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AFP - April 15, 1998
Departments | Patient Information

Cover Story Hyperparathyroidism Axillary Basal Cell Carcinoma
Cover 1795 1860
Articles
1795 Hyperparathyroidism
DAVID A. ALLERHEILIGEN, M.D., JOE SCHOEBER, M.D., ROBERT E. HOUSTON, M.D., VIRGINIA K. MOHL, M.D., and KAREN M. WILDMAN, M.D
Hyperparathyroidism usually presents initially as an incidental finding of asymptomatic calcium elevation on a chemistry panel. Symptoms are vague, and parathyroidectomy is usually indicated.
Patient information: "Hyperparathyroidism: What It is and How It's Treated," p. 1807
1813 Head and Neck Manifestations of AIDS in Adults
AMIR H. MOAZZEZ, M.D., and AIJAZ ALVI, M.D.
Head and neck manifestations are among the most common complications of acquired immunodeficiency syndrome and may be the initial signs of infection with the human immunodeficiency virus.
1825 Lumbar Spine Stenosis: A Common Cause of Back and Leg Pain
JAMIE A. ALVAREZ, M.D., and RUSSELL H. HARDY, JR., M.D.
Most patients who undergo surgical treatment of lumbar spine stenosis have rapid clinical improvement and return to previous activity levels.
Patient information: "Lumbar Spinal Canal Stenosis: A Common Cause of Back and Leg Pain," p. 1839
1846 Exercise During Pregnancy
THOMAS W. WANG, M.D., and BARBARA S. APGAR, M.D.
Physicians should screen pregnant patients for any contraindications to exercise and encourage them to avoid overly vigorous activities, especially in the third trimester. Adequate hydration and appropriate ventilation are important in preventing the possible teratogenic effects of overheating.
Patient information: "Exercise During Pregnancy," p. 1857
1860 Axillary Basal Cell Carcinoma: A Need for Full Cutaneous Examination
JOSEPH C. ENGLISH III, M.D., DANIEL R. CANCHOLA, M.D., and ERIC M. FINLEY, M.D.
While basal cell carcinomas most commonly develop in sun-exposed areas of the body, they can also occur in generally photo-protected sites, such as the breast and groin areas. Thus, periodic complete skin examinations are extremely important.
1869 Practical Steps to Smoking Cessation for Recovering Alcoholism
HELEN E. MCILVAIN, PH.D., JANET KAY BOBO, PH.D., AMBER LEED-KELLY, M.A., and MICHAEL A. SITORIUS, M.D.
Attempts at smoking cessation for patients in alcohol recovery may be enhanced by motivational counseling techniques and activities tailored to the identified stage of readiness to change.
Patient information: "Smoking Cessation in Recovering Alcoholics: Fiction Versus Fact," p. 1879
1888 Use of Immunotherapy in a Primary Care Office
TIMOTHY CRAIG, D.O., AMY M. SAWYER, R.N., M.SC.N., and JOHN A. FORNADLEY, M.D.
Indications for immunotherapy include evidence of IgE-mediated disease and positive results on skin test or radioallergosorbent test (RAST).
Patient information: "Allergy Shots: Could They Help Your Allergies," p. 1897

1901
Cardiovascular Medicine Update
Preventing Congestive Heart Failure
JAY N. COHN, M.D.
ACFCongestive heart failure can be prevented by aggresive management of etiologic factors and early intervention in patients with acute or chronic left ventricular dysfunction.
1907 High-Altitude Medicine
MARK D. HARRIS, FS, MAJ, MC, USA, JAMES TERRIO, MAJ, MC, USA, WILLIAM F. MISER, M.D., and JOSEPH E. YETTER III, COL, MC, USA
Gradual ascent and "climb high, sleep low" are two important rules to help prevent high-altitude illness, a troublesome and potentially fatal complication of high-altitude activities.
Patient information: "High-Altitude Illness: How to Avoid It and How to Treat It," p. 1924

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