journal
MENU ▼
Read by QxMD icon Read
search

FP Essentials

journal
https://read.qxmd.com/read/30995002/cardiovascular-disease-cardioverter-defibrillators-and-left-ventricular-assist-devices
#1
Craig Barstow, David Kassop
Sudden cardiac death (SCD) is an abrupt and unexpected death presumed to be due to cardiac causes. The primary etiologic mechanism is cardiac arrest due to an arrhythmia. Cardioverter-defibrillators detect abnormal arrhythmia and abort the rhythm with an electrical shock. Wearable cardioverter-defibrillators are devices in which the leads contact the chest on a vest worn by the patient. Wearable devices are for patients at temporary risk of SCD, when comorbidities prohibit placement of an implantable cardioverter-defibrillator (ICD), or as a bridge to ICD placement or heart transplantation...
April 2019: FP Essentials
https://read.qxmd.com/read/30995001/cardiovascular-disease-lower-extremity-deep-venous-thrombosis
#2
Michael Braun, David Kassop
Risk factors for deep venous thrombosis (DVT) include immobility, recent or current hospitalization, recent surgery, recent infection, and cancer. Patients with suspected venous thromboembolism should be evaluated with the Wells score or modified Wells score (which adds a previous DVT) to determine the likelihood of DVT. A low or moderate probability score and a normal D-dimer test result exclude DVT. If the score indicates that DVT is likely, patients should undergo Doppler ultrasonography (US). If US reveals DVT in a proximal (ie, in the knee or above) vein, anticoagulation should be started unless contraindicated...
April 2019: FP Essentials
https://read.qxmd.com/read/30995000/cardiovascular-disease-chronic-venous-insufficiency-and-varicose-veins
#3
Craig Barstow, David Kassop
Chronic venous insufficiency (CVI) results from long-term venous hypertension in the legs caused by venous obstruction, venous valve incompetency, muscle pump dysfunction, or a combination of these. CVI occurs in 9.4% of men and 6.6% of women. It takes any of several forms, including leg pain and heaviness, leg edema that is worsened by prolonged standing and relieved by elevation, stasis dermatitis, skin fibrosis, skin ulcers, and varicose veins. If the patient history and/or physical examination results are suggestive of CVI, the diagnosis can be confirmed with duplex ultrasonography...
April 2019: FP Essentials
https://read.qxmd.com/read/30994999/cardiovascular-disease-lower-extremity-peripheral-artery-disease
#4
Jonathon D McDivitt, Michael Braun, David Kassop
Lower extremity peripheral artery disease (PAD) refers to atherosclerotic disease that involves the iliac, femoral, or more distal arteries of the lower extremities. This condition affects 8 to 12 million Americans. Risk factors include advanced age, hypertension, dyslipidemia, diabetes, and cigarette smoking. Approximately 10% to 30% of patients with PAD present with the classic symptom of intermittent claudication. Some patients experience symptoms such as pallor, hair loss, or nonhealing wounds, and up to half of patients are asymptomatic...
April 2019: FP Essentials
https://read.qxmd.com/read/30994998/cardiovascular-disease-foreword
#5
Mindy A Smith
No abstract text is available yet for this article.
April 2019: FP Essentials
https://read.qxmd.com/read/30844223/prescription-drug-and-alcohol-use-disorders-alcohol-use-disorder
#6
Daniel Warren
Alcohol use is a common contributor to medical disease and a leading cause of preventable death. Because brief interventions for unhealthy alcohol use are effective, and because risk factors for unhealthy alcohol use are not always immediately identifiable, universal screening is recommended for adults. For patients who screen positive, physicians should assess further to diagnose alcohol use disorder, determine risk of withdrawal symptoms, and recommend an appropriate level of treatment. Outcomes of alcohol use disorder management are improved with evidence-based psychosocial therapy, but there is no support for preferring one specific evidence-based therapy over another...
