IBRAHIM R. HANNA, M.D., and NANETTE K. WENGER, M.D.

Secondary preventive measures for older patients with coronary heart disease include lifestyle modification and pharmacotherapy. These interventions have a favorable impact on morbidity and mortality rates and quality of life.

KAREN L. HALL, M.D., and BARRY ZALMAN, D.O.

Children with apparent life-threatening events, which comprise a constellation of symptoms such as apnea and change in muscle tone, must be assessed promptly. Fifty percent of these events are idiopathic; for the remainder an underlying cause, usually digestive, can be found.

TODD B. ZOLTAN, M.D., J.D., KENNETH S. TAYLOR, M.D., and SURAJ A. ACHAR, M.D.

Sprains, lacerations, strains, and fractures are common in surfers. Otologic problems and wounds from jellyfish, coral, stingrays, and sharks also may occur. Most injuries can be treated on an outpatient basis with antibiotic therapy.

Patient information: "Safe Surfing,” p. 2319

ROBERT L. BRATTON, M.D., and G. RALPH COREY, M.D.

In patients with influenza-like symptoms, physicians should consider the possibility of a tick-borne disease such as Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, tularemia, babesiosis, Colorado tick fever, or relapsing fever.

Patient information: "Ticks-How to Protect Yourself,” p. 2331

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