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American Family Physician


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Articles

1327 COVER ARTICLE: PRACTICAL THERAPEUTICS
Management of Helicobacter pylori Infection
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LINDA N. MEURER, M.D., M.P.H., and DOUGLAS J. BOWER, M.D.
Helicobacter pylori is the cause of most ulcer disease and a primary risk factor for cancer. Eradication of this infection, which results in ulcer healing and a reduction in complication and recurrence rates, requires completion of a 10- to 14-day multidrug regimen and close follow-up.
Patient information: "What Should I Know About Helicobacter pylori Infections?" p. 1339
   
1341 Spinal Epidural Abscess: A Diagnostic Challenge
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DEARDRE CHAO, M.D., M.S., and ANIL NANDA, M.D.
Spinal epidural abscess can lead to irreversible neurologic damage or death if not treated expeditiously. Actinomyces odontolyticus is a rare cause; Staphylococcus aureus is the more common cause.
   
1351 Interviewing When Family Members Are Present
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FORREST LANG, M.D., KIM MARVEL, PH.D., DAVID SANDERS, PSY.D., DAEL WAXMAN, M.D., KATHLEEN L. BEINE, M.D., CAROL PFAFFLY, PH.D., and ELIZABETH MCCORD, M.S., M.D.
The presence of a patient's family member at an office visit creates unique opportunities and challenges to the physician. A set of core skills and advanced skills are available for conducting an effective family interview.
Editorial: "The Clinical Importance of Defining Family," p. 1277
   
1357 RADIOLOGIC DECISION-MAKING
Radiologic Bone Assessment in the Evaluation of Osteoporosis
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RICHARD BRUNADER, M.D., and DAVID K. SHELTON, M.D.
Osteoporosis is often diagnosed using measurements of bone mineral density. Common imaging modalities include dual-energy x-ray absorptiometry, quantitative computed tomography, and calcaneal ultrasonography.
   
1367 Venomous Snakebites in the United States: Management Review and Update
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GREGORY JUCKETT, M.D., M.P.H., and JOHN G. HANCOX, M.D.
Venomous snakebite is a true medical emergency requiring immediate attention; however, recommendations regarding first aid and management of snakebite have changed radically in recent years, necessitating an update on this challenging problem.
Patient information: "Snakebite Prevention and First Aid?" p. 1377
   
1379 Assessing Oral Malignancies
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MEA A. WEINBERG, D.M.D, M.S.D., R.PH., and DENISE J. ESTEFAN, D.D.S., M.S.
ACF Logo 2 Oral cancer accounts for approximately 3 percent of all cases of cancer in the United States. Sixty percent of oral cancers are well advanced by the time they are detected, despite frequent oral cavity examinations by physicians and dentists. Controversy exists over whether screening programs effectively reduce mortality rates.
Patient information: "Protecting Oral Health During Cancer Therapy," p. 1385
   
1388 Infant Botulism
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NADINE COX, M.D., and RANDY HINKLE, D.O.
Infant botulism is caused by ingestion of Clostridium botulinum spores found in soil and honey products and should be identified and treated early to prevent respiratory failure.
   
1409 OFFICE PROCEDURES
Minimal Excision Technique for Epidermoid (Sebaceous) Cysts
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THOMAS J. ZUBER, M.D.
The minimal excision technique is a less invasive intervention for removal of epidermoid cysts. The minimal excision, which involves a 2- to 3-mm incision, expression of cyst contents, and extraction of the cyst wall through the incision, is a simple procedure that can be performed in the office.
Patient information: "Minimal Excision Technique for Removal of an Epidermoid Cyst," p. 1423
 

ACF Logo 2This article exemplifies the AAFP 2002 Annual Clinical Focus on cancer: prevention, detection, management, support, and survival.

 

Departments

1253 Inside AFP
1257 Change-of-Address Form
1261 Newsletter
1265 Quantum Sufficit
1269 Clinical Quiz
1277 Editorials
1280 Letters to the Editor
  • Treatment of Streptococcal Pharyngitis
  • Treatment of Hansen's Disease
1282 Corrections
1285 CME Calendar
1313 Diary from a Week in Practice
1319 Cochrane for Clinicians: Putting Evidence into Practice
  • Do NSAIDs Help in Acute or Chronic Low Back Pain?
1395 BMJ Clinical Evidence
  • Depressive Disorders
1401 Putting Prevention into Practice: An Evidence-Based Approach
  • Screening for Skin Cancer
1405 Photo Quiz
1429 Tips from Other Journals
1467 Practice Guidelines
  • Introduction to AAFP Summary of Recommendations for Periodic Health Examinations
1468 Clinical Briefs
1475 Curbside Consultation
1479 Medical Services
1480 Classified Information
  Information for Authors
Updated Information for Authors (last printed January 15, 2002) and Author Statements Forms


Cover illustration © 2002 S. Scott Bodell, Dallas.
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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