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American Family Physician July 1, 2005 Achar, Kundu & Norcross	Diagnosis of Acute Coronary Syndrome Differentiating acute coronary syndrome from noncardiac chest pain is the primary diagnostic challenge. The initial assessment requires a focused history (including risk factor analysis), a physical examination, an ECG and, frequently, serum cardiac marker determinations.
American Family Physician June 15, 2004 Ramzi & Leeper	DVT and Pulmonary Embolism: Part I. Diagnosis The incidence of venous thromboembolic diseases is increasing as the U.S. population ages. Evidence-based algorithms help guide the diagnosis of these diseases.
American Family Physician November 15, 2006 Fletcher, Mills & Taylor	Update on Exercise Stress Testing Exercise stress testing is an important diagnostic tool for the evaluation of suspected or known cardiac disease.
American Family Physician January 15, 2004 Mark H. Ebell	Suspected Pulmonary Embolism: Part I How can the history and physical examination help physicians diagnose pulmonary embolism?
American Family Physician April 15, 2005 Karnani, Reisfield & Wilson	Evaluation of Chronic Dyspnea Chronic dyspnea is defined as dyspnea lasting more than one month. Information is presented on diagnosis, assessment and treatment for chronic dyspnea.
American Family Physician December 1, 2004 Steven A. Dosh	Diagnosis of Heart Failure in Adults The evaluation of symptomatic patients with suspected heart failure is directed at confirming the diagnosis, determining the cause, identifying concomitant illnesses, establishing the severity of heart failure, and guiding therapy.
American Journal of Nursing May 2009 Kristen J. Overbaugh	Acute Coronary Syndrome Coronary artery disease, in which atherosclerotic plaque builds up inside the coronary arteries and restricts the flow of blood (and therefore the delivery of oxygen) to the heart, continues to be the number-one killer of Americans.
American Family Physician November 1, 2003 Zoorob & Campbell	Acute Dyspnea in the Office Shortness of breath, or dyspnea, is a common problem in the outpatient primary care setting. Establishing a diagnosis can be challenging because dyspnea appears in multiple diagnostic categories. Underlying disorders range from the relatively simple to the more serious.
American Family Physician August 1, 2004 Wiviott & Braunwald	Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part I. Initial Evaluation and Management, and Hospital Care Because of the scope of the problem, it is important for family physicians to understand the diagnosis, risk assessment, and treatment of this syndrome.
American Family Physician July 1, 2006 Junnila & Cartwright	Chronic Musculoskeletal Pain in Children: Part I. Initial Evaluation Musculoskeletal pain can be difficult for children to characterize. A logical and consistent approach to diagnosis is recommended, with judicious use of laboratory and radiologic testing.
American Family Physician November 1, 2006 Lyon & Clark	Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment.
American Family Physician December 1, 2006 Dout, Lehman & Glasziou	The Role of BNP Testing in Heart Failure With the increasing availability of assays for the measurement of brain natriuretic peptide (BNP), a cardiac hormone, blood tests may have a role in detecting, monitoring, and perhaps preventing chronic heart failure.
American Family Physician September 15, 2000 Anne D. Walling, M.D.	Family Practice International Notes from international family physicians' journals: Traumatic Coronary Artery Damage... Morton's Neuroma... Diagnosing Acute Dyspnea...
Nursing April 2009 Pruitt & Lawson	What You Need to Know About Venous Thromboembolism Do you know how to recognize and respond to this potentially life-threatening emergency?
American Family Physician October 1, 2005 Bidwell & Pachner	Hemoptysis: Diagnosis and Management Hemoptysis is the spitting of blood that originated in the lungs or bronchial tubes. The patient's history should help determine the amount of blood and differentiate between hemoptysis, pseudohemoptysis, and hematemesis.
Nurse Practitioner September 2010 Sarah E. Gay	An inside view of Venous Thromboembolism As the U.S. population ages, the medical and economic impact of VTE is expected to increase. The nurse practitioner plays a key role in providing prevention and intervention.
Nursing March 2009 Kate J. Morse	Focusing on the Surgical Patient with Cardiac Problems Learn about the latest guidelines for assessing cardiac risk and protecting his heart during noncardiac surgery.
