management of Seizures and Epilepsy - American Family Physician

Apr 1, 1998 - While the evaluation and treatment of patients with seizures or epilepsy is often challenging, modern therapy provides many patients with complete seizure control. After a first seizure, evaluation should focus on excluding an underlying neurologic or medical condition, assessing the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1589.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

Diagnosis of Eating Disorders in Primary Care - American Family Physician

Jan 15, 2003 - Eating disorders, particularly anorexia nervosa and bulimia nervosa, are significant causes of morbidity and mortality among adolescent females and young women. Eating disorders are associated with devastating medical and psychologic consequences, including death, osteoporosis, growth ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0115/p297.html

Care of Cancer Survivors - American Family Physician

Feb 15, 2005 - Cancer survivors are at increased risk for recurrence of their original malignancy; development of second primary malignancies; and medical, developmental, and psychologic problems resulting from cancer therapy, genetic predisposition to cancer, and other risk factors. Surveillance ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0215/p699.html

Pneumocystis carnii Pneumonia: A Clinical Review - American Family Physician

Oct 15, 1999 - Pneumocystis carinii pneumonia (PCP) is an opportunistic infection that occurs in immunosuppressed populations, primarily patients with advanced human immunodeficiency virus infection. The classic presentation of nonproductive cough, shortness of breath, fever, bilateral interstitial ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1699.html

Management of Peripheral Aterial Disease - American Family Physician

Feb 1, 2004 - Peripheral arterial disease is common, but the diagnosis frequently is overlooked because of subtle physical findings and lack of classic symptoms. Screening based on the ankle brachial index using Doppler ultrasonography may be more useful than physical examination alone. Noninvasive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p525.html

Gastroesophageal Reflux Disease: Diagnosis and Management - American Family Physician

Mar 1, 1999 - Gastroesophageal reflux disease (GERD) is a chronic, relapsing condition with associated morbidity and an adverse impact on quality of life. The disease is common, with an estimated lifetime prevalence of 25 to 35 percent in the U.S. population. GERD can usually be diagnosed based on ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1161.html

Diethylstilbestrol Exposure - American Family Physician

May 15, 2004 - Diethylstilbestrol is a synthetic nonsteroidal estrogen that was used to prevent miscarriage and other pregnancy complications between 1938 and 1971 in the United States. In 1971, the U.S. Food and Drug Administration issued a warning about the use of diethylstilbestrol during pregnancy...

American Family Physician : Article

https://www.aafp.org/afp/2004/0515/p2395.html

Tremor - American Family Physician

Oct 15, 2003 - Tremor, a rhythmic, involuntary, oscillatory movement of body parts, is the most common movement disorder. Tremors are classified as rest or action tremors. Rest tremor occurs when the affected body part is completely supported against gravity. Action tremors are produced by voluntary ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1545.html

Childhood Bullying: Implications for Physicians - American Family Physician

Nov 1, 2004 - Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim's apparent distress, and a real or perceived imbalance of power. Bullying can ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1723.html

Diagnosis and Management of the Adnexal Mass - American Family Physician

May 15, 1998 - Adnexal masses are frequently found in both symptomatic and asymptomatic women. In premenopausal women, physiologic follicular cysts and corpus luteum cysts are the most common adnexal masses, but the possibility of ectopic pregnancy must always be considered. Other masses in this age ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2471.html

Meckel's Diverticulum - American Family Physician

Feb 15, 2000 - Although Meckel's diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract, it is often difficult to diagnose. It may remain completely asymptomatic, or it may mimic such disorders as Crohn's disease, appendicitis and peptic ulcer disease. Ectopic tissue, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1037.html

Viral Croup - American Family Physician

Feb 1, 2004 - Viral croup is the most common form of airway obstruction in children six months to six years of age. The frightening nature of croup often prompts parents and caregivers to seek physician consultation. For children with mild croup, symptomatic care and mist therapy may be all that is ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p535.html

Evaluation and Differential Diagnosis of Dyspareunia - American Family Physician

Apr 15, 2001 - Dyspareunia is genital pain associated with sexual intercourse. Although this condition has historically been defined by psychologic theories, the current treatment approach favors an integrated pain model. Identification of the initiating and promulgating factors is essential to ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0415/p1535.html

