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Approach to Vaso-occlussive Crisis in Adults with Sickle Cell Disease - American Family...

Mar 1, 2000 - The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Acute episodes of severe pain (crises) are the primary reason that these patients seek medical care in hospital emergency departments. Frequently, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1349.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

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

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

Management of Bacterial Endocarditis - American Family Physician

Mar 15, 2000 - Most cases of bacterial endocarditis involve infection with viridans streptococci, enterococci, coagulase-positive staphylococci or coagulase-negative staphylococci. The choice of antibiotic therapy for bacterial endocarditis is determined by the identity and antibiotic susceptibility ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1725.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

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

Topical Therapy for Acne - American Family Physician

Jan 15, 2000 - Acne is a common problem in adolescents and young adults. The disorder is caused by abnormal desquamation of follicular epithelium that results in obstruction of the pilosebaceous canal. This obstruction leads to the formation of comedones, which can become inflamed because of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p357.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

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

A Family Physicians' Guide to Monitoring Methotrexate - American Family Physician

Oct 1, 2000 - Methotrexate has a long history of use in the treatment of various immunologic diseases, including rheumatoid arthritis and psoriasis. Although the drug is usually prescribed by a subspecialist, a family physician may assume responsibility for monitoring methotrexate therapy. Major ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1001/p1607.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

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

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

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

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

Using Progestins in Clinical Practice - American Family Physician

Oct 15, 2000 - Progestational agents have many important functions, including regulation of the menstrual cycle, treatment of dysfunctional uterine bleeding, prevention of endometrial cancer and hyperplastic precursor lesions, and contraception. Because of the reported side effects of synthetic ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1015/p1839.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

Prevention and Treatment of Common Eye Injuries in Sports - American Family Physician

Apr 1, 2003 - Sports have become increasingly popular and account for numerous eye injuries each year. The sports that most commonly cause eye injuries, in order of decreasing frequency, are basketball, water sports, baseball, and racquet sports. Sports are classified as low risk, high risk, and very...

American Family Physician : Article

https://www.aafp.org/afp/2003/0401/p1481.html

Benefits and Risks of Psychiatric Medications During Pregnancy - American Family Physician

Aug 15, 2002 - Traditionally, psychiatric medications were withheld during pregnancy because of fear of teratogenic and other effects. The emergence of evidence of the safety of most commonly used psychiatric medications, the availability of this information in the form of online databases, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p629.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

Topical Psoriasis Therapy - American Family Physician

Feb 15, 1999 - Psoriasis is a common dermatosis, affecting from 1 to 3 percent of the population. Until recently, the mainstays of topical therapy have been corticosteroids, tars, anthralins and keratolytics. Recently, however, vitamin D analogs, a new anthralin preparation and topical retinoids have ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p957.html

Management of Dyslipidemia in Adults - American Family Physician

May 1, 1998 - The importance of treating dyslipidemias based on cardiovascular risk factors is highlighted by the National Cholesterol Education Program guidelines. The first step in evaluation is to exclude secondary causes of hyperlipidemia. Assessment of the patient's risk for coronary heart ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2192.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

The Nature and Management of Labor Pain: Part II. Pharmacologic Pain Relief - American ...

Sep 15, 2003 - A group of family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators attended an evidence-based symposium in 2001 on the nature and management of labor pain and discussed a series of systematic reviews that focused on methods of labor pain ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0915/p1115.html

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