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Articles

663
Practical Therapeutics
Treating Onychomycosis
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PHILLIP RODGERS, M.D., and MARY BASSLER, M.D.
Newer and more effective antifungal agents have made onychomycosis easier to treat. Orally administered terbinafine and itraconazole are the therapeutic agents of choice, with fluconazole showing promise based on early efficacy data.
Patient information: "Fungal Infections of Fingernails and Toenails," p. 677
679 Disability Prevention Principles in the Primary Care Office
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MICHAEL P. MCGRAIL, JR., M.D., M.P.H., WILLIAM LOHMAN, M.D., and ROBERT GORMAN, M.D., M.P.H.
Assessment of impairment and subsequent disability in patients seeking sick notes for the workplace is best made on the basis of objective data by use of a biopsychosocial model to ensure that the expression of disability does not mask other unaddressed health, psychologic or social issues. A factual, medical-based approach offers an effective preventive strategy that will save many patients from unnecessary disability and morbidity.
685 Cover Article: Problem-Oriented Diagnosis
Evaluation of Acute Headaches in Adults
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C. RANDALL CLINCH, D.O.
Classifying a patient's headache as primary (migraine, tension-type or cluster) or secondary (headache with an organic cause) can facilitate evaluation and management. The family physician's primary task is to determine whether the headache has an organic, potentially life-threatening cause.

697
Chronic Vulvovaginal Candidiasis
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PAUL NYIRJESY, M.D.
Chronic vulvovaginal symptoms are relatively common occurrences that can be frustrating for the patient and the physician. Establishing a proper diagnosis can lay the foundation for an effective therapeutic plan.

703
Diagnosing Dementia
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KAREN SANTACRUZ, M.D., and DANIEL SWAGERTY, M.D., M.P.H.
As more treatment options for dementia become available, it will become increasingly important to diagnose at an early stage.
Patient information: "The Signs of Dementia," p. 717
Editorial: "Mild Cognitive Impairment in the Elderly," p. 620

Departments
602 Inside AFP
605 Newsletter
609 Quantum Sufficit
613 Clinical Quiz
620 Editorials
  • Mild Cognitive Impairment in the Elderly
  • Smoking Cessation: Still Looking for a Miracle
635 Letters to the Editor
  • Complying with AAFP Lyme Disease Recommendations
  • Update on Treatment of Influenza A and B with Tamiflu
  • Sildenafil-Simvastatin Interaction: Possible Cause of Rhabdomyolysis
  • Generally Safe' NSAIDs?
638 CME Calendar
657 Diary from a Week in Practice
721 Conference
727 Tips from Other Journals
765 Family Practice International
767 Patient Information Collections
Child Health Heart Disease
787 Practice Guidelines
  • AAP Issues Recommendations on Infection Control in Physicians' Offices
793 Clinical Briefs
797 Information for Authors
800 Author Statement Form
805 Change-of-Address Form
806 Classified Information


Cover Illustration © 2001 Scott S. Bodell, Dallas.
Copyright © 2001 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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