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你正在浏览AMERICAN FAMILY PHYSICIAN期刊下所有文献
  • Eating Disorders in Primary Care: Diagnosis and Management.

    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 i...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Klein DA,Sylvester JE,Schvey NA

    更新日期:2021-01-01 00:00:00

  • Nonalcoholic Fatty Liver Disease: Common Questions and Answers on Diagnosis and Management.

    abstract::Nonalcoholic fatty liver disease (NAFLD) is the most common form of liver disease in the United States, affecting up to 30% of adults. There are two forms of NAFLD: nonalcoholic fatty liver (NAFL), defined as 5% or greater hepatic steatosis without hepatocellular injury or fibrosis, and nonalcoholic steatohepatitis (N...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Westfall E,Jeske R,Bader AR

    更新日期:2020-11-15 00:00:00

  • Anaphylaxis: Recognition and Management.

    abstract::Anaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. Most anaphylactic reactions occur outside the hospital setting. Urticaria, difficulty breathing, and mucosal swell...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Pflipsen MC,Vega Colon KM

    更新日期:2020-09-15 00:00:00

  • Neck Pain: Initial Evaluation and Management.

    abstract::Neck pain is a common presenting symptom in the primary care setting and causes significant disability. The broad differential diagnosis requires an efficient but global assessment; therefore, emphasis is typically placed on red flags that can assist in the early recognition and treatment of more concerning diagnoses,...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Childress MA,Stuek SJ

    更新日期:2020-08-01 00:00:00

  • Asymptomatic Bacteriuria.

    abstract::Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. There are few indications to treat asymptomatic bacteriuria, and inappropriate treatment contribute...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Colgan R,Jaffe GA,Nicolle LE

    更新日期:2020-07-15 00:00:00

  • Endometrial Biopsy: Tips and Pitfalls.

    abstract::Endometrial biopsy is a safe and efficient method to evaluate the endometrium for a variety of indications, most commonly abnormal uterine bleeding and postmenopausal bleeding. Endometrial biopsy is highly specific for diagnosing atypical hyperplasia and endometrial cancer in postmenopausal women. Pregnancy is the onl...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Williams PM,Gaddey HL

    更新日期:2020-05-01 00:00:00

  • Benign Anorectal Conditions: Evaluation and Management.

    abstract::Common anorectal conditions include hemorrhoids, perianal pruritus, anal fissures, functional rectal pain, perianal abscess, condyloma, rectal prolapse, and fecal incontinence. Although these are benign conditions, symptoms can be similar to those of cancer, so malignancy should be considered in the differential diagn...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Cohee MW,Hurff A,Gazewood JD

    更新日期:2020-01-01 00:00:00

  • Hidradenitis Suppurativa: Rapid Evidence Review.

    abstract::Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, smoking, and obesity. Hidradenitis s...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Wipperman J,Bragg DA,Litzner B

    更新日期:2019-11-01 00:00:00

  • Amenorrhea: A Systematic Approach to Diagnosis and Management.

    abstract::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 characterized by cessation of previously ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Klein DA,Paradise SL,Reeder RM

    更新日期:2019-07-01 00:00:00

  • Gas, Bloating, and Belching: Approach to Evaluation and Management.

    abstract::Gas, bloating, and belching are associated with a variety of conditions but are most commonly caused by functional gastrointestinal disorders. These disorders are characterized by disordered motility and visceral hypersensitivity that are often worsened by psychological distress. An organized approach to the evaluatio...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Wilkinson JM,Cozine EW,Loftus CG

    更新日期:2019-03-01 00:00:00

  • Patellofemoral Pain Syndrome.

    abstract::Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around the anterior knee that intensifies...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Gaitonde DY,Ericksen A,Robbins RC

    更新日期:2019-01-15 00:00:00

  • School Absenteeism in Children and Adolescents.

    abstract::Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Previous research focused on distinguishing between truancy and anxiety-driven school refusal, but current policy ha...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Allen CW,Diamond-Myrsten S,Rollins LK

    更新日期:2018-12-15 00:00:00

  • Caring for Transgender and Gender-Diverse Persons: What Clinicians Should Know.

    abstract::Persons whose experienced or expressed gender differs from their sex assigned at birth may identify as transgender. Transgender and gender-diverse persons may have gender dysphoria (i.e., distress related to this incongruence) and often face substantial health care disparities and barriers to care. Gender identity is ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Klein DA,Paradise SL,Goodwin ET

    更新日期:2018-12-01 00:00:00

  • Anemia in Older Adults.

    abstract::Anemia is associated with increased morbidity and mortality in older adults. Diagnostic cutoff values for defining anemia vary with age, sex, and possibly race. Anemia is often asymptomatic and discovered incidentally on laboratory testing. Patients may present with symptoms related to associated conditions, such as b...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Lanier JB,Park JJ,Callahan RC

