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American Family Physician
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71 71 123
Articles
71 Imaging for Suspected Appendicitis
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JERRY L. OLD, M.D., REGINALD W. DUSING, M.D., WENDELL YAP, M.D., and JARED DIRKS, M.D.
Family physicians play a valuable role in the early diagnosis of acute appendicitis. However, the overall diagnostic accuracy achieved by traditional history and physical examination is only about 80 percent. Imaging techniques such as ultrasonography and computed tomography can improve diagnostic accuracy and patient outcomes.CME
    
85 Procedural Sedation in the Acute Care Setting
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TODD B. BROWN, M.D., LUIS M. LOVATO, M.D., and DINORA PARKER, B.S.
Procedural sedation and analgesia should be performed only by health care professionals who are skilled in managing possible complications, including cardiorespiratory compromise. Common agents such as etomidate, ketamine, fentanyl, and midazolam are easy to use and predictable, and have excellent safety profiles.CME
    
95 Insertion and Removal of Intrauterine Devices
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BRETT ANDREW JOHNSON, M.D.
Parous women in stable, mutually monogamous relationships who seek contraception are ideal candidates for the intrauterine device (IUD). Two IUDs are available: a copper-releasing device and a hormone-releasing device. Family physicians should counsel their patients about which contraceptive is best for them and can insert the device during a normal office visit using individual IUD protocols.CME
   
105 Understanding and Interpreting Serum Protein Electrophoresis
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THEODORE X. O'CONNELL, M.D., TIMOTHY J. HORITA, M.D., and BARSAM KASRAVI, M.D.
Serum protein electrophoresis is used to identify patients with multiple myeloma and other disorders of serum protein. Monoclonal gammopathies are associated with a clonal process that is malignant or potentially malignant, whereas polyclonal gammopathies may be caused by any reactive or inflammatory process.CME
   


Departments
  
Keeping Up to Date
117 Clinical Evidence

• Neck Pain

139 POEMs and Tips from Other Journals
188 Practice Guidelines
   
  
Answering Clinical Questions
66 Cochrane for Clinicians
121 FPIN's Clinical Inquiries

• Intravenous Fluids for Children with Gastroenteritis

123 Photo Quiz
191 Curbside Consultation

• Is This Patient Really Competent?

   
  
Commentary
15 Inside AFP
35 Editorials
43 Letters to the Editor
   
  
Medicine and Society
23 Newsletter
28 Quantum Sufficit
63 Diary from a Week in Practice
   
 
Readers Services
19 Strength of Recommendation Taxonomy in AFP
27 Levels-of-Evidence Labels in AFP
31 Clinical Quiz
50 CME Calendar
83 Change-of-Address Form
130 Patient Information Collection
153 Definition of POEMs
200 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. 31.

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 © 2005 Scott S. Bodell, Dallas, Tex.



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