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American Family Physician
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Articles


853
COVER ARTICLE: PRACTICAL THERAPEUTICS
New Developments in the Management of Hypertension
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MICHAEL K. MAGILL, M.D., KAREN GUNNING, PHARM.D., SUSAN SAFFEL-SHRIER, M.S., R.D., and CHRISTOPHER GAY, M.D.
In the past decade, the management of hypertension has evolved with the publication of several large clinical trials firmly positioning thiazide diuretics as the drugs of first choice in the treatment of hypertension. Treatment of systolic hypertension, particularly in elderly patients, lower treatment goals in patients with diabetes or chronic renal disease, and re-emphasis on lifestyle modifications have emerged as key messages for primary care physicians. cme
Patient information: "Healthy Eating for Blood Pressure Control," p. 865
   
869 Recognition and Prevention of Inhalant Abuse
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CARRIE E. ANDERSON, M.D., and GLENN A. LOOMIS, M.D.
Inhalant abuse is a prevalent and often overlooked form of adolescent drug abuse. Prevention should be the physician's primary goal. cme
Patient information: "Is Your Child Abusing Inhalants?" p. 876
Editorial: "Screening for Inhalant Abuse in Children and Adolescents," p. 811
   
879 Failure to Thrive
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SCOTT D. KRUGMAN, M.D., and HOWARD DUBOWITZ, M.D., M.S.
Prompt diagnosis of failure to thrive prevents malnutrition and developmental problems. Family physicians should be aware of the social and medical factors that may contribute. cme
Patient information: "Failure to Thrive: Why Is My Child Underweight?" p. 886
   
889 Smallpox Vaccine: Contraindications, Administration, and Adverse Reactions
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DOUGLAS M. MAURER, D.O., BRIAN HARRINGTON, M.D., M.P.H., and J. MICHAEL LANE, M.D., M.P.H.
With the resumption of smallpox vaccination in civilian health care workers and the U.S. military, family physicians and their staff must be prepared to properly administer the smallpox vaccine, recognize normal and adverse reactions to the vaccine, and provide proper treatment for adverse reactions. cme
   
907 Evaluation of Patients Presenting with Knee Pain: Part I. History, Physical Examination, Radiographs, and Laboratory Tests
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WALTER L. CALMBACH, M.D., and MARK HUTCHENS, M.D.
A careful history and a focused physical examination are essential to determining an accurate diagnosis in patients who present with knee pain. Radiographs and laboratory tests are indicated in selected patients. cme
   
917 Evaluation of Patients Presenting with Knee Pain: Part II. Differential Diagnosis
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WALTER L. CALMBACH, M.D., and MARK HUTCHENS, M.D.
Factors that can help the family physician narrow the differential diagnosis of knee pain include the patient's age and the anatomic location of the pain. cme
   

923
COMPLEMENTARY AND ALTERNATIVE MEDICINE
Ginkgo Biloba
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VICTOR S. SIERPINA, M.D., BERND WOLLSCHLAEGER, M.D., and MARK BLUMENTHAL
Ginkgo biloba is a commonly used herbal product that may be effective in the treatment of symptoms of Alzheimer's disease, intermittent claudication, and tinnitus.

Departments

781 Inside AFP
785 Definitions for Evidence Labels in AFP
789 Newsletter
793 Quantum Sufficit
797 Clinical Quiz
802 Letters to the Editor
811 Editorials
  • Screening for Inhalant Abuse in Children and Adolescents
814 Change-of-Address Form
817 CME Calendar
843 Diary from a Week in Practice
849

Cochrane for Clinicians: Putting Evidence into Practice

  • Is Leflunomide as Safe and Effective in the Treatment of Rheumatoid Arthritis as Other DMARDs?
929

Clinical Evidence Concise:
A Publication of BMJ Publishing Group

  • Headache (Chronic Tension Type)
933 Photo Quiz
937

Point-of-Care Guides

  • Strep Throat

943

POEMs and Tips from Other Journals
  • Warming Td Vaccine Does Not Reduce Pain (POEM)
  • CT-Guided Biopsy for Unilateral Pleural Effusions (POEM)
  • Alcohol Consumption and C-Reactive Protein
  • The Function of Aldosterone in Patients with Diabetes
  • Steroids Ineffective for Throat Pain in Children (POEM)
  • Once-a-Day Medication for ADHD Treatment
  • Gabapentin Reduces Hot Flushes
  • Low-Dose Mifepristone Shrinks Uterine Fibroids
  • Newer Antipsychotics Slightly Better than Older Ones (POEM)
  • Long-term Treatment Prevents Relapse in Acute Depression
  • Cognitive Therapy for Patients with Bipolar Affective Disorder
  • Is Ultrasound-Guided Thoracentesis Safer?
  • Restricted Shoulder Symptoms After Breast Cancer Surgery

952

Definition of POEMs
969

Practice Guidelines

  • AHA Releases Statement on Exercise and Heart Failure
971

Clinical Briefs

975 Curbside Consultation
  • Responding to an In-flight Emergency
977 Medical Services
978 Classified Information
986 Therapeutic Index


Cover illustration by Michael Kress-Russick, Madison, Wis.
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