167 End-of-Life Care: Guidelines for Patient-Centered Communication

QUYEN NGO-METZGER, MD, MPH; KRISTIN J. AUGUST, BS; MALATHI SRINIVASAN, MD; SOLOMON LIAO, MD; and FRANK L. MEYSKENS, Jr, MD

Primary care physicians commonly provide care for patients throughout the course of a terminal illness. A systematic approach can help physicians appropriately discuss a poor prognosis, offer patients support and realistic hope, and coordinate treatment and the transition to palliative care.

Close-ups: "Facing the Truth," p. 140

177 Dietary Supplements for Osteoarthritis

PHILIP J. GREGORY, PharmD; MORGAN SPERRY, PharmD; and AMY FRIEDMAN WILSON, PharmD

Research suggests that glucosamine, chondroitin sulfate, and S-adenosylmethionine may reduce symptoms of pain related to osteoarthritis. Other dietary supplements promoted for osteoarthritis treatment include methylsulfonylmethane, devil's claw, tumeric, and ginger; however, there is insufficient reliable evidence regarding their long-term safety or effectiveness.

187 Treating Eating Disorders in Primary Care

PAMELA M. WILLIAMS, MAJ, USAF, MC; JEFFREY GOODIE, MAJ, USAF, BSC; and CHARLES D. MOTSINGER, MAJ, USAF, MC

Eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating disorder are diagnosed most often in young women. Recommended treatment varies for each disorder and is determined by the patient's needs and available resources.

Patient information: "Anorexia and Bulimia: What You Should Know," p. 196

199 Peritonsillar Abscess

NICHOLAS J. GALIOTO, MD

Peritonsillar abscess is the most common deep infection of the head and neck. Patients may present with symptoms, such as fever, malaise, sore throat, dysphagia, and otalgia, and physical findings, such as trismus and muffled voice. Treatment includes drainage of the abscess, antibiotics, and supportive therapy for maintaining hydration and pain control.

Patient information: "Peritonsillar Abscess: What You Should Know," p. 209

Departments

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Keeping Up to Date

222 STEPS

• Levonorgestrel/Ethinyl Estradiol (Lybrel) for continuous Contraception

227 Tips from Other Journals

242 Practice Guidelines

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Answering Clinical Questions

143 CME Quiz

220 Point-of-Care Guides

237 Curbside Consultation

215 Photo Quiz

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Commentary

130 Inside AFP

146 Letters to the Editor

148 Editorials

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Medicine and Society

135 AAFP News Now: AFP Edition

140 Close-ups

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Patient Information

196 Anorexia and Bulimia

209 Peritonsillar Abscess

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Reader Services

131 Strength-of-Recommendation Taxonomy in AFP

139 Evidence-Based Medicine Glossary

CME Center

226 Change-of-Address Form

247 Classified Information

This article exemplifies the AAFP 2008 Annual Clinical Focus on infectious diseases: prevention, diagnosis, and management.

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 143.

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