Articles

1678 Food Allergies: Detection and Management

KURT KUROWSKI, MD, and ROBERT W. BOXER, MD

Family physicians play a main role in diagnosing food allergies, as well as in redirecting evaluation for symptoms falsely attributed to allergies. Most children will outgrow common food allergies, but adults typically remain allergic.

Patient information: "Food Allergies: What You Should Know," p. 1687

1689 Impairment and Disability Evaluation: The Role of the Family Physician

OYEBODE A. TAIWO, MD, MPH; LINDA CANTLEY, PT, MS, OCS; and MARK SCHROEDER, MD

A person may seek an impairment assessment for determining disability from a treating physician, as a new consultation or as an independent medical examination. The evaluation includes diagnosing and determining the severity of the condition and assessing its impact on function.

Editorial: "The Family Physician's Role in Assessing Impairment and Disability," p. 1655

1697 Gastrointestinal Complications of Diabetes

AMER SHAKIL, MD; ROBERT J. CHURCH, MD; and SHOBHA S. RAO, MD

Gastrointestinal complications of diabetes, including gastroparesis, intestinal enteropathy, and nonalcoholic fatty liver disease, are often caused by abnormal gastrointestinal motility. If possible, patients should discontinue medications that aggravate gastric dysmotility; control blood glucose levels; increase liquid consumption; eat smaller meals more often; discontinue use of tobacco products; and reduce intake of insoluble fiber, foods high in fat, and alcohol.

Patient information: "Gastroparesis: What You Should Know," p. 1703

1709 Venous Thromboembolism During Pregnancy

LEE T. DRESANG, MD; PAT FONTAINE, MD, MS; LARRY LEEMAN, MD, MPH; and VALERIE J. KING, MD, MPH

Venous thromboembolism is often difficult to distinguish from other pregnancy-related symptoms. Venous compression ultrasonography and multidetector-row (spiral) computed tomography are the diagnostic tests of choice for deep venous thrombosis and pulmonary embolism, respectively.

Departments

---

Keeping Up to Date

1724 Clinical Evidence Concise

• Hepatitis C (Chronic)

1740 Tips from Other Journals

1748 Practice Guidelines

• ACC/AHA Release Guidelines on Peri-operative Cardiovascular Evaluation for Noncardiac Surgery

---

Answering Clinical Questions

1659 CME Quiz

1719 Point-of-Care Guides

• Predicting Prognoses in Patients with Acute Stroke

1735 Photo Quiz

---

Commentary

1643 Inside AFP

1655 Editorials

• The Family Physician's Role in Assessing Impairment and Disability

1664 Letters to the Editor

• Importance of Vaccinations for Close Contacts and Caregivers

---

Medicine and Society

1651 AAFP News Now: AFP Edition

1677 Close-ups

1738 Graham Center One-Pager

• A Perfect Storm: Changes Impacting Medicare Threaten Primary Access in Underserved Areas

---

Patient Information

1687 Food Allergies

1703 Gastroparesis

---

Reader Services

1639 Evidence-Based Medicine Glossary

1649 Strength-of-Recommendation Taxonomy in AFP

CME Center

• Search Available CME Courses

1752 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 1659.

---

Copyright © 2008 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.