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American Family Physician December 15, 2003 Kathy Soch	Diary from a Week in Practice Every time you see a patient with diabetes, think about their eyes, heart, kidneys and feet... What to do about women who want to continue with hormone therapy now that it's fallen out of favor?... A 100-year-old gets her first prescription for medication for a chronic condition... etc.
American Family Physician February 15, 2005 Kathy Soch	Diary From a Week in Pactice A family practitioner sends a patient back to a nursing home... An annoying letter turned out to be more sensible than onerous... Wonders at prescribing 13 drugs for one patient... etc.
American Family Physician August 15, 2004 Kathy Soch	Diary From a Week in Pactice A family practitioner laughs with a patient over a wig... Decides on last-days comfort for an Alzheimer's patient... Finds over-the-phone international rashes impossible to diagnose... Reminds an intern that alcoholism isn't simple to diagnose... etc.
American Family Physician April 15, 2003 Kathy Soch	Diary from a Week in Practice Good news and bad news for one being treated for severe hyperlipidemia... To refer for weight reduction surgery?... A wonderful little pill... etc.
American Family Physician August 15, 2003 Kathy Soch	Diary from a Week in Practice Trust helps a diagnosis of a child's ADHD go down easier... Sometimes good ideas come when you're sitting in traffic... An unusual case of dyspnea on exertion... etc.
American Family Physician June 15, 2004 Kathy Soch	Diary From a Week in Pactice A family practice physician deals with anxiety over a patient's surgery... A raccoon bite... Supporting a nursing home decision... Applauding lifestyle changes... etc.
American Family Physician August 15, 2002 Kathy Soch	Diary from a Week in Practice Remembering to perform routine preventive services on such a complex, demanding patient... Determining a patient's prognosis can sometimes be challenging... etc.
American Family Physician April 15, 2004 Kathy Soch, M.D.	Diary from a Week in Practice Adjusting thyroid doses... Assessing driving ability in the office setting... etc.
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 October 15, 2002 Kathy Soch	Diary from a Week in Practice Acanthosis nigricans is commonly seen in school-aged children in south Texas... Even when patients have completed an advance directive and durable power of attorney, decisions at the end of life can be difficult... etc.
American Family Physician October 15, 2003 Kathy Soch	Diary from a Week in Practice Pulling off toenails without anesthesia... Three of three blood cultures were positive for Staphylococcus aureus... Sometimes ordering brand name drugs instead of generics does make a difference... etc.
American Family Physician February 15, 2003	Diary from a Week in Practice Sudden change in blood glucose level... Smallpox vaccinations... etc.
American Family Physician April 15, 2005 Kathy Soch	Diary From a Week in Pactice Monday: A smart patient admits to poor reasoning in facing her diabetes... Tuesday: A patient who's been advised to quit smoking makes the front page - smoking... Wednesday: An elderly patient with advanced dementia may have syphilis... etc.
American Family Physician December 15, 2002 Kathy Soch	Diary from a Week in Practice When families make promises to keep patients at home, what they mean is that they will care for them in the best and safest way possible... A tornado worries a hospital... Med students excel at taking a patient's history and physical examination, but they tend to have problems elsewhere...
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 December 15, 2004 Kathy Soch	Diary From a Week in Pactice A family physician writes out a multi-symptomatic patient's refills... Sees a home bound Alzheimer's patient... Realizes that the hardest thing to do is nothing... etc.
American Family Physician August 15, 2005 Kathy Soch	Diary From a Week in Pactice A family physician sees a patient who wants to talk about his wife's condition more than his own... Attends a viewing of a nursing home patient... Sees a Minnesotan burned by Texas sun... etc.
American Family Physician April 15, 2002 Kathy Soch	Diary from a Week in Practice Sometimes physicians can take advantage of anticipated side effects and actually use them to treat patients... Computers have really improved patient satisfaction... Walking three children to school in the morning can be educational for a family practice physician...
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
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 June 15, 2003 Kathy Soch	Diary from a Week in Practice On individualizing treatment goals... Calming parent anxiety over child immunization... etc.
