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AFP - April 1, 2001


Cover Article photo photo
Cover 1359 1409
Articles

1329
Diagnosis and Initial Management of Kidney Stones
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ANDREW J. PORTIS, M.D., and CHANDRU P. SUNDARAM, M.D.
Renal colic may be suspected based on the history and physical examination, but diagnostic imaging is essential to confirm or exclude the presence of urinary calculi. The cornerstones of ambulatory management are adequate analgesia, timely urologic consultation and close follow-up.
1341 Cover Article
Management of Asthma in Children
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JAMES P. KEMP, M.D., and JUDITH A. KEMP, D.O.
ACFAsthma affects as many as 5 million children in this country and is associated with considerable morbidity. The four components of asthma management in children include regular assessment and monitoring, control of symptoms, pharmacologic therapy and patient education.
Patient information: "Take Control of Your Asthma," p. 1353

1359
Diagnosis and Management of Malignant Melanoma
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BETH G. GOLDSTEIN, M.D., and ADAM O. GOLDSTEIN, M.D.
Melanoma should be suspected when a mole is asymmetric and has an irregular border, variable color and increasing diameter. All suspected melanomas require excisional biopsy because tumor thickness is a primary factor in determining prognosis.
Patient information: "Melanoma," p. 1374

1375
Office Procedures
Flexible Sigmoidoscopy
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THOMAS J. ZUBER, M.D.
Flexible sigmoidoscopy is valuable for the periodic screening of patients for colorectal cancer. Extensive training in endoscopic maneuvering, colorectal anatomy and pathologic recognition is required.
Patient information: "Flexible Sigmoidoscopy," p. 1383
Patient forms available in PDF format
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1393 Practical Therapeutics
Coronary Artery Disease Prevention: What's Different for Women?
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JOAN BEDINGHAUS, M.D., LOREN LESHAN, M.D., and SABINA DIEHR, M.D.
Measures for the primary prevention of coronary artery disease in women include exercise, hypertension treatment, smoking cessation and aspirin therapy. The roles of lipid-lowering agents and hormone replacement therapy in primary prevention are not well established.
Patient information: "Preventing Heart Attacks: What Women Need to Know," p. 1405
Editorials: "Cardiovascular Disease and Differences Between the Sexes," p. 1290

ACF This article exemplifies the AAFP 2000 Annual Clinical Focus on allergies, asthma and respiratory infections.


Departments
1271 Inside AFP
1279 Newsletter
1283 Quantum Sufficit
1287 Clinical Quiz
1290 Editorials
  • Cardiovascular Disease and the Differences Between the Sexes
1295 Letters to the Editor
  • No-Needle Anesthetic for No-Scalpel Vasectomy
  • Family Physicians as Specialists
1298 Correction
1299 Change-of-Address Form
1303 CME Calendar
1323 Diary from a Week in Practice
1409 Photo Quiz
1411 Tips from Other Journals
1429 Family Practice International
1430 Practice Guidelines
  • NIH Consensus Statement on Phenylketonuria
1433 Clinical Briefs
1440 Curbside Consultation
1443 Medical Services
1444 Classified Information


Cover Illustration © 2001 Joan M. Beck, Minneapolis.
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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