American Family Physician February 15, 2005 Allan V. Abbott	Diagnostic Approach to Palpitations An increased or abnormal awareness of the heartbeat, palpitations are a common symptom in patients presenting to family physicians. Palpitations can be symptomatic of life-threatening cardiac arrhythmias.
Nurse Practitioner November 2009 Ann Marie Hart	Treatment Strategies for Cough Illnesses in Adults Adults who experience a cough for 2 or more weeks along with vomiting or an inspiratory whooping sound should be evaluated and tested for B. pertussis infection.
American Family Physician July 15, 2000 Mitchell S. King	Preoperative Evaluation The purpose of a preoperative evaluation is not to "clear" patients for elective surgery, but rather to evaluate and, if necessary, implement measures to prepare higher risk patients for surgery...
American Family Physician May 1, 2004 Holmes & Fadden	Evaluation of the Patient with Chronic Cough Diagnostic and treatment options for adults and children with chronic coughs.
American Family Physician May 1, 2001 Trenton D. Nauser & Steven W. Stites	Diagnosis and Treatment of Pulmonary Hypertension Regardless of the etiology, unrelieved pulmonary hypertension can lead to right-sided heart failure. Signs and symptoms of pulmonary hypertension are often subtle and nonspecific...
Nurse Practitioner September 2011 Wells & Kalman	Women & Heart Disease: Symptoms and Treatment Guidelines Coronary heart disease is the leading cause of death for women. Nurse practitioners need to educate women about their risk and follow practice guidelines.
American Family Physician October 15, 2006 Mark H. Ebell	Point-of-Care Guides Clinical Question: What is the prognosis and recommended initial evaluation for a patient with syncope?... Evidence Summary: Although syncope often is benign, it may have a serious underlying cause...
Nurse Practitioner November 2011 Tracy Brazziel et al.	Stopping the Wave of PAD Early detection and diagnosis of atherosclerotic disease is imperative. Here, learn the risk factors, screening and diagnosis for this disease.
Nurse Practitioner November 2010 Ronald Lee Tyson	Diagnosis and treatment of abdominal angina Abdominal angina refers to pain or discomfort in the gut when the blood supply to the tissues and organs of digestion has been compromised in some manner
American Family Physician April 1, 2004 Nina Solenski	Transient Ischemic Attacks: Part I. Diagnosis and Evaluation Transient ischemic attack (TIA) is no longer considered a benign event but, rather, a critical harbinger of impending stroke.
American Family Physician March 1, 2007 Flood & Fleisher	Preparation of the Cardiac Patient for Noncardiac Surgery Perioperative myocardial infarction (MI) is a major cause of morbidity and mortality in patients who have noncardiac surgery.
American Family Physician November 15, 2002 Bernard M. Karnath	Preoperative Cardiac Risk Assessment Heart disease is the leading cause of mortality in the United States. An important subset of heart disease is perioperative myocardial infarction, which affects approximately 50,000 persons each year.
American Family Physician October 1, 2006 Freeman & Shulman	Kawasaki Disease: Summary of the American Heart Association Guidelines Kawasaki disease is an acute vasculitis of childhood that predominantly affects the coronary arteries. The etiology of Kawasaki disease remains unknown, although an infectious agent is strongly suspected based on clinical and epidemiologic features.
Nursing December 2009 Vincent M. Vacca	On the Alert for Pulmonary Arterial Hypertension Progressive and ultimately fatal, pulmonary arterial hypertension is a disease of the pulmonary arterial vasculature with no known cause.
Managed Care May 2000 Mark G. Weiner, M.D., and Eric Pifer, M.D.	Computerized Decision Support and the Quality of Care The notion of quality of care in medicine is not new, but it is becoming increasingly important as the competitive health care market demands objective measures to compare physicians, hospitals, and managed care organizations....
American Family Physician February 1, 2006 Lutfiyya et al.	Diagnosis and Treatment of Community-Acquired Pneumonia When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality prediction tool, such as the Pneumonia Severity Index, combined with clinical judgment.
