Articles - August 1998 - American Family Physician


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Cover	p. 489	p. 405

Articles

383 Travel Medicine: Helping Patients Prepare for Trips Abroad
LEW DICK, M.D., M.P.H.
Appropriate medical advice for travelers is based on the most recent expert recommendations related to the destination plus an appreciation of the needs and risk factors of each patient.

Patient information: "International Travel: Tips for Staying Healthy," p. 401

405 Henoch-Schönlein Purpura: A Review
DEBRA M. KRAFT, M.D., DENISE MCKEE, M.D., and CAROL SCOTT, M.D.
Henoch-Schönlein purpura is a vasculitis of childhood that results in a purpuruc rash, abdominal pain and arthritis. The symptoms often do not appear as a triad, which can create difficulty in establishing the diagnosis.

Patient information: "What Is Henoch-Schönlein Purpura?," p. 411

415 DOT Examinations: Practical Aspects and Regulatory Review
FORREST POMMERENKE, M.D., M.P.H., KURT HEGMANN, M.D., M.P.H., and NATALIE P. HARTENBAUM, M.D., M.P.H.
In performing medical certification examinations, the physician's primary responsibility is to protect the public from potentially unsafe drivers.

432 Clinical Opinion
Prostate Cancer Screening: More Harm Than Good?
MICHAEL L. LEFEVRE, M.D., M.S.P.H.
When prostate-specific antigen (PSA) screening is examined critically from the standpoint of the general principles of screening, evidence from prospective studies to support the routine use of PSA testing is lacking.

443 A Different Look at Corticosteroids
ROGER J. ZOOROB, M.D., M.P.H., and DAWN CENDER, PHARM. D.
Commonly overlooked indications for steroid use include croup, Pneumocystis carinii pneumonia, hyperthyroidism, cancer-related pain and alcoholic encephalopathy.

453 Radiologic Decision-Making
Intrauterine Growth Restriction: Identification and Management