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Articles
1310
Developmental Dysplasia of the Hip
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STEPHEN K. STORER, M.D., and DAVID L. SKAGGS, M.D.

ACF This continuum of abnormalities in the immature hip can range from subtle dysplasia to dislocation. Risk factors include breech positioning, family history, and female sex. Careful physical examination is recommended as a screening tool; early diagnosis helps improve treatment results and decrease the risk of complications. CME

    Editorial: "Ultrasonography in Assessment of Developmental Dysplasia of the Hip," p. 1284
    
1319 Hirschsprung's Disease: Diagnosis and Management
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JENNIFER KESSMANN, M.D.

ACF This disease usually presents in infancy as difficult bowel movements, poor feeding, and abdominal distention. Although surgery usually is indicated, the family physician's role includes making an early diagnosis and prompt referral for treatment, monitoring for complications, and providing counseling and support resources. CME

    Patient information: "Hirschsprung's Disease: What You Should Know," p. 1327
    
1331 Preventing Cardiovascular Disease in Women
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SHARONNE N. HAYES, M.D.

Prevention recommendations for cardiovascular disease have not been optimally applied to women. The American Heart Association's guidelines provide a plan for assessment and treatment of cardiovascular disease risk in women and for personalization of recommendations. CME

Patient information: "Cardiovascular Disease: What You Should Know," p. 1342

Editorial: "The Heart of Women's Health," p. 1286

   
1347 Management of Common Opioid-Induced Adverse Effects
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JOHN M. SWEGLE, PHARM.D., and CRAIG LOGEMANN, PHARM.D.

Although opioid analgesics are valuable for treating pain, adverse effects may limit their use. Understanding the mechanism of these effects can help determine the appropriate agent and aid in selection of tactics to reduce adverse effects. CME

   
1357 Management of Head and Neck Injuries by the Sideline Physician
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JOHN W. WHITESIDE, M.D.

ACF Sideline physicians must be prepared with an organized approach to detect and manage head and neck injuries. Because these injuries often occur simultaneously, the head and neck evaluations should be combined into a seamless examination. CME

   


Departments
  
Keeping Up to Date
1380 STEPS

Lubiprostone (Amitiza) for Chronic Idiopathic Constipation

1401 POEMs and Tips from Other Journals
1431 Practice Guidelines
  
Answering Clinical Questions
1275 Clinical Quiz
1367 Point-of-Care Guides

Syncope: Initial Evaluation and Prognosis

1373 Putting Prevention Into Practice

Screening for Speech and Language Delay in Preschool Children

1377 Photo Quiz
   
  
Commentary
1259 Inside AFP
1279 Letters to the Editor

Nesiritide for Acute Decompensated Heart Failure

000 Editorials
   
  
Medicine and Society
1267 Newsletter
1271 Quantum Sufficit
   
  
Patient Information
1327 Hirschsprung's Disease
1342 Cardiovascular Disease
1385 Collection: Mental Health
   
 
Reader Services
1260 Change-of-Address Form
1263 Strength of Recommendation Taxonomy in AFP
  CME Center

• Search available CME courses

1364 Evidence-Based Medicine Glossary
1435 Classified Information
  Information for Authors

ACF This article exemplifies the AAFP 2006 Annual Clinical Focus on caring for children and adolescents.

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 1275.

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.



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