March 2019: FP Essentials
https://read.qxmd.com/read/30844222/prescription-drug-and-alcohol-use-disorders-substance-use-disorders-related-to-nonopioid-prescription-drugs
#7
Daniel Warren
Nonmedical use of nonopioid prescription drugs occurs with many substances and can cause severe morbidity and mortality. Such nonmedical use is difficult to identify clinically, but appropriate drug screening and use of state prescription drug monitoring programs can help. It is unclear if universal screening is effective, especially because brief interventions may not make a difference in ongoing substance use. Preventing nonmedical use of nonopioid prescription drugs is essential. This can be accomplished by prescribing drugs without the potential for nonmedical use and by counseling patients about risks whenever such drugs are prescribed...
March 2019: FP Essentials
https://read.qxmd.com/read/30844221/prescription-drug-and-alcohol-use-disorders-opioid-use-disorder
#8
Laurel Witt, Faith Butler
More than 2 million Americans meet the criteria for opioid use disorder. This epidemic has been driven in part by overprescribing. Physicians have an obligation to respond through better opioid stewardship, universal screening for misuse, referral for management, and provision of opioid use disorder management. Opioid use disorder should be diagnosed using the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) criteria and should not be confused with uncomplicated opioid dependence. The pharmacotherapy of opioid use disorder has three overarching goals: to manage withdrawal, to reduce cravings, and to block the effects of nonmedical opioid use...
March 2019: FP Essentials
https://read.qxmd.com/read/30844220/prescription-drug-and-alcohol-use-disorders-safe-prescribing-of-opioids
#9
Tiffany Shin
Opioids are not first-line therapy for chronic noncancer pain or nonsevere acute pain. Overall, evidence does not show that opioids are superior to nonopioid interventions, and opioids pose a high risk of harm. A trial of opioid therapy may be considered for patients who have persistent severe pain plus functional limitations despite adherence to multiple appropriate nonopioid therapies. Individual benefits and harms, including potential adverse effects, overdose risk, and opioid use disorder risk, must be assessed thoroughly before opioid therapy is initiated...
March 2019: FP Essentials
https://read.qxmd.com/read/30844219/prescription-drug-and-alcohol-use-disorders-foreword
#10
Karl T Rew
No abstract text is available yet for this article.
March 2019: FP Essentials
https://read.qxmd.com/read/30747510/neurologic-conditions-dizziness-and-vertigo
#11
James E McKinley, Allen Perkins
Dizziness is seen frequently in patients in the family medicine and emergency department settings. The differential diagnosis of dizziness can be expansive but with a targeted history and physical examination, a correct diagnosis often can be established and appropriate treatment offered. Common etiologies of dizziness include hypotension, benign paroxysmal positional vertigo (BPPV), and Meniere disease. Strokes and malignancies also can cause this symptom. Imaging is indicated if intracranial pathology is suspected...
February 2019: FP Essentials
https://read.qxmd.com/read/30747509/neurologic-conditions-new-onset-seizures-in-adults
#12
James E McKinley, Allen Perkins
Family physicians may be the first point of contact for adults with new-onset seizure. There are many etiologies of seizures in adults. Etiologies of provoked seizures include temporary metabolic disturbances, central nervous system infections, cerebrovascular disease, drug withdrawal, and traumatic brain injury. Stable or evolving cerebral conditions can cause unprovoked seizures. Nonorganic etiologies include nonepileptiform convulsions, such as a pseudoseizure, which are psychogenic. In the emergency department setting, computed tomography scan of the head should be considered for all patients with new-onset seizure...
February 2019: FP Essentials
https://read.qxmd.com/read/30747508/neurologic-conditions-parkinson-disease
#13
James E McKinley, Allen Perkins
Parkinson disease (PD) is a complex neurologic disorder that involves motor and nonmotor brain functions. PD is the second most common neurodegenerative disease after Alzheimer disease. Motor symptoms include resting tremor, cogwheel rigidity, extreme slowness of movement, shuffling gait, and impaired balance. Swallowing and speaking difficulties also are common. Nonmotor symptoms include depression, hallucinations, and sleep disturbances that seriously affect quality of life. There is no cure for PD but management of motor and nonmotor symptoms can improve quality of life...
