Articles

957 Pharmacologic Management of Heart Failure Caused by Systolic Dysfunction

WILLIAM E. CHAVEY, MD, MS; BARRY E. BLESKE, PharmD; R. VAN HARRISON, PhD; ROBERT HOGIKYAN, MD, MPH; SEAN KESTERSON, MD; and JOHN M. NICKLAS, MD

Several pharmacologic interventions have been proven to reduce mortality in patients with heart failure. Angiotensin-converting enzyme inhibitors and beta blockers should be given to all patients unless contraindicated. Other treatment options include diuretics, aldosterone antagonists, angiotensin receptor blockers, and the direct-acting vasodilators, isosorbide dinitrate and hydralazine.

Patient information: "Heart Failure: What You Should Know," p. 967

971 Evaluation of Acute Abdominal Pain in Adults

SARAH L. CARTWRIGHT, MD, and MARK P. KNUDSON, MD, MSPH

In the evaluation of abdominal pain, the location of pain is an effective starting point. Associated signs and symptoms can further focus the differential diagnosis.

987 Expanded Newborn Screening: Information and Resources for the Family Physician

SUSAN E. WAISBREN, PhD

Expanded newborn screening allows for early detection and treatment of metabolic and other disorders. Family physicians should be familiar with the current state of expanded newborn screening to effectively communicate results and formulate interventions. They also should be able to recognize signs of disorders that may not be detected by screening or that may not be a part of screening in their state.

995 Colonoscopy Surveillance After Polypectomy and Colorectal Cancer Resection: Consensus Guidelines from the U.S. Multi-Society Task Force on Colorectal Cancer and the American Cancer Society

DURADO D. BROOKS, MD, MPH; SIDNEY J. WINAWER, MD; DOUGLAS K. REX, MD; ANNE G. ZAUBER, PhD; CHARLES J. KAHI, MD; ROBERT A. SMITH, PhD; BERNARD LEVIN, MD; and RICHARD WENDER, MD

New colonoscopy surveillance guidelines have been released for patients who have had a polypectomy or colorectal cancer resection. Guidelines for follow-up examination depend on factors such as the type and size of polyps removed.

Patient information: "Colon Cancer Screening: What You Should Know," p. 1003

Editorial: "When Is the Right Time to Repeat Colonoscopy?," p. 924

Departments

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Keeping Up to Date

1006 From the U.S. Preventive Services Task Force

• Screening for Carotid Artery Stenosis: Recommendation Statement

1018 Tips from Other Journals

1024 Practice Guidelines

• AAN Guideline Reassesses the Use of Neuroimaging in the Evaluation of Seizure

• FDA Approves Alternative Dosing Schedule for Combined Hepatitis Vaccine

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Answering Clinical Questions

907 CME Quiz

953 Cochrane for Clinicians

• Subclinical Hypothyroidism

• Abstinence-Plus Programs for Prevention of HIV

1011 FPIN's Clinical Inquiries

• Quality of Life in Older Persons with Dementia Living in Nursing Homes

1015 Photo Quiz

1021 Curbside Consultation

• A Morally Reprehensible Patient

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Commentary

891 Inside AFP

901 AFP Journal Club

915 Letters to the Editor

• Family Physicians Capable of Administering Immunotherapy

• Scope of Practice Differences in Urban and Rural Settings

924 Editorials

• When Is the Right Time to Repeat Colonoscopy?

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Medicine and Society

899 AAFP News Now: AFP Edition

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Patient Information

967 Heart Failure

1003 Colonoscopy

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Reader Services

896 Strength-of-Recommendation Taxonomy in AFP

920 Corrections

927 Evidence-Based Medicine Glossary

CME Center

• Search Available CME Courses

952 Change-of-Address Form

1027 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 907.

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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