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American Family Physician
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285 305 343
Articles
285 Dysmenorrhea
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LINDA FRENCH, M.D.
Most patients who present with menstrual pain can be treated empirically for a presumptive diagnosis of primary dysmenorrhea. Nonsteroidal anti-inflammatory drugs are the initial treatment of choice. Oral contraceptives and other hormonal therapies can be considered, and some physical, and complementary and alternative medicine approaches may be effective. EB CME

Patient information: "Painful Menstrual Periods,” p. 292

    
299 Undiagnosed Vitamin D Deficiency in the Hospitalized Patient
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DAVID LYMAN, M.D., M.P.H.
Vague musculoskeletal complaints in hospitalized, critically ill patients may be attributed to multiple underlying disease processes rather than a deficiency of vitamin D. However, failure to diagnose an underlying vitamin D deficiency places the patient at risk for continued pain, weakness, secondary hyperparathyroidism, osteomalacia, and bone fractures. CME

Editorial: "Vitamin D Deficiency-The Once and Present Epidemic,” p. 241

    
305 Management of Epistaxis
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CORRY J. KUCIK, LT, MC, USN, and TIMOTHY CLENNEY, CDR, MC, USN
Although epistaxis usually responds to compression, treatment options such as topical vasoconstriction, cautery, or packing must be considered when bleeding persists. CME

Patient information: "Nosebleeds,” p. 312

   
315 Selecting Medications for the Treatment of Urinary Incontinence
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BARRY D. WEISS, M.D.
The first step in the evaluation of patients with urinary incontinence is to rule out reversible conditions, conditions requiring special evaluation, and overflow bladder. Pelvic muscle exercises are the best treatment for urge incontinence; medications can be an effective adjunct. Many treatments are available for stress incontinence, but it is unclear which treatment is best. CME

Patient information: "Pelvic Floor Muscle Exercises,” p. 329

   


Departments
  
Keeping Up to Date
333 From the U.S. Preventive Services Task Force

• Screening for Visual Impairment in Children Younger Than Five Years: Recommendation Statement

341 STEPS

• Omalizumab (Xolair) for Treatment of Asthma

346 POEMs and Tips from Other Journals
383 Practice Guidelines
   
  
Answering Clinical Questions
343 Photo Quiz
   
  
Commentary
221 Inside AFP
241 Editorials

• Vitamin D Deficiency-The Once and Present Epidemic

247 Letters to the Editor
 
Medicine and Society
229 Newsletter
238 Quantum Sufficit
276 Diary from a Week in Practice
 
Readers Services
225 Strength of Recommendation Taxonomy in AFP
233 Clinical Quiz
251 Correction
254 CME Calendar
275 Change-of-Address Form
281 List of Reviewers
358 Definition of POEMs
382 Levels-of-Evidence Labels in AFP
388 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. 233.

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 Joan Beck, Minneapolis, Minn.



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