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American Family Physician
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Cover 2185 2113

Articles


2113
COVER ARTICLE
Barrett's Esophagus
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MARK D. SHALAUTA, M.D., and RICHARD SAAD, M.D.
Barrett's esophagus is a premalignant metaplastic process that may be suspected on endoscopic evaluation of the esophagus but is confirmed by biopsy. Current treatment guidelines include relief of the symptoms of gastroesophageal reflux disease with medical or surgical measures. CME
Patient information: "Barrett's Esophagus-What Should I Know About It?" p. 2120
Editorials: "Endoscopy for Barrett's Esophagus and Esophageal Adenocarcinoma," p. 2060 "Screening for Barrett's Esophagus," p. 2061
   
2123 Diagnosis and Treatment of Acne
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STEVEN FELDMAN, M.D., PH.D., RACHEL E. CARECCIA, M.D., KELLY L. BARHAM, M.D., and JOHN HANCOX, M.D.
Numerous topical and systemic medications are available for the treatment of acne. Patients should be counseled about appropriate treatment options and expected outcomes. CME
Patient information: "Acne," p. 2135
   

2139
PRACTICAL THERAPEUTICS
Polycythemia Vera
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BRIAN J. STUART, LT, MC, USNR, and ANTHONY J. VIERA, LCDR, MC, USNR
Polycythemia vera leads to hyperviscosity of the blood that predisposes patients to potentially fatal thrombosis. Treatment includes phlebotomy, with or without myelosuppressive agents.CME
Patient information: "Polycythemia Vera," p. 2146
   
2149 Health Care Screening for Men Who Have Sex with Men
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DANIEL KNIGHT, M.D.
Men who have sex with men are at an increased risk for sexually transmitted diseases and psychologic and behavioral disorders. Various obstacles may hinder optimal care of these patients. CME
   

2159
PROBLEM-ORIENTED DIAGNOSIS
Evaluation of the Patient with Chronic Cough
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ROBERT L. HOLMES, D.O., PH.D., and CLARE T. FADDEN, M.D., M.S.
A sequential approach is helpful in determining the cause of chronic cough. In immunocompetent adults, the most common causes of chronic cough are postnasal drip syndrome, asthma, and gastroesophageal reflux disease. Respiratory tract infections, asthma, and gastroesophageal reflux disease are the most common causes in children. CME
Patient information: "Chronic Cough," p. 2169
   

Departments

2043 Inside AFP
2039 Strength of Evidence Taxonomy in AFP
2047 Newsletter
2050 Quantum Sufficit
2055 Clinical Quiz
2060 Editorials
2071 Letters to the Editor
2074 Corrections
2077 Medicine and Society
  • Functional Health Literacy: Improving Health Outcomes
2079 CME Calendar
2109 Diary from a Week in Practice
2111 Cochrane for Clinicians:
Putting Evidence into Practice
EB CME
  • Vaginal Estrogen Preparations for Relief of Atrophic Vaginitis
2134 Levels-of-Evidence Labels in AFP
2173 Clinical Evidence Concise:
A Publication of BMJ Publishing Group
EB CME
  • Atrial Fibrillation (Acute)
2185 Photo Quiz
2189 Patient Information Collection
VAGINAL INFECTIONS
2294 POEMs and Tips from Other Journals
2199 Definition of POEMs
2247 Change-of-Address Form
2248 Practice Guidelines
  • Sinus and Allergy Health Partnership Releases Report on Adult Chronic Rhinosinusitis
2250 Clinical Briefs
2255 Curbside Consultation
  • The Right to Know-But at What Cost?
2260 Classified Information
  Information for Authors

CMEThis article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 2055.

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.


Cover illustration by Joan Beck, Minneapolis, Minn.
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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