Articles

945 Essentials of Skin Laceration Repair

RANDALL T. FORSCH, MD, MPH

Although the emergency department treats most acute trauma, physicians should be familiar with common laceration repair techniques as well as proper follow-up care. Sutures, tissue adhesives, staples, and skin-closure tapes are options in the outpatient setting.

Patient information: "Taking Care of Healing Cuts," p. 952

953 Vacuum-Assisted Vaginal Delivery

CHRISTINA D. HOOK, MD, and JAMES R. DAMOS, MD

Operative vaginal delivery with forceps or vacuum is a vital skill for family physicians who provide maternity care; however, vacuum is rapidly replacing forceps as the predominant instrument. Operative vaginal delivery should be considered when there is a prolonged second stage of labor or nonreassuring fetal heart tones, or if the second stage needs to be shortened for maternal benefit.

961 Systemic Sclerosis/Scleroderma: A Treatable Multisystem Disease

MONIQUE HINCHCLIFF, MD, and JOHN VARGA, MD

Systemic sclerosis is a connective tissue disease associated with autoimmunity, vasculopathy, and fibrosis. Although no disease-modifying therapy has been proven effective, complications are treatable.

Patient information: "Scleroderma: What You Should Know," p. 969

971 Musculoskeletal Injections: A Review of the Evidence

MARK B. STEPHENS, CDR, MC, USN; ANTHONY I. BEUTLER, MAJ, USAF, MC; and FRANCIS G. O'CONNOR, COL, MC, USA

Injections can be used for definitive treatment, pain relief, or symptom relief in the management of musculoskeletal conditions. The level of evidence supporting injection and place of injection in the treatment hierarchy vary depending on the diagnosis and patient-specific factors.

Departments

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Keeping Up to Date

977 Clinical Evidence Concise

• Recurrent Miscarriage

984 STEPS

• Conivaptan (Vaprisol) for the Treatment of Hyponatremia

993 Tips from Other Journals

996 Practice Guidelines

• CDC Updates Guidelines on Influenza Immunization for 2008-09 Season

Editorial: "Influenza Vaccine: Got It, Give It!" p. 923

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Answering Clinical Questions

927 CME Quiz

981 Photo Quiz

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Commentary

911 Letters to the Editor

• Case Report: CHD as a Potential Cause of Chest Pain in Adult Patients

923 Editorials

• Influenza Vaccine: Got It, Give It!

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Medicine and Society

919 AAFP News Now: AFP Edition

924 Graham Center One-Pager

• Changing Patient Health-Risk Behavior Requires New Investment in Primary Care

942 Close-ups

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Patient Information

952 Taking Care of Healing Cuts

969 Scleroderma

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Reader Services

914 Evidence-Based Medicine Glossary

914 Corrections

933 CME Center

• Search Available CME Courses

980 Change-of-Address Form

1000 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 927.

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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