Internal Medicine

Download Current Practice Guidelines in Primary Care, 2005 by Ralph Gonzales PDF

By Ralph Gonzales

This publication is the single pocket-sized compendium of the most up-tp-date scientific perform directions in basic care. It contains the 60 so much common/important guidance for basic care clinicians.

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Prevalence levels supported by recent cost-effectiveness studies. (Arch Pediatr Adolesc Med 1998;152:1202) Additional criteria: living near lead industry or heavy traffic or living with someone whose job or hobby involves lead exposure or who uses lead-based pottery or takes traditional remedies that contain lead. b Confirm elevated lead levels with venous sample after screening sample from fingerstick: immediately if > 70 µg/mL, within 48 hours if 45–69 µg/mL, within 1 week if 20–44 µg/mL, and within 1 month if 10–19 µg/mL.

NEJM 2004;350) Because we do not know which tumors are clinically significant, lowering the threshold for biopsy at this time is not recommended. 4. Screening with PSA or DRE detects some cancers that would not have been clinically significant, leading to overtreatment. Treatments including prostatectomy and radiation can result in permanent erectile dysfunction and urinary incontinence (NCI). cancer. nci. acpm. htm Ann Intern Med 1997;126(6):480 1. PSA rise of > 2 per year is associated with recurrence and death.

Recommendations 1. Cigarette smoking has consistently been associated with increased risk of pancreatic cancer. xml Source 20 DISEASE SCREENING: CANCER, PANCREATIC CANCER, PANCREATIC Cancer, Prostate Disease Screening Recommendations Insufficient evidence to establish whether a decrease in mortality from prostate cancer occurs with screening by DRE or serum PSA. Evidence insufficient to recommend for or against routine screening using PSA or DRE. b Organization Date Population 2004 Asymptomatic men 2004 Asymptomatic 2002 men Aged 50–65 years (AAFP) 2004 Men aged ≥ 50 2003 yearsa NCI AAFP USPSTF ACS AUA 1.

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