American Family Physician

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Point-of-Care Guides

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Point-of-Care Guides: Risk Stratification of Patients Presenting with Syncope - ...

Jun 1, 2012 - A previous Point-of-Care Guide addressed risk stratification in patients with syncope and described two validated clinical decision rules. Shared variables between the two rules included abnormal findings on electrocardiography (ECG) and a history of congestive heart failure; other ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2012/0601/p1047.html

Point-of-Care Guides: Suspected Pulmonary Embolism: Evidence-Based Diagnostic ...

Feb 1, 2004 - The first part of this two-part Point-of-Care Guide discusses how to use two validated clinical decision rules to determine the likelihood of pulmonary embolism.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2004/0201/p599.html

Point-of-Care Guides: Evidence-Based Adjustment of Warfarin (Coumadin) Doses - ...

May 15, 2005 - A previous Point-of-Care Guides article,1 presented several validated approaches to the initiation of anticoagulation therapy with warfarin. Once a patient is receiving warfarin, it is important to have a systematic approach to the management of anticoagulation and adjustment of ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/0515/p1979.html

Point-of-Care Guides: Predicting the Risk of Recurrence After Surgery for Prostate ...

Dec 15, 2005 - A previous Point-of-Care Guide identified a clinical decision rule that estimates the likelihood of an abnormal biopsy for prostate cancer. One of the next questions facing the patient and his physician is the likelihood of recurrence after surgery.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/1215/p2511.html

Point-of-Care Guides: Choosing Between Warfarin (Coumadin) and Aspirin Therapy for ...

Jun 15, 2005 - Pooled data from randomized trials show that warfarin reduces the risk of stroke from 4.5 percent to 1.4 percent per year in patients with nonvalvular atrial fibrillation and no history of stroke or transient ischemic attack (TIA).

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/0615/p2348.html

Point-of-Care Guides: Preoperative Evaluation for Noncardiac Surgery - American ...

Apr 15, 2004 - Guidelines from the American College of Physicians (ACP) and the American College of Cardiology/American Heart Association (ACC/AHA) address the preoperative evaluation of patients for noncardiac surgery.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2004/0415/p1977.html

Point-of-Care Guides: Initial Evaluation of Hypertension - American Family Physician

Mar 15, 2004 - The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recently released its seventh report (JNC 7). This guideline takes a largely evidence-based approach to the development of recommendations. Key changes from the previous guideline ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2004/0315/p1485.html

Point-of-Care Guides: Strep Throat - American Family Physician

Sep 1, 2003 - The probability of GABHS pharyngitis as the cause of sore throat is greatest in children younger than 15 years, especially those younger than 10.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2003/0901/p937.html

Point-of-Care Guides: Predicting the Risk of Prostate Cancer on Biopsy - American ...

Sep 15, 2005 - Considerable uncertainty surrounds the screening, diagnosis, and management of prostate cancer.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/0915/p1091.html

Point-of-Care Guides: Clinical Diagnosis of Pneumonia in Children - American Family ...

Jul 15, 2010 - Pneumonia remains a common source of morbidity and mortality in children. A key question in the diagnostic evaluation of children with acute respiratory illness is whether chest radiography should be performed to rule in or rule out the diagnosis of pneumonia. Radiologically, pneumonia ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2010/0715/p192.html

Point-of-Care Guides: Evaluation of Chest Pain in Primary Care Patients - American ...

Mar 1, 2011 - Chest pain can be caused by conditions that range from benign and self-limited (e.g., chest wall pain) to serious (e.g., anxiety disorder) or life-threatening (e.g., unstable angina, aortic dissection, pulmonary embolism). Accurate identification of life-threatening and serious causes ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2011/0301/p603.html

Point-of-Care Guides: Diagnosis of Appendicitis: Part II. Laboratory and Imaging ...

Apr 15, 2008 - Although individual signs and symptoms are of limited value in the diagnosis of appendicitis, the Alvarado (also known as the MANTRELS [Migration of pain to the right lower quadrant, Anorexia, Nausea/vomiting, Tenderness in the right lower quadrant, Rebound pain, Elevation of ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0415/p1153.html

Point-of-Care Guides: Estimating the Risk of Ovarian Cancer - American Family Physician

Sep 15, 2009 - Every year, 25,000 women in the United States (about one in 3,000 women older than 40 years) receive ovarian cancer diagnoses, and 14,000 die of the disease. Risk factors for ovarian cancer include family history of ovarian cancer, personal history of breast cancer, obesity, not ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2009/0915/p632.html

Point-of-Care Guides: Routine Screening for Depression, Alcohol Problems, and ...