American Family Physician November 1, 2002 Goyle & Walling	Diagnosing Pericarditis Pericarditis is inflammation of the pericardial sac surrounding the heart and the origins of the great vessels. The condition is most often caused by a viral infection and generally resolves in a few weeks with no sequelae.
Nurse Practitioner October 2008 Karen Lieberman	Interpreting 12-Lead ECGs: A Piece by Piece Analysis The key to sound ECG interpretation is using a systematic method and lots of practice.
Nurse Practitioner May 2012 Diana L. Wadlund	Meeting the challenge of IBS IBS is the best studied, most common functional GI disorder, and is often characterized by debilitating symptoms without any pathologic findings. The predominant symptoms of IBS are abdominal pain and an alteration in bowel habits with an absence of organic pathology.
American Family Physician July 15, 2006 Mehta et al.	Opportunities to Improve Outcomes in Sickle Cell Disease Family physicians play a crucial role in instituting evidence-based preventive sickle cell care strategies, initiating timely treatment of acute illness, recognizing life-threatening episodes, and providing a medical home for multidisciplinary management.
American Family Physician December 1, 2003 Roth & Basello	Approach to the Adult Patient with Fever of Unknown Origin A thorough history, physical examination, and standard laboratory testing remain the basis of the initial evaluation of the patient with FUO.
American Journal of Nursing March 2012 Corbridge et al.	An Evidence-Based Approach to COPD: Part 1 This article, the first in a two-part series on COPD, outlines current guidelines and other evidence-based recommendations on diagnosing and managing stable COPD in the outpatient setting.
Nurse Practitioner May 2009 Yvonne D'Arcy	Is Low Back Pain Getting on Your Nerves? The pain and disability of low back pain are the most common reasons patients seek healthcare. Here are tools for diagnosis and treatment options.
American Family Physician April 15, 2004 Mark H. Ebell, M.D., M.S.	Preoperative Evaluation for Noncardiac Surgery The physician should assess the patient's preoperative risk factors and the risks associated with the planned surgery.
Nurse Practitioner May 2009 Bradway & Rodgers	Evaluation and Management of Genitourinary Emergencies Primary care NPs are often the first to identify and provide treatment for a variety of genitourinary conditions. These include acute urinary retention; priapism; obstructing renal calculi; and two acute scrotal emergencies - testes torsion and Fournier gangrene.
American Family Physician June 1, 2003 Leung & Sigalet	Acute Abdominal Pain in Children Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain.
American Family Physician September 15, 2000 Doris L. Wethers, M.D.	Sickle Cell Disease in Childhood Part II. Diagnosis and Treatment of Major Complications and Recent Advances in Treatment
American Family Physician January 1, 2007 Collins et al.	Lung Cancer: Diagnosis and Management Smoking cessation remains the critical component of preventive primary care of lung cancer. Treatment and prognosis are closely tied to the type and stage of the tumor identified.
American Family Physician May 15, 2002 Doug Knutson & Chad Braun	Diagnosis and Management of Acute Bronchitis Acute bronchitis is one of the top 10 conditions for which patients seek medical care. Because acute bronchitis most often has a viral cause, symptomatic treatment with protussives, antitussives, or bronchodilators is appropriate...
American Family Physician April 1, 2004 Thibodeau & Viera	Atypical Pathogens and Challenges in Community-Acquired Pneumonia Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia.
Nurse Practitioner April 2012 Firestone et al.	Optimizing fibromyalgia management This article summarizes current information regarding the etiology, pathophysiology, clinical presentation, diagnostic standards, and pharmacologic and non-pharmacologic treatments necessary to successfully manage FM.
American Family Physician March 1, 2007 O'Reilly et al.	Asbestos-Related Lung Disease The inhalation of asbestos fibers may lead to a number of respiratory diseases. Although exposure is now regulated, patients continue to present with these diseases because of the long latent period between exposure and clinical disease.
American Journal of Nursing December 2010 Baldridge & Andrasek	Pain Assessment in People with Intellectual or Developmental Disabilities Nurses in all settings need to be knowledgeable about alternate pain assessment methods.