Hip Pain in Adults: Evaluation and Differential Diagnosis - American Family Physician
Jan 15, 2021 - Adults commonly present to their family physicians with hip pain, and diagnosing the cause is important for prescribing effective therapy. Hip pain is usually located anteriorly, laterally, or posteriorly. Anterior hip pain includes referred pain from intra-abdominal or intrapelvic ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0115/p81.html
Breast Cancer Screening: Common Questions and Answers - American Family Physician
Jan 1, 2021 - Breast cancer is the most common nonskin cancer in women and accounts for 30% of all new cancers in the United States. The highest incidence of breast cancer is in women 70 to 74 years of age. Numerous risk factors are associated with the development of breast cancer. A risk assessment ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0101/p33.html
Mildly Elevated Liver Transaminase Levels: Causes and Evaluation - American Family ...
Dec 1, 2017 - Mild, asymptomatic elevations (less than five times the upper limit of normal) of alanine transaminase and aspartate transaminase levels are common in primary care. It is estimated that approximately 10% of the U.S. population has elevated transaminase levels. An approach based on the ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1201/p709.html
Dizziness: Approach to Evaluation and Management - American Family Physician
Feb 1, 2017 - Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient’s history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0201/p154.html
Syncope: Evaluation and Differential Diagnosis - American Family Physician
Mar 1, 2017 - Syncope is an abrupt and transient loss of consciousness caused by cerebral hypoperfusion. It accounts for 1% to 1.5% of emergency department visits, resulting in high hospital admission rates and significant medical costs. Syncope is classified as neurally mediated, cardiac, and ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0301/p303.html
Chronic Diarrhea in Adults: Evaluation and Differential Diagnosis - American Family ...
Apr 15, 2020 - Chronic diarrhea is defined as a predominantly loose stool lasting longer than four weeks. A patient history and physical examination with a complete blood count, C-reactive protein, anti-tissue transglutaminase immunoglobulin A (IgA), total IgA, and a basic metabolic panel are useful ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0415/p472.html
Chronic Kidney Disease: Detection and Evaluation - American Family Physician
Dec 15, 2017 - Chronic kidney disease affects 47 million people in the United States and is associated with significant health care costs, morbidity, and mortality. Because this disease can silently progress to advanced stages, early detection is critical for initiating timely interventions. Multiple ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p776.html
Dysuria: Evaluation and Differential Diagnosis in Adults - American Family Physician
Nov 1, 2015 - The most common cause of acute dysuria is infection, especially cystitis. Other infectious causes include urethritis, sexually transmitted infections, and vaginitis. Noninfectious inflammatory causes include a foreign body in the urinary tract and dermatologic conditions. ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1101/p778.html
Evaluation of Jaundice in Adults - American Family Physician
Feb 1, 2017 - Jaundice in adults can be an indicator of significant underlying disease. It is caused by elevated serum bilirubin levels in the unconjugated or conjugated form. The evaluation of jaundice relies on the history and physical examination. The initial laboratory evaluation should include ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0201/p164.html
Endometrial Biopsy: Tips and Pitfalls - American Family Physician
May 1, 2020 - Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p551.html
Unintentional Weight Loss in Older Adults - American Family Physician
May 1, 2014 - Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality. The most common etiologies are malignancy, nonmalignant gastrointestinal disease, and psychiatric conditions. Overall, nonmalignant diseases are more common causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0501/p718.html
Colorectal Cancer Screening and Surveillance - American Family Physician
Jan 15, 2015 - Colorectal cancer is the third most common cancer in men and women. The incidence and mortality rate of the disease have been declining over the past two decades because of early detection and treatment. Screening in persons at average risk should begin at 50 years of age; the U.S. ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0115/p93.html
Colorectal Cancer Screening and Prevention - American Family Physician
May 15, 2018 - Colorectal cancer is a common cause of morbidity and mortality in the United States. Most colorectal cancers arise from preexisting adenomatous or serrated polyps. The incidence and mortality of colorectal cancer can be reduced with screening of average-risk adults 50 to 75 years of ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0515/p658.html
Evaluation of the Solitary Pulmonary Nodule - American Family Physician
Dec 15, 2015 - A solitary pulmonary nodule is a common radiologic finding that is often discovered incidentally and may require significant workup to establish a definitive diagnosis. A solitary pulmonary nodule is a well-circumscribed round lesion measuring up to 3 cm in diameter and surrounded by ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1215/p1084.html
Diagnosis of Acute Stroke - American Family Physician
Apr 15, 2015 - Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0415/p528.html
Prolonged Febrile Illness and Fever of Unknown Origin in Adults - American Family ...
