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American Family Physician
Cover Article Photo Illustration
Cover 1823 1861

Articles

1805 COVER ARTICLE: PRACTICAL THERAPEUTICS
Common Conditions of the Achilles Tendon
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MICHAEL F. MAZZONE, M.D., and TIMOTHY MCCUE, M.D.
Although problems with the Achilles tendon are increasingly common, especially in physically active persons, the diagnosis is missed in about one fourth of cases. Basic treatment is often helpful, but physical therapy, orthotics, and surgery may be necessary in recalcitrant cases.
   
1817 RADIOLOGIC DECISION-MAKING
Adolescent Idiopathic Scoliosis: Radiologic Decision-Making
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K. ALLEN GREINER, M.D., M.P.H.
Most patients with adolescent idiopathic scoliosis do not require treatment, but family physicians need to understand the measurement of scoliotic curves and be able to discuss issues of cosmesis with patients and their families.
   
1823 Acute Respiratory Distress Syndrome
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MICHAEL P. MORTELLITI, M.D., and HAROLD L. MANNING, M.D.
The complex pathophysiology of acute respiratory distress syndrome involves an inciting local or systemic event that initiates pulmonary endothelial and epithelial damage. Early identification and treatment of the underlying disorder and aggressive supportive care are essential.
   
1834 Neurologic Complications of Prostate Cancer
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RAMSIS BENJAMIN, M.D., M.P.H.
ACF Logo Prompt treatment with dexamethasone sodium phosphate can improve outcomes in patients with spinal cord compression caused by metastatic prostate cancer. Surgical removal of a solitary brain lesion usually extends survival. Multiple brain metastases are commonly treated with a two-week course of radiotherapy.
   
1845 Lactose Intolerance
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DANIEL L. SWAGERTY, JR., M.D., M.P.H., ANNE D. WALLING, M.D., and ROBERT M. KLEIN, PH.D.
Lactose intolerance is a common condition with symptoms of abdominal pain, bloating, and discomfort accompanied by passage of excessive flatus and watery stool following the ingestion of foods containing lactose.
Patient information: "Lactose Intolerance," p. 1855
   
1861 Autoimmune Bullous Dermatoses: A Review
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KELLY M. BICKLE, M.D., TOM R. ROARK, M.D., and SYLVIA HSU, M.D.
Bullous dermatoses can be debilitating and possibly fatal. Physicians should be able to recognize these blistering autoimmune diseases.
   
1883 OFFICE PROCEDURES
Dermal Electrosurgical Shave Excision
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THOMAS J. ZUBER, M.D.
Dermal electrosurgical shave excision describes the technique of sharp removal of epidermal or dermal lesions by horizontal slicing. Electrosurgical feathering is then performed to eliminate sharp wound edges and contour the wound to the surrounding skin.
Patient information: "Dermal Electrosurgery Shave Excision," p. 1899
   

Departments

1721 Inside AFP
1725 Newsletter
1729 Quantum Sufficit
1733 Clinical Quiz
1741 Letters to the Editor
  • Interstitial Cystitis Is a Legitimate and Serious Condition
  • Should Perindopril Be Used to Treat Patients with Heart Failure?

Also available online at www.aafp.org/afp/20020501/lettersonline.html

  • Differential Diagnosis of Acute Inhalation Anthrax
  • Effects of Benzodiazepines After Procedures in Elderly Patients
1751 Correction
1752 Editorials
  • Counseling Patients About Prostate Cancer Screening
1758 CME Calendar
1795 Diary from a Week in Practice
1798 Cochrane for Clinicians: Putting Evidence Into Practice
  • Is Alarm Intervention Effective in the Treatment of Enuresis?
1833 Change-of-Address Form
1871 BMJ Clinical Evidence
  • Migraine Headache
1877 Photo Quiz
1902 Tips from Other Journals
1941 Practice Guidelines
  • Revised Growth Charts for Children
1948 Clinical Briefs
1950 Curbside Consultation
1956 Medical Services
1957 Classified Information
  Information for Authors
Updated Information for Authors (last printed January 15, 2002) and Author Statements Forms


Cover illustration © 2002 John W. Karapelou, Columbus, Ohio.
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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