SAMEER DIXIT, M.D., JOHN P. DIFIORI, M.D., MONIQUE BURTON, M.D., and BRANDON MINES, M.D.

Typical symptoms of patellofemoral pain syndrome include pain behind or around the patella that is increased with running and activities involving knee flexion. Physical therapy is effective, but there is little evidence to support the routine use of knee braces or nonsteroidal anti-inflammatory drugs. Surgery should be considered only after failure of a comprehensive rehabilitation program. CME

MARC TUNZI, M.D., and GARY R. GRAY, D.O.

Hormonal changes, preexisting conditions, and pregnancy-specific disorders can affect a woman's skin during pregnancy. Most conditions resolve after delivery and only require symptomatic treatment; however, increased antepartum surveillance may be indicated. CME

KELLY COLLEEN MCDONALD, MAJ, MC, USA

There are four types of abuse: neglect and emotional, physical, and sexual abuse. The family physician has a responsibility to recognize and treat cases of child abuse on first presentation to prevent significant morbidity and mortality. A multidisciplinary approach is recommended to evaluate and treat victims. CME

MADELYN POLLOCK, M.D., ORALIA V. BAZALDUA, PHARM.D., and ALISON E. DOBBIE, M.D.

The World Health Organization recommends a six-step systematic approach to medication prescribing to help minimize errors and improve quality. This article describes an eight-step approach that adds use of electronic drug references or prescribing software to improve legibility and regular evaluation of therapy to monitor effectiveness. CME

Patient information: "Tips for Using Medicines Wisely," p. 239