Gamma-Hydroxybutyrate (GHB): A Newer Drug of Abuse - American Family Physician

Dec 1, 2000 - Gamma-hydroxybutyrate (GHB) is an illicitly marketed substance that has recently gained popularity among body builders and party attendees as a drug of abuse. GHB is a depressant that acts on the central nervous system. It is purported as a strength enhancer, euphoriant and aphrodisiac ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1201/p2478.html

Breast Cyst Aspiration - American Family Physician

Nov 15, 2003 - The breast mass is a clinical problem commonly encountered by family physicians. Fine-needle and core biopsy techniques require training and cytopathologist support. In contrast, breast cyst aspiration using a 21- or 22-gauge needle is a simple, cost-effective, minimally invasive ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1115/p1983.html

Insulin Lispro: A Fast-Acting Insulin Analog - American Family Physician

Jan 15, 1998 - Research has established the importance of maintaining blood glucose levels near normal in patients with type 1 (insulin-dependent) diabetes mellitus. Short-acting insulin analogs are designed to overcome the limitations of regular short-acting insulins. Compared with regular human ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0115/p279.html

School Refusal in Children and Adolescents - American Family Physician

Oct 15, 2003 - School refusal is a problem that is stressful for children, families, and school personnel. Failing to attend school has significant short- and long-term effects on children's social, emotional, and educational development. School refusal often is associated with comorbid psychiatric ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1015/p1555.html

Diagnosis and Management of Common Tinea Infections - American Family Physician

Jul 1, 1998 - The estimated lifetime risk of acquiring a dermatophyte infection is between 10 and 20 percent. Recognition and appropriate treatment of these infections reduces both morbidity and discomfort and lessens the possibility of transmission. Dermatophyte infections are classified according ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p163.html

Pediatric Vision Screening for the Family Physician - American Family Physician

Sep 1, 1998 - Advertisement << Previous article Next article >> Sep 1, 1998 Issue Pediatric Vision Screening for the Family Physician PETER BRODERICK, M.D., Stanislaus County Family Practice Residency, Modesto, California Am Fam Physician. 1998 Sep 1;58(3):691-700. See related patient information...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p691.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

Open-Angle Glaucoma - American Family Physician

May 1, 2003 - Glaucoma is the second most common cause of legal blindness in the United States. Open-angle glaucoma is an asymptomatic, progressive optic neuropathy characterized by enlarging optic disc cupping and visual field loss. Patients at increased risk for open-angle glaucoma include blacks ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0501/p1937.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

Bicycle-Related Injuries - American Family Physician

May 15, 2001 - Bicycle riding is a popular form of recreation among persons of all ages, and related injuries cause significant morbidity and mortality. Most injuries occur in males and are associated with riding at high speed; most serious injuries and fatalities result from collisions with motor ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0515/p2007.html

Polycystic Ovarian Syndrome: It's Not Just Infertility - American Family Physician

Sep 1, 2000 - Recent diagnostic and pharmacologic developments have focused renewed attention on polycystic ovary syndrome. Clinical features of the syndrome include anovulation, hyperandrogenism and menstrual dysfunction, but several other abnormalities, including hyperinsulinemia, luteinizing ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1079.html

Metabolic Syndrome: Time for Action - American Family Physician

Jun 15, 2004 - The constellation of dyslipidemia (hypertriglyceridemia and low levels of high-density lipoprotein cholesterol), elevated blood pressure, impaired glucose tolerance, and central obesity is identified now as metabolic syndrome, also called syndrome X. Soon, metabolic syndrome will ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2875.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

Management of Group A Beta-Hemolytic Streptococcal Pharyngitis - American Family Physician

Apr 15, 2001 - Bacteria are responsible for approximately 5 to 10 percent of pharyngitis cases, with group A beta-hemolytic streptococci being the most common bacterial etiology. A positive rapid antigen detection test may be considered definitive evidence for treatment; a negative test should be ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0415/p1557.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

Barrett's Esophagus - American Family Physician

May 1, 2004 - Gastroesophageal reflux disease (GERD) is a condition commonly managed in the primary care setting. Patients with GERD may develop reflux esophagitis as the esophagus repeatedly is exposed to acidic gastric contents. Over time, untreated reflux esophagitis may lead to chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2113.html

Acute Sinusitis: A Cost Effective Approach to Diagnosis and Treatment - American Family...

