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AFP - April 1, 2001


illustration illustration illustration
Cover 1359 1557
Articles

1535
Problem-Oriented Diagnosis
Evaluation and Differential Diagnosis of Dyspareunia
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LORI J. HEIM, LTC, USAF, MC
Painful intercourse frequently results from a combination of physical and psychologic factors. Descriptors of the pain and its location assist the physician in reaching a diagnosis.
Patient information: "Dyspareunia: What it Might Mean for You," p. 1551
1557 Cover Article: Practical Therapeutics
Management of Group A bet-Hemolytic Strepococcal Pharyngitis
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CYNTHIA S. HAYES, M.D., M.H.A., and HAROLD WILLIAMSON, JR., M.D., M.S.P.H.
Oral penicillin remains the drug of choice in most clinical situations. Effective alternatives are available for patients with penicillin allergy, compliance issues or penicillin treatment failure.
Patient information: "Strep Throat," p. 1565
Editorial: "Group A Beta-Hemolytic Strepococcal Pharyngitis," p. 1486

1567
Prevention and Treatment of Dog Bites
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R. JOHN PRESUTTI, D.O.
Wound assessment, copious irrigation and appropriate choice of antibiotics are essential measures to prevent infection associated with dog bite injuries.
Patient information: "Preventing Dog Bites," p. 1573

1579
Conduct Disorder: Diagnosis and Treatment in Primary Care
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H. RUSSELL SEARIGHT, PH.D., FRED ROTTNEK, M.D., and STACEY ABBY, PHARM.D.
The primary diagnostic symptoms of conduct disorder include aggression to people or animals, deliberate property damage or destruction, repeated violation of household or school rules, and persistent lying to avoid consequences or obtain tangible goods or privileges. To make the diagnosis, at least three of these four behaviors must be observed for at least six months.
1593 Reducing Readmissions for Congestive Heart Failure
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ROBERT E. HOYT, CAPT, MC, USN, and LESTER SHAWN BOWLING, LCDR, MC, USN
All physicians who care for patients with congestive heart failure should be knowledgeable about the new drugs and strategies for the treatment of congestive heart failure that have been introduced in the past five years. They can help reduce the need for hospitalization of these patients.
Patient information: "How to Stay Out of the Hospital if You Have Congestive Heart Failure," p. 1600
Editorial: "Heart Failure, Diastolic Dysfunction and the Role of the Family Physician," p. 1483

Departments
1463 Inside AFP
1467 Newsletter
1471 Quantum Sufficit
1475 Clinical Quiz
1483 Editorials
1494 Letters to the Editor
  • Comments on Management of the Drug-Seeking Patient
1501 CME Calendar
1529 Diary from a Week in Practice
1605 Conference Highlights
1611 Tips from Other Journals
1630 Change-of-Address Form
1632 Family Practice International
1635 Practice Guidelines
  • PHS Updates Smoking Cessation Guideline
1639 Clinical Briefs
1645 Medical Services
1646 Classified Information


Cover Illustration © 2001 John W. Karapelou, Columbus, Ohio.
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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