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American Family Physician
Cover Article Photo Illustration
Cover 309 265

Articles


265
COVER ARTICLE: PRACTICAL THERAPEUTICS
Management of Carpal Tunnel Syndrome
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ANTHONY J. VIERA, LCDR, MC, USNR
Effective treatments for carpal tunnel syndrome include wrist splinting, oral corticosteroid therapy, local corticosteroid injection, and carpal tunnel release surgery.CME
Patient information: "Carpal Tunnel Syndrome," p. 279
   
283 Diagnosis and Management of Syphilis
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DAVID L. BROWN, MAJ, MC, USA, and JENNIFER E. FRANK, CPT, MC, USA
Diagnostic techniques and treatments depend on the stage of the disease. Neurosyphilis can develop in any stage of Treponema pallidum infection.CME
Patient information: "Syphilis," p. 297
   
299 Vaccinations in Pregnancy
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ACFDENISE K. SUR, M.D., DAVID H. WALLIS, M.D., and THEODORE X. O'CONNELL, M.D.
Misconceptions about the safety of current vaccine use during pregnancy often cause physicians to hesitate to administer them and patients to accept them. Despite these misconceptions, family physicians are in a good position to implement appropriate guidelines for immunization during pregnancy. CME

A supplement that addresses vaccinations typically not administered on a routine basis is available online.

   
309 Necrotizing (Malignant) External Otitis
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OPHIR HANDZEL, M.D., LL.B., and DORON HALPERIN, M.D.
Necrotizing external otitis, a relatively rare complication of external otitis, occurs primarily in immunocompromised persons, especially older persons with diabetes mellitus. Treatment includes correction of immunosuppression (when possible), local treatment of the auditory canal, long-term systemic antibiotic therapy, and, in selected patients, surgery.CME
   
323 Necrotizing Soft Tissue Infections: A Primary Care Review
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ADRIENNE J. HEADLEY, M.D.
Necrotizing soft tissue infections must be detected and treated rapidly to prevent loss of limb or a fatal outcome. Antibiotic therapy is important, but controlled surgical debridement of necrotic and diseased tissues remains the cornerstone of treatment. CME
   

ACFThis article exemplifies the AAFP 2003 Annual Clinical Focus on prevention of disease.


Departments

204 Definitions for Evidence Labels in AFP
206 Inside AFP
209 Clinical Quiz
215 Quantum Sufficit
219 Newsletter
223 Letters to the Editor
228 Editorials
  • JNC 7 Express: New Thinking in Hypertension Treatment
235 CME Calendar
257 Diary from a Week in Practice
260 Cochrane for Clinicians: Putting Evidence into Practice
  • Should We Offer Routine Breast Cancer Screening with Mammography? EBCME
331 U.S. Preventive Services Task Force: Recommendations and Rationale
  • Screening for Gestational Diabetes Mellitus EBCME
339 Patient Information Collection
CARDIOVASCULAR EVENTS
350 Change-of-Address Form
353 POEMs and Tips from Other Journals
360 Definition of POEMs
376 Practice Guidelines
  • NHLBI Releases New High Blood Pressure Guidelines
382 Clinical Briefs
384 Classified Information
  Information for Authors

CME This article is included as part of the continuing medical education activity in this issue. See "Clinical Quiz."

EBCME This logo designates clinical content that conforms to AAFP criteria for evidence-based continuing medical education (EB CME). EB CME is clinical content presented with practice recommendations supported by evidence that has been systematically reviewed by an AAFP-approved source.


Cover illustration © 2003 Floyd E. Hosmer, Birmingham, Ala.
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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