Nov 15, 1998 - Acute bacterial sinusitis usually occurs following an upper respiratory infection that results in obstruction of the osteomeatal complex, impaired mucociliary clearance and overproduction of secretions. The diagnosis is based on the patient's history of a biphasic illness (

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1795.html

Intrauterine Growth Retardation - American Family Physician

Oct 15, 1998 - Intrauterine growth retardation (IUGR), which is defined as less than 10 percent of predicted fetal weight for gestational age, may result in significant fetal morbidity and mortality if not properly diagnosed. The condition is most commonly caused by inadequate maternal-fetal ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1384.html

Congenital Toxoplasmosis - American Family Physician

May 15, 2003 - Approximately 85 percent of women of childbearing age in the United States are susceptible to acute infection with the protozoan parasite Toxoplasma gondii. Transmission of T. gondii to the fetus can result in serious health problems, including mental retardation, seizures, blindness, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2131.html

HIV Counseling, Testing, and Referral - American Family Physician

Jul 15, 2004 - Over the past decade, the annual number of new cases of human immunodeficiency virus (HIV) infection has been relatively stable but remains unacceptably high (an estimated 40,000 new cases per year). Furthermore, the demographics for HIV infection are changing. Rates of new infections ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0715/p295.html

Stroke: Strategies for Primary Prevention - American Family Physician

Dec 15, 2003 - Stroke is a leading cause of morbidity and mortality in North America. Primary prevention of stroke includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1215/p2379.html

Recognition and Prevention of Inhalant Abuse - American Family Physician

Sep 1, 2003 - Inhalant abuse is a prevalent and often overlooked form of substance abuse in adolescents. Survey results consistently show that nearly 20 percent of children in middle school and high school have experimented with inhaled substances. The method of delivery is inhalation of a solvent ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0901/p869.html

Promoting and Prescribing Exercise in the Elderly - American Family Physician

Feb 1, 2002 - Regular exercise provides a myriad of health benefits in older adults, including improvements in blood pressure, diabetes, lipid profile, osteoarthritis, osteoporosis, and neurocognitive function. Regular physical activity is also associated with decreased mortality and age-related ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0201/p419.html

Carvedilol: The New Role of Beta-Blockers in Congestive Heart Failure - American Family...

Nov 1, 1998 - The prognosis remains poor for patients with congestive heart failure (CHF), despite reduced mortality rates resulting from the addition of angiotensin converting enzyme inhibitors to traditional treatment regimens. Because much of the myocardial damage that occurs in patients with CHF ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1627.html

Taking a Nutrition History: A Practical Approach for Family Physicians - American ...

Mar 15, 1999 - The association between nutrition and health has been clearly documented. Primary care physicians are expected to address nutrition and dietary behavior issues with their patients in the context of a brief clinical encounter. This article proposes the use of a short interview form, with...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1521.html

Travel Immunizations - American Family Physician

Jul 1, 2004 - Advising travelers on vaccine-preventable illnesses is increasingly becoming the responsibility of primary care physicians. The approach to vaccine recommendations should be based on a thorough assessment of the risks for travel-related diseases, the time available before trip ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0701/p89.html

The Undescended Testicle: Diagnosis and Management - American Family Physician

Nov 1, 2000 - Early diagnosis and management of the undescended testicle are needed to preserve fertility and improve early detection of testicular malignancy. Physical examination of the testicle can be difficult; consultation should be considered if a normal testis cannot be definitely identified. ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1101/p2037.html

Evaluation of the Patient with Chronic Cough - American Family Physician

May 1, 2004 - Patients with chronic cough should avoid exposure to irritants that can trigger cough, and those who smoke should stop smoking. Patients who develop chronic cough in association with angiotensin-converting enzyme inhibitor therapy should be switched to an agent from another drug class. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0501/p2159.html

Recognition and Management of Tourette's Syndrome and Tic Disorders - American Family ...

Apr 15, 1999 - Tic disorders and Tourette's syndrome are conditions that primary care physicians are likely to encounter. Up to 20 percent of children have at least a transient tic disorder at some point. Once believed to be rare, Tourette's syndrome is now known to be a more common disorder that ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2263.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

Management of Hepatitis C: Evaluating Suitability for Drug Therapy - American Family ...

