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July 1998 - American Family Physician
Departments | Patient Information

Cover Story Tinea Infections Photo Quiz
Cover p. 163 p. 199
Articles

89
Clinical Pharmacology
New Strategies in the Medical Management of Asthma
KAREN M. GROSS, M.D., and CHARLES D. PONTE, PHARM.D.
Patients with persistent asthma require medications for both long-term control and quick relief of symptoms. The pharmacotherapy of asthma is briefly reviewed, including the newer therapeutic agents and the recent guidelines from the National Asthma Education and Prevention Program Expert Panel II.
Patient information: "Managing Your Asthma Flare-ups," p. 109
118 Lisfranc Injury of the Foot: A Commonly Missed Diagnosis
KEVIN E. BURROUGHS, M.D., CURTIS D. REIMER, M.D., and KARL B. FIELDS, M.D.
Timely diagnosis facilitates treatment of Lisfranc injury and decreases the risk of long-term disability. Mild to moderate sprains can be treated with immobilization, but fracture­dislocations generally require surgery.
130 Indications for Anticoagulation in Atrial Fibrillation
WAHEED AKHTAR, M.D., WILLIAM C. REEVES, M.D., and ASSAD MOVAHED, M.D.
ACFPatients with atrial fibrillation should be considered for anticoagulation or antiplatelet therapy based on the patient's age, the presence of other risk factors for stroke and the risk of complications from anticoagulation.
139 Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Dependence
NORMAN S. MILLER, M.D., and MARK S. GOLD, M.D.
Primary care physicians may use pharmacotherapy and psychosocial methods to manage withdrawal syndromes and prevent relapse in patients with drug and alcohol disorders.

153
Problem-Oriented Diagnosis
Assessment of Abnormal Growth Curves
JAMES D. LEGLER, M.D., and LEWIS C. ROSE, M.D.
Children whose growth parameters are at the extremes of the growth curve but who have normal growth rates are likely to be healthy. Conversely, accelerated or slowed growth rates are rarely normal and warrant further evaluation.
163 Diagnosis and Management of Common Tinea Infections
SARA L. NOBLE, PHARM.D., ROBERT C. FORBES, M.D., and PAMELA L. STAMM, PHARM.D.
The treatment of tinea infection is based of the anatomic location of the infection, the likelihood of patient compliance and the safety, efficacy and cost of appropriate agents. Newer oral and topical antifungal agents, including imidazoles and allylamines, have greatly increased cure rates, and some infections are now treated with "pulse" regimens.
Patient information: "Tinea Infections: Athlete's Foot, Jock Itch and Ringworm," p. 177

183
Practical Therapeutics
Treatment Strategies for Premenstrual Syndrome
JANICE E. DAUGHERTY, M.D.
Premenstrual symptoms that impair daily life have been estimated to occur in up to 40 percent of women of reproductive age. A comprehensive treatment plan that encourages a healthy lifestyle may relieve symptoms in most women.
Patient information: "Premenstrual Syndrome: Getting Relief," p. 197

Copyright © 1998 by the American Academy of Family Physicians.
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