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Articles
636 Chronic Plaque Psoriasis
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KELLY M. LUBA, D.O., and DANIEL L. STULBERG, M.D.

Initial management of this autoimmune disease includes education and topical therapy with steroids and vitamin D derivatives. Options such as light therapy or systemic therapy are reserved for patients with psoriasis involving more than 20 percent of their skin. CME

Patient information: "Psoriasis: What You Should Know," p. 646

    
647 Behavior Disorders of Dementia: Recognition and Treatment
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ABI V. RAYNER, M.D., M.P.H., JAMES G. O'BRIEN, M.D., and BEN SCHOENBACHLER, M.D.

Nonpharmacologic management of dementia-associated behaviors includes the use of sensory intervention, removing environmental hazards, and maintaining routines. Atypical antipsychotics have the greatest effectiveness and are best tolerated, but the axiom "start low, go slow" should govern pharmacologic treatments. CME

Patient information: "Behavior Problems in a Family Member with Dementia: What You Should Know," p. 653

    
659 Preterm Premature Rupture of Membranes: Diagnosis and Management
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TANYA M. MEDINA, M.D., and D. ASHLEY HILL, M.D.

Preterm premature rupture of the fetal membranes can cause significant perinatal morbidity and fetal demise. Treatment options vary with gestational age and may include delivery when rupture occurs at or after 34 weeks' gestation. CME

Patient information: "Preterm Premature Rupture of Membranes: What it Means to You," p. 665

   
669 Chronic Obstructive Pulmonary Disease: Diagnostic Considerations
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MARVIN DEWAR, M.D., J.D., and R. WHIT CURRY, JR., M.D.

Patients with this disease usually present with a variety of clinical findings, including elements of chronic bronchitis and emphysema. Symptoms alone are not diagnostic, and physicians should consider risk factors, global guidelines, and clinical test results when evaluating patients with suspected disease. CME

Patient information: "Chronic Obstructive Pulmonary Disease: What You Should Know," p. 677

Editorial: "Using COPD Guidelines to Improve Patient Care," p. 590

   


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Keeping Up to Date
687 STEPS

• Nesiritide (Natrecor) for Acute Decompensated Heart Failure

690 POEMs and Tips from Other Journals
719 Practice Guidelines
  
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585 Clinical Quiz
683 Photo Quiz
   
  
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572 Inside AFP
589 Letters to the Editor
590 Editorials
   
  
Medicine and Society
577 Newsletter
580 Quantum Sufficit
   
  
Patient Information
646

Psoriasis

653

Behavior Problems in a Family Member with Dementia

665

Preterm Premature Rupture of Membranes

677

Chronic Obstructive Pulmonary Disease

   
 
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573 Strength of Recommendation Taxonomy in AFP
589 Correction
598 CME Center

• Search available CME courses

679 Evidence-Based Medicine Glossary
680 Change-of-Address Form
731 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. 585.



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