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    Hypertension in Adults: Initial Evaluation and Management - 6 month(s) ago

    Hypertension is a leading modifiable risk factor for cardiovascular disease and the most common chronic condition seen by family physicians. Treatment of hypertension reduces morbidity and mortality due to coronary artery disease, myocardial infarction, heart failure, stroke, and chronic kidney disease. The use of ambulatory and home blood pressure monitoring improves diagnostic accuracy. Assessment of adults with hypertension should focus on identifying complications of the condition and comorbid cardiovascular risk factors. Physicians should counsel all patients with elevated blood pressure about effective lifestyle interventions, including the Dietary Approaches to Stop Hypertension (DASH) diet, dietary sodium restriction, potassium enrichment, regular exercise, weight loss, and moderation of alcohol consumption. First-line antihypertensive medications include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, and thiazide diuretics. T

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      Hypertension is a leading modifiable risk factor for cardiovascular disease and the most common chronic condition seen by family physicians. Read more: https://t.co/lE3DGD8bg0 #familymedicine #afpjournal #hypertension https://t.co/aeBmZwagJ9

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    Over-the-Counter Medications in Pregnancy - 7 month(s) ago

    High-quality research on the safety and effectiveness of over-the-counter medications in pregnancy is limited. Physicians should explore nonpharmacologic treatments before recommending medication. For nausea and vomiting in pregnancy, vitamin B6 (pyridoxine), H1 antihistamines, and ginger are safe and effective. Physicians can recommend calcium carbonate, H2 antihistamines, and proton pump inhibitors for gastroesophageal reflux disease. Osmotic laxatives, fiber preparations, and probiotics are safe and effective treatments for constipation. Many over-the-counter topical medications are safe in pregnancy due to low systemic absorption, but topical retinoids, such as adapalene, should be avoided. Hypertonic saline nasal rinse and antihistamines are safe, beneficial options for treating pregnancy-induced rhinitis, and intranasal corticosteroids have demonstrated benefit for chronic allergic rhinitis. The safety of acetaminophen for the treatment of headaches and low back pain during pregn

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      Prenatal care necessitates balancing the benefits and harms of treatment for the pregnant patient and developing fetus. Learn more about over-the-counter medications in pregnancy: https://t.co/JaesadTF7d #familymedicine #afpjournal https://t.co/6QPIBsMoaA

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    October 2023 - 7 month(s) ago

    Hypertension is a leading modifiable risk factor for cardiovascular disease and the most common chronic condition seen by family physicians. Treatment reduces morbidity and mortality due to coronary artery disease, myocardial infarction, heart failure, stroke, and chronic… Elizabeth Allison Powers, Ryan Tewell, Max Bayard Michelle K. Keating, J. Cole Phillips, Jacline Phillips Chronic rhinosinusitis is an inflammatory disease of the nose and paranasal sinuses that can significantly impact patient

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      The new issue of AFP is available! Read it now: https://t.co/R5XdN1FQqG #familymedicine #afpjournal https://t.co/dpPNr4yV7r

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    Tinnitus: Diagnosis and Management - 7 month(s) ago

    Tinnitus is the sensation of hearing a sound in the absence of an internal or external source and is a common problem encountered in primary care. Most cases of tinnitus are benign and idiopathic and are strongly associated with sensorineural hearing loss. A standard workup begins with a targeted history and physical examination to identify treatable causes and associated symptoms that may improve with treatment. Less common but potentially dangerous causes such as vascular tumors and vestibular schwannoma should be ruled out. A comprehensive audiologic evaluation should be performed for patients who experience unilateral tinnitus, tinnitus that has been present for six months or longer, or that is accompanied by hearing problems. Neuroimaging is not part of the standard workup unless the tinnitus is asymmetric or unilateral, pulsatile, associated with focal neurologic abnormalities, or associated with asymmetric hearing loss. Cognitive behavior therapy is the only treatment that has b

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      What are the red flag symptoms of tinnitus that warrant further imaging? https://t.co/ZLl4Dj28cz #familymedicine #redflagsymptoms #tinnitus https://t.co/mKxr3d2m3f

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    BD Max Vaginal Panel for the Detection of Vaginitis - 7 month(s) ago

    The BD Max Vaginal Panel is a nucleic acid amplification test (NAAT) that can detect the three main infectious causes of vaginitis (i.e., bacterial vaginosis organisms, Candida species, and Trichomonas vaginalis) in symptomatic adults assigned female sex at birth, including those who are pregnant. The BD Max Vaginal Panel should not be used for screening purposes.

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      BD Max Vaginal Panel for the Detection of Vaginitis Learn more: https://t.co/vLWAuzq9kz #familymedicine #afpjournal #vaginitis https://t.co/aQxmW3mirW

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    Care of the Patient With Justice System Involvement - 7 month(s) ago

    D.H., a 24-year-old patient with opioid use disorder, presents to my clinic for care following minor injuries sustained during an altercation with the police. D.H. spent the weekend in a detention center before being able to post bail. During initial screening for mental health and substance use, D.H. reports symptoms of hypervigilance and increased opioid cravings. What specific clinical or medicolegal issues should I, as the treating family physician, consider or be aware of to optimize the quality of care provided to this patient?

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      Care of the Patient With Justice System Involvement https://t.co/f17JxpjbUb #familymedicine #afpjournal https://t.co/Rdcs5MVsTJ

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