Articles

717 Aortic Stenosis: Diagnosis and Treatment

BRIAN H. GRIMARD, MD, and JAN M. LARSON, MD

The mortality rate of persons with aortic stenosis dramatically increases when symptoms are present. Aortic valve replacement is usually recommended for severe disease, whereas watchful waiting is typically appropriate for asymptomatic patients.

Patient information: "Aortic Stenosis: What You Should Know," p. 725

727 Management of Mastitis in Breastfeeding Women

JEANNE P. SPENCER, MD

Mastitis can occur in women who are breastfeeding. Prevention and treatment involve optimizing breastfeeding technique and oral antibiotic therapy.

Patient information: "Mastitis: What You Should Know," p. 732

735 Atypical Moles

PEGGY R. CYR, MD

Atypical moles are usually larger than 6 mm in diameter and have color variegation, indistinct borders, and a textured surface. The greatest risk of melanoma is in patients with more than 50 atypical moles plus at least two family members with melanoma. Total body photography and dermoscopy can assist in monitoring for changes in moles or emergence of new moles.

Patient information: "Atypical Moles: What You Should Know," p. 741

Editorial: "Dermoscopy: An Invaluable Tool for Evaluating Skin Lesions," p. 704

743 Drug-Induced Nephrotoxicity

CYNTHIA A. NAUGHTON, PharmD, BCPS

To avoid drug-induced nephrotoxicity in their patients, physicians must be aware of the various mechanisms of renal injury, patient- and drug-related risk factors, and preemptive measures. General preventive measures include using alternative drugs and correcting risk factors, when possible; assessing baseline renal function before initiating drugs known to cause nephrotoxicity; and monitoring renal function during therapy.

Departments

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Keeping Up to Date

758 Clinical Evidence Concise

• Autism

764 Tips from Other Journals

772 Practice Guidelines

• ACOG Guidelines on Psychiatric Medication Use During Pregnancy and Lactation

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Answering Clinical Questions

701 CME Quiz

756 Point-of-Care Guides

• Procalcitonin-Guided Treatment of Respiratory Tract Infections

761 Photo Quiz

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Commentary

689 Inside AFP

697 Letters to the Editor

• Evaluating Vasal Occlusion Methods for Vasectomy

• Clavical Fractures During Birth

704 Editorials

• Dermoscopy: An Invaluable Tool for Evaluating Skin Lesions

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Medicine and Society

693 AAFP News Now: AFP Edition

716 Close-ups

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Patient Information

725 Aortic Stenosis

732 Mastitis

741 Atypical Moles

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Reader Services

680 Evidence-Based Medicine Glossary

707 CME Center

• Search Available CME Courses

755 Change-of-Address Form

779 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 701.

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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