journal
MENU ▼
Read by QxMD icon Read
search

Medical Clinics of North America

journal
https://www.readbyqxmd.com/read/28577631/update-on-key-clinical-preventive-services-for-adults
#1
EDITORIAL
Michael P Pignone, Kirsten Bibbins-Domingo
No abstract text is available yet for this article.
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577630/an-ounce-of-prevention
#2
EDITORIAL
Bimal H Ashar
No abstract text is available yet for this article.
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577629/screening-and-counseling-for-unhealthy-alcohol-use-in-primary-care-settings
#3
REVIEW
Daniel E Jonas, James C Garbutt
Unhealthy alcohol use is a leading causes of preventable death in the United States. Reducing unhealthy alcohol use should be a high priority for health care providers. Well-validated screening instruments are available, and behavioral counseling interventions delivered in primary care can reduce risky drinking. For people with alcohol use disorder, treatment programs with or without medication can reduce consumption and promote abstinence. To overcome barriers to implementation of screening for alcohol use and subsequent delivery of appropriate interventions in primary care settings, support systems, changes in staffing or roles, formal protocols, and additional provider and staff training may be required...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577628/screening-adults-for-depression-in-primary-care
#4
REVIEW
Sarah Smithson, Michael P Pignone
The burden of depression in the United States is substantial. Evidence supports the benefits of screening for depression in all adults, including older patients and pregnant and postpartum women, when coupled with appropriate resources for management of disease. Developing, implementing, and sustaining a high-fidelity screening process is an important first step for improving the care of patients with depression in primary care. Initial treatment for depression should include psychotherapy, pharmacotherapy, or a combination of both...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577627/prevention-of-prostate-cancer-morbidity-and-mortality-primary-prevention-and-early-detection
#5
REVIEW
Michael J Barry, Leigh H Simmons
More than any other cancer, prostate cancer screening with the prostate-specific antigen (PSA) tests increases the risk a man will have to face a diagnosis of prostate cancer. The best evidence from screening trials suggests a small but finite benefit from prostate cancer screening in terms of prostate cancer-specific mortality, about 1 fewer prostate cancer death per 1000 men screened over 10 years. The more serious harms of prostate cancer screening, such as erectile dysfunction and incontinence, result from cancer treatment with surgery or radiation, particularly for men whose PSA-detected cancers were never destined to cause morbidity or mortality...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577626/lung-cancer-screening
#6
REVIEW
Richard M Hoffman, Rolando Sanchez
Lung cancer is the leading cause of cancer death in the United States. More than 80% of these deaths are attributed to tobacco use, and primary prevention can effectively reduce the cancer burden. The National Lung Screening Trial showed that low-dose computed tomography (LDCT) screening could reduce lung cancer mortality in high-risk patients by 20% compared with chest radiography. The US Preventive Services Task Force recommends annual LDCT screening for persons aged 55 to 80 years with a 30-pack-year smoking history, either currently smoking or having quit within 15 years...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577625/colorectal-cancer-screening-in-average-risk-patients
#7
REVIEW
Alison T Brenner, Michael Dougherty, Daniel S Reuland
Colorectal cancer (CRC) contributes a major burden of cancer mortality in the United States. There are multiple effective screening approaches that can reduce CRC mortality. These approaches are supported by different levels of evidence, and each has its own advantages and disadvantages. Implementing a systematic approach to screening that addresses the multiple steps involved in the screening process is essential to improving population-level CRC screening. Offering patients stool-based screening is important for increasing screening uptake...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577624/cervical-cancer-screening
#8
REVIEW
George F Sawaya, Megan J Huchko
Cervical cancer screening in the United States has accompanied profound decreases in cancer incidence and mortality over the last half century. Two screening strategies are currently endorsed by US-based guideline groups: (1) triennial cytology for women aged 21 to 65 years, and (2) triennial cytology for women aged 21 to 29 years followed by cytology plus testing for high-risk human papillomavirus types every 5 years for women aged 30 years and older. Providing women with affordable, easily accessible screening, follow-up of abnormal tests, and timely treatment will result in the greatest impact of screening on cervical cancer incidence and mortality...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577623/risk-based-breast-cancer-screening-implications-of-breast-density
#9
REVIEW
Christoph I Lee, Linda E Chen, Joann G Elmore
The approach to breast cancer screening has changed over time from a general approach to a more personalized, risk-based approach. Women with dense breasts, one of the most prevalent risk factors, are now being informed that they are at increased risk of developing breast cancer and should consider supplemental screening beyond mammography. This article reviews the current evidence regarding the impact of breast density relative to other known risk factors, the evidence regarding supplemental screening for women with dense breasts, supplemental screening options, and recommendations for physicians having shared decision-making discussions with women who have dense breasts...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577622/aspirin-for-primary-prevention
#10
REVIEW
Ilana B Richman, Douglas K Owens
Aspirin reduces the risk of nonfatal myocardial infarction and stroke, and the risk of colorectal cancer. Aspirin increases the risk of gastrointestinal and intracranial bleeding. The best available evidence supports initiating aspirin in select populations. In 2016, the US Preventive Services Task Force recommended initiating aspirin for the primary prevention of both cardiovascular disease and colorectal cancer among adults ages 50 to 59 who are at increased risk for cardiovascular disease. Adults 60 to 69 who are at increased cardiovascular disease risk may also benefit...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577621/screening-for-hypertension-and-lowering-blood-pressure-for-prevention-of-cardiovascular-disease-events
