Primary Care Reports
RSSArticles
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Alzheimer’s Disease: What the Primary Care Physician Needs to Know
This article explores current medical approaches to Alzheimer’s dementia, the most common subtype of the known dementias or neurocognitive disorders. Preventive treatment is at the forefront of efforts to defeat this progressively impairing disorder; but to be effective, intervention must start well before symptoms begin. The role of the primary care provider in initiating vigorous and early preventive measures and applying appropriate pharmacologic and non-pharmacologic interventions at each stage of disease progression is reviewed and discussed.
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Pharmacologic Management of Type 2 Diabetes Mellitus: Part 2
This two-part series of articles will address pharmacological agents, except insulin, used to manage type 2 diabetes mellitus. Part 1 covered sodium glucose co-transporter-2 inhibitors, incretin-based therapies, amylin analog, and dopamine receptor agonists. Part 2 will focus on biguanides, thiazolidinediones, sulfonylureas, meglitinides, alpha-glucosidase inhibitors, and bile acid resins, as well as the authors’ treatment recommendations. Appendix A (http://bit.ly/2eyB4Px) is a comprehensive table of the effectiveness and costs of various combination therapies.
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Managing Type 2 Diabetes Mellitus: Part 1
MONOGRAPH: Covering sodium glucose co-transporter-2 inhibitors, incretin-based therapies, amylin analog, and dopamine receptor agonists.
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Acute Knee Pain
Many nontraumatic conditions affect the knee and can cause severe impairment and morbidity to patients. However, primary care physicians should feel comfortable in addressing and treating acute knee pain.
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Rosacea: Pathophysiology, Clinical Features, and Treatment
MONOGRAPH: Here's an in-depth guide for the primary care physician.
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Arterial Ischemic Stroke Prevention and Risk Factor Management
MONOGRAPH: Here is the best evidence-based practice for stroke diagnosis, prevention, and risk factor management.
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Current Management of Abscesses
Abscesses are common skin and soft tissue infections, and their incidence has continued to rise substantially over the years. Despite the high prevalence of abscesses in current care, the management of abscesses varies widely between care providers. This article reviews the current management options for simple cutaneous abscesses in patients, including review of the epidemiology, differential diagnosis, diagnostic studies, and changing practice of wound cultures and antibiotic therapy. In addition, this article outlines the essential steps of abscess management, informing practitioners of current best practice options as evidenced by current literature or expert opinion.
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Meningitis Update
MONOGRAPH: Meningitis is inflammation of the meninges lining the brain that if allowed to progress ultimately leads to increased intracranial pressure.
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Treatment of Acute Ischemic Stroke
MONOGRAPH: The faster definitive stroke treatment is administered, the better the outcomes. Unfortunately, most patients arrive too late.
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Strategies for Prescribing Opioids Appropriately
Prescription opiate abuse and misuse has become a growing epidemic recently, and the problem seems to be propagating without an immediate end in sight. It is known that prescription opiate abuse has clear links to heroin abuse (which also has become increasingly more prevalent), and, in some instances, primary care physicians may be adding fuel to the proverbial fire.