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https://www.readbyqxmd.com/read/29759131/rheumatic-diseases-beyond-the-musculoskeletal-system
#1
EDITORIAL
Seetha U Monrad, Daniel F Battafarano
No abstract text is available yet for this article.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759130/a-better-hope
#2
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759129/approach-to-osteoarthritis-management-for-the-primary-care-provider
#3
REVIEW
Thomas W Schmidt
Osteoarthritis is the most common joint disease in the world today. Patients will present for evaluation and treatment to primary care providers on a regular basis. A general understanding of its pathogenesis, risk factors, diagnosis, and treatment is imperative. The goal of this article was to provide the primary care provider with a primer on osteoarthritis care and management.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759128/autoimmunity-mimics-infection-and-malignancy
#4
REVIEW
Jeffrey C Eickhoff, Angelique N Collamer
Musculoskeletal rheumatic syndromes are commonly encountered in the primary care setting. A plethora of commonly encountered and rare infectious agents can produce osteoarticular and soft tissue manifestations. Likewise, malignancies may manifest rheumatic symptoms via direct tumor invasion or paraneoplastic effects. Awareness of these diseases and their clinical risk factors should result in improved screening and earlier recognition and intervention, leading to improved long-term outcomes and overall patient care...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759127/fibromyalgia-in-primary-care
#5
REVIEW
Jay B Higgs
Fibromyalgia is a common disorder and has substantial impact on quality of life. The cause remains unknown, but current evidence points to multifactorial involvement of pain processing. Clinical diagnosis is aided by evidence-based diagnostic criteria with subscores for widespread pain and symptom severity. Nonpharmacologic treatments, including cognitive behavioral therapy, sleep hygiene, and regular aerobic exercise, form the cornerstone of management. Pharmacologic intervention is an important adjunct, but benefit is variable...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759126/primary-care-vasculitis-polymyalgia-rheumatica-and-giant-cell-arteritis
#6
REVIEW
Mathilde H Pioro
Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are related inflammatory diseases of adults aged 50 years or older. The diagnosis of PMR is based on morning stiffness, proximal shoulder and pelvic girdle pain, and functional impairment. GCA is characterized by headache, jaw claudication, and visual disturbances. Constitutional symptoms and elevated inflammatory markers are common to both conditions. Temporal artery biopsy remains the gold standard for diagnosis of GCA. Glucocorticoids are the cornerstone of therapy, with tapering regimens individualized to the patient...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759125/common-soft-tissue-musculoskeletal-pain-disorders
#7
REVIEW
Matthew J Hubbard, Bernard A Hildebrand, Monica M Battafarano, Daniel F Battafarano
Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. The authors used a regional approach to organize the material, as providers will encounter these syndromes with complaints of pain referring to an anatomic location. The covered disorders include myofascial pain syndrome, rotator cuff tendinopathy, bicipital tendinopathy, subacromial bursitis, olecranon bursitis, epicondylitis, De Quervain disease, trigger finger, trochanteric bursitis, knee bursitis, pes anserine bursitis, Baker cyst, plantar fasciitis, and Achilles tendinopathy...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759124/the-seronegative-spondyloarthropathies
#8
REVIEW
Ayyappa S Duba, Stephanie D Mathew
The seronegative spondyloarthropathies are a group of five diseases characterized by inflammatory oligoarticular arthritis, enthesitis, and axial involvement. They have an increased incidence of the HLA-B27 gene. They are commonly associated with extra-articular features including involvement of the skin, eyes, and gastrointestinal tract. Early recognition and referral are key to limit disability, and comanagement with primary care and rheumatology offers the best outcomes.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759123/systemic-lupus-erythematosus-for-primary-care
#9
REVIEW
Ruba Kado
Systemic lupus erythematosus is a chronic autoimmune condition with variable organ system involvement; manifestations can range from mild to potentially life threatening. Early diagnosis is important, as progression of disease can be halted. Diagnosis is made by review of signs and symptoms, imaging, and serology.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759122/early-diagnosis-and-treatment-of-rheumatoid-arthritis
#10
REVIEW
Emily A Littlejohn, Seetha U Monrad
Rheumatoid arthritis is the most common inflammatory arthritis, and a significant cause of morbidity and mortality. Primary care providers should be able to distinguish the clinical presentation of rheumatoid arthritis from osteoarthritis, because the treatment and outcomes differ greatly between these 2 common forms of arthritis. This article provides a current overview of our understanding of rheumatoid arthritis, with an emphasis on early diagnosis and approaches to treatment.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759121/diagnosis-and-treatment-of-gout-and-pseudogout-for-everyday-practice
#11
REVIEW
Anthony Sidari, Erica Hill
Gout and pseudogout are crystalline arthropathies commonly seen in primary care. It is important to understand their pathophysiology to facilitate recognition and appropriate treatment. Prompt gouty arthritis treatment relieves short-term suffering. Long-term treatment with urate-lowering therapy prevents recurrent attacks and is generally well-tolerated though flare risk is increased during treatment initiation. When anti-inflammatory medications are prescribed, the flare risk is low. Pseudogout acute treatment is similar to acute gouty arthritis treatment...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759120/practical-pearls-about-current-rheumatic-medications
#12
REVIEW
Ian M Ward, Amanda Knott
New and existing rheumatic disease is frequently encountered in the primary care setting. The number of medications used to treat various rheumatic conditions continues to increase. Some medications have very specific indications, whereas others have increasing off-label uses. Regardless of the indication, the medications used in rheumatology have variable dosing recommendations, significant side effects, recommended monitoring parameters, and potential medication interactions. Clinicians need to be aware of the potential uses as well as possible pitfalls associated with medications used in rheumatology...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759119/a-primer-on-rheumatologic-laboratory-tests-what-they-mean-and-when-to-order-them
#13
REVIEW
Leeza Patel, Alison M Gizinski
Rheumatologic laboratory tests are frequently ordered by primary care physicians in patients who complain of joint pain. Clinicians should keep in mind the pretest probability of a rheumatologic disorder before ordering any test because laboratory tests in rheumatology are not diagnostic of any particular disease. Any rheumatologic laboratory test result should only be used to further refine the diagnosis, and it should not replace a thorough history and physical examination. In this article, the authors discuss the diagnostic utility of the commonly ordered rheumatologic laboratory tests based on their sensitivity, specificity, and likelihood ratios...
