Cover	431	475

	Articles
419	Evaluating the Child with Purpura ALEXANDER K.C. LEUNG, M.B.B.S., and KA WAH CHAN, M.B.B.S. Purpura can be the sign of a relatively benign condition or the manifestation of a serious underlying disorder. It may occur secondary to thrombocytopenia, platelet dysfunction, a coagulation deficiency or a vascular defect.
431	Cover Article The Abdominal Wall: An Overlooked Source of Pain SAUD SULEIMAN, M.D., and DAVID E. JOHNSTON, M.D. The abdominal wall is often overlooked as a source of pain. If a hernia or other structural disease is excluded, injection of a local anesthetic with or without a corticosteroid into the pain trigger point can be diagnostic and therapeutic.
445	Impact of Anorexia, Bulimia and Obesity on the Gynecologic Health of Adolescents MARJORIE E. KAPLAN SEIDENFELD, M.D., and VAUGHN I. RICKERT, PSY.D. The most common menstrual disorders in patients with anorexia, bulimia and obesity are amenorrhea, oligomenorrhea and irregular menses, respectively.
	Editorial: "Challenges in Eating Disorders: Past and Present," p. 367
455	Office Procedures The V-Y Plasty in the Treatment of Fingertip Amputations EDWARD A. JACKSON, M.D. The V-Y plasty repair technique of fingertip amputations can be learned and applied easily in the family practice setting.
461	Tick-borne Diseases ANDY GAYLE, M.D., and ERIKA RINGDAHL, M.D., M.S.P.H. Tick-borne illnesses usually present with nonspecific symptoms and can be difficult to recognize. Although preventing tick bites is the best method for preventing these diseases, knowing the common presentation, diagnostic options and treatments available can help the physician make an early diagnosis.
	Patient information: "What You Should Know About Tick-Borne Diseases," p. 468

Cover Illustration © 2001 Scott S. Bodell, Dallas.
Copyright © 2001 by the American Academy of Family Physicians.
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