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AFP - February 1, 2000
Cover Article Photo Quiz Elbow Injury
Cover 789 691
Articles
675 Cardiovascular Medicine Update
Dietary Therapy for Children with Hypercholesterolemia
RAANAN SHAMIR, M.D., and EDWARD A. FISHER, M.D., PH.D.
The National Cholesterol Education Program's diagnostic and treatment approaches in children at high risk for atherosclerosis as adults are reviewed, and a practical guide for implementation is presented.
Patient information: "Diet Tips for Children with High Blood Cholesterol," p. 685
691 Cover Article: Problem-Oriented Diagnosis
Evaluation of Overuse Elbow Injuries
ERIC M. CHUMBLEY, CAPT, USAF, MC, FRANCIS G. O'CONNOR, LTC, MC, USA, and ROBERT P. NIRSCHL, M.D., M.S.
Diagnosing overuse elbow injuries requires a knowledge of elbow anatomy as well as good history-taking and physical examination skills. Overuse injuries can be divided into anterior, posterior, lateral and medial disorders.
703 Recognizing an Index Case of Tuberous Sclerosis
JOSEPH S. HURST, M.D., and SUSAN WILCOSKI, M.D.
Tuberous sclerosis is a neurocutaneous syndrome marked by seizures and mental retardation. Dermatologic manifestations such as ash-leaf spots or facial angiofibromas may assist in the diagnosis of the disorder.
Patient information: "Tuberous Sclerosis and Your Baby," p. 710
713 Practical Therapeutics
Urinary Tract Infections During Pregnancy
JOHN E. DELZELL, JR., M.D., and MICHAEL L. LEFEVRE, M.D., M.S.P.H.
Urinary tract infections such as asymptomatic bacteriuria, cystitis and pyelonephritis are common causes of morbidity during pregnancy and should always be treated with appropriate antibiotics.
Patient information: "Urinary Tract Infections During Pregnancy," p. 721
725 Treatment of Psoriasis: An Algorithm-Based Approach for Primary Care Physicians
ASHA G. PARDASANI, M.D., STEVEN R. FELDMAN, M.D., PH.D., and ADELE R. CLARK, P.A.-C
Treatment of localized psoriasis begins with topical corticosteroids and coal tar or calcipotriene. Difficult-to-control lesions may be improved with anthralin or tazarotene.
Patient information: "Questions About Psoriasis," p. 736
741 Pathologic Gambling
BRIAN K. UNWIN, MAJ, MC, USA, MARK K. DAVIS, LTC, MS, USA, and JASON B. DE LEEUW, CPT, MS, USA
ACFPathologic gambling is a common condition, often accompanied by depression and alcohol abuse. Family physicians should be aware of screening tools and therapeutic options to treat patients and aid family members in coping with this disorder.
Patient Information: "Pathologic Gambling," p. 749
755 End-of-Life Care
Managing Pain in the Dying Patient
PHILIP S. WHITECAR, M.D., A. PATRICK JONAS, M.D., and MARK E. CLASEN, M.D., PH.D.
Based on an appropriate assessment and following established guidelines on the use of analgesics, family physicians can provide successful pain relief in nearly 90 percent of dying patients.
771 1999 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected with HIV: Part III. Prevention of Disease Recurrence
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, PUBLIC HEALTH SERVICE, CENTERS FOR DISEASE CONTROL AND PREVENTION
This is part III of a three-part series of articles derived from the USPHS/IDSA guidelines. New data about the prevention of opportunistic diseases have emerged since the guidelines were first published in 1997, and this section discusses prevention of disease recurrence.

Departments
611 Inside AFP
617 Newsletter
621 Quantum Sufficit
625 Clinical Quiz
630 AFP 50 Years Ago
633 Editorials
  • Hypercholesterolemia in Children
  • Family Physicians Should Be Experts in Palliative Care
643 Letters to the Editor
  • Neurologic Complications of Epstein-Barr Virus Infection
  • Patient Compliance: In Search of the Real Question in Diabetes Care
  • Comment on the Family Physician as Hospitalist
647 Correction and Clarification
648 CME Calendar
668 Diary from a Week in Practice
789 Photo Quiz
792 Tips from Other Journals
881 Curbside Consultation
878 Family Practice International
884 Practice Guidelines
  • ACC/AHA Guidelines for Ambulatory ECG
890 Clinical Briefs
897 Information for Authors

Author statements form: p. 899
900 Medical Products and Services
901 Classified Information


Cover Illustration © 2000 Steve Oh, San Francisco, Calif.
Copyright © 2000 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.


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