June 2018: Primary Care
https://www.readbyqxmd.com/read/29759118/approach-to-patients-with-suspected-rheumatic-disease
#14
REVIEW
Iaszmin Ventura, Pankti Reid, Reem Jan
Patients with rheumatic disease may present with a myriad of symptoms, from joint pain and rashes to more subtle findings, such as dry eyes and dry mouth. In this article, the authors review in detail the common presenting symptoms of rheumatic disease along with key features in the history and physical examination to help distinguish these from other disease processes.
June 2018: Primary Care
https://www.readbyqxmd.com/read/29406954/be-still-my-beating-heart-cardiovascular-disease-in-the-united-states
#15
EDITORIAL
Mark B Stephens
No abstract text is available yet for this article.
March 2018: Primary Care
https://www.readbyqxmd.com/read/29406953/the-price-of-the-heart
#16
EDITORIAL
Joel J Heidelbaugh
No abstract text is available yet for this article.
March 2018: Primary Care
https://www.readbyqxmd.com/read/29406947/preparticipation-screening-of-young-athletes-identifying-cardiovascular-disease
#17
REVIEW
Kyle P Lammlein, Jonathan M Stoddard, Francis G O'Connor
The most common cause of sudden cardiac death (SCD) in young athletes in the United States is "autopsy-negative sudden unexplained death." This makes it extremely difficult to screen for and diagnose predisposing cardiovascular conditions before athletic participation. The goal of the preparticipation physical examination is to detect risk factors for SCD, make risk-based decisions regarding the need for further workup, and ultimately recommend for or against participation. Current evidence recommends universal screening of young athletes using the 14-point American Heart Association preparticipation cardiovascular checklist...
March 2018: Primary Care
https://www.readbyqxmd.com/read/29406946/valvular-heart-disease
#18
REVIEW
Zorana Mrsic, Scott P Hopkins, Jared L Antevil, Philip S Mullenix
This article outlines the diagnosis and management of commonly occurring valvular heart diseases for the primary care provider. Basic understanding of pathologic murmurs is important for appropriate referral. Echocardiography is the gold standard for diagnosis and severity grading. Patients with progressive valvular heart disease should be followed annually by cardiology and imaging should be performed based on the severity of valvular dysfunction. Surgery or intervention is recommended only when symptoms dictate or when changes in left ventricular function occur...
March 2018: Primary Care
https://www.readbyqxmd.com/read/29406945/heart-failure-optimizing-recognition-and-management-in-outpatient-settings
#19
REVIEW
Brian E Neubauer, Jeffery T Gray, Brian A Hemann
Heart failure represents a growing chronic medical condition with major implications on patient morbidity, mortality, and cost to health care systems. In this article, the heart failure syndrome is reviewed from a perspective of diagnosis and management, with updated therapeutic options reflected in major guidelines published since this topic was last reviewed in Primary Care Clinics in Office Practice in 2013. An emphasis is placed on the use of the American Heart Association/American College of Cardiology's staging system as a framework to improve early identification and treatment of patients at risk of symptomatic heart failure...
March 2018: Primary Care
https://www.readbyqxmd.com/read/29406944/coronary-artery-disease-diagnosis-and-management
#20
REVIEW
Stephen D Cagle, Noah Cooperstein
This review focuses on the outpatient assessment and management of coronary artery disease based on current guidelines and recommendations. The management of acute coronary syndrome and unstable angina is not included. Pharmacologic and nonpharmacotherapy options, including lifestyle modifications, are discussed with evidence to support recommendations and suggested management.
March 2018: Primary Care
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