American Family Physician February 15, 2004	Diary from a Week in Practice 68 yr old woman undergoes thoracotomy...46 yr old man with primary ciliary dyskinesia...16 yr old pregnant girl...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 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.
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.
American Family Physician January 15, 2006 Hollander-Rodriguez & Calvert	Hyperkalemia Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors.
American Family Physician July 1, 2005 Micah L. Thorp	Diabetic Nephropathy: Common Questions Diabetic nephropathy, or diabetic kidney disease, affects 20% - 30% of patients with diabetes. This article addresses some of the common questions raised by physicians managing patients with this disease.
American Family Physician June 15, 2005 Kathy Soch	Diary From a Week in Pactice A family physician diagnoses a broken leg while walking in the park... Sees two separate sprains with two very different patients... Gives advise on acne to a teen patient with a cold... 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 October 15, 2001 Kathy Soch	Diary from a Week in Practice Today, the medical student and the mother learned about hand, foot and mouth disease... Practicing medicine is a lot easier when we remember to go to the patients for clues about how to treat them... etc.
American Family Physician February 15, 2002 Grace Brooke Huffman	Evaluating and Treating Unintentional Weight Loss in the Elderly Unintentional weight loss in the elderly patient can be difficult to evaluate. Accurate evaluation is essential, however, because this problem is associated with increased morbidity and mortality...
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 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.
Nursing September 2008 Denise L. Lyons et al.	Double Trouble: When Delirium Complicates Dementia Learn to protect a patient with dementia from the disabling effects of delirium.
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.
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.
Nursing June 2012 Streets & Vickers	Is this patient with heart failure a candidate for ultrafiltration? Similar to dialysis, ultrafiltration is a type of renal replacement therapy that may be indicated for patients with heart failure who have significant volume overload despite outpatient diuretic therapy.
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.
Nursing April 2011 Sally Austin	Stay Out of Court with Proper Documentation Here is a practical guideline to help you document your assessments and interventions completely, accurately, and concisely. Doing so not only improves patient care, but also shields you from legal fallout if something goes wrong.
Nursing February 2010 Jeanne Held-Warmkessel	How to prevent and manage Tumor lysis syndrome Potentially fatal, tumor lysis syndrome is a metabolic disturbance caused by the death of cancer cells during cancer treatment and the release of their intracellular components into the bloodstream.
American Family Physician June 1, 2002 Jeffrey L. Cummings	Guidelines for Managing Alzheimer's Disease: Part I. Assessment Family physicians play a key role in assessing and managing patients with Alzheimer's disease and in linking the families of these patients to supportive services within the community.
American Family Physician December 15, 2001 Kathy Soch	Diary from a Week in Practice Discussing conflicting guidelines with patients... Breastfeeding pays off... Rounds help med student self-diagnose... etc.
Nursing August 2009 Pullen et al.	Putting a face on systemic lupus erythematosus In this article, we'll tell you how to assess a patient for SLE and what to teach her about managing this chronic disorder.
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 November 15, 2000	Diary from a Week in Practice Researchers disagree about whether attempts should be made to eradicate Helicobacter pylori in patients who have nonulcer dyspepsia... patients frequently neglect to follow the physician's recommendations... hypotension and abdominal pain... etc.
American Family Physician February 15, 2001 Karen S. Santacruz & Daniel Swagerty	Early Diagnosis of Dementia As more treatment options become available, it will become increasingly important to diagnose dementia early...
Nursing January 2009 Ayers & Montgomery	Putting a stop to dysfunctional uterine bleeding Learn how to search for the source of abnormal bleeding and help your patient get back on track.
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 November 15, 2005 Haas et al.	Management of the Difficult Patient All physicians must care for some patients who are perceived as difficult because of behavioral or emotional aspects that affect their care. Specific communication techniques and greater patient involvement in the process of care may enhance the relationship.
American Family Physician November 1, 2006 Unwin et al.	Polymyalgia Rheumatica and Giant Cell Arteritis Polymyalgia rheumatica and giant cell arteritis are common, closely related vasculitic conditions that almost exclusively occur in patients older than 50 years. They may be manifestations of the same underlying disease and often coexist.