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American Family Physician
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811 845 833
Articles
811 Common Overuse Tendon Problems: A Review and Recommendations for Treatment
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JOHN J. WILSON, M.D., and THOMAS M. BEST, M.D., PH.D.

Examination of tendinopathies should include assessment for swelling, asymmetry, and erythema of involved tendons; range-of-motion testing; palpation for tenderness; and maneuvers that reproduce pain. Surgery is an effective treatment that should be reserved for patients who have failed conservative therapy. CME

    

821
Complementary and alternative medicine
Chasteberry
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BEATRIX ROEMHELD-HAMM, M.D., PH.D.

Chasteberry has been used since ancient times to treat gynecologic conditions. Modern physicians have used the herb to treat cyclical breast discomfort and premenstrual syndrome.

    
827 Prader-Willi Syndrome
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DANIEL J. WATTENDORF, MAJ, MC, USAF, and MAXIMILIAN MUENKE, M.D.

ACF Prader-Willi syndrome is a genetic disorder that usually involves chromosome 15. Diagnosis often is delayed because the clinical findings are relatively nonspecific and the dysmorphism often is subtle.

   
833 Intertrigo and Common Secondary Skin Infections
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Camila K. Janniger, M.D., Robert A. Schwartz, M.D., M.P.H., Jacek C. Szepietowski, M.D., PH.D., and Adam Reich, M.D.

Intertrigo, an inflammatory condition that affects opposing surfaces of skinfolds, is commonly complicated by secondary bacterial or fungal infections. Physicians should treat the infection and instruct patients to take preventive measures. CME

Patient information: "Intertrigo: What You Should Know," p. 840

   
845 Mohs Micrographic Surgery
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GLEN M. BOWEN, M.D., GEORGE L. WHITE, JR., P.A.-C., M.S.P.H., PH.D., and JOHN W. GERWELS, M.D.

Mohs micrographic surgery is the treatment of choice for removing skin cancers in critical sites, large or recurrent tumors, tumors in sites of radiation therapy, and tumors with aggressive histologic features. CME

   
849 Psychogenic Nonepileptic Seizures
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TAOUFIK M. ALSAADI, M.D., and ANNA VINTER MARQUEZ, M.D.

Psychogenic nonepileptic seizures are somatic manifestations of psychologic distress. Early recognition can prevent morbidity from inappropriate treatment. CME

   


Departments
  
Keeping Up to Date
858 Clinical Evidence Concise EB CME

• Urinary Tract Infection in Children

878 POEMs and Tips from Other Journals
845 Practice Guidelines
   
  
Answering Clinical Questions
749 Clinical Quiz
805 Cochrane for Clinicians
866 FPIN's Clinical Inquiries

• Statin Therapy in Patients with Type 2 Diabetes

871 Photo Quiz
  
Commentary
733 Inside AFP
752 Editorials

• Family Medicine and Health Care Reform

756 Letters to the Editor
   
  
Medicine and Society
741 Newsletter
744 Quantum Sufficit
762 Graham Center One-Pager

• Patterns of Visits to Physicians' Offices, 1980 to 2003

798 Diary from a Week in Practice
   
 
Readers Services
736 Strength of Recommendation Taxonomy in AFP
761 Correction
877 Change-of-Address Form
940 Evidence-Based Medicine Glossary
954 Classified Information
  CME Center

• Search available CME courses

  Information for Authors

ACF This article exemplifies the AAFP 2005 Annual Clinical Focus on the legal, social, clinical, and ethical issues of medical genomics.

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 749.

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 reviewed systematically by an AAFP-approved source.


Cover illustration © 2005 Todd Buck, Lombard, Ill.



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