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American Family Physician
Cover Article Photo Illustration
Cover 1191 1123

Articles


1107
COVER ARTICLE: OFFICE PROCEDURES
An Approach to Interpreting Spirometry
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TIMOTHY J. BARREIRO, D.O., and IRENE PERILLO, M.D.
Basic spirometry can be performed in the family physician's office with relative ease and inexpensive equipment. Knowledge of appropriate reference values is essential. A simplified and stepwise method is key to interpreting spirometry. CME
   
1117 Palmoplantar Hyperhidrosis: A Therapeutic Challenge
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ISABELLE THOMAS, M.D., JUSTIN BROWN, M.D., JANET VAFAIE, M.D., and ROBERT A. SCHWARTZ, M.D., M.P.H.
Treatment options for patients with palmoplantar hyperhidrosis include topical and systemic agents, iontophoresis, and botulinum toxin type A injections, with surgical sympathectomy reserved for use in severe cases. Although the safety and effectiveness of treatments have improved in recent years, side effects and compensatory sweating are still common, potentially serious problems. CME
Patient information: "Sweaty Hands and Feet," p. 1121
   
1123 Urticaria and Angioedema: A Practical Approach
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BARBARA A. MULLER, M.D.
Diagnosis of urticaria and angioedema can be challenging, especially if symptoms are chronic or minimally responsive to therapy. A thorough medical history, physical examination, and methodical investigation are necessary to uncover diagnostic clues.CME
   
1133 Gastric Cancer: Diagnosis and Treatment Options
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JOHN C. LAYKE, D.O., and PETER P. LOPEZ, M.D.
Esophagogastroduodenoscopy is the preferred modality for evaluation of patients suspected of having gastric cancer. Accurate staging is important for prognosis and appropriate treatment. CME
Patient information: "What Should I Know About Stomach Cancer?" p. 1145
   
1147 Obstructive Sleep Apnea in Children
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JAMES CHAN, M.D., JENNIFER C. EDMAN, M.D., and PETER J. KOLTAI, M.D.
Left untreated, obstructive sleep apnea in infants and children can cause failure to thrive, poor academic performance, behavior problems, enuresis and, in severe cases, cardiopulmonary disease. Treatment options include antibiotics, continuous positive airway pressure, weight loss in overweight children, and adenotonsillectomy. CME
Patient information: "Sleep Apnea in Children," p. 1159

1161
PRACTICAl THERAPEUTICS
Common Intestinal Parasites
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CORRY JEB KUCIK, LT, MC, USN, GARY L. MARTIN, LCDR, MC, USN, and BRETT V. SORTOR, LCDR, MC, USN
Intestinal parasites can cause significant morbidity and mortality throughout the world, particularly in undeveloped countries and patients with comorbid conditions. Intestinal parasites that remain prevalent in the United States include Enterobius vermicularis, Giardia lamblia, Ancylostoma duodenale, Necator americanus, and Entamoeba histolytica. CME

1169
CLINCAL PHARMACOLOGY
Practical Selection of Antiemetics
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ZACHARY A. FLAKE, M.D., ROBERT D. SCALLEY, PHARM.D., and AUSTIN G. BAILEY, M.D.
Treatment of nausea and vomiting involves correcting the underlying cause when possible. With an understanding of the pathophysiology of nausea and the mechanisms of antiemetics, family physicians can improve the cost-effectiveness and efficacy of therapy. CME
Patient information: "Nausea and Vomiting," p. 1176

Departments

1023 Inside AFP
1028 Strength of Recommendation Taxonomy in AFP
1031 Newsletter
1034 Quantum Sufficit
1039 Clinical Quiz
1045 Letters to the Editor
1049 Corrections
1053 Editorials
1064 Levels-of-Evidence Labels in AFP
1065 CME Calendar
1103 Diary from a Week in Practice
1181 Clinical Evidence Concise: A Publication of BMJ Publishing Group
  • HIV: Mother-to-Child Transmission
1187 Putting Prevention into Practice: An Evidence-Based Approach
  • Screening for Gestational Diabetes Mellitus
1191 Photo Quiz
1197 Patient Information Collection
SENIOR HEALTH ISSUES
1221 POEMs and Tips from Other Journals
1228 Definition of POEMs
1285 Practice Guidelines
1297 Change-of-Address Form
1300 Clinical Briefs
1313 Curbside Consultation
1316 Classified Information
  Information for Authors

Cover illustration © 2004 Michael Kress-Russick, Madison, Wis.
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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