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American Family Physician


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Cover 907 841

Articles

841 PRACTICAL THERAPEUTICS
Osteoarthritis: Diagnosis and Therapeutic Considerations
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RALPH HINTON, COL, MC, USA, ALAN W. DAVIS, CPT, MC, USA, SEAN F. THOMAS, CPT, MC, USA, and RON L. MOODY, MAJ, MC, USA
An estimated 40 million Americans of all ages are affected by osteoarthritis, and 70 to 90 percent of persons older than 75 years have at least one affected joint. New medications can help limit symptoms and improve function.
   
853 Recognition and Management of Hereditary Hemochromatosis
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DAVID J. BRANDHAGEN, M.D., VIRGIL F. FAIRBANKS, M.D., and WILLIAM BALDUS, M.D.
The diagnosis of hereditary hemochromatosis, an autosomal recessive single-gene disorder, is based on a combination of clinical, laboratory, and pathologic findings (including elevated serum transferrin saturation) and, possibly, HFE gene testing. Patients with the disorder who have iron overload are usually treated with phlebotomy.
Patient information: "Hereditary Hemochromatosis," p. 865
   

871
COVER ARTICLE
Cholesterol Treatment Guidelines Update
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RICHARD S. SAFEER, M.D., and PRABHA S. UGALAT, M.P.H.
The National Cholesterol Education Program has released its third set of guidelines, reflecting changes in cholesterol management. The new guidelines stress the importance of an aggressive therapeutic approach in the treatment of hypercholesterolemia.
Editorial: "Improvement in Current Approaches to Lipid Lowering," p. 783
   
883 END-OF-LIFE CARE
Identifying and Managing Preparatory Grief and Depression at the End of Life
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VYJEYANTHI S. PERYAKOIL, M.D., and JAMES HALLENBECK, M.D.
The symptoms traditionally used to identify depression may be imprecise in patients who are dying because these symptoms are also present in preparatory grief and as a part of the normal dying process.
Patient information: "Dying and Preparatory Grief," p. 897
   
901 OFFICE PROCEDURES
Lipoma Excision
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GOHAR A. SALAM, M.D., D.O.
Lipomas are slow-growing, benign tumors that most often appear in subcutaneous tissues. They can be treated with steroid injections, liposuction, enucleation, or excision.
Patient information: "What Are Lipomas?" p. 905
   
907 Rhabdomyolsis
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JOHN M. SAURET, M.D., GEORGE MARINIDES, M.D., and GORDON K. WANG, M.D.
Rhabdomyolysis can be life-threatening. Early recognition of the syndrome and prompt management of complications are crucial to a successful outcome.
915 Maternal Serum Triple Analyte Screening in Pregnancy
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J. CHRISTOPHER GRAVES, M.D., KARL E. MILLER, M.D., and ANGELA D. SELLERS, M.D.
Serum analyte testing has become an important step in detecting congenital abnormalities. The triple screen, using alpha-fetoprotein, human chorionic gonadotropin, and unconjugated estriol, provides detection of neural tube defects and increases the detection of trisomies greatly over alpha-fetoprotein alone.
Patient information: "Triple Screening in Pregnancy--What It Is and What to Expect," p. 922
   

Departments

761 Inside AFP
765 Change-of-Address Form
769 Newsletter
773 Quantum Sufficit
777 Clinical Quiz
783 Editorials
799 Letters to the Editor
  • Physicians Should Not Be Referred to as 'Providers'
799 Correction
803 CME Calendar
833 Diary from a Week in Practice
925 BMJ Clinical Evidence
  • Low Back Pain
931 Tips from Other Journals
979 Practice Guidelines
  • AAP Updates Statement for Transfer of Drugs and Other Chemicals Into Breast Milk
982 Clinical Briefs
989 Medical Services
744 Classified Information
  Information for Authors
Updated Information for Authors (last printed January 15, 2002) and Author Statements Forms


Cover illustration © 2002 Floyd E. Hosmer, Birmingham, Ala.
Copyright © 2002 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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