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American Family Physician February 15, 2004	A New View of Occult and Obscure Gastrointestinal Bleeding Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity.
American Family Physician December 15, 2004 Mark H. Ebell	Prognosis in Patients with Upper G.I. Bleeding Upper GI bleeding remains a common problem and reason for hospital admission. A more precise estimate of a patient's prognosis would be helpful to physicians who are deciding on hospital discharge and the intensiveness of monitoring in inpatient and outpatient settings.
American Family Physician November 1, 2006 Lyon & Clark	Diagnosis of Acute Abdominal Pain in Older Patients Acute abdominal pain is a common presenting complaint in older patients, but may be difficult to diagnose. Here are some common causes of abdominal pain in old patients and recommendations for treatment.
American Family Physician June 15, 2001 John L. Pfenninger	Common Anorectal Conditions: Part I. Symptoms and Complaints Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions...
Nursing November 2008 Michael W. Day	Fight Back Against Inflammatory Bowel Disease It takes guts to live with Crohn's disease or ulcerative colitis, both of which can take a heavy toll on their victims. Find out how to help your patient tame the attacks.
American Family Physician July 1, 2002 Bradford J. Wood	Virtual Endoscopy: A Promising New Technology Advanced processing of helical computed tomographic data sets permits three-dimensional and virtual endoscopic models. Such models are noninvasive and require minimal patient preparation, making them ideal for screening.
American Family Physician July 1, 2001 John L. Pfenninger	Common Anorectal Conditions: Part II. Lesions Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting. A high index of suspicion for cancer should be maintained...
American Family Physician October 1, 2005 Salzman & Lillie	Diverticular Disease: Diagnosis and Treatment Although the pathogenic mechanisms of diverticular disease are poorly understood, they are clearly related to complex interactions of colon structure, intestinal motility, diet, and genetic features.
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 Journal of Nursing August 2011 Craft & Prahlow	From Fecal Impaction to Colon Perforation The authors present the case of an elderly, nonverbal nursing home resident with dementia who developed fecal impaction, despite interventions such as enema.
American Family Physician May 15, 2003 Holten & Wetherington	Problem-Oriented Diagnosis Diagnosing the patient with abdominal pain and altered bowel habits: is it irritable bowel syndrome?
Nurse Practitioner May 2012 Diana L. Wadlund	Meeting the challenge of IBS IBS is the best studied, most common functional GI disorder, and is often characterized by debilitating symptoms without any pathologic findings. The predominant symptoms of IBS are abdominal pain and an alteration in bowel habits with an absence of organic pathology.
American Family Physician June 1, 2002 Daisy A. Arce	Evaluation of Constipation Constipation is the reason for 2.5 million physician visits per year in the United States, with more than one half of these visits to primary care physicians. The differential diagnosis of constipation and the approach to its evaluation differ in adults and children.
American Journal of Nursing February 2010 Melissa M. Smith	Emergency: Variceal Hemorrhage from Esophageal Varices Associated with Alcoholic Liver Disease This article describes alcoholic cirrhosis and its complications, discusses the etiology of esophageal varices and the risk factors for hemorrhage, and addresses emergent treatment.
Nursing April 2009 Colwell & Gordon	Helping patients combat colon cancer Colorectal cancer is the third most frequently diagnosed cancer in the United States. In 2008, about 148,810 people received this diagnosis and an estimated 49,960 died of the disease.
Managed Care July 2006 Thomas Morrow	Device Allows Doctors to See Inside the Small Intestine How small is small? The latest digital camera, known as the PillCam, takes images of a patient's inner space.
AskMen.com Whitney F. Jones	Colon Cancer And Polyps: What You Need To Know It would surprise many to learn that colon cancer is the third leading cause of death by cancer in American men.
American Family Physician March 1, 2004 John C. Layke	Gastric Cancer: Diagnosis and Treatment Options Although the overall incidence of gastric cancer has steadily declined in the United States, it is estimated that more than 12,000 persons died from gastric cancer in 2003.
American Family Physician September 1, 2000	AAFP Position Paper Colonoscopy: Procedural Skills for Nonspecialists
American Family Physician April 1, 2001 Thomas J. Zuber	Flexible Sigmoidoscopy Flexible sigmoidoscopy remains a common tool used for the periodic screening of colorectal cancer. Most organizations recommend screening at three- to five-year intervals beginning at age 50 for persons with average risk...
American Family Physician September 1, 2006 Heidelbaugh & Sherbondy	Cirrhosis and Chronic Liver Failure: Part II. Complications and Treatment Part II of a two-part article on treatments that can help alleviate complications due to cirrhosis and chronic liver failure.
American Family Physician April 15, 2004 Albers, Hull & Wesley	Abnormal Uterine Bleeding A practical approach to determining the cause of abnormal uterine bleeding, a common presenting sympton in the family practice setting, with brief reviews of medical and surgical management.
Nursing July 2008 Held-Warmkessel & Schliech	Responding to 4 Gastrointestinal Complications in Cancer Patients If your patient has cancer, be prepared to help her manage such serious GI complications as bowel obstruction, peritonitis, fistula formation, and intestinal perforation.
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.
