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Journal of Family Practice

Zvi Weizman
No abstract text is available yet for this article.
July 2017: Journal of Family Practice
Jeff Ebel
No abstract text is available yet for this article.
July 2017: Journal of Family Practice
Sahand Rahnama-Moghadam, Robert T Gilson
A 25-year-old college student with no medical history sought care at our hospital for a nonproductive cough, subjective fevers, myalgia, and malaise that he'd developed 10 days earlier. The day before his visit, he'd also developed scratchy red eyes and a sore throat. He said he'd taken an over-the-counter cough suppressant to help with the cough, but his eyes and lips developed further redness and irritation. On examination, the patient demonstrated conjunctival suffusion, periorbital edema, diffuse oral stomatitis with pseudomembranous crusting, and nasal crusting...
July 2017: Journal of Family Practice
Anne Bartels, Michael Chandall, Leah Spring
This patient was initially told he had genital warts, but the appearance of the lesions, and the presence of a rash on his trunk and extremities, suggested another diagnosis.
July 2017: Journal of Family Practice
Angela Zhang, Robert Marshall, Gary Kelsberg
The effects are unclear. Marijuana use during pregnancy is associated with clinically unimportant lower birth weights (growth differences of approximately 100 g), but no differences in preterm births or congenital anomalies.
July 2017: Journal of Family Practice
Doug Campos-Outcalt
A recent outbreak in Minnesota underscores the need to maintain vigilance and adhere to best practices in immunization and containment of known cases.
July 2017: Journal of Family Practice
Yee Lam, Catherine Coe, Anne Mounsey
With various formulations available, which combined OC should you recommend to minimize not only the risk of PE, but also the risk of stroke and MI?
July 2017: Journal of Family Practice
Mitesh B Patel, Haripriya Maddur
A 26-year-old healthy male veteran with bipolar disorder and post-traumatic stress disorder was referred for a gastroenterology consultation after a routine laboratory evaluation revealed elevated levels of aspartate aminotransferase, 1040 IU/L (normal range, 10-40 IU/L), and alanine aminotransferase, 334 IU/L (normal range, 7-56 IU/L). He had been taking divalproex and ziprasidone for the previous 2 years, during which time liver test results had been normal.
July 2017: Journal of Family Practice
Kathryn McGrath, Emily R Hajjar, Chandrika Kumar, Christopher Hwang, Brooke Salzman
Polypharmacy brings with it increased risks for adverse drug events and reduced functional capacity. This 4-step plan will help you safely deprescribe in older adults.
July 2017: Journal of Family Practice
Jane G Morris, Emily L Carter, Stephen A Martin
A multifactorial approach is key to effective secondary stroke prevention. Here's how to individualize your plan for your at-risk patients.
July 2017: Journal of Family Practice
John Hickner
With a blood pressure consistently around 105/50 mm Hg, it was an easy decision to stop one of the patient's 3 antihypertensive medications.
July 2017: Journal of Family Practice
Szymon L Wiernek, Matthew A Cavender
Current guidelines for the treatment of patients with diabetes are focused on improving glycemic control and treating appropriate cardiovascular (CV) risk factors. Basic recommendations include blood pressure management with a goal of <140 mm Hg systolic pressure, statin therapy in all patients ≥40 years of age with diabetes (moderate intensity for all, and high intensity if at high risk of CVD events), and aspirin therapy in all adults at increased CV risk (10-year risk of CVD events >10%). Oral antihyperglycemic medications remain the cornerstone of treatment for optimizing glucose control in patients with diabetes...
June 2017: Journal of Family Practice
Joyce C Hollander-Rodriguez, Holly L Montjoy, Brynn Smedra, J P Prouty
It is unclear. Pseudoephedrine causes an average increase of 1.2 mm Hg in systolic blood pressure (BP) in patients with controlled hypertension. However, the studies are not adequately powered to provide evidence about whether this rise in systolic BP is linked to patient-oriented outcomes (strength of recommendation: C, multiple randomized controlled trials supporting disease-oriented evidence). Significant variations in BP are defined differently among studies. In addition, we do not have data on chronic use of oral decongestants; the longest time on medication in these trials was 4 weeks...
June 2017: Journal of Family Practice
Anthony P Trace, Kimberly Hoang, Joseph S McMonagle
While this patient had osteoporosis, she hadn't experienced any recent trauma or falls that would explain her pain.
June 2017: Journal of Family Practice
Jennie B Jarrett, David Moss
An inexpensive and well-tolerated anticholinergic reduces sweating in those with localized--and generalized--hyperhidrosis.
June 2017: Journal of Family Practice
Adam D Keesling, Meg Wilson, Robert Wilkins
A 57-year-old African American woman was being treated at our clinic for neurogenic urinary incontinence (UI). The UI, which occurred day and night, began 2 years earlier following a laminectomy of vertebrae C3 to C6 with spinal fusion of C3 to C7 for cervical spinal stenosis. The UI persisted despite physical therapy and trials of oxybutynin and imipramine. Since the surgery, the patient had also been experiencing chronic (debilitating) neuropathic pain in both legs, and the sensation of incomplete bladder emptying...
June 2017: Journal of Family Practice
Michael Jason Wells, Charles M Kodner
A 23-year-old woman seeks medical attention at the request of her boyfriend because she's been "miserable" for 3 weeks. In the examination room, she slouches in the chair and says her mood is low, her grades have dropped, and she no longer enjoys social gatherings or her other usual activities. She has no thoughts of suicide, no weight loss, and no somatic symptoms.
June 2017: Journal of Family Practice
Amy Kreykes, Hetal Choxi, Amy Rothberg
Nutritional deficiencies, decreased bone mineral density,and dumping syndrome are just some of the challenges these patients face. Here's how to optimize their care.
June 2017: Journal of Family Practice
Joel J Heidelbaugh
A novel explanatory model, Rome IV diagnostic criteria,and evidence-based therapeutic guidelines are making it easier to care for patients with this complex disorder.
June 2017: Journal of Family Practice
Jane G Morris, Emily L Carter, Stephen A Martin
Time is of the essence when a patient has signs and symptoms suggestive of a stroke or TIA. What should your initial approach and diagnostic work-up be?
June 2017: Journal of Family Practice
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