
Cover	85	101

Articles

COVER ARTICLE: PROBLEM-ORIENTED DIAGNOSIS
Diagnosing Secondary Hypertension

EDWARD ONUSKO, M.D.
An "ABCDE" mnemonic can be useful in determining secondary causes of hypertension.

Echinacea

BENJAMIN KLIGLER, M.D., M.P.H.
Although there is a lack of evidence confirming its efficacy in the prevention of upper respiratory infections, echinacea is an extremely safe herbal medicine that may be an effective treatment.

Patient information: "Echinacea: What Should I Know About It?" p. 83

Editorial: "Complementary and Alternative Medicine: Examining the Evidence," p. 36

RADIOLOGIC DECISION-MAKING
Tarsal Navicular Stress Fractures

ERIC E. CORIS, M.D., and JOHN A. LOMBARDO, M.D.
Stress fractures of the tarsal navicular bone are relatively common among running athletes. Early recognition and treatment are crucial in ensuring optimal outcomes.

Perioperative Management of Diabetes

JENNIFER B. MARKS, M.D.
Intravenous insulin infusions may offer several advantages over the traditional method of sliding-scale subcutaneous insulin administration in patients with diabetes who are undergoing surgery.

101

PRACTICAL THERAPEUTICS
Dermatophyte Infections

BARRY L. HAINER, M.D.
Topical therapy is used for all dermatophyte infections except tinea capitis, tinea barbae, and onychomycosis.

111

An Office-Based Approach to Influenza: Clinical Diagnosis and Laboratory Testing

NORMAN J. MONTALTO, D.O.
Family physicians can improve diagnostic accuracy by being aware of the epidemiology of influenza. During outbreaks of influenza, commercially available rapid assays can be used to identify influenza A and B viral antigens.

	Departments
7	Definitions for Evidence Labels in AFP
14	Inside AFP
17	Graham Center One-Pager Family Physicians Increase Provision of Well-Infant Care Despite Decline in Prenatal Services
21	Newsletter
25	Quantum Sufficit
29	Clinical Quiz
32	Letters to the Editor Why Is Aspirin a Contraindication for Trigger-Point Injections? How Effective Is Bracing for Treatment of Scoliosis?
35	Correction
36	Editorials Complementary and Alternative Medicine: Examining the Evidence
41	CME Calendar
58	Diary from a Week in Practice
62	Cochrane for Clinicians: Putting Evidence into Practice Are Metered-Dose Inhalers with Holding Chambers Better Than Nebulizers for Treating Acute Asthma?
129	Putting Prevention into Practice: An Evidence-Based Approach Colorectal Cancer Screening
135	Clinical Evidence: a Publication of BMJ Publishing Group Generalized Anxiety Disorder
139	Photo Quiz
142	Patient Information Collection Choosing the Right Diet to Lose Weight What it Takes to Lose Weight Healthy Food Choices for Losing Weight
155	Tips from Other Journals
188	Practice Guidelines Recommended Childhood and Adolescent Immunization Schedule, United States, 2003 and Update on Childhood Immunizations
201	Clinical Briefs
209	Curbside Consultation Negotiating a Request for Nondisclosure
212	Medical Services
213	Classified Information
	Information for Authors Updated Information for Authors (last printed October 1, 2002) and Author Statements Form are available at www.aafp.org/x13554.xml.
	E-mail Table of Contents To receive AFP's table of contents via e-mail, enroll at www.aafp.org/afp.

Cover illustration by Todd Buck, Lombard, Ill.
Copyright © 2003 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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