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Amenorrhea: A Systematic Approach to Diagnosis and Management - American Family Physician

Jul 1, 2019 - Menstrual patterns can be an indicator of overall health and self-perception of well-being. Primary amenorrhea, defined as the lifelong absence of menses, requires evaluation if menarche has not occurred by 15 years of age or three years post-thelarche. Secondary amenorrhea is ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0701/p39.html

Diabetes Mellitus: Screening and Diagnosis - American Family Physician

Jan 15, 2016 - Diabetes mellitus is one of the most common diagnoses made by family physicians. Uncontrolled diabetes can lead to blindness, limb amputation, kidney failure, and vascular and heart disease. Screening patients before signs and symptoms develop leads to earlier diagnosis and treatment, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0115/p103.html

Vitamin D Screening and Supplementation in Community-Dwelling Adults: Common Questions ...

Feb 15, 2018 - Measurement of vitamin D levels and supplementation with oral vitamin D have become commonplace, although clinical trials have not demonstrated health benefits. The usefulness of serum 25-hydroxyvitamin D levels to assess adequate exposure to vitamin D is hampered by variations in ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0215/p254.html

Evaluation of Short and Tall Stature in Children - American Family Physician

Jul 1, 2015 - Short stature is defined as a height more than two standard deviations below the mean for age (less than the 3rd percentile). Tall stature is defined as a height more than two standard deviations above the mean for age (greater than the 97th percentile). The initial evaluation of short ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0701/p43.html

Thyroid Nodules - American Family Physician

Aug 1, 2013 - Thyroid nodules are a common finding in the general population. They may present with symptoms of pressure in the neck or may be discovered during physical examination. Although the risk of cancer is small, it is the main reason for workup of these lesions. Measurement of ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0801/p193.html

Evaluation of Short and Tall Stature in Children - American Family Physician

Sep 1, 2008 - Children and adolescents whose heights and growth velocities deviate from the normal percentiles on standard growth charts present a special challenge to physicians. Height that is less than the 3rd percentile or greater than the 97th percentile is deemed short or tall stature, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p597.html

Diabetes Mellitus: Diagnosis and Screening - American Family Physician

Apr 1, 2010 - Based on etiology, diabetes is classified as type 1 diabetes mellitus, type 2 diabetes mellitus, latent autoimmune diabetes, maturity-onset diabetes of youth, and miscellaneous causes. The diagnosis is based on measurement of A1C level, fasting or random blood glucose level, or oral ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0401/p863.html

Vitamin D Screening and Supplementation in Primary Care: Time to Curb Our Enthusiasm - ...

Feb 15, 2018 - Evidence for vitamin D screening and supplementation in adults shows that these commonplace practices have virtually no established health benefits.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0215/p226.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Screening for Thyroid Cancer: Recommendation Statement - U.S. Preventive Services Task ...

Mar 15, 2018 - The USPSTF recommends against screening for thyroid cancer in asymptomatic adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2018/0315/od1.html

Screening for Thyroid Cancer - Putting Prevention into Practice - American Family ...

Mar 15, 2018 - A 45-year-old Korean American woman comes to your office for a wellness visit. She has a history of allergic rhinitis, and her family history is significant for diabetes mellitus in her father. She describes her health as good and has no concerns.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0315/p406.html

Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus - Putting Prevention ...

Jun 15, 2016 - M.A. is a 43-year-old woman with a seven pack-year smoking history. She has no health concerns and has not visited a physician in four years. Her blood pressure and pulse are normal, and her body mass index (BMI) is 27 kg per m2. She does not have a family history of diabetes mellitus ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0615/p1025.html

Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Recommendation ...

Jan 15, 2016 - The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2016/0115/od1.html

Screening for Thyroid Dysfunction: Recommendation Statement - U.S. Preventive Services ...

Jun 1, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for thyroid dysfunction in nonpregnant, asymptomatic adults.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2015/0601/od1.html

Screening for Thyroid Dysfunction - Putting Prevention into Practice - American Family ...

Oct 15, 2015 - A 40-year-old woman presents for a routine well-woman examination. She is not pregnant, is in good health, reports no symptoms, and her physical examination is unremarkable. After seeing a health news segment on television, she asks if she should have her thyroid function checked.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/1015/p717.html

Evaluation and Prevention of Diabetic Neuropathy - American Family Physician

Jun 1, 2005 - Diabetic neuropathy is a debilitating disorder that occurs in nearly 50 percent of patients with diabetes. It is a late finding in type 1 diabetes but can be an early finding in type 2 diabetes. The primary types of diabetic neuropathy are sensorimotor and autonomic. Patients may ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0601/p2123.html

No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes - POEMs -...

Apr 15, 2015 - Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0415/p566.html

Screening for Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2014/1201/od1.html

Thyroid Nodules - American Family Physician

Feb 1, 2003 - Palpable thyroid nodules occur in 4 to 7 percent of the population, but nodules found incidentally on ultrasonography suggest a prevalence of 19 to 67 percent. The majority of thyroid nodules are asymptomatic. Because about 5 percent of all palpable nodules are found to be malignant, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0201/p559.html

Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism -...

Aug 1, 2007 - Guidelines on newborn screening and therapy for congenital hypothyroidism have been released by the American Academy of Pediatrics (AAP). Congenital hypothyroidism can cause mental retardation unless thyroid therapy is initiated within two weeks of birth.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p439.html

Screening for Osteoporosis: Recommendation Statement - U.S. Preventive Services Task ...

May 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for osteoporosis in women 65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman with no additional risk factors.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2011/0515/p1197.html

Radiologic Bone Assessment in the Evaluation of Osteoporosis - American Family Physician

Apr 1, 2002 - Osteoporosis affects nearly 28 million elderly Americans. Its major clinical manifestation is fragility fractures of the spine, hip, and distal radius. Low bone mass is the most important risk factor for a fragility fracture. In 1994, the World Health Organization defined osteoporosis ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0401/p1357.html

Screening for Osteoporosis - Putting Prevention into Practice - American Family Physician

May 15, 2011 - Case study: A 59-year-old black woman presents for a routine well visit. She reports that her 60th birthday is in a few days, and asks if she should make an appointment to be screened for osteoporosis. She also asks whether her husband, who is 66 years of age, should be screened as well.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0515/p1201.html

ADA Releases Updated Recommendations on Standards of Medical Care in Diabetes - ...

Jul 15, 2010 - The 2010 American Diabetes Association's (ADA) Standards of Medical Care in Diabetes includes revisions based on new evidence. Several sections have undergone major changes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0715/p206.html

Screening for Congenital Hypothyroidism: Reaffirmation Recommendation Statement - U.S. ...

Nov 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for congenital hypothyroidism in newborns.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2009/1115/od1.html

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