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Source: American Family Physician

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Total 225 results found since Jan 2013.

Diagnosis of Acute Stroke.
Abstract Stroke can be categorized as ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Awakening with or experiencing the abrupt onset of focal neurologic deficits is the hallmark of the diagnosis of ischemic stroke. The most common presenting symptoms of ischemic stroke are speech disturbance and weakness on one-half of the body. The most common conditions that can mimic a stroke are seizure, conversion disorder, migraine headache, and hypoglycemia. Taking a patient history and performing diagnostic studies will usually exclude stroke mimics. Neuroimaging is required to differentiate ischemi...
Source: American Family Physician - April 15, 2015 Category: Primary Care Authors: Yew KS, Cheng EM Tags: Am Fam Physician Source Type: research

Acute Stroke Diagnosis
Am Fam Physician. 2022 Jun 1;105(6):616-624.ABSTRACTStroke accounts for significant morbidity and mortality and is the fifth leading cause of death in the United States, with direct and indirect costs of more than $100 billion annually. Expedient recognition of acute neurologic deficits with appropriate history, physical examination, and glucose testing will help diagnose stroke and rule out mimicking presentations. The National Institutes of Health Stroke Scale should be used to determine stroke severity and to monitor for evolving changes in clinical presentation. Initial neuroimaging is used to differentiate between isc...
Source: American Family Physician - June 15, 2022 Category: Primary Care Authors: Edwin Y Choi Gilberto A Nieves Darrell Edward Jones Source Type: research

Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research

Recurrent Ischemic Stroke: Strategies for Prevention.
Abstract Recurrent strokes make up almost 25% of the nearly 800,000 strokes that occur annually in the United States. Risk factors for ischemic stroke include hypertension, diabetes mellitus, hyperlipidemia, sleep apnea, and obesity. Lifestyle modifications, including tobacco cessation, decreased alcohol use, and increased physical activity, are also important in the management of patients with a history of stroke or transient ischemic attack. Antiplatelet therapy is recommended to reduce the risk of recurrent ischemic stroke. The selection of antiplatelet therapy should be based on timing, safety, effectiveness, ...
Source: American Family Physician - October 1, 2017 Category: Primary Care Authors: Oza R, Rundell K, Garcellano M Tags: Am Fam Physician Source Type: research

AHA and ASA Release Guideline for Prevention of Future Stroke in Patients with Stroke or TIA.
PMID: 25591221 [PubMed - in process]
Source: American Family Physician - January 15, 2015 Category: Primary Care Authors: Randel A Tags: Am Fam Physician Source Type: research

Pioglitazone After Stroke or TIA Reduces Stroke and MI, But Also Has Significant Harms.
PMID: 27548603 [PubMed - as supplied by publisher]
Source: American Family Physician - August 14, 2016 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Endovascular therapies do not improve outcomes in acute stroke.
PMID: 23939607 [PubMed - in process]
Source: American Family Physician - July 1, 2013 Category: Primary Care Authors: Ebell MH Tags: Am Fam Physician Source Type: research

Apixaban (Eliquis) for Stroke Prevention in Atrial Fibrillation.
PMID: 24784127 [PubMed - as supplied by publisher]
Source: American Family Physician - April 15, 2014 Category: Primary Care Authors: Beck RA, King WM Tags: Am Fam Physician Source Type: research

AHA/ASA Release Guideline on Stroke Prevention in Women.
PMID: 25822392 [PubMed - in process]
Source: American Family Physician - March 1, 2015 Category: Primary Care Authors: Randel A Tags: Am Fam Physician Source Type: research

Stroke: How to Recognize It and What to Do About It.
Authors: PMID: 25884871 [PubMed - as supplied by publisher]
Source: American Family Physician - April 15, 2015 Category: Primary Care Tags: Am Fam Physician Source Type: research