#11
REVIEW
Anthony J Viera
Hypertension affects 1 in 3 American adults. Blood pressure (BP)-lowering therapy reduces the risk of cardiovascular disease. The United States Preventive Services Task Force recommends all adults be screened for hypertension. Most patients whose office BP is elevated should have out-of-office monitoring to confirm the diagnosis. Ambulatory BP monitoring is preferred for out-of-office measurement, but home BP monitoring is a reasonable alternative. Guidelines for treatment are stratified by age (<60 vs >60 years) and include cutoffs for recommended treatment BPs and target BP goals...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577620/statins-for-primary-prevention-of-cardiovascular-disease-review-of-evidence-and-recommendations-for-clinical-practice
#12
REVIEW
Dhruv S Kazi, Joanne M Penko, Kirsten Bibbins-Domingo
Numerous large randomized clinical trials have shown that statin therapy is effective and safe for primary prevention of atherosclerotic cardiovascular disease (CVD) for adults aged 40 to 75 years and support the use of 10-year CVD risk as a means to identify individuals for treatment. Uncertainty exists in those older than 75 years who may be more likely to benefit because of their underlying CVD risk, but also face uncertain harms. Several high-quality mathematical simulation models have shown that statin therapy is cost-effective for primary prevention of atherosclerotic CVD...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28577619/cardiovascular-risk-assessment
#13
REVIEW
Mark J Pletcher, Andrew E Moran
Cardiovascular risk assessment is fundamental to prevention of cardiovascular disease, because it helps determine the size of the potential benefits that might accrue to individual patients from use of statins, aspirin, and other preventive interventions. Current guidelines recommend specific algorithms for cardiovascular risk assessment that combine information from traditional risk factors including blood pressure, lipids, and smoking, along with age and sex and other factors. These algorithms are the subject of active research and controversy...
July 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372720/emergencies-in-the-outpatient-setting
#14
EDITORIAL
Joseph F Szot
No abstract text is available yet for this article.
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372719/recognize-assess-and-treat
#15
EDITORIAL
Bimal H Ashar
No abstract text is available yet for this article.
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372718/otolaryngologic-emergencies-in-the-primary-care-setting
#16
REVIEW
Kendall K Tasche, Kristi E Chang
Most otolaryngology-related complaints are straightforward and easily recognized and treated. However, given the proximity of the ears, nose, and throat to numerous vital structures in the head and neck, the potential for serious consequences exists if disease processes go unrecognized and untreated. This article serves to familiarize the primary care provider with the clinical presentation of various complications associated with common otolaryngologic complaints. Clinicians who care for patients presenting with otolaryngologic complaints should keep these entities in mind and attempt to rule out any serious complication...
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372717/ocular-emergencies-red-eye
#17
REVIEW
Andreina Tarff, Ashley Behrens
"Red eye" is used as a general term to describe irritated or bloodshot eyes. It is a recognizable sign of an acute/chronic, localized/systemic underlying inflammatory condition. Conjunctival injection is most commonly caused by dryness, allergy, visual fatigue, contact lens overwear, and local infections. In some instances, red eye can represent a true ocular emergency that should be treated by an ophthalmologist. A comprehensive assessment of red eye conditions is required to preserve the patients visual function...
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372716/monoarticular-arthritis
#18
REVIEW
Namrata Singh, Scott A Vogelgesang
Monoarticular arthritis is inflammation characterized by joint pain, swelling, and sometimes periarticular erythema. Although chronic causes are seen, the onset is often acute. An infected joint can quickly lead to permanent damage, making it a medical emergency. However, acute gout presenting as monoarticular arthritis is often so uncomfortable it requires urgent attention. Monoarticular crystalline arthritis is common and a septic joint is a medical emergency so it is no surprise that these diagnoses come to mind with complaint of inflammation in 1 joint...
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372715/management-of-hyperglycemic-crises-diabetic-ketoacidosis-and-hyperglycemic-hyperosmolar-state
#19
REVIEW
Maya Fayfman, Francisco J Pasquel, Guillermo E Umpierrez
Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are the most serious and life-threatening hyperglycemic emergencies in diabetes. DKA is more common in young people with type 1 diabetes and HHS in adult and elderly patients with type 2 diabetes. Features of the 2 disorders with ketoacidosis and hyperosmolality may coexist. Both are characterized by insulinopenia and severe hyperglycemia. Early diagnosis and management are paramount. Treatment is aggressive rehydration, insulin therapy, electrolyte replacement, and treatment of underlying precipitating events...
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28372714/recognizing-and-caring-for-the-intoxicated-patient-in-an-outpatient-clinic
#20
REVIEW
Joseph H Donroe, Jeanette M Tetrault
Recognizing an intoxication syndrome in patients presenting to an outpatient clinical practice with behavior or mental status change requires initial consideration of a broad differential diagnosis. After a thorough evaluation, management may include treatment of the presenting concern, triage to a higher level of care, and management substance withdrawal. Providers should be aware of the medico-legal aspects of caring for intoxicated patients related to privacy, informed consent, and risk of harm to self and others upon leaving clinic...
May 2017: Medical Clinics of North America
journal
journal
25580
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"