Articles - March 1, 1998 - American Family Physician


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995 Radiologic Decision-Making
Pitfalls in the Radiologic Evaluation of Extremity Trauma: Part I. The Upper Extremity
CHRISTINE M. SHEARMAN, B. MED. (HONS), and GEORGES Y. EL-KHOURY, M.D.
The mechanism of injury, radiographic projections, plain-film signs and advanced imaging techniques for some commonly missed fractures and dislocations of the upper limb are discussed.

1007 Cardiovascular Medicine Update
Managing the Patient with Hard-to-Control Hypertension
SUZANNE OPARIL, M.D. and DAVID A. CALHOUN, M.D.
This article provides guidance in the treatment of the patient with hard-to-control hypertension, including ways to foster compliance, avoid inadequate therapeutic regimens and recognize associated conditions that cause drug resistance.

Patient information: "Living with Hypertension," p. 1019

1023 Detecting Celiac Disease in Your Patients
HAROLD T. PRUESSNER, M.D.
Celiac disease is a disorder of the small bowel that results from a malabsorption syndrome. It is underdiagnosed because of its protean manifestations. A gluten-free diet brings about complete resolution of symptoms in almost all patients.

Patient information: "Celiac Disease," p. 1039

1045 Examination of the Placenta
JOSEPH F. YETTER, III, COL, MC, USA
A one-minute examination of the placenta performed in the delivery room may be important to the care of a mother and her newborn. Develpmental, infectious, neoplastic and other abnormalities of the placenta, umbilical cord and fetal or maternal membranes may affect the treatment plan and the outcome.

1061 Medical Care for Immigrants and Refugees
THOMAS GAVAGAN, M.D., M.P.H., and LISA BRODYAGA, J.D.
Family physicians may encounter unique clinical presentations in patients who are immigrants and refugees, including infectious diseases, psychologic problems and effects of trauma.

1073 Clinical Pharmacology
Antiviral Drugs in Healthy Children
KATHERINE L. MARGO, M.D., and ALLEN F. SHAUGHNESSY, PHARM.D.
Drug therapy is available to reduce the impact if infections caused by varicella virus, herpes simplex virus, respiratory syncytial virus and influenza type A virus, although not all infected children need or benefit from this therapy.

1079 Practical Therapeutics
Mangement of Hospitalized Patients with Type 2 Diabetes Mellitus
SANDRA H. LILLEY, PHARM.D., and GARY I. LEVINE, M.D.
Hospitalized patients with type 2 diabetes benefit from a rational approach to glycemic control. Insulin supplementation given in accordance with an algorithm may be a logical alternative to the traditional sliding-scale insulin regimen.

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	Articles
995	Radiologic Decision-Making Pitfalls in the Radiologic Evaluation of Extremity Trauma: Part I. The Upper Extremity CHRISTINE M. SHEARMAN, B. MED. (HONS), and GEORGES Y. EL-KHOURY, M.D. The mechanism of injury, radiographic projections, plain-film signs and advanced imaging techniques for some commonly missed fractures and dislocations of the upper limb are discussed.
1007	Cardiovascular Medicine Update Managing the Patient with Hard-to-Control Hypertension SUZANNE OPARIL, M.D. and DAVID A. CALHOUN, M.D. This article provides guidance in the treatment of the patient with hard-to-control hypertension, including ways to foster compliance, avoid inadequate therapeutic regimens and recognize associated conditions that cause drug resistance.
	Patient information: "Living with Hypertension," p. 1019
1023	Detecting Celiac Disease in Your Patients HAROLD T. PRUESSNER, M.D. Celiac disease is a disorder of the small bowel that results from a malabsorption syndrome. It is underdiagnosed because of its protean manifestations. A gluten-free diet brings about complete resolution of symptoms in almost all patients.
	Patient information: "Celiac Disease," p. 1039
1045	Examination of the Placenta JOSEPH F. YETTER, III, COL, MC, USA A one-minute examination of the placenta performed in the delivery room may be important to the care of a mother and her newborn. Develpmental, infectious, neoplastic and other abnormalities of the placenta, umbilical cord and fetal or maternal membranes may affect the treatment plan and the outcome.
1061	Medical Care for Immigrants and Refugees THOMAS GAVAGAN, M.D., M.P.H., and LISA BRODYAGA, J.D. Family physicians may encounter unique clinical presentations in patients who are immigrants and refugees, including infectious diseases, psychologic problems and effects of trauma.
1073	Clinical Pharmacology Antiviral Drugs in Healthy Children KATHERINE L. MARGO, M.D., and ALLEN F. SHAUGHNESSY, PHARM.D. Drug therapy is available to reduce the impact if infections caused by varicella virus, herpes simplex virus, respiratory syncytial virus and influenza type A virus, although not all infected children need or benefit from this therapy.
1079	Practical Therapeutics Mangement of Hospitalized Patients with Type 2 Diabetes Mellitus SANDRA H. LILLEY, PHARM.D., and GARY I. LEVINE, M.D. Hospitalized patients with type 2 diabetes benefit from a rational approach to glycemic control. Insulin supplementation given in accordance with an algorithm may be a logical alternative to the traditional sliding-scale insulin regimen.