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American Family Physician
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Cover 559 519

Articles


511
COVER ARTICLE
Common Dental Emergencies
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ALAN B. DOUGLASS, M.D., and JOANNA M. DOUGLASS, B.D.S., D.D.S.
Most dental pain is caused by caries, pericoronitis, periodontal disease, or trauma. This article discusses the underlying pathology, diagnosis, and management of dental emergencies.
   
519 Cytomegalovirus
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GREGORY H. TAYLOR, M.D.
Immunosuppressed patients can experience severe illness caused by reactivation of latent cytomegalovirus. Highly active antiretroviral therapy has decreased the incidence of cytomegalovirus retinitis but has resulted in a new set of ophthalmologic complications induced by restoration of immune competency and the pro-inflammatory response of the host to cytomegalovirus.
Patient information: "Cytomegalovirus," p. 526
   

537
RADIOLOGIC DECISION-MAKING
Hip Fractures in Adults
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LANCE C. BRUNNER, M.D., LIZA ESHILIAN-OATES, M.D., and TONY Y. KUO, M.D.
Early recognition and treatment of hip fracture are important in reducing morbidity and mortality and preserving quality of life. When initial radiographic findings are indeterminate, other imaging modalities, such as magnetic resonance imaging or bone scanning, can be useful in confirming the presence of hip fracture.
   

547
CLINICAL PHARMACOLOGY
Antidepressants: Update on New Agents and Indications
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ADRIENNE Z. ABLES, PHARM.D., and OTIS L. BAUGHMAN III, M.D.
Selective serotonin reuptake inhibitors have become the drugs of choice in the treatment of depression. Selecting an appropriate antidepressant depends on the pharmacologic profile, secondary actions, and tolerability of these agents.

559
PRACTICAL THERAPEUTICS
Thyroid Nodules
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MARY JO WELKER, M.D., and DIANE ORLOV, M.S., C.N.P.
The main objective of evaluating thyroid nodules is to exclude malignancy. Laboratory evaluation may include thyroid-stimulating hormone testing and fine-needle aspiration. Surgery remains the primary treatment for malignant lesions, and ablation by postoperative radioactive iodine is often used in high-risk patients.
Patient information: "Thyroid Nodules," p. 573
   

Departments

441 Definitions for Evidence Labels in AFP
445 Inside AFP
449 Newsletter
453 Clinical Quiz
459 Quantum Sufficit
462 Letters to the Editor
  • Calcaneal Ultrasonography for Bone Assessment
  • Vitamin D as a Risk Reduction Factor for Colorectal Cancer
  • Managing Asthma Should Not Focus on Dust Mite Control
  • Guidelines for Proper Use of Child Safety Seats
  • Dermatitis Herpetiformis and a Gluten-Free Diet
  • What Is the Most Effective Approach to Chronic Pain?
474 Editorials
  • Medical Needs of Foster Children
482 CME Calendar
502 Diary from a Week in Practice
507 Cochrane for Clinicians: Putting Evidence into Practice
  • Are Low-Fat Diets Better than Other Weight-Reducing Diets in Achieving Long-Term Weight Loss?
577 Clinical Evidence: A Publication of BMJ Publishing Group
  • Depression in Children and Adolescents
583 Photo Quiz
587 Tips from Other Journals
645 Practice Guidelines
  • AHA Releases Scientific Statement on Cardiovascular Health in Childhood
649 Clinical Briefs
653 Curbside Consultation
  • A Mother Who Refuses to Vaccinate Her Child
660 Classified Information
  Information for Authors

Updated Information for Authors (last printed October 1, 2002) and Author Statements Form are available.


Cover illustration by William B. Westwood, Albany, N.Y.
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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