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American Family Physician November 15, 2001 Robert H. Shackelford	Diary from a Week in Practice Patient loyalty and emergency measures... Four-gallon-bag prescription regimen reduced to one avoids potential self-medicating errors... etc.
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 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 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 November 15, 2002 Robert H. Shackelford	Diary from a Week in Practice In sports medicine, sternoclavicular dislocation is uncommon, but it can be life-threatening... A treasured example of "the doctor-patient relationship"... One of the real advantages of family practice is the continuous care and availability of follow-up for patients... etc.
American Family Physician August 1, 2004 Wiviott & Braunwald	Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction: Part II. Coronary Revascularization, Hospital Discharge, and Post-Hospital Care In patients hospitalized with UA/NSTEMI, one of the most important decisions is the early strategy of care regarding coronary angiography and revascularization.
American Family Physician July 15, 2002 Robert H. Shackelford	Diary from a Week in Practice Regardless of a woman's pregnancy history, delivery is a time to be alert... Don't forget to look at the nails... etc.
American Family Physician October 15, 2004 Kathy Soch	Diary From a Week in Pactice A family practitioner remembers to put the chart aside and go to the patient for the answers... Refers a patient to a rheumatologist... Changes meds for a patient with advanced dementia... etc.
Nursing May 2010 Debra Castner	Understanding the stages of chronic kidney disease This article will help you to recognize CKD and understand its stages so you can help your patient to modify risk factors, prevent further kidney damage, and manage complications. First, consider the scope of the problem.
American Family Physician January 15, 2002 Robert H. Shackelford	Diary from a Week in Practice Loss reminded us of the fragility of life, and also emphasized the importance of teamwork and constant office preparedness for emergencies... In a fairly stable community, providing longitudinal care is one of the most rewarding aspects of family practice... etc.
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 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 June 15, 2002 Kathy Soch	Diary from a Week in Practice Asking teenaged patients about sensitive subjects... A resident takes charge of a patient with queit confidence and skill... Never a more important house call... etc.
American Family Physician July 15, 2000 Valerie Palda	Editorials PRE-OPportunity Knocks: A Different Way to Think About the Preoperative Evaluation...
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.
Nursing March 2011 Mink & Miller	Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.
American Journal of Nursing July 2011 Brodkey et al.	Living Well with Multiple Sclerosis Improvements in magnetic resonance imaging and the advent of disease-modifying therapies in the past 15 years have changed the diagnosis and treatment of multiple sclerosis
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 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 Journal of Nursing January 2010	Life-Support Interventions at the End of Life: Unintended Consequences Nurses need to be knowledgeable life-support interventions at the end of life and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.
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 November 15, 2004 Paul Gross	Diary From a Week in Pactice A family physician answers a patient's ringing chest... Tries to help a troubled teen patient... Is angered by the country's health care system... Is at a loss without his PDA... Navigates an ill-defined situation of being both physician and friend... etc.
Nurse Practitioner September 2010 Moloney & Cranwell-Bruce	Pharmacological Management of Migraine Headaches Migraine is one of the top 20 causes of disability worldwide, occurring in 17.6% of women and 5.7% of men
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.
American Family Physician September 15, 2002 Robert H. Shackelford	Diary from a Week in Practice A periodic reminder that we are equipped and able to manage a crisis goes a long way toward a satisfying work environment... Those of us who are healthy should be extremely grateful... Meaningful and reciprocal long-term relationships accompany family practice in a stable population
American Family Physician June 15, 2002 A. Kesh Hebbar	Management of Common Arrhythmias: Part I. Supraventricular Arrhythmias Family physicians frequently encounter patients with symptoms that could be related to cardiac arrhythmias, most commonly atrial fibrillation or supraventricular tachycardias.
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 October 15, 2000 Patricia A. Howard & Edward F. Ellerbeck	Optimizing Beta-Blocker Use After Myocardial Infarction Although beta-adrenergic blockers can significantly reduce mortality after a myocardial infarction, these agents are prescribed to only a minority of patients...
Nursing September 2010 Margaret M. Bolton	Sounding the alarm about metabolic syndrome Any health problem that affects a third of American adults is sure to impact your nursing practice. Metabolic syndrome, a growing and commonly silent condition, poses a significant public health crisis.
American Family Physician June 15, 2002 A. Kesh Hebbar	Management of Common Arrhythmias: Part II. Ventricular Arrhythmias and Arrhythmias in Special Populations Patients with established heart disease and premature ventricular complexes have a higher likelihood of developing ventricular tachycardia or fibrillation.
American Family Physician December 15, 2005 Kathy Soch	Diary From a Week in Pactice A family physician congratulates a 9-year-old boy on his state achievement test in reading... Talks to a 78-years-old Hurricane Katrina victim about riding an airplane... Tweaks a patient's warfarin dosage... etc.
American Family Physician January 15, 2007 Pollock et al.	Appropriate Prescribing of Medications: An Eight-Step Approach These eight steps, along with ongoing self-directed learning, compose a systematic approach to prescribing that is efficient and practical for the family physician.
American Family Physician March 15, 2002 Robert H. Shackelford	Diary from a Week in Practice When evaluating foot pain in postmenopausal women, stress fracture should be included in the differential diagnoses... Second opinions can be helpful, but it is important to trust one's own instincts... etc.
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 Journal of Nursing September 2011 Schmid et al.	Care of the Suicidal Pediatric Patient in the ED: A Case Study At Childrens Hospital Boston, an algorithm-the Risk of Suicidality Clinical Practice Algorithm has been developed to ensure evidence-based care supported by best practice guidelines.
American Family Physician April 1, 2001 Joan Bedinghaus	Coronary Artery Disease Prevention: What's Different for Women? Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk...
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 August 1, 2002 Daphne P. Bicket	Using ACE Inhibitors Appropriately Although angiotensin-converting enzyme (ACE) inhibitors have documented clinical benefits in a variety of clinical situations, the disparity between the evidence from clinical trials and bedside medicine is well documented.
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...
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.
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.
American Family Physician October 15, 2005 Kathy Soch	Diary From a Week in Pactice This family practitioner checks in on a patient with severe expressive aphasia... Sees a chronic pessimist... Recommends documenting a resident's pre-operative clearance for a patient... etc.
American Family Physician December 15, 2004 Morris Maizels	The Patient with Daily Headaches Although the condition is challenging, appropriate treatment of patients with chronic daily headaches (CDH) can bring about significant improvement in the patient's quality-of-life.
American Family Physician April 15, 2003 Adan & Crown	Diagnosis and Treatment of Sick Sinus Syndrome Sick sinus syndrome comprises a variety of conditions involving sinus node dysfunction and commonly affects elderly persons. While the syndrome can have many causes, it usually is idiopathic.
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.
Nursing May 2008 Dawn M. Christensen	Extreme Heart Makeover: Understanding Mechanical Circulatory Support Learn about ventricular assist devices and total artificial hearts and how they affect patient care.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
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.
Nursing September 2011 Jacqueline Harden	Take a cool look at therapeutic hypothermia Therapeutic hypothermia may help prevent or minimize neurologic impairment in certain patients after cardiac arrest. This article takes a look at when TH is used and how to care for patients who are undergoing this intervention.
American Family Physician February 15, 2001 C. Randall Clinch	Evaluation of Acute Headaches in Adults Classifying headaches as primary (migraine, tension-type or cluster) or secondary can facilitate evaluation and management. A detailed headache history helps to distinguish among the primary headache disorders...