Texas Family Physicians provide comprehensive family medical care for men, women and children of all ages. Family Practice is the medical specialty which provides continuing and comprehensive health care for the individual and family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences.
ADD/ ADHD is a disorder that manifests in early childhood with symptoms of hyperactivity, impulsivity, and/or inattention. The symptoms affect cognitive, academic, behavioral, emotional, and social functioning. The prevalence in school-age children is estimated to be between 8 and 11 percent, making it one of the most common disorders of childhood. Studies have found that a majority of people diagnosed with an attention deficit disorder in childhood continue to meet criteria for the disorder as adults. ADD/ADHD in adulthood is associated with significant impairment in occupational, academic, and social functioning.
Adult & Pediatric Preventative Physicals
Over the last century, preventive health care has become an important aspect of medical practice, leading to significant improvements in overall health in the United States.
The “classic” signs and symptoms of asthma are intermittent dyspnea, cough, and wheezing. A pattern of respiratory symptoms occur with exposure to triggers (eg, allergen, exercise, viral infection) and resolve with trigger avoidance or asthma medication is typical of asthma. Some patients will report all three of the classic symptoms of asthma, while others may report only one or two.
High cholesterol, also known as Hypercholesterolemia, is a major risk factor for heart disease and stroke and cardiovascular disease (CVD) is the most common cause of death in the United States. High cholesterol affects over 42 million Americans. High cholesterol can be inherited, but it’s often the result of unhealthy lifestyle choices, and thus preventable and treatable. A healthy diet, regular exercise and sometimes medication can go a long way toward reducing high cholesterol.
Anxiety disorders and depressive disorders are highly prevalent conditions that frequently co-occur The age of onset patterns for anxiety and mood disorders appear distinct. Onset of anxiety was most likely to occur early in life, with few new cases after age 20 and prevalence of major depression increased significantly after age 20.
Diabetes is one of the major causes of early illness and death worldwide. The prevalence of both type 1 and type 2 diabetes continues to increase. Type 2 diabetes affects approximately 8 percent of the United States population, with as many as 25 to 40 percent of those with diabetes undiagnosed. Type 2 diabetes accounts for over 90 percent of patients with diabetes. Because of the associated microvascular and macrovascular disease, diabetes accounts for almost 14 percent of US healthcare expenditures, at least one-half of which are related to complications such as myocardial infarction, stroke, end-stage renal disease, retinopathy, and foot ulcers.
Hypertension is associated with a number of serious adverse effects, including coronary heart disease, heart failure, ischemic and hemorrhagic stroke and chronic kidney disease. Hypertension in the US accounts for 35 percent of myocardial infarctions and strokes, 49 percent of episodes of heart failure, and 24 percent of premature deaths. High blood pressure is diagnosed when systolic blood pressure (the top number) is ≥140 mmHg or diastolic blood pressure (the bottom number) is ≥90 mmHg on two or more visits over a period of several weeks. Normal blood pressure: systolic <120 mmHg and diastolic <80 mmHg.
Lacerations & Skin Repair
Skin laceration repair is an important skill in family medicine. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting. Wounds generally need to be sutured within 24hrs of the injury.
Allergic rhinitis is associated with a symptom complex characterized by paroxysms of sneezing, rhinorrhea, nasal obstruction, and itching of the eyes, nose, and palate. It is also frequently associated with postnasal drip, cough, irritability, and fatigue. Food Allergy – Most food allergy is acquired in the first or second year of life. The prevalence of food allergy in children (aged 0 to 17 years) has slowly increased in the United States, from 3.4 percent in 1997 to 1999 to 5.1 percent in 2009 to 2011.
Sports, Camp and College Physicals
Approximately 30 million children and adolescents participate in organized sports in the United States. The standard of care is that these athletes have a preparticipation physical evaluation (PPE) before the season begins. The primary goal of the PPE is to maximize safe participation by children and adolescents.
Formal physical activity in the form of high school sports participation has grown from an estimated 4 million participants to an estimated 7.5 million over the last 40 years. The health benefits of increased physical activity (eg, bone health, weight management, improved self-esteem, increased strength, endurance, and flexibility) are well documented. However, those who participate in athletics are at risk for sports-related injuries. High school athletes account for an estimated 2 million injuries. Among younger children (aged 3 to 15 years) who present to their primary care provider with complaints of musculoskeletal pain, more than 80 percent of cases are caused by trauma and overuse.