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American Family Physician
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Articles


1665
COVER ARTICLE
Transient Ischemic Attacks: Part I. Diagnosis and Evaluation
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NINA J. SOLENSKI, M.D.
ACFTransient ischemic attack is considered to be a critical harbinger of impending stroke. Rapid evaluation and treatment are essential to prevent permanent disability or death. cme
Patient information: "Strokes and TIAs," p. 1679
   
1681 Transient Ischemic Attacks: Part II. Treatment
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NINA J. SOLENSKI, M.D.
ACFRisk-factor management includes aggressive control of blood pressure, cholesterol levels, and diabetes mellitus, along with smoking cessation and weight loss as indicated. Aspirin is the preferred agent for stroke prevention in patients who do not require anticoagulation. cme
   
1691 Evaluation and Management of Suspected Retinal Detachment
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RAY F. GARIANO, M.D., PH.D., and CHANG-HEE KIM, M.D.
Retinal detachment is a relatively uncommon disorder. Early intervention may prevent permanent vision loss. cme
   

1699
PRACTICAL THERAPEUTICS
Atypical Pathogens and Challenges in Community-Acquired Pneumonia
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KRISTOPHER P. THIBODEAU, LCDR, MC, USN, and ANTHONY J. VIERA, LCDR, MC, USNR
Empiric treatment of community-acquired pneumonia must include antibiotics that are effective against atypical pathogens, which are implicated in up to 40 percent of cases. Challenges, in addition to misdiagnosis, include failure of outpatient management and missed vaccination opportunities. cme
   

1707
ALSO SERIES
Shoulder Dystocia
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ELIZABETH G. BAXLEY, M.D., and ROBERT W. GOBBO, M.D.
Although shoulder dystocia often occurs without warning, calm and effective management of the emergency, including the use of the HELPERR mnemonic, usually leads to successful delivery. cme
 

Editorial: "The ALSO® Article Series," p. 1610

   

Departments

1587 Inside AFP
1591 Definitions for Evidence Labels in AFP
1595 Newsletter
1598 Quantum Sufficit
1603 Clinical Quiz
1610 Editorials
1621 Levels-of-Evidence Labels in AFP
1622 Letters to the Editor
1631 CME Calendar
1659 Diary from a Week in Practice
1661 Cochrane for Clinicians: Putting Evidence into Practice
  • What Is the Best Collection Device for Screening Cervical Smears?
1715 Putting Prevention into Practice: An Evidence-Based Approach
  • Screening for Prostate Cancer
1721 Clinical Evidence Concise: A Publication of BMJ Publishing Group
  • Bipolar Disorder
1723 Clinical Inquiries from the Family Practice Inquiries Network
  • Do Vitamin C Supplements Reduce Cardiovascular Disease Mortality?
1727 Photo Quiz
1729

Patient Information Collection
DISORDERED EATING

1737 POEMs and Tips from Other Journals
1745 Definition of POEMs
2329 Practice Guidelines
  • ACS Releases Guidelines on Nutrition and Physical Activity During and After Cancer Treatment
2336 Clinical Briefs
1813 Change-of-Address Form
1814 Curbside Consultation
  • Conflict with a Consultant
1819 Classified Information
  Information for Authors

leftThis article exemplifies the AAFP 2004 Annual Clinical Focus on caring for America's aging population.

EB CMEThis 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.

CMEThis article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 1603.


Cover illustration © 2004 Steven Oh, San Francisco, Calif..
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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