Nurse Practitioner December 2008 Darlene P. Peters	Colon Cancer Screening: Recommendations and Barriers to Patient Participation Advanced practice nurses and nurse researchers can play a vital role in improving colon cancer screening among patients.
American Journal of Nursing June 2012 Josie A. Weiss	Just Heavy Menses or Something More? Raising Awareness of von Willebrand Disease Von Willebrand disease is the most common inherited bleeding disorder, with an estimated prevalence of up to 1.3% of the U.S. population, or 4 million Americans.
American Family Physician October 15, 2006 Jennifer Kessmann	Hirschsprung's Disease: Diagnosis and Management The disease most commonly involves the rectosigmoid region of the colon but can affect the entire colon and, rarely, the small intestine. The disease usually presents in infancy, although some patients present with persistent, severe constipation later in life.
American Family Physician November 15, 2001 Edward R. Feller	Gynecologic Aspects of Crohn's Disease This article reviews the diverse gynecologic spectrum, protean manifestations and diagnostic difficulties of pelvic Crohn's disease...
Nurse Practitioner July 2008 Lynn A. Kelso	Cirrhosis: Caring for Patients with End-stage Liver Failure Caring for patients with end-stage liver disease can be very challenging for NPs.
American Family Physician June 1, 2003 Leung & Sigalet	Acute Abdominal Pain in Children Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain.
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.
Nursing September 2008 Susan Simmons Holcomb	Acute Abdomen: What a Pain! So many things - some life-threatening - can cause abdominal pain. Here's how to capture the clues quickly and accurately.
American Family Physician November 15, 2002 Viera et al.	Management of Irritable Bowel Syndrome Irritable bowel syndrome is the most common functional disorder of the gastrointestinal tract and is frequently treated by family physicians.
Nursing October 2010 Jeff Strickler	Traumatic hypovolemic shock: Halt the downward spiral This article discusses the causes, treatments, and nursing care for patients with traumatic hypovolemic shock.
Nursing April 2008 Edmondson & Schiech	Esophageal cancer--a tough pill to swallow Find out how to help your patient confront the many challenges he faces from this disease and its treatments.
Nurse Practitioner August 2011 Michelle C. Thomas	Treatment options for Dysfunctional uterine bleeding The diagnosis and treatment of dysfunctional uterine bleeding can be a long emotional journey for the patient and a difficult challenge for the provider.
Nursing March 2009 Mary G. McKinley	Recognizing and Responding to Acute Liver Failure By quickly recognizing the signs and symptoms of acute liver failure, you can help your patient improve his odds of surviving this often-deadly condition.
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 Journal of Nursing September 2010 Bliss & Norton	Conservative Management of Fecal Incontinence This article summarizes the strategies that have proven most effective in uncovering and combating this prevalent yet seldom acknowledged condition.
American Family Physician November 15, 2001 Thomas R. Riley	Preventive Strategies in Chronic Liver Disease: Part II. Cirrhosis Cirrhosis is a diffuse process characterized by fibrosis and the conversion of normal liver architecture into structurally abnormal nodules. Strategies have been established to prevent complications in patients with cirrhosis...
American Family Physician December 1, 2005 Christine Hsieh	Treatment of Constipation in Older Adults Effectiveness of a variety of treatments for chronic constipation in the elderly.
American Family Physician October 1, 2005	Diverticular Disease: What You Should Know A patient guide to the disease, its diagnosis, and prognosis.
American Family Physician October 15, 2002 Mahesh Krishnan	Preoperative Care of Patients with Kidney Disease Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks.
American Family Physician April 1, 2001	Flexible Sigmoidoscopy What is flexible sigmoidoscopy?... What are the benefits of flexible sigmoidoscopy?... Who should have the procedure?... How do I prepare for the procedure?...
American Family Physician April 15, 2002 Thomas J. Zuber	Hemorrhoidectomy for Thrombosed External Hemorrhoids Acutely tender, thrombosed external hemorrhoids can be surgically removed if encountered within the first 72 hours after onset. Hemorrhoidectomy is performed through an elliptic incision over the site of thrombosis with removal of the entire diseased hemorrhoidal plexus in one piece...
Nursing February 2012 Pezzotti & Freuler	Using anticoagulants to steer clear of clots This article will review coagulation and provide important information about several commonly used anticoagulants and their reversal agents.
Nursing June 2011 Daniel A. Hussar	New Drugs 2011: Part 2 In this article, you'll learn about seven recently approved drugs, including: fingolimod hydrochloride, an oral drug indicated to treat patients with relapsing forms of multiple sclerosis.
Chemistry World November 25, 2015 Conn Hastings	Detecting leaks in gastrointestinal plumbing US scientists have developed a low-cost capsule for patients to swallow that can detect life-threatening bleeds in the stomach and uses radio waves to transmit data to doctors in real time.
Nursing February 2009 Daniel A. Hussar	New Drugs 09: Part 1 Learn about 10 new drugs, including nebivolol HCl, the newest beta-adrenergic blocking agent for hypertension.
Pharmaceutical Executive January 1, 2009 Amit Agarwal	Overlooked Opportunities For pharma companies facing a difficult economic climate, pairing diagnostics with therapies offers a powerful incentive: Manufacturers can improve sales by helping physicians find the most appropriate therapeutic option.