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American Family Physician
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1037 1093 1075
Articles
1037 Diagnosis and Management of Rheumatoid Arthritis
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J. ADAM RINDFLEISCH, M.D., and DANIEL MULLER, M.D., PH.D.

Diagnosis of this chronic inflammatory disease primarily is clinical but can be confirmed with laboratory tests and imaging studies. Uncontrolled proliferation of synovial tissue and multiple comorbidities may be delayed with early identification and treatment. CME

Patient information: "Rheumatoid Arthritis: What You Should Know," p. 1049

Editorial: "Advances in the Treatment of Early Rheumatoid Arthritis," p. 1002

    
1057 Vasomotor Rhinitis
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PATRICIA W. WHEELER, M.D., and STEPHEN F. WHEELER, M.D.

A treatment algorithm starts with a targeted history and physical examination, followed by a stepwise management approach that reflects evidence from the Agency for Healthcare Research and Quality. CME

    
1065 Coenzyme Q10
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ROBERT ALAN BONAKDAR, M.D., and ERMINIA GUARNERI, M.D.

CAM This vitamin-like substance is used to treat a variety of disorders related to suboptimal cellular energy metabolism and oxidative injury.

   
1075 Herpes Zoster and Postherpetic Neuralgia: Prevention and Management
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ANNE L. MOUNSEY, M.D., LEAH G. MATTHEW, M.D., and DAVID C. SLAWSON, M.D.

Typically easy to diagnose, these conditions may be preventable in the future. For now, multiple treatment options are available to the family physician. CME

Patient information: "Shingles: Easing the Pain," p. 1082

   


Departments
  
Keeping Up to Date
1087 From the U.S. Preventive Services Task Force EB CME

• Screening for Rh(D) Incompatibility: Recommendation Statement

1099 STEPS

• Duloxetine (Cymbalta) for Treatment of Major Depressive Disorder

1102 POEMs and Tips from Other Journals
1119 Practice Guidelines
   
  
Answering Clinical Questions
995 Clinical Quiz
1091 Point-of-Care Guides Predicting the Risk of Prostate Cancer on Biopsy
1093 Photo Quiz
  
Commentary
980 Inside AFP
1000 Letters to the Editor

• Possible Interaction Between Warfarin and Cranberry Juice

1002 Editorials

• Advances in the Treatment of Early Rheumatoid Arthritis

   
  
Medicine and Society
987 Newsletter
990 Quantum Sufficit
1007 Graham Center One-Pager

• Number of Persons Who Consulted a Physician, 1997 and 2002

1034 Diary from a Week in Practice
   
 
Readers Services
983 Strength of Recommendation Taxonomy in AFP
998 Evidence-Based Medicine Glossary
  CME Center

• Search available CME courses

1129 Classified Information
1063 Change-of-Address Form
  Information for Authors

CAM This article is one in a series of reviews on complementary and alternative medicine.

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 995.

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 reviewed systematically by an AAFP-approved source.


Cover illustration by Steve Oh, San Francisco, Calif.



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