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American Family Physician
Cover Article Photo illustration
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Articles


2517
COVER ARTICLE
Over-the-Counter Medications in Pregnancy
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RONALD A. BLACK, M.D., and D. ASHLEY HILL, M.D.
Because some over-the-counter medications used during pregnancy may adversely affect the developing fetus, physicians should educate pregnant women on the safety and efficacy of various drugs and health products.
Editorial: "Information on Medication Use in Pregnancy," p. 2476
   
2527 Diagnosis and Management of Acute Interstitial Nephritis
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CHARLES M. KODNER, M.D., and ARCHANA KUDRIMOTI, M.D.
Acute interstitial nephritis should be considered early in the differential diagnosis of acute renal failure. It can be caused by medications, infections, and other clinical syndromes.
Patient information: "Kidney Failure," p. 2539
   
2541 Stinging Insect Allergy
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DAVID B.K. GOLDEN, M.D.
Epinephrine remains the treatment of choice for acute anaphylaxis subsequent to an insect sting. Because of demonstrated efficacy, venom immunotherapy is recommended for use in patients who are at risk for severe systemic reactions to future insect stings.
   

2547
PROBLEM-ORIENTED DIAGNOSIS
The Abnormal Fontanel
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JOSEPH KIESLER, M.D., and RICK RICER, M.D.
The appearance of a newborn's fontanels is an indicator of overall health, with the normal fontanel varying widely in size and time of closure.

2557
OFFICE PROCEDURES
Splinter Removal
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CHRISTINA CHAN, M.D., and GOHAR A. SALAM, M.D., D.O.
Patients frequently present to their family physicians to have painful and difficult-to-remove splinters extracted. This article discusses initial evaluation, removal techniques, and follow-up care.
   

2565
PRACTICAL THERAPEUTICS
Evaluation and Treatment of Women with Hirsutism
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MELISSA H. HUNTER, M.D., and PETER J. CAREK, M.D.
Although the causes of hirsutism are often not life-threatening, clinical evaluation is necessary to rule out more serious pathology. Treatment should include nonpharmacologic as well as pharmacologic therapies.
   

Departments

2447 Change-of-Address Form
2448 Definitions for Evidence Labels in AFP
2456 Inside AFP
2458 Quantum Sufficit
2461 Clinical Quiz
2467 Newsletter
2471 Letters to the Editor
  • Alternative Diagnoses that Often Mimic Cellulitis
ONLINE LETTER
Available online only
  • Severe Hyponatremia as a Result of Thiazide Diuretic
2476 Editorials
  • Information on Medication Use in Pregnancy
2479 CME Calendar
2513 Diary from a Week in Practice
2573 U.S. Preventive Services Task Force: Recommendations and Rationale
  • Behavioral Counseling in Primary Care to Promote a Healthy Diet
2579 POEMs and Tips from Other Journals
2586 Definition of POEMs
2620 Practice Guidelines
  • CDC Updates Guidelines for Prevention and Control of Infections with Hepatitis Viruses in Correctional Settings
2626 Clinical Briefs
2631 Classified Information
  Information for Authors


Cover illustration © 2003 Mark E. Schuler, Prairie Village, Kan..
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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