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Preventing Recurrent Seizures, Suspected Child Abuse, Bariatric Surgery for Treatment of Diabetes

Key Clinical Questions and Evidence-Based Answers from American Family Physician
 
 

Approximately one-third of adults experience a second seizure within one year of an initial unprovoked seizure, and nearly one-half experience a second seizure within two years. Anti-seizure medications are recommended for patients with a high risk of seizure recurrence (e.g., patients with nighttime seizures, electroencephalography abnormalities, history of brain insult, brain imaging abnormalities) after risks and benefits of treatment have been considered. Anti-seizure medications reduce the risk of seizure recurrence by more than one-third at two years after a seizure. Recurrence rates are similar with or without medications after three years. .

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A trauma-informed approach to evaluating, diagnosing, and treating child abuse within a multidisciplinary team is recommended. A trauma-informed approach to care requires that team members be mindful of the potential for traumatic stress, recognize and appropriately respond to the symptoms and signs of trauma, and prevent retraumatization. .

Yes. Remission of type 2 diabetes mellitus occurs in approximately 70% of metabolic surgery patients, and about 38% of surgical patients maintain remission at 10 years. .
 

❯ ❯ AFP Clinical Answers distills evidence-based answers to clinical questions from AFP content for use at the point of care. Visit our  for more.
 

Tip for Using AFP at the Point of Care

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Hepatitis B is an incurable liver infection caused by the hepatitis B virus. When the virus attacks the liver, the resulting health complications can be lifelong or even deadly. There is no cure for hepatitis B but the disease is preventable with vaccination.
 

Read the latest issue of AFP. Earn 13 CME credits.

  • Acute Headache in Adults
  • Thrombocytopenia
  • Chronic Constipation
  • Lown Right Care: Collaborative Care for Depression in Older Adults
  • PPIP: Aspirin Use to Prevent Cardiovascular Disease
  • Point-of-Care Guide: Diagnosis of UTIs in Women
 
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