Advertisement
American Family Physician
Cover Article Photo Illustration
Cover 461 529

Articles


461
COVER ARTICLE: PROBLEM-ORIENTED DIAGNOSIS
Lower Extremity Abnormalities in Children
PDF Available
About PDFs
PAMELA SASS, M.D., and GHINWA HASSAN, M.D.
Lower extremity abnormalities in children, which are common in family practices, include intoeing, out-toeing, bowlegs, and knock-knees. An accurate diagnosis for appropriate treatment options can be made with a careful history and physical examination.
   
469 Management of Status Epilepticus
PDF Available
About PDFs
JOSEPH I. SIRVEN, M.D., and ELIZABETH WATERHOUSE, M.D.
Because status epilepticus is associated with high rates of morbidity and mortality, physicians must be prepared for immediate diagnosis and treatment of this emergency neurologic condition.
   
483 Sudden Arrhythmia Death Syndrome: Importance of the Long QT Syndrome
PDF Available
About PDFs
JOHN S. MEYER, M.D., ALI MEHDIRAD, M.D., BAKR I. SALEM, M.D., WIT A. JAMRY, M.D., AGNIESZKA KULIKOWSKA, M.D., and PIOTR KULIKOWSKI, M.D.
Sudden arrhythmia death syndrome, which is caused by hereditary ion channel disorders such as long QT syndrome and the Brugada syndrome, accounts for a substantial proportion of sudden cardiac deaths when no anatomic abnormalities are found.
   

2271
PRACTICAL THERAPEUTICS
Off-Label Applications for SSRIs
PDF Available
About PDFs
KIMBERLY J. STONE, LCDR, MC, USNR, ANTHONY J. VIERA, LCDR, MC, USNR, and CHRISTOPHER L. PARMAN, LCDR, MC, USNR
Off-label conditions for which selective serotonin reuptake inhibitors may be effective include generalized anxiety disorder, premature ejaculation, migraine prophylaxis, diabetic neuropathy, fibromyalgia, and neurocardiogenic syncope.
Editorial: "Off-Label Use of Prescription Drugs," p. 425
   
509 Prevention of Malaria in Travelers
PDF Available
About PDFs
VINCENT LO RE III, M.D., and STEPHEN J. GLUCKMAN, M.D.
Physicians are being asked more frequently about preventing malarial infection. Patients traveling to tropical locations should have their itineraries reviewed, be prescribed appropriate chemoprophylaxis, be advised of protective measures, and be instructed about when to seek medical attention.
Patient information: "Preventing Malaria When You Travel," p. 515
   

Departments

402 Inside AFP
405 Graham Center One-Pager
  • Family Physicians Make a Substantial Contribution to Maternity Care: The Case of the State of Maine
406 Definitions for Evidence Labels in AFP
409 Newsletter
413 Quantum Sufficit
417 Clinical Quiz
420 Letters to the Editor
  • Preventing Hip Fractures in Older Patients with Fall Risk
422 Change-of-Address Form
425 Editorials
  • Off-Label Use of Prescription Drugs
428 CME Calendar
457 Diary from a Week in Practice
519 Clinical Evidence Concise:
A Publication of BMJ Publishing Group
  • Acute Myocardial Infarction
525 Putting Prevention into Practice: An Evidence-Based Approach
  • Screening for Cervical Cancer
533 POEMs and Tips from Other Journals
538 Definition of POEMs
554 Practice Guidelines
  • ACIP Issues Guidelines on the Use of Smallpox Vaccine in a Pre-Event Vaccination Program
561 Clinical Briefs
565 Curbside Consultation
  • A Shoe-in for Malpractice
568 Medical Services
569 Classified Information
  Information for Authors

ACF Logo 2 This article exemplifies the AAFP 2003 Annual Clinical Focus on prevention of disease.

This article is included as part of the continuing medical education (CME) activity in this issue. See "Clinical Quiz," on p. 33.

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 photographs provided by Steven Oh, San Francisco, Calif.
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.



Advertisement