Mar 15, 2004 - Chronic hepatitis C virus infection is a common and serious disease. Although an estimated 2.7 million persons in the United States have this disease, most have not yet been diagnosed. Recent advances in treatment provide successful cure in 50 to 80 percent of cases. Current drug ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1429.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

Panic Disorder: Effective Treatment Options - American Family Physician

May 15, 1998 - Panic disorder is a distressing and debilitating condition with a familial tendency; it may be associated with situational (agoraphobic) avoidance. The diagnosis of panic disorder requires recurrent, unexpected panic attacks and at least one of the following characteristics: persistent ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2405.html

Evaluation and Management of Dyspepsia - American Family Physician

Oct 15, 1999 - Dyspepsia, often defined as chronic or recurrent discomfort centered in the upper abdomen, can be caused by a variety of conditions. Common etiologies include peptic ulcers and gastroesophageal reflux. Serious causes, such as gastric and pancreatic cancers, are rare but must also be ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1773.html

Poisoning, Envenomation, and Trauma from Marine Creatures - American Family Physician

Feb 15, 2004 - In the course of their clinical work or during leisure activity, family physicians occasionally may encounter patients with injuries from marine creatures. Poisoning, envenomation, and direct trauma are all possible in the marine environment. Ciguatera poisoning can result from ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p885.html

The Woman with Dysuria - American Family Physician

May 1, 1998 - Bacterial cystitis is the most common bacterial infection occurring in women. Thirty percent of women will experience at least one episode of cystitis during their lifetime. About one third of patients presenting with symptoms of cystitis have upper urinary tract infection. A careful ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2155.html

Burning Mouth Syndrome - American Family Physician

Feb 15, 2002 - Burning mouth syndrome is characterized by a burning sensation in the tongue or other oral sites, usually in the absence of clinical and laboratory findings. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. Burning mouth ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p615.html

Returning to Work While Breastfeeding - American Family Physician

Dec 1, 2003 - Mothers who work outside the home initiate breastfeeding at the same rate as mothers who stay at home. However, the breastfeeding continuance rate declines sharply in mothers who return to work. While the work environment may be less than ideal for the breastfeeding mother, obstacles ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2201.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

Facilitating Treatment Adherence With Lifestyle Changes in Diabetes - American Family ...

Jan 15, 2004 - Healthy eating and increased physical activity can prevent or delay diabetes and its complications. Techniques that facilitate adherence to these lifestyle changes can be adapted to primary care. Often, the patient's readiness to work toward change must be developed gradually. To ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0115/p309.html

Early Detection and Treatment of Skin Cancer - American Family Physician

Jul 15, 2000 - The incidence of skin cancer is increasing by epidemic proportions. Basal cell cancer remains the most common skin neoplasm, and simple excision is generally curative. Squamous cell cancers may be preceded by actinic keratoses-premalignant lesions that are treated with cryotherapy, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0715/p357.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

Hepatitis B - American Family Physician

Jan 1, 2004 - Hepatitis B causes significant morbidity and mortality worldwide. More than 400 million persons, including 1.25 million Americans, have chronic hepatitis B. In the United States, chronic hepatitis B virus infection is responsible for about 5,000 annual deaths from cirrhosis and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p75.html

Diabetic Foot Ulcers: Prevention, Diagnosis and Classification - American Family Physician

Mar 15, 1998 - Diabetic ulcers are the most common foot injuries leading to lower extremity amputation. Family physicians have a pivotal role in the prevention or early diagnosis of diabetic foot complications. Management of the diabetic foot requires a thorough knowledge of the major risk factors for...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1325.html

Treatment of Obstructive Sleep Apnea in Primary Care - American Family Physician

Feb 1, 2004 - Obstructive sleep apnea should be suspected in patients who are overweight snore loudly, and have chronic daytime sleepiness. The diagnosis of sleep apnea may be confirmed by sleep laboratory studies. Patients' symptoms and the frequency of respiratory events on laboratory testing are ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p561.html

Depression in Children and Adolescents - American Family Physician

Nov 15, 2000 - Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2297.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

Polymyalgia Rheumatica and Temporal Arteritis - American Family Physician

Aug 15, 2000 - Polymyalgia rheumatica and temporal arteritis are closely related inflammatory conditions that affect different cellular targets in genetically predisposed persons. Compared with temporal arteritis, polymyalgla rheumatica is much more common, affecting one in 200 persons older than 50 ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0815/p789.html

Post-traumatic Stress Reactions Following Motor Vehicle Accidents - American Family ...

