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American Family Physician
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Cover 1381 1343

Articles


1311
COVER ARTICLE
Management of Gastroesophageal Reflux Disease
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JOEL J. HEIDELBAUGH, M.D., TIMOTHY T. NOSTRANT, M.D., CLARA KIM, M.D., and R. VAN HARRISON, PH.D.
Treatment of reflux esophagitis is directed at acid suppression using lifestyle modifications and pharmacologic agents. Antireflux surgery or one of the newer endoscopic modalities is an alternative treatment in patients who have chronic reflux and recalcitrant symptoms.CME
Patient information: "Gastroesophageal Reflux Disease," p. 1321
Editorial: "Gastroesophageal Reflux: Medical and Surgical Treatment Options," p. 1271
   
1325 A Practical Guide to Anaphylaxis
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ANGELA W. TANG, M.D.
Anaphylaxis is a life-threatening reaction to medicines, foods, insect stings, physical factors, and exercise. Prompt treatment is critical. Prevention strategies are a key component in the management of future episodes.CME
Patient information: "Anaphylaxis," p. 1339
   
1343 Fever in the Returned Traveler
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VINCENT LO RE III, M.D., and STEPHEN J. GLUCKMAN, M.D.
As more people visit exotic worldwide locations, U.S. physicians are seeing more returning travelers with fever. A careful travel history, a description of accommodations, information about pretravel immunizations or chemoprophylaxis during travel, a sexual history, and a list of exposures and risk factors can help pinpoint the diagnosis.CME
   

1356
OFFICE PROCEDURES
Diagnostic and Therapeutic Injection of the Ankle and Foot
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ALFRED F. TALLIA, M.D., M.P.H., and DENNIS A. CARDONE, D.O., C.A.Q.S.M.
The use of diagnostic and therapeutic injection for common pathologies affecting the plantar fascia, the ankle joint, the tarsal tunnel, the interdigital space, and the first metatarsophalangeal joint is reviewed and pictorially demonstrated.CME
   

1365
CLINICAL PHARMACOLOGY
Pharmacologic Treatment of Alzheimer's Disease: An Update
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VINCENT W. DELAGARZA, M.D.
Drugs that inhibit the degradation of acetylcholine within synapses are the main treatment for Alzheimer's disease, but no therapy has been shown to completely protect neurons.CME
   

Departments

1241 Definitions for Evidence Labels in AFP
1250 Inside AFP
1253 Newsletter
1257 Quantum Sufficit
1261 Clinical Quiz
1264 Letters to the Editor
1256 Correction
1271 Editorials
  • Gastroesophageal Reflux: Medical and Surgical Treatment Options
1281 CME Calendar
1303 Diary from a Week in Practice
1307 Cochrane for Clinicians: Putting Evidence into PracticeEBCME
  • Are Anticoagulants Better than Antiplatelet Agents for Treatment of Acute Ischemic Stroke?
1375 Clinical Evidence Concise: A Publication of BMJ Publishing GroupEBCME
  • Sudden Infant Death Syndrome
1381 Photo Quiz
1387 POEMs and Tips from Other Journals
1390 Definition of POEMs
1423 Change-of-Address Form
1426 Practice Guidelines
  • NIH Releases Statement on Managing Pain, Depression, and Fatigue in Cancer
1437 Clinical Briefs
1439 Curbside Consultation
1446 Classified Information
  Information for Authors

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 1261.

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.




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