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	Articles
2371	Cover Article The Evaluation of Common Breast Problems MONICA MORROW, M.D. Breast pain, nipple discharge and a palpable mass are common breast problems that cause women to seek medical attention. In most women, these problems are the result of benign breast disease.
	Patient information: "When You Have Breast Pain," p. 2385
2391	Problem-Oriented Diagnosis Acute Knee Effusions: A Systematic Approach to Diagnosis MICHAEL W. JOHNSON, MAJ, MC, USA Knee effusions are the result of trauma, overuse and systemic processes. A meticulous physical examination coupled with appropriate imaging and diagnostic testing establishes the correct diagnosis.
2401	Addiction: Part II. Identification and Management of the Drug-Seeking Patient LANCE P. LONGO, M.D., TED PARRAN, JR., M.D., BRIAN JOHNSON, M.D., and WILLIAM KINSEY, M.D. Patients who abuse prescription drugs may exhibit patterns of behavior such as escalating use, losing prescriptions and doctor shopping.
2410	Clinical Opinion Acute Otitis Media: Part II. Treatment in an Era of Increasing Antibiotic Resistance MICHAEL E. PICHICHERO, M.D. Amoxicillin remains the first-line choice for treatment for acute otitis media, but higher dosages (80 mg per kg per day) may be prudent to ensure eradication of antibiotic-resistant Streptococcus pneumoniae.
2419	Developing and Communicating a Long-Term Treatment Plan for Asthma ROBERT B. MELLINS, M.D., DAVID EVANS, PH.D., NOREEN CLARK, PH.D., BARRY ZIMMERMAN, PH.D., and SANDRA WIESEMANN, R.N., M.P.H. A written long-term treatment plan and education can improve outcomes for patients with asthma.
	Patient information: "What You and Your Family Can Do About Asthma," p. 2427 "Medications for Controlling Asthma," p. 2433
2437	Practical Therapeutics Management of Herpes Zoster (Shingles) and Postherpetic Neuralgia SETH JOHN STANKUS, MAJ, MC, USA, MICHAEL DLUGOPOLSKI, MAJ, MC, USA, and DEBORAH PACKER, MAJ, MC, USA Prompt treatment of herpes zoster with antiviral medications, and oral corticosteroids in selected patients, can decrease the duration of the painful rash and the subsequent risk of postherpetic neuralgia.
	Patient information: "Shingles," p. 2447
2453	Evaluation and Treatment of Swallowing Impairments JEFFREY B. PALMER, M.D., JENNIFER C. DRENNAN, M.S., and MIKOTO BABA, M.D., SC.D. Swallowing may be impaired because of a variety of structural or functional disorders, such as stroke, cancer, neurologic disease and gastroesophageal reflux disease. The physical examination should include the neck, mouth, oropharynx and larynx. The nerves that control these areas should also be evaluated.

Cover Illustration © 2000 Steven Oh, San Francisco, Calif.
Copyright © 2000 by the American Academy of Family Physicians.
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