May 15, 2004 - During routine office visits, primary care physicians are expected to efficiently and effectively screen their patients for common, important conditions. Routine screening for depression is recommended by the U.S. Preventive Services Task Force (USPSTF) as long as systems are in place ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2004/0515/p2421.html

Point-of-Care Guides: Predicting the Risk of Bleeding in Patients Taking Warfarin - ...

Mar 15, 2010 - When considering anticoagulation therapy in patients with atrial fibrillation or venous thromboembolism (VTE), physicians and patients must balance the benefits of anticoagulation with the risk of bleeding, particularly major bleeding complications. For example, in patients who are at ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2010/0315/p780.html

Point-of-Care Guides: Diagnosis of Gastroesophageal Reflux Disease - American Family...

May 15, 2010 - Diagnosis of GERD may be clinical (presentation with typical symptoms, such as heartburn); physiologic (evidence of abnormal pH levels in the distal esophagus); anatomic (evidence of esophagitis on endoscopy); or functional (clinical response to antacid medications). However, the ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2010/0515/p1278.html

Point-of-Care Guides: Suspected Pulmonary Embolism: Part I. Evidence-Based Clinical ...

Jan 15, 2004 - A number of investigators have developed and validated clinical decision rules for the diagnosis of pulmonary embolism.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2004/0115/p367.html

Point-of-Care Guides: Evidence-Based Initiation of Warfarin (Coumadin) - American ...

Feb 15, 2005 - Many physicians continue to use clinical judgment alone as the basis for initiating and adjusting warfarin dosages in patients who require oral anticoagulation. A number of studies have validated approaches to initiation of anticoagulation that provide more rapid anticoagulation with ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2005/0215/p763.html

Point-of-Care Guides: Procalcitonin-Guided Treatment of Respiratory Tract Infections...

Sep 15, 2008 - Procalcitonin is a precursor to calcitonin. The final step in the synthesis of calcitonin is inhibited by cytokines and endotoxin released during bacterial infections; therefore, procalcitonin levels are selectively elevated in patients with bacterial infections.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0915/p756.html

Point-of-Care Guides: Risk Stratification of Children with Bronchiolitis - American ...

Aug 1, 2012 - Bronchiolitis is a common and sometimes serious viral lower respiratory tract infection in young children.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2012/0801/p275.html

Point-of-Care Guides: Diagnosis of Streptococcal Pharyngitis - American Family ...

Jun 15, 2014 - Sore throat was the chief symptom in 1.3% of all outpatient office visits in 2010, and is even more common in primary care practice. An Australian study found that among families with at least one child three to 12 years of age, the incidence of sore throat was 33 and 14 episodes per ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2014/0615/p976.html

Point-of-Care Guides: Predicting the Likelihood of Bacterial Meningitis in Children ...

Feb 15, 2007 - Although the incidence of bacterial meningitis has dropped with increased immunization against Haemophilus influenzae, meningitis remains a devastating illness. For every child with meningeal signs and symptoms who is diagnosed with bacterial meningitis after lumbar puncture, many more ...

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2007/0215/p533.html

Point-of-Care Guides: Outpatient vs. Inpatient Treatment of Community-Acquired ...

Apr 15, 2006 - CAP often is managed in an outpatient setting, an approach endorsed by evidence-based guidelines from the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA).

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2006/0415/p1425.html

Point-of-Care Guides: Predicting the Likelihood of Successful Vaginal Birth After ...

Oct 15, 2007 - The American College of Obstetricians and Gynecologists and the American Academy of Family Physicians recommend that pregnant women with a single previous cesarean delivery and a low-transverse incision be offered a trial of labor.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2007/1015/p1192.html

Point-of-Care Guides: Predicting Prognoses in Patients with Acute Stroke - American ...

Jun 15, 2008 - A number of clinical decision models and scoring systems have been developed and validated to assist physicians in assessing the prognosis of patients with acute stroke.

American Family Physician : Point-of-Care Guides

http://www.aafp.org/afp/2008/0615/p1719.html

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