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American Family Physician
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1492 1569 1547
Articles
1492 Evaluation of Syncope
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THOMAS H. MILLER, M.D., and JERRY E. KRUSE, M.D., M.S.P.H.

Syncope has a complex presentation that must be differentiated from other conditions that can cause a loss of consciousness or falling. It can be classed as cardiac, reflex-mediated, orthostatic, or cerebrovascular. CME

    
1503 Supporting Self-management in Patients with Chronic Illness
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MARY THOESEN COLEMAN, M.D., PH.D., and KAREN S. NEWTON, R.D., M.P.H.

Physicians can support patient self-management in a variety of ways including adopting a partnership role with patients, making office system changes, and linking patients to community resources.CME

Editorial: "Planned Visits to Help Patients Self-manage Chronic Conditions," p. 1454

    
1517 Subclinical Thyroid Disease
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GEORGE R. WILSON, M.D., and R. WHIT CURRY, JR., M.D.

Subclinical hyperthyroid and hypothyroid disease are laboratory diagnoses. Their management is controversial because there is limited evidence that early treatment can alter their clinical course.CME

   
1527 Genital Herpes: A Review
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JOHN G. BEAUMAN, MAJ, MC, USA

The number of lifetime sex partners is the strongest predictor for this recurrent, lifelong disease. Treatment is aimed at controlling outbreaks, and patients should be counseled about the risk of transmission and to address psychosocial concerns. CME

Patient information: "Genital Herpes: What You Should Know," p. 1541

   
1547 Hidradenitis Suppurativa: A Treatment Challenge
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Nipa Shah, M.D.

The diagnosis of this painful, debilitating disease often is overlooked. Available treatment options include antibiotics, retinoids, corticosteroids, local excision, radiation, and laser therapy, although none has proved effective for all patients.CME

Patient information: "Hidradenitis Suppurativa: What You Should Know," p. 1554

   


Departments
  
Keeping Up to Date
1557 From the U.S. Preventive Services Task Force EB CME

• Screening for Genital Herpes: Recommendation Statement

1563 STEPS

• Topiramate (Topamax) for Migraine Prevention

1587 POEMs and Tips from Other Journals
1607 Practice Guidelines
   
  
Commentary
1431 Inside AFP
1450 Letters to the Editor

Safety of and Contraindications for Use of Intrauterine Devices

online letters
Available online only:
1454 Editorials

• Planned Visits to Help Patients Self-manage Chronic Conditions

   
  
Medicine and Society
1439 Newsletter
1442 Quantum Sufficit
1459 Graham Center One-Pager

• Physician Workforce: Legal Immigrants Will Extend Baby Boom Demands

1484 Diary from a Week in Practice
   
  
Answering Clinical Questions
1447 Clinical Quiz
1569 Photo Quiz
   
  
Patient Information
1541 Genital Herpes: What You Should Know
1554 Hidradenitis Suppurativa: What You Should Know
1577 Collection: Pregnancy
   
 
Readers Services
1435 Strength of Recommendation Taxonomy in AFP
1461 CME Center

• Search available CME courses

1572 Evidence-Based Medicine Glossary
1605 Change-of-Address Form
1618 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. 1447.

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 by Joan Beck, Minneapolis, Minn.



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