Eating Disorders in Primary Care: Diagnosis and Management - American Family Physician
Jan 1, 2021 - Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behaviors that impair physical health and psychosocial functioning. Early intervention may decrease the risk of long-term pathology and disability. Clinicians should ...
American Family Physician : Article
https://www.aafp.org/afp/2021/0101/p22.html
Peripheral Neuropathy: Evaluation and Differential Diagnosis - American Family Physician
Dec 15, 2020 - Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of electrodiagnostic studies for axonal and demyelinating disease. The prevalence of peripheral ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1215/p732.html
Parkinson Disease - American Family Physician
Dec 1, 2020 - Parkinson disease is a progressive neurodegenerative disorder with significant morbidity and mortality. Most patients consult with their primary care physician about Parkinson disease symptoms before seeking care from a specialist. The diagnosis of Parkinson disease is clinical, and key...
American Family Physician : Article
https://www.aafp.org/afp/2020/1201/p679.html
Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and ...
Nov 15, 2020 - Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and...
American Family Physician : Article
https://www.aafp.org/afp/2020/1115/p603.html
Gout: Rapid Evidence Review - American Family Physician
Nov 1, 2020 - Gout is caused by monosodium urate crystal deposition in joints and tissues. Risk factors include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat and seafood; chronic kidney disease; a diet heavy in fructose-rich food and beverages; being a member of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1101/p533.html
Common Benign Chronic Vulvar Disorders - American Family Physician
Nov 1, 2020 - Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1101/p550.html
Outpatient Management of COVID-19: Rapid Evidence Review - American Family Physician
Oct 15, 2020 - Common presenting symptoms of coronavirus disease 2019 include fever, dry cough, shortness of breath, and fatigue. However, patients may have a wide range of symptoms representing a spectrum of mild to severe illness. Symptoms in children tend to be milder and may include fever, cough, ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1015/p478.html
Persistent Night Sweats: Diagnostic Evaluation - American Family Physician
Oct 1, 2020 - Night sweats are a nonspecific symptom that patients commonly experience but rarely discuss with their physicians without prompting. Although many life-threatening causes such as malignancies or infections have been described, most patients who report persistent night sweats in the ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1001/p427.html
Prevention of Unintentional Childhood Injury - American Family Physician
Oct 1, 2020 - Unintentional injury accounts for one-third of deaths in children and adolescents each year, primarily from motor vehicle crashes. Children younger than 13 years should be restrained in the back seat, and infants and toddlers should remain rear-facing until at least two years of age. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1001/p411.html
Management of Hypertriglyceridemia: Common Questions and Answers - American Family ...
Sep 15, 2020 - Hypertriglyceridemia, defined as fasting serum triglyceride levels of 150 mg per dL or higher, is associated with increased risk of cardiovascular disease. Severely elevated triglyceride levels (500 mg per dL or higher) increase the risk of pancreatitis. Common risk factors for ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0915/p347.html
Anaphylaxis: Recognition and Management - American Family Physician
Sep 15, 2020 - Anaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. Most anaphylactic reactions occur outside the hospital setting. Urticaria, ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0915/p355.html
Urinary Tract Infections in Young Children and Infants: Common Questions and Answers - ...
Sep 1, 2020 - Urinary tract infections (UTIs) are common in children and are associated with significant short- and long-term morbidity. They have a high recurrence rate and are associated with anatomic and functional abnormalities. The decision to test for UTI is based on risk factors and the ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0901/p278.html
Thyroid Nodules: Advances in Evaluation and Management - American Family Physician
Sep 1, 2020 - Thyroid nodules can be detected by ultrasonography in up to 68% of the general population. They are typically benign and are often discovered incidentally. The primary goal of thyroid nodule evaluation is to determine whether it is malignant. After thyroid ultrasonography has been ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0901/p298.html
Paget Disease of Bone for Primary Care - American Family Physician
Aug 15, 2020 - Paget disease of bone is a benign disorder characterized by focal areas of increased bone turnover in one or more skeletal sites. It usually affects older adults, and men are at a higher risk than women. Any bone may be affected, but the disease has a high preference for the pelvis, ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0815/p224.html
Neck Pain: Initial Evaluation and Management - American Family Physician
Aug 1, 2020 - Neck pain is a common presenting symptom in the primary care setting and causes significant disability. The broad differential diagnosis requires an efficient but global assessment; therefore, emphasis is typically placed on red flags that can assist in the early recognition and ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0801/p150.html
Acute Pyelonephritis in Adults: Rapid Evidence Review - American Family Physician
Aug 1, 2020 - Acute pyelonephritis is a bacterial infection of the kidney and renal pelvis and should be suspected in patients with flank pain and laboratory evidence of urinary tract infection. Urine culture with antimicrobial susceptibility testing should be performed in all patients and used to ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0801/p173.html
Intrapartum Fetal Monitoring - American Family Physician
Aug 1, 2020 - Continuous electronic fetal monitoring was developed to screen for signs of hypoxic-ischemic encephalopathy, cerebral palsy, and impending fetal death during labor. Because these events have a low prevalence, continuous electronic fetal monitoring has a false-positive rate of 99%. The ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0801/p158.html
Shoulder Dystocia: Managing an Obstetric Emergency - American Family Physician
Jul 15, 2020 - Shoulder dystocia is an obstetric emergency in which normal traction on the fetal head does not lead to delivery of the shoulders. This can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma, including damage to the bladder, anal sphincter, and rectum, and postpartum ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0715/p84.html
Syphilis: Far from Ancient History - American Family Physician
Jul 15, 2020 - Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians to assist public health agencies in the early detection of outbreaks. Prompt diagnosis of syphilis can be ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0715/p91.html
Cervical Colposcopy: Indications and Risk Assessment - American Family Physician
Jul 1, 2020 - The practice of colposcopy, a diagnostic procedure to evaluate for vaginal, vulvar, and cervical dysplasia, has evolved to incorporate patient risk factors for high-grade cervical intraepithelial neoplasia (CIN) and cancer. Changes in cervical cancer screening and guidelines, human ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0701/p39.html
Back Pain in Children and Adolescents - American Family Physician
Jul 1, 2020 - Back pain is a relatively common presenting symptom in children and adolescents. Typical causes include muscle strain or spasm, spinal deformities (e.g., Scheuermann kyphosis, adolescent idiopathic scoliosis), spondylolysis, bulging or herniated intervertebral disks, apophysitis of the ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0701/p19.html
Atopic Dermatitis: Diagnosis and Treatment - American Family Physician
May 15, 2020 - Atopic dermatitis (atopic eczema) is a chronic relapsing and remitting inflammatory skin disease affecting one in 10 people in their lifetime. Atopic dermatitis is caused by a complex interaction of immune dysregulation, epidermal gene mutations, and environmental factors that disrupts ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p590.html
Ectopic Pregnancy: Diagnosis and Management - American Family Physician
May 15, 2020 - Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p599.html
Chronic Dyspnea: Diagnosis and Evaluation - American Family Physician
May 1, 2020 - Dyspnea is a symptom arising from a complex interplay of diseases and physiologic states and is commonly encountered in primary care. It is considered chronic if present for more than one month. As a symptom, dyspnea is a predictor for all-cause mortality. The likeliest causes of ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0501/p542.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
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