Abstract：
:Eating disorders are potentially life-threatening conditions characterized by disordered eating and weight-control behaviors that impair physical health and psychosocial functioning. Early intervention may decrease the risk of long-term pathology and disability. Clinicians should interpret disordered eating and body image concerns and carefully monitor patients' height, weight, and body mass index trends for subtle changes. After diagnosis, visits should include the sensitive review of psychosocial and clinical factors, physical examination, orthostatic vital signs, and testing (e.g., a metabolic panel with magnesium and phosphate levels, electrocardiography) when indicated. Additional care team members (i.e., dietitian, therapist, and caregivers) should provide a unified, evidence-based therapeutic approach. The escalation of care should be based on health status (e.g., acute food refusal, uncontrollable binge eating or purging, co-occurring conditions, suicidality, test abnormalities), weight patterns, outpatient options, and social support. A healthy weight range is determined by the degree of malnutrition and pre-illness trajectories. Weight gain of 2.2 to 4.4 lb per week stabilizes cardiovascular health. Treatment options may include cognitive behavior interventions that address body image and dietary and physical activity behaviors; family-based therapy, which is a first-line treatment for youths; and pharmacotherapy, which may treat co-occurring conditions, but should not be pursued alone. Evidence supports select antidepressants or topiramate for bulimia nervosa and lisdexamfetamine for binge-eating disorder. Remission is suggested by healthy biopsychosocial functioning, cognitive flexibility with eating, resolution of disordered behaviors and decision-making, and if applicable, restoration of weight and menses. Prevention should emphasize a positive focus on body image instead of a focus on weight or dieting.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Klein DA,Sylvester JE,Schvey NAsubject
Has Abstractpub_date
2021-01-01 00:00:00pages
22-32issue
1eissn
0002-838Xissn
1532-0650pii
d15294journal_volume
103pub_type
杂志文章abstract：:Superficial bursitis most often occurs in the olecranon and prepatellar bursae. Less common locations are the superficial infrapatellar and subcutaneous (superficial) calcaneal bursae. Chronic microtrauma (e.g., kneeling on the prepatellar bursa) is the most common cause of superficial bursitis. Other causes include a...
journal_title：American family physician
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更新日期：2017-02-15 00:00:00
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journal_title：American family physician
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更新日期：1982-09-01 00:00:00
abstract：:Delirium is characterized by a sudden deterioration in cognitive function and an inability to sustain attention. It is a medical emergency that occurs in more than 20 percent of hospitalized elderly patients. Misdiagnosis is common and contributes to high morbidity and mortality. Patients may present in hypoactive, hy...
journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1994-11-01 00:00:00
abstract：:The Food and Drug Administration has recommended that blood donated for transfusion in the United States be screened for antibodies to human T lymphotropic virus type I. Since seropositive donors will be referred to health care providers for advice, physicians should become familiar with HTLV-I, its modes of transmiss...
journal_title：American family physician
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doi：
更新日期：1989-08-01 00:00:00
abstract：:Appropriate preconception health care improves pregnancy outcomes. When started at least one month before conception, folic acid supplements can prevent neural tube defects. Targeted genetic screening and counseling should be offered on the basis of age, ethnic background, or family history. Before conception, women s...
journal_title：American family physician
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更新日期：2002-06-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
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更新日期：1978-01-01 00:00:00
abstract：:Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of kidney disease. Enlarging cysts within the kidneys are the clinical hallmark of the disease. Renal manifestations include varying degrees of kidney injury, urinary tract infections, kidney stones, and hematuria. Extrarenal manif...
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更新日期：2014-09-01 00:00:00
abstract：:Joint and soft tissue injection of the ankle and foot region is a useful diagnostic and therapeutic tool for the family physician. This article reviews the injection procedure for the plantar fascia, ankle joint, tarsal tunnel, interdigital space, and first metatarsophalangeal joint. Indications for plantar fascia inj...
journal_title：American family physician
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更新日期：2003-10-01 00:00:00
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journal_title：American family physician
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更新日期：2017-07-01 00:00:00
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journal_title：American family physician
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更新日期：1991-06-01 00:00:00
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journal_title：American family physician
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更新日期：2011-08-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2002-06-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1985-04-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1985-02-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2001-11-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：1999-12-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-15 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
doi：
更新日期：1981-01-01 00:00:00
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journal_title：American family physician
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doi：
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journal_title：American family physician
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更新日期：1987-02-01 00:00:00
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journal_title：American family physician
pub_type： 杂志文章
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journal_title：American family physician
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journal_title：American family physician
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journal_title：American family physician
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更新日期：1994-12-01 00:00:00
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journal_title：American family physician
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更新日期：1993-04-01 00:00:00
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journal_title：American family physician
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journal_title：American family physician
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更新日期：1988-10-01 00:00:00
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journal_title：American family physician
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更新日期：1993-08-01 00:00:00
abstract：:Serotonin syndrome is a potentially life-threatening complication of psychopharmacologic drug therapy. The syndrome is produced most often by the concurrent use of two or more drugs that increase brainstem serotonin activity and is often unrecognized because of the varied and nonspecific nature of its symptomatology. ...
journal_title：American family physician
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更新日期：1995-10-01 00:00:00
