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Articles
1181 Evaluation and Treatment of Acute Low Back Pain
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SCOTT KINKADE, M.D., M.S.P.H.

Most cases of low back pain have no serious underlying pathology and can be managed with reassurance, pain medications, and advice to stay active. Selected patients with "red flag" findings need a more thorough evaluation and may require urgent referral to a surgeon. CME

    Patient information: "Low Back Pain," p. 1190
    
1199 Late Pregnancy Bleeding
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ELLEN SAKORNBUT, M.D., LAWRENCE LEEMAN, M.D., M.P.H., and PATRICIA FONTAINE, M.D., M.S.

Potentially serious causes of late pregnancy bleeding include placenta previa, placental abruption, and vasa previa. Management involves rapid assessment of maternal and fetal status, fluid resuscitation, replacement of blood products if necessary, and an appropriately timed delivery. CME

    
1207 Primary Care of the Patient with Cancer
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GEORGE F. SMITH, M.D., and TIMOTHY TOONEN, M.D.

ACF Continued involvement by a family physician is often a welcome and comforting addition to the care of a patient with cancer. Family physicians can have a role in treatment decisions, psychological support, treating intercurrent disease, preventive care, and recognizing and managing complications of cancer therapies. CME

   
1219 Noninvasive Cardiac Imaging
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JENNIFER H. MIERES, M.D., AMGAD N. MAKARYUS, M.D., RITA F. REDBERG, M.D., M.SC., and LESLEE J. SHAW, PH.D.

ACF Noninvasive cardiac imaging tests play an important role in diagnosing and treating patients with coronary artery disease, myocardial infarction, and acute coronary syndromes. Establishing the diagnosis, extent, and severity of coronary artery disease, as well as the potential risks of cardiovascular events, are crucial steps in improving outcomes. CME

Editorial: "Is There Benefit to Coronary Calcium Screening?," p. 1155

   


Departments
  
Keeping Up to Date
1239 STEPS

• Pramipexole (Mirapex) for Restless Legs Syndrome

1245 Tips from Other Journals
1252 Practice Guidelines
  
Answering Clinical Questions
1147 Clinical Quiz
1231 Point-of-Care Guides

• Predicting Mortality Risk in Patients with Acute Exacerbations of Heart Failure

1235 Photo Quiz
   
  
Commentary
1132 Inside AFP
1151 Letters to the Editor

• Clarification About Smoking Cessation Interventions

1155 Editorials
   
  
Medicine and Society
1139 Newsletter
1142 Quantum Sufficit
1177 Close-ups
   
  
Patient Information
1190 Low Back Pain
   
 
Reader Services
1135 Strength-of-Recommendation Taxonomy in AFP
  CME Center

• Search available CME courses

1234 Evidence-Based Medicine Glossary
1238 Change-of-Address Form
1262 Classified Information
  Information for Authors

ACF This article exemplifies the AAFP 2007 Annual Clinical Focus on management of chronic illness.

CME This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz," p. 1147.



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