Aug 1, 1999 - Despite improvements in road conditions, vehicle safety and driver education, over 3 million persons are injured in motor vehicle accidents each year. Many of these persons develop post-traumatic stress symptoms that can become chronic. Patients with post-traumatic stress disorder ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p524.html

Management of Asthma in Children - American Family Physician

Apr 1, 2001 - The prevalence of asthma in children has increased 160 percent since 1980, and the disease currently affects nearly 5 million children in the United States. The National Asthma Education and Prevention Program provides guidelines for improved asthma care. The goals of this program are ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1341.html

Oral Contraceptive Use During the Menopausal Years - American Family Physician

Oct 15, 1998 - Few guidelines exist for the use of estrogen, particularly low-dose oral contraceptives, during the perimenopausal years. Use of low-dose oral contraceptive pills in women over 35 years of age provides protection against unwanted pregnancy, maintains a stable hormonal environment and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1373.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

Problem Drinking and Alcoholism: Diagnosis and Treatment - American Family Physician

Feb 1, 2002 - Alcoholism is one of the most common psychiatric disorders with a prevalence of 8 to 14 percent. This heritable disease is frequently accompanied by other substance abuse disorders (particularly nicotine), anxiety and mood disorders, and antisocial personality disorder. Although ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0201/p441.html

Acute Bronchitis - American Family Physician

Mar 15, 1998 - Acute bronchitis is a lower respiratory tract infection that causes reversible bronchial inflammation. In up to 95 percent of cases, the cause, is viral. While antibiotics are often prescribed for patients with acute bronchitis, little evidence shows that these agents provide ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0315/p1270.html

Gastroesophageal Reflux in Infants and Children - American Family Physician

Dec 1, 2001 - Gastroesophageal reflux is a common, self-limited process in infants that usually resolves by six to 12 months of age. Effective, conservative management involves thickened feedings, positional treatment, and parental reassurance. Gastroesophageal reflux disease (GERD) is a less common,...

American Family Physician : Article

https://www.aafp.org/afp/2001/1201/p1853.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

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

Gluten-Sensitive Enteropathy (Celiac Disease): More Common than You Think - American ...

Dec 15, 2002 - Gluten-sensitive enteropathy or, as it is more commonly called, celiac disease, is an autoimmune inflammatory disease of the small intestine that is precipitated by the ingestion of gluten, a component of wheat protein, in genetically susceptible persons. Exclusion of dietary gluten ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1215/p2259.html

Prevention of Iron Deficiency in Infants and Toddlers - American Family Physician

Oct 1, 2002 - The prevalence of nutritional iron deficiency anemia in infants and toddlers has declined dramatically since 1960. However, satisfaction with this achievement must be tempered because iron deficiency anemia in infants and toddlers is associated with long-lasting diminished mental, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1001/p1217.html

Recognition and Management of Exercise-Induced Brochospasm - American Family Physician

Feb 15, 2003 - Exercise-induced bronchospasm is an obstruction of transient airflow that usually occurs five to 15 minutes after physical exertion. Although this condition is highly preventable, it is still underrecognized and affects aerobic fitness and quality of life. Diagnosis is based on the ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0215/p769.html

Managing the Patient with Hard-to-Control Hypertension - American Family Physician

Mar 1, 1998 - Less than 25 percent of patients with hypertension in the United States have their blood pressure under control, mainly because of inadequate or inappropriate therapy and noncompliance. Approximately one half of these treatment failures are related to factors such as cost and adverse ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0301/p1007.html

Evaluation and Treatment of ADHD - American Family Physician

Sep 1, 2001 - Symptoms of attention-deficit/hyperactivity disorder (ADHD) are present in as many as 9 percent of school-age children. ADHD-specific questionnaires can help determine whether children meet diagnostic criteria for the disorder. The recommended evaluation also includes documenting the ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p817.html

Urinary Incontinence in Women: Evaluation and Management - American Family Physician

Dec 1, 2000 - Because the prevalence of urinary incontinence increases with age, a working knowledge of the diagnosis and treatment of the various types of urinary incontinence is fundamental to the care of women. As the population of the United States ages, primary care physicians can expect to see ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1201/p2433.html

The Female Athlete Triad - American Family Physician

Jun 1, 2000 - The female athlete triad is defined as the combination of disordered eating, amenorrhea and osteoporosis. This disorder often goes unrecognized. The consequences of lost bone mineral density can be devastating for the female athlete. Premature osteoporotic fractures can occur, and lost ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0601/p3357.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

Headaches in Children and Adolescents - American Family Physician

Feb 15, 2002 - Headaches are common during childhood and become more common and increase in frequency during adolescence. The rational, cost-effective evaluation of children with headache begins with a careful history. The first step is to identify the temporal pattern of the headache--acute, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0215/p625.html

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