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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. |
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 May 1, 2001 |
Pulmonary Hypertension Pulmonary hypertension happens when the blood pressure in the pulmonary arteries (the vessels that carry blood from the heart to the lungs) becomes higher than normal. This puts strain on the right side of the heart. Pulmonary hypertension is a serious problem... |
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 Family Physician August 15, 2001 Melissa H. Hunter |
COPD: Management of Acute Exacerbations and Chronic Stable Disease Outpatient management of patients with stable COPD should be directed at improving quality of life by preventing acute exacerbations, relieving symptoms and slowing the progressive deterioration of lung function... |
Nurse Practitioner May 2011 Chris Garvey |
Best Practices in Chronic Obstructive Pulmonary Disease Chronic obstructive pulmonary disease is a common, preventable, treatable, and often progressive disorder characterized by airflow limitation that is not fully reversible. |
American Family Physician March 1, 2006 Satpathy et al. |
Diagnosis and Management of Diastolic Dysfunction and Heart Failure With early diagnosis and proper management the prognosis of diastolic dysfunction is more favorable than that of systolic dysfunction. Distinguishing diastolic from systolic heart failure is essential because the optimal therapy for one may aggravate the other. |
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 January 1, 2003 Edward Onusko |
Diagnosing Secondary Hypertension Secondary hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Only about 5 to 10 percent of hypertension cases are thought to result from secondary causes. The ABCDE mnemonic can be used to help determine a secondary cause of hypertension. |
American Family Physician March 15, 2002 Khalid Almoosa |
Is Thrombolytic Therapy Effective for Pulmonary Embolism? No evidence from clinical trials proves that thrombolytic therapy reduces the recurrence rate of pulmonary embolism or affects mortality in hemodynamically stable patients... |
American Family Physician January 15, 2003 Udobi et al. |
Acute Respiratory Distress Syndrome Family physicians can play an essential role in the early recognition of ARDS and contribute to the multispecialty team required to manage this life-threatening condition. This article reviews the current understanding of the pathophysiology, management, and prognosis of ARDS. |
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. |
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. |
American Family Physician June 1, 2004 Gutierrez & Blanchard |
Diastolic Heart Failure: Challenges of Diagnosis and Treatment The outcomes of ongoing clinical trials may provide much-needed information about diastolic heart failure to move from intuitive treatment to therapy based on evidence that matters: decreased morbidity and mortality and improved quality of life. |
American Family Physician February 15, 2006 Dewar & Curry |
Chronic Obstructive Pulmonary Disease: Diagnostic Considerations Chronic obstructive pulmonary disease is characterized by the gradual progression of irreversible airflow obstruction and increased inflammation in the airways and lung parenchyma that is generally distinguishable from the inflammation caused by asthma. |
American Family Physician May 1, 2002 Michael P. Mortelliti |
Acute Respiratory Distress Syndrome Acute respiratory distress syndrome is the clinical manifestation of severe, acute lung injury. It is characterized by the acute onset of diffuse, bilateral pulmonary infiltrates secondary to noncardiogenic pulmonary edema, refractory hypoxia, and decreased lung compliance... |
Nursing August 2008 Bill Pruitt |
Loosening the Bonds of Restrictive Lung Disease Find out about restrictive lung disease and how to help your patient. |
Nursing April 2011 Smith & Tasota |
Smoking Out the Dangers of COPD An overview of the guidelines for preventing, diagnosing, and treating COPD. |
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, 2006 Luma & Spiotta |
Hypertension in Children and Adolescents The prevalence and rate of diagnosis of hypertension in children and adolescents appear to be increasing. Most childhood hypertension, particularly in preadolescents, is secondary to an underlying disorder. |
American Family Physician July 15, 2000 Mark A. Van Kooy |
Postobstructive Pulmonary Edema Pulmonary edema is a potentially life-threatening complication of acute airway obstruction. It develops rapidly, without warning, in persons who are otherwise well. Two forms of postobstructive pulmonary edema (POPE) have been identified... |
Nursing November 2011 Lawson & Pruitt |
Issues in Obesity, Part 2: Obesity Weighs Heavily on Lung Function A look at the impact of obesity on asthma, chronic obstructive pulmonary disease (COPD), and sleep apnea. |
Nursing October 2009 John J. Gallagher |
Taking aim at ARDS Among many complications that threaten a critically ill patient is a potentially fatal syndrome of lung inflammation and injury: acute respiratory distress syndrome. |
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 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... |
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 July 15, 2001 |
NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians |
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. |
Nurse Practitioner September 2009 Laura LaRue |
Sarcoidosis: A Granular View The NP integrates detailed history, physical exam, and diagnostic testing into determining the treatment plan for sarcoidosis. |
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 August 1, 2002 Mark W. Niedfeldt |
Managing Hypertension in Athletes and Physically Active Patients Athletes and other physically active patients should be screened for hypertension and given appropriate therapy if needed. |
American Family Physician November 15, 2005 William E. Cayley |
Diagnosing the Cause of Chest Pain Distinguishing between serious and benign causes of chest pain is imperative, and diagnostic and prognostic questions are important in making this determination. |
American Family Physician July 15, 2004 Wu & Schiff |
Sarcoidosis This systemic granulomatous disease of unknown cause predominately affects young and middle-aged adults. Diagnosis is based on clinicoradiologic findings plus histologic evidence of noncaseating epithelioid granulomas, and exclusion of other granulomatous diseases. |
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 December 15, 2002 Kurowski & Ostapchuk |
Overview of Histoplasmosis Histoplasmosis is an endemic infection in most of the United States and can be found worldwide. This article presents the manifestations, diagnosis, and treatment of histoplasmosis, beginning with the case of an immunocompetent child who developed disseminated disease. |
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. |
Managed Care March 2006 Thomas Morrow |
Sharp Strategy Needed with New Treatment Options for PAH As another treatment for pulmonary hypertension nears approval, insurers should adopt a stepped-care approach. |
American Family Physician March 1, 2004 Barreiro & Perillo |
An Approach to Interpreting Spirometry Spirometry is a powerful tool that can be used to detect, follow, and manage patients with lung disorders. Technology advancements have made spirometry much more reliable and relatively simple to incorporate into a routine office visit. |
American Family Physician June 1, 2003 Marchiando & Elston |
Automated Ambulatory Blood Pressure Monitoring: Clinical Utility in the Family Practice Setting Discriminate use of this technology in specific clinical circumstances assists in identifying patients at risk for hypertension and may result in improved outcomes in a subset of patients. |
American Family Physician February 1, 2005 Dickerson & Gibson |
Management of Hypertension in Older Persons Antihypertensive therapy has been shown to reduce morbidity and mortality in older patients with elevated systolic or diastolic blood pressures. |
American Family Physician October 1, 2002 Konzem et al. |
Controlling Hypertension in Patients with Diabetes Hypertension and diabetes mellitus are common diseases in the United States. Patients with diabetes have a much higher rate of hypertension than would be expected in the general population. Regardless of the antihypertensive agent used, a reduction in blood pressure helps to prevent diabetic complications. |
American Family Physician September 1, 2003 Magill et al. |
New Developments in the Management of Hypertension Advances in the management of hypertension have refined our understanding of systolic blood pressure, nutrition, medication selection, and hypertension in special populations. |
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 Family Physician September 15, 2002 Graziano & Tempest |
Hantavirus Pulmonary Syndrome: A Zebra Worth Knowing Hantavirus pulmonary syndrome (HPS) is a severe cardiopulmonary illness most often caused by the Sin Nombre virus, which is transmitted to humans by inhalation of aerosolized particles of rodent excreta or direct rodent contact. |
Nursing August 2010 Bartley & Shiflett |
Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible. |
American Family Physician April 15, 2006 Virji & Murr |
Caring for Patients After Bariatric Surgery Pulmonary emboli, anastomotic leaks, and respiratory failure account for 80% of all deaths 30 days after bariatric surgery; therefore, appropriate prophylaxis for venous thromboembolism and awareness of the symptoms of common complications are important. |
American Family Physician May 15, 2002 Robert H. Shackelford |
Diary from a Week in Practice Beware the "quiet child!"... It is important for every patient to feel comfortable with their health care professional and to have the choice of who they see... etc. |
Outside March 2003 Tim Sohn |
The Pulse Researchers are using Viagra to alleviate pulmonary hypertension, a factor in high-altitude pulmonary edema (HAPE), the lethal condition in which the lungs fill with fluid as a result of lower oxygen levels at higher elevations. |
BusinessWeek October 17, 2005 Gene G. Marcial |
Encysive Is Breathing Easy Among biotechs favored by Mark Monane of investment firm Needham is Encysive Pharmaceuticals. |
AskMen.com September 1, 2003 Mike Davison |
Do You Have High Blood Pressure? With approximately 58 million -- or one in four -- American adults suffering from high blood pressure, how do you know for certain if you are at risk? Arm yourself with the facts and find out. |