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Articles
76 Evaluation of Nausea and Vomiting
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KEITH SCORZA, MD, AARON WILLIAMS, DO, J. DANIEL PHILLIPS, MD, and JOEL SHAW, MD

The etiologies of nausea and vomiting include iatrogenic or infectious causes, gastrointestinal disorders, and central nervous system or psychiatric conditions, and can often be determined from a comprehensive history and physical examination. Evaluation should focus first on detecting any emergencies or complications, then on identifying the underlying cause and providing specific therapies. When the cause cannot be determined, empiric therapy with an antiemetic is appropriate. CME

    
86 Dupuytren's Disease: Diagnosis and Treatment
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THOMAS H. TROJIAN, MD, and STEPHANIE M. CHU, DO

This progressive condition causes the fibrous tissue of the palmar fascia to shorten and thicken, which slowly progresses to contracture of the fingers. Treatment decisions should be based on the extent of the contracture and functional impairment. CME

    Patient information: "Dupuytren's Disease: What You Should Know," p. 90
    
91 Cysticercosis: An Emerging Parasitic Disease
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ROBERT KRAFT, MD

Diagnosis of cysticercosis in the United States requires a high index of suspicion. Symptoms can include seizures, headaches, focal neurologic symptoms, visual disturbances, skeletal muscle nodules, and pain. CME

Patient information: "Cysticercosis: What You Should Know," p. 98.

   
99 Responses to Medical Students' Frequently Asked Questions About Family Medicine
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AMY L. McGAHA, MD; ELIZABETH GARRETT, MD, MSPH; ANN C. JOBE, MD, MSN; PETER NALIN, MD; WARREN P. NEWTON, MD, MPH; PERRY A. PUGNO, MD, MPH; and NORMAN B. KAHN, JR., MD

This article provides answers to many questions medical students ask about the specialty of family medicine. It discusses the benefits of primary care and family medicine to communities, the education and training of family physicians, the scope of medical practice in the specialty, and issues related to lifestyle and medical student debt.

Editorial: "Inspiring Future Family Physicians: The Challenge Is Ours," p. 36

   


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

• Routine Aspirin or Nonsteroidal Anti-inflammatory Drugs for the Primary Prevention of Colorectal Cancer: Recommendation Statement

114 Clinical Evidence Concise EB CME

• Headache (Chronic Tension-Type)

127 Tips from Other Journals
137 Practice Guidelines
  
Answering Clinical Questions
29 Clinical Quiz
68 Cochrane for Clinicians EB CME
119 Photo Quiz
124 FPIN's Clinical Inquiries

• Evaluation of Apparent Life-Threatening Events in Infants

133 Curbside Consultation

• Responding to a Patient's Request to Pray

   
  
Commentary
9 Inside AFP
32 Letters to the Editor
36 Editorials

• Inspiring Future Family Physicians: The Challenge Is Ours

   
  
Medicine and Society
17 Newsletter
23 Quantum Sufficit
38 Graham Center One-Pager

• Will Medical School Expansion Help Diversify the Physician Workforce?

   
  
Patient Information
90 Dupuytren's Disease
98 Cysticercosis
   
 
Reader Services
14 Strength-of-Recommendation Taxonomy in AFP
  CME Center

• Search available CME courses

70 Evidence-Based Medicine Glossary
123 Change-of-Address Form
143 Classified Information
  Information for Authors

CMEThis article is included as part of this issue's continuing medical education (CME) activity. See Clinical Quiz, p. 29.

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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