    更新日期:2018-10-01 00:00:00

  • Breastfeeding: Common Questions and Answers.

    abstract::All major health organizations recommend breastfeeding as the optimal source of infant nutrition, with exclusive breastfeeding recommended for the first six months of life. After six months, complementary foods may be introduced. Most organizations recommend breastfeeding for at least one year, and the World Health Or...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Westerfield KL,Koenig K,Oh R

    更新日期:2018-09-15 00:00:00

  • Acute Appendicitis: Efficient Diagnosis and Management.

    abstract::Appendicitis is one of the most common causes of acute abdominal pain in adults and children, with a lifetime risk of 8.6% in males and 6.7% in females. It is the most common nonobstetric surgical emergency during pregnancy. Findings from the history, physical examination, and laboratory studies aid in the diagnosis o...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Snyder MJ,Guthrie M,Cagle S

    更新日期:2018-07-01 00:00:00

  • Diets for Health: Goals and Guidelines.

    abstract::Diet is the single most significant risk factor for disability and premature death. Patients and physicians often have difficulty staying abreast of diet trends, many of which focus primarily on weight loss rather than nutrition and health. Recommending an eating style can help patients make positive change. Dietary p...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Locke A,Schneiderhan J,Zick SM

    更新日期:2018-06-01 00:00:00

  • Common Running Injuries: Evaluation and Management.

    abstract::Running is a common form of exercise but predisposes athletes to several running-related injuries. Most running injuries are due to overuse and respond to conservative treatment. Tendinopathies in the patellar, Achilles, and hamstring tendons are common, and are primarily treated with eccentric exercise. Iliotibial ba...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Arnold MJ,Moody AL

    更新日期:2018-04-15 00:00:00

  • Type 2 Diabetes Mellitus: Outpatient Insulin Management.

    abstract::In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. The American Diabetes Association suggests the use of long-acting (basal) insulin to augment therapy with one or two oral agents or one oral agent plus a glucagon-like pep...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Howard-Thompson A,Khan M,Jones M,George CM

    更新日期:2018-01-01 00:00:00

  • Disorders of Puberty: An Approach to Diagnosis and Management.

    abstract::Disorders of puberty can profoundly impact physical and psychosocial well-being. Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome neurologic symptoms typically have a ...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Klein DA,Emerick JE,Sylvester JE,Vogt KS

    更新日期:2017-11-01 00:00:00

  • Developmental Delay: When and How to Screen.

    abstract::An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can be easily incorporated into the w...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Vitrikas K,Savard D,Bucaj M

    更新日期:2017-07-01 00:00:00

  • Postpartum Hemorrhage: Prevention and Treatment.

    abstract::Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active management of the third stage of labor should be used routinely to reduce its incidence. Use of oxytocin after delivery of the anterior shoulder is the most important and effective component of this practice. Oxytocin...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Evensen A,Anderson JM,Fontaine P

    更新日期:2017-04-01 00:00:00

  • Common Superficial Bursitis.

    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

    pub_type: 杂志文章

    doi:

    authors: Khodaee M

    更新日期:2017-02-15 00:00:00

  • Carpal Tunnel Syndrome: Diagnosis and Management.

    abstract::Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, which includes the palmar aspect...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Wipperman J,Goerl K

    更新日期:2016-12-15 00:00:00

  • Sexually Transmitted Infections: Recommendations from the U.S. Preventive Services Task Force.

    abstract::The U.S. Preventive Services Task Force (USPSTF) has issued recommendations on behavioral counseling to prevent sexually transmitted infections (STIs) and recommendations about screening for individual STIs. Clinicians should obtain a sexual history to assess for behaviors that increase a patient's risk. Community and...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Lee KC,Ngo-Metzger Q,Wolff T,Chowdhury J,LeFevre ML,Meyers DS

    更新日期:2016-12-01 00:00:00

  • Diagnosis and Treatment of Atrial Fibrillation.

    abstract::Atrial fibrillation is a supraventricular arrhythmia that adversely affects cardiac function and increases the risk of stroke. It is the most common arrhythmia and a major source of morbidity and mortality; its prevalence increases with age. Pulse rate is sensitive, but not specific, for diagnosis, and suspected atria...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Gutierrez C,Blanchard DG

    更新日期:2016-09-15 00:00:00

  • Identification and Management of Peripartum Depression.

    abstract::Peripartum depression affects up to one in seven women and is associated with significant maternal and neonatal morbidity if untreated. A history of depression is the strongest risk factor for developing peripartum depression. The U.S. Preventive Services Task Force recommends screening pregnant and postpartum women f...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Langan R,Goodbred AJ

    更新日期:2016-05-15 00:00:00

  • Diagnosis and Management of Adnexal Masses.

