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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

Diagnosis and Management of Multiple Sclerosis - American Family Physician

Nov 15, 2004 - Multiple sclerosis, an idiopathic inflammatory disease of the central nervous system, is characterized pathologically by demyelination and subsequent axonal degeneration. The disease commonly presents in young adults and affects twice as many women as men. Common presenting symptoms ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1115/p1935.html

Oral Analgesics for Acute Nonspecific Pain - American Family Physician

Mar 1, 2005 - Physicians most often recommend or prescribe oral medication for relief of acute pain. This review of the available evidence supports the use of acetaminophen in doses up to 1,000 mg as the initial choice for mild to moderate acute pain. In some cases, modest improvements in analgesic ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0301/p913.html

CEA vs. Stenting: Mixed Results, Mostly Bad - POEMs - American Family Physician

Jul 1, 2015 - These two randomized trials, one with short-term outcomes and the other with five-year outcomes, demonstrate that carotid artery stenting results in more frequent strokes (clinical and radiographically detected) than carotid endarterectomy (CEA). However, the rate of fatal and disabling...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0701/p52.html

AHA/ASA Guidelines on Prevention of Recurrent Stroke - Practice Guidelines - American ...

Apr 15, 2011 - Persons who survive a stroke or transient ischemic attack (TIA) are at increased risk of experiencing another stroke. The American Heart Association (AHA) and the American Stroke Association (ASA) have released updated guidelines on preventing recurrent stroke in patients who have had a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0415/p993.html

Pitfalls of Direct-to-Consumer Vascular Screening Tests - Editorials - American Family ...

Apr 15, 2015 - As concerned primary care physicians, we should take a more active role in educating the public and our patients about the risks of nonindicated screening tests before those purchases are made. Harms of downstream testing or treatment for a positive test result are real and significant.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0415/p518.html

AHA/ASA Release Guideline on Stroke Prevention in Women - Practice Guidelines - ...

Mar 1, 2015 - The American Heart Association and American Stroke Association (AHA/ASA) have released a guideline to help physicians identify women with increased risk of stroke and initiate appropriate preventive measures. The guideline includes recommendations on pregnancy and stroke; cerebral ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0301/p330.html

Absence Seizures in Children - Clinical Evidence Handbook - American Family Physician

Jan 15, 2015 - What are the effects of treatments for typical absence seizures in children?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2015/0115/p114.html

Management of Normal Pressure Hydrocephalus - American Family Physician

Sep 15, 2004 - Gait instability, urinary incontinence, and dementia are the signs and symptoms typically found in patients who have normal pressure hydrocephalus. Estimated to cause no more than 5 percent of cases of dementia, normal pressure hydrocephalus often is treatable, and accurate recognition ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1071.html

Benzodiazepines and Alzheimer Disease - AFP Journal Club - American Family Physician

Feb 1, 2015 - Benzodiazepine exposure over the preceding five years seems to be associated with an increased likelihood of an Alzheimer disease diagnosis. A dose-response gradient also seems to exist.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2015/0201/p191.html

Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain - American Family ...

Feb 1, 2005 - The development of newer classes of antidepressants and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. These drugs modulate pain transmission by interacting with specific neurotransmitters and ion channels. The actions of...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p483.html

Epley Maneuver Effective in the Long Term for Positional Vertigo - POEMs - American ...

Nov 1, 2014 - How often do patients walk into our offices with a problem and walk out cured? The Epley maneuver, which is not particularly difficult to do, results in the long-term (at least one year) resolution of posterior canal benign paroxysmal positional vertigo. A video of the maneuver can be ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1101/p660.html

Epidural Steroid Injections Ineffective for Lumbar Spinal Stenosis - POEMs - American ...

Dec 1, 2014 - Epidural glucocorticoid injections are ineffective for lumbar spinal stenosis. Whether this will change practice for this lucrative procedure will be an interesting question.

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1201/p795a.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

Topiramate for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

Jul 1, 2014 - Topiramate in a dosage of 100 mg per day is effective for decreasing the frequency of headaches in adults with episodic migraine.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0701/p24.html

Gabapentin for the Prophylaxis of Episodic Migraine in Adults - Cochrane for Clinicians...

May 1, 2014 - Gabapentin does not decrease the frequency of migraine headaches and is not recommended for prophylactic therapy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0501/p714.html

Exercise Programs for Older Patients with Dementia - Cochrane for Clinicians - American...

Sep 1, 2014 - There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0901/p287.html

When to Operate in Carotid Artery Disease - American Family Physician

Jan 15, 2000 - Carotid endarterectomy has proved to be beneficial in the prevention of stroke in selected patients. The procedure is indicated in symptomatic patients with carotid-territory transient ischemic attacks or minor strokes who have carotid artery stenosis of 70 to 99 percent. With a low ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0115/p400.html

Evaluation and Management of Concussion in Athletes: Recommendations from the AAN - ...

Apr 1, 2014 - The American Academy of Neurology (AAN) studied the incidence of concussion in high school and college athletes to address related clinical questions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0401/p585.html

Regional Anesthesia For Office Procedures: Part I. Head and Neck Surgeries - American ...

Feb 1, 2004 - Although local anesthesia usually is used in surgical procedures, field or nerve blocks can provide more effective anesthesia in some situations. In a field block, local anesthetic is infiltrated around the border of the surgical field, leaving the operative area undisturbed. In field ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0201/p585.html

Efficient Identification of Adults with Depression and Dementia - American Family ...

Sep 15, 2004 - Family physicians must decide how to screen for depression or dementia and which patients to screen. Mental health questionnaires can be helpful. In practice-based screening, questionnaires are administered to all patients, regardless of risk status. In case-finding screening, ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0915/p1101.html

Acute Migraine Treatment in Emergency Settings - Implementing AHRQ Effective Health ...

May 1, 2014 - What are the comparative benefits and adverse effects of parenteral treatments for adults who present to the emergency department with migraine headaches?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2014/0501/p742.html

Multiple Sclerosis - Clinical Evidence Handbook - American Family Physician

May 15, 2013 - What are the effects of interventions aimed at reducing relapse rates and disability and to improve symptoms during acute relapse in persons with multiple sclerosis? What are the effects of treatments for fatigue and spasticity in persons with multiple sclerosis? What are the effects of...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2013/0515/p712.html

Transient Ischemic Attacks: Part II. Treatment - American Family Physician

Apr 1, 2004 - Risk factors for stroke should be evaluated in patients who have had a transient ischemic attack. Blood pressure, lipid levels, and diabetes mellitus should be controlled. When applicable, smoking cessation and weight loss also are important. Angiotensin-converting enzyme inhibitor ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1681.html

Tapentadol (Nucynta) for Treatment of Pain - STEPS - American Family Physician

May 1, 2012 - Tapentadol is a DEA schedule II opioid medication with a safety profile, duration of action, frequency of dosing, and analgesic effect similar to those of other oral narcotics, although it is more expensive. At low doses, immediate-release tapentadol is better tolerated than oxycodone ...

American Family Physician : STEPS

https://www.aafp.org/afp/2012/0501/p910.html

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