American family physician最新文献

Dequalinium Is Noninferior to Metronidazole for Bacterial Vaginosis. 地屈孕酮治疗细菌性阴道病疗效不逊于甲硝唑

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

David C Slawson

引用次数: 0

Testosterone Replacement Therapy in Men With Sexual Dysfunction. 性功能障碍男性的睾酮替代疗法。

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

Kento Sonoda

引用次数: 0

Painful, Red, Swollen Ear. 耳朵疼痛、红肿

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

Juan-Manuel Duran, English Gonzalez

引用次数: 0

High Fruit and Vegetable Intake to Decrease Risk of Depression in Adults. 多吃水果和蔬菜可降低成年人患抑郁症的风险。

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

Simone Bigelow, Kimberly Crosby, Viviane Sachs, Alberto Benjamin Chong, Toni Hoberecht

引用次数: 0

Diabetic Ketoacidosis: Evaluation and Treatment. 糖尿病酮症酸中毒：评估和治疗。

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

Brian Veauthier, Blaine Levy-Grau

{"title":"Diabetic Ketoacidosis: Evaluation and Treatment.","authors":"Brian Veauthier, Blaine Levy-Grau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diabetic ketoacidosis (DKA) is a life-threatening complication of type 1 and type 2 diabetes resulting from an absolute or relative insulin deficiency. It can occur in patients of all ages and can be the initial presentation of diabetes, especially in young children. Polyuria and polydipsia are the most common symptoms, followed by nausea, vomiting, abdominal pain, weight loss, severe fatigue, dyspnea, and preceding febrile illness. Traditionally, DKA has been diagnosed by the triad of hyperglycemia (blood glucose greater than 250 mg/dL), metabolic acidosis (pH less than 7.3, serum bicarbonate less than 18 mEq/L, anion gap greater than 10 mEq/L), and elevated serum (preferred) or urine ketones. However, hyperglycemia has been de-emphasized in recent guidelines because of the increasing incidence of euglycemic DKA. The use of sodium-glucose cotransporter-2 inhibitors modestly increases the risk of DKA and euglycemic DKA. Electrolytes, phosphate, blood urea nitrogen, creatinine, urinalysis, complete blood cell count with differential, A1C, and electrocardiography should be evaluated for all patients diagnosed with DKA to identify causes and complications of DKA. Amylase, lipase, hepatic transaminase levels, troponin, creatine kinase, blood and urine cultures, and chest radiography are additional tests to consider. Treatment involves fluid and electrolyte replacement, insulin, treatment of precipitating causes, and close monitoring to adjust therapy and identify complications. Prevention strategies include identifying diabetes before DKA develops, educating patients to manage high-risk situations, and ensuring uninterrupted access to therapies for diabetes.</p>","PeriodicalId":7713,"journal":{"name":"American family physician","volume":"110 5","pages":"476-486"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Artificial Intelligence in Screening Mammography. 在乳腺 X 射线摄影筛查中使用人工智能。

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

Karl T Clebak, Michael T Partin, Nathan J Hemerly

引用次数: 0

Financial Hardship Following a Cancer Diagnosis: A Family Matter. 癌症诊断后的经济困难：家庭事务。

IF 3.8 3区医学

American family physician Pub Date : 2024-11-01

K Robin Yabroff, Ya-Chen Tina Shih, Cathy J Bradley

引用次数: 0

Polycystic Ovary Syndrome: Assessment and Management Guidelines. 多囊卵巢综合征：评估与管理指南》。