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American Family Physician
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Cover 341 373

Articles


299
PROBLEM-ORIENTED DIAGNOSIS
Jaundice in the Adult Patient
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SEAN P. ROCHE, M.D., and REBECCA KOBOS, M.D.
Jaundice can be caused by benign or life-threatening disorders. To make the work-up more manageable, it may help to organize the differential diagnosis by prehepatic, intrahepatic, and posthepatic causes. CME logo
   
309 Facilitating Treatment Adherence with Lifestyle Changes in Diabetes
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MARLON RUSSELL KOENIGSBERG, PH.D., DONALD BARTLETT, PH.D., and J. STEVEN CRAMER, M.D.
Family physicians can help patients who are at risk for diabetes delay or prevent complications by teaching them how to modify their lifestyles. By individualizing goals to the patient's preferences and progress, physicians can facilitate long-term results. CME logo
Patient information: "Sticking to Lifestyle Changes: Increasing Physical Activity," p. 319
Patient information: "Sticking to Lifestyle Changes: Healthy Eating," p. 323
Editorial: "Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician," p. 269
   

325
PRACTICAL THERAPEUTICS
Treating Acute Bronchiolitis Associated with RSV
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ROBERT WILLIAM PRASAAD STEINER, M.D., PH.D.
Bronchiolitis associated with respiratory syncytial virus (RSV) is the leading cause of hospitalization in infants younger than one year. Supportive care, attention to adequate hydration and, possibly, supplemental oxygen are the basis of therapy. Certain pharmacologic therapies are controversial or have been shown to be ineffective, while others may be effective yet difficult to administer. CME logo
   
333 Hyperparathyroidism
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EDNA D. TANIEGRA, M.D.
Primary hyperparathyroidism usually presents as an incidental finding of asymptomatic hypercalcemia on a chemistry panel. Parathyroidectomy is the definitive treatment for primary hyperparathyroidism. CME logo
Patient information: "Hyperparathyroidism," p. 340
   

341
CARING FOR COMMON SKIN CONDITIONS
Pediculosis and Scabies
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DAVID C. FLINDERS, M.D., and PETER DE SCHWEINITZ, M.D.
Pediculosis and scabies are caused by ectoparasites, and patients usually present with itching. Various treatments are available, but environmental measures are essential to prevent reinfestation. CME logo
Patient information: "Head Lice," p. 349
   

Departments

245 Inside AFP
249 Definitions for Evidence Labels in AFP
253 Newsletter
257 Clinical Quiz
263 Quantum Sufficit
264 Letters to the Editor
  • Use of Metformin Is a Cause of Vitamin B12 Deficiency
269 Editorials
  • Preventive Therapy for Diabetes: Lifestyle Changes and the Primary Care Physician
276 CME Calendar
295 Diary from a Week in Practice
354 U.S. Preventive Services Task Force: Recommendations and Rationale
  • Behavioral Interventions to Promote Breastfeeding
359 Clinical Inquiries from the Family Practice Inquiries Network
  • Does a Low-Sodium Diet Reduce Blood Pressure?
363 STEPS
  • Tegaserod (Zelnorm) for Irritable Bowel Syndrome
367

Point-of-Care Guides

  • Suspected Pulmonary Embolism: Part I. Evidence-Based Clinical Assessment
373 Photo Quiz
375 Patient Information Collection
INFLUENZA
359 POEMs and Tips from Other Journals
401 Definition of POEMs
435 Change-of-Address Form
436 Practice Guidelines
  • ACOG Releases Bulletin on Managing Cervical Insufficiency
440 Clinical Briefs
442 Classified Information
  Information for Authors

CME logo This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 257.

eb/cme 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 © 2004 John W. Karapelou, Columbus, Ohio
Copyright © 2004 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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