February 2019: FP Essentials
https://read.qxmd.com/read/30747507/neurologic-conditions-common-peripheral-neuropathies
#14
James E McKinley, Allen Perkins
Peripheral neuropathies (PNs) are a group of conditions caused by damage to the peripheral nervous system. PN is a condition commonly seen in the family medicine setting and can lead to reduced quality of life due to pain, ulceration, and falls. More than 100 etiologies of PN have been identified; the most common are metabolic, drug-related, and systemic etiologies. Common treatable etiologies include diabetes and other medical conditions. Screening is recommended only for patients with suspected diabetic PN...
February 2019: FP Essentials
https://read.qxmd.com/read/30747506/neurologic-conditions-foreword
#15
Mindy A Smith
No abstract text is available yet for this article.
February 2019: FP Essentials
https://read.qxmd.com/read/30615408/infectious-disease-health-care-associated-infections
#16
Charles W Shafer, Jay R Allison, Amy L Hogue, Mark K Huntington
Health care-associated infections (HAIs) are a major cause of morbidity and mortality, with 2 million US patients per year developing HAIs. This results in 90,000 deaths and billions of dollars in preventable expenses annually. Common HAIs include central line-associated bloodstream infection, catheter-related urinary tract infection, surgical site infection, hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), methicillin-resistant Staphylococcus aureus (MRSA) infection, Clostridium difficile infection (CDI), and others...
January 2019: FP Essentials
https://read.qxmd.com/read/30615407/infectious-disease-community-response-to-emerging-infectious-diseases
#17
Amy L Hogue, Jay R Allison, Charles W Shafer, Mark K Huntington
Emerging infectious diseases are those that are newly discovered, recently have increased in prevalence, or are expected to increase in prevalence in the future. Family physicians play an important role in leading community response to emerging infectious diseases. As with other types of disasters, the general approach to outbreaks has four stages: preparedness, response, recovery, and mitigation. Preparedness includes promotion of community health, maintenance of high vaccination rates, development of protocols for hospitals and family medicine practices, preparation of patients for international travel, and consideration of volunteering in case of disasters...
January 2019: FP Essentials
https://read.qxmd.com/read/30615406/infectious-disease-bedbugs-lice-and-mites
#18
Mark K Huntington, Jay R Allison, Amy L Hogue, Charles W Shafer
Bedbugs, mites, and scabies are ectoparasites that commonly affect humans. Bedbugs ( Cimex species) were once rare in the United States but are now common. They cause intensely pruritic lesions on areas of exposed skin. The bites are highly allergenic and can cause asthma exacerbations or anaphylaxis. Management of bedbug bites involves symptomatic relief of itching and dealing with patient anxiety. Identification and elimination of infestation are most important. Another ectoparasite of concern is lice ( Pediculus and Pthirus species), which causes head, body, and pubic infestations...
January 2019: FP Essentials
https://read.qxmd.com/read/30615405/infectious-disease-mosquito-borne-viral-illnesses
#19
Jay R Allison, Amy L Hogue, Charles W Shafer, Mark K Huntington
Due to rapid globalization and ease of travel, mosquito-borne viral infections are now a concern for family physicians throughout the United States. Zika virus infection is one such concern. It is spread via mosquito bites or by sexual contact with an infected individual. Most patients are asymptomatic, and when symptoms occur, they are mild and nonspecific. The main concern is the potential of the infection to cause fetal anomalies. Dengue is another mosquito-borne viral infection. Symptoms of initial infection are mild, and may include arthralgias...
January 2019: FP Essentials
https://read.qxmd.com/read/30615404/infectious-disease-foreword
#20
Barry D Weiss
No abstract text is available yet for this article.
January 2019: FP Essentials
journal
journal
47451
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"