Jul 15, 2014 - Fever of unknown origin has been described as a febrile illness (temperature of 101°F [38.3°C] or higher) for three weeks or longer without an etiology despite a one-week inpatient evaluation. A more recent qualitative definition requires only a reasonable diagnostic evaluation. ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0715/p91.html
Dyspareunia in Women - American Family Physician
Oct 1, 2014 - Dyspareunia is recurrent or persistent pain with sexual activity that causes marked distress or interpersonal conflict. It affects approximately 10% to 20% of U.S. women. Dyspareunia can have a significant impact on a woman’s mental and physical health, body image, relationships with ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1001/p465.html
Cancer Screening in Older Patients - American Family Physician
Apr 15, 2016 - Although cancer is the second leading cause of death among persons 65 years and older, there is a paucity of clinical trial data about the effectiveness and harms of cancer screening in this population. Given the heterogeneous nature of the older population, cancer screening in these ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0415/p659.html
Transient Ischemic Attack: Part I. Diagnosis and Evaluation - American Family Physician
Sep 15, 2012 - Transient ischemic attack is defined as transient neurologic symptoms without evidence of acute infarction. It is a common and important risk factor for future stroke, but is greatly underreported. Common symptoms are sudden and transient, and include unilateral paresis, speech ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0915/p521.html
Preventive Health Care for Men Who Have Sex with Men - American Family Physician
Jun 15, 2015 - Men who have sex with men (MSM) comprise at least 4% of males in the United States. MSM may describe themselves as gay, bisexual, or heterosexual. Because current medical practice does not always facilitate discussion of sexual behaviors, this group of men may face barriers to receiving...
American Family Physician : Article
https://www.aafp.org/afp/2015/0615/p844.html
Health Maintenance in Women - American Family Physician
Jan 1, 2013 - The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0101/p30.html
The Adult Well Male Examination - American Family Physician
May 15, 2012 - The adult well male examination should incorporate evidence-based guidance toward the promotion of optimal health and well-being, including screening tests shown to improve health outcomes. Nearly one-third of men report not having a primary care physician. The medical history should ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0515/p964.html
Assessment of Microscopic Hematuria in Adults - American Family Physician
May 15, 2006 - Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible. Etiologies of microscopic hematuria range from incidental causes to life-threatening urinary tract neoplasm. The lack ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0515/p1748.html
Endometrial Biopsy - American Family Physician
Mar 15, 2001 - Endometrial biopsy is an office procedure that serves as a helpful tool in diagnosing various uterine abnormalities. The technique is fairly easy to learn and may be performed without assistance. The biopsy is obtained through the use of an endometrial suction catheter that is inserted ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0315/p1131.html
Evaluation of Dysuria in Adults - American Family Physician
Apr 15, 2002 - Dysuria, defined as pain, burning, or discomfort on urination, is more common in women than in men. Although urinary tract infection is the most frequent cause of dysuria, empiric treatment with antibiotics is not always appropriate. Dysuria occurs more often in younger women, probably ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0415/p1589.html
Diagnostic Evaluation of Erectile Dysfunction - American Family Physician
Jan 1, 2000 - Erectile dysfunction, the persistent inability to attain or maintain penile erection sufficient for sexual intercourse, affects millions of men to various degrees. The majority of cases have an organic etiology, most commonly vascular disease that decreases blood flow into the penis. ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0101/p95.html
A Primary Care Approach to the Patient with Claudication - American Family Physician
Feb 15, 2000 - Peripheral arterial occlusive disease occurs in about 18 percent of persons over 70 years of age. Usually, patients who have this disease present with intermittent claudication with pain in the calf, thigh or buttock that is elicited by exertion and relieved with a few minutes of rest. ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0215/p1027.html
Evaluation of the Subfertile Man - American Family Physician
May 15, 2003 - Infertility affects 15 percent of couples, and 50 percent of male infertility is potentially correctable. Evaluation of the subfertile man requires a complete medical history, physical examination, and laboratory studies. The main purpose of the male evaluation is to identify and treat ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0515/p2165.html
Evaluation of Asymptomatic Microscopic Hematuria in Adults - American Family Physician
Sep 15, 1999 - In patients without significant urologic symptoms, microscopic hematuria is occasionally detected on routine urinalysis. At present, routine screening of all adults for microscopic hematuria with dipstick testing is not recommended because of the intermittent occurrence of this finding ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0915/p1143.html
Breast Cancer Diagnosis and Screening - American Family Physician
Aug 1, 2000 - Approximately 180,000 new cases of breast cancer are diagnosed annually, accounting for about 48,000 deaths per year in the United States. The screening guidelines for the diagnosis of breast cancer are continually changing. Because of increased awareness of the signs and symptoms of ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0801/p596.html
HPV Testing in the Evaluation of the Minimally Abnormal Papanicolaou Smear - American ...
May 15, 1999 - Minor cytologic abnormalities of the cervix, such as atypical squamous cells of undetermined significance (ASCUS), are vastly more common than high-grade squamous intraepithelial lesions or invasive cancer. Current guidelines for the management of ASCUS include repeating the ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0515/p2794.html
Flexible Sigmoidoscopy: Screening for Colorectal Cancer - American Family Physician
Jan 15, 1999 - Flexible sigmoidoscopy is an important screening procedure because of its ability to detect early changes in the distal colon. The 60-cm flexible sigmoidoscope provides excellent visualization with minimal discomfort to patients. Successful sigmoidoscopy requires adequate patient ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0115/p313.html
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