    abstract::Adnexal masses can have gynecologic or nongynecologic etiologies, ranging from normal luteal cysts to ovarian cancer to bowel abscesses. Women who report abdominal or pelvic pain, increased abdominal size or bloating, difficulty eating, or rapid satiety that occurs more than 12 times per month in less than a year shou...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Biggs WS,Marks ST

    更新日期:2016-04-15 00:00:00

  • Medications for Alcohol Use Disorder.

    abstract::The U.S. Preventive Services Task Force recommends that clinicians screen adults for alcohol misuse and provide persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. However, only a minority of American adults with high-risk alcohol use receive treatment. T...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Winslow BT,Onysko M,Hebert M

    更新日期:2016-03-15 00:00:00

  • Somatic Symptom Disorder.

    abstract::With the release of the Diagnostic and Statistical Manual of Mental Disorders, 5th ed., the diagnostic category previously known as somatoform disorders is now called somatic symptom and related disorders. The revisions were intended to increase their relevance in the primary care setting. The main feature of this dis...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Kurlansik SL,Maffei MS

    更新日期:2016-01-01 00:00:00

  • Diagnosis and Treatment of Gastroesophageal Reflux in Infants and Children.

    abstract::Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation (spitting up) and vomiting. It is a normal physiologic process that occurs throughout the day in infants and less often in children and adolescents. Gastroesophageal reflux disease (GERD) ...

    journal_title:American family physician

    pub_type: 杂志文章,病人教育讲义

    doi:

    authors: Baird DC,Harker DJ,Karmes AS

    更新日期:2015-10-15 00:00:00

  • The Preparticipation Sports Evaluation.

    abstract::The preparticipation physical evaluation is a commonly requested medical visit for amateur and professional athletes of all ages. The overarching goal is to maximize the health of athletes and their safe participation in sports. Although studies have not found that the preparticipation physical evaluation prevents mor...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Mirabelli MH,Devine MJ,Singh J,Mendoza M

    更新日期:2015-09-01 00:00:00

  • Management of Spontaneous Vaginal Delivery.

    abstract::Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. In the first stage of labor, normal birth outcomes can be improved by encouraging the patient to walk and stay in upright positions, waiting until at least 6 cm dilation to diagnose active stage arrest, providi...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Dresang LT,Yonke N

    更新日期:2015-08-01 00:00:00

  • Health Literacy in Primary Care Practice.

    abstract::Health literacy includes a set of skills needed to make appropriate health decisions and successfully navigate the health care system. These skills include reading, writing, numeracy, communication, and, increasingly, the use of electronic technology. National data indicate that more than one-third of U.S. adults have...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Hersh L,Salzman B,Snyderman D

    更新日期:2015-07-15 00:00:00

  • Common questions about chronic low back pain.

    abstract::More than 30% of U.S. adults report having experienced low back pain within the preceding three months. Although most low back pain is nonspecific and self-limiting, a subset of patients develop chronic low back pain, defined as persistent symptoms for longer than three months. Low back pain is categorized as nonspeci...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Herndon CM,Zoberi KS,Gardner BJ

    更新日期:2015-05-15 00:00:00

  • Diagnosis of acute stroke.

    abstract::Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke are speech disturbance and weaknes...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Yew KS,Cheng EM

    更新日期:2015-04-15 00:00:00

  • Common questions about the initial management of hypertension.

    abstract::Hypertension is the most common chronic condition treated by family physicians. Elevated blood pressure is associated with an increased risk of heart failure, myocardial infarction, cerebrovascular disease, and death. Treatment of hypertension reduces the risk of these events. Several lifestyle modifications are assoc...

    journal_title:American family physician

    pub_type: 杂志文章,评审

    doi:

    authors: Langan R,Jones K

    更新日期:2015-02-01 00:00:00

  • Colorectal cancer screening and surveillance.

    abstract::Colorectal cancer is the third most common cancer in men and women. The incidence and mortality rate of the disease have been declining over the past two decades because of early detection and treatment. Screening in persons at average risk should begin at 50 years of age; the U.S. Preventive Services Task Force recom...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Short MW,Layton MC,Teer BN,Domagalski JE

    更新日期:2015-01-15 00:00:00

  • Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa.

    abstract::Eating disorders are life-threatening conditions that are challenging to address; however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention. The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ed., includes updated diagnostic cr...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Harrington BC,Jimerson M,Haxton C,Jimerson DC

    更新日期:2015-01-01 00:00:00

  • Prevention of health care-associated infections.

    abstract::Health care-associated infections cause approximately 75,000 deaths annually, in addition to increasing morbidity and costs. Over the past decade, a downward trend in health care-associated infections has occurred nationwide. Basic prevention measures include administrative support, educating health care personnel, an...

    journal_title:American family physician

    pub_type: 杂志文章

    doi:

    authors: Hsu V

    更新日期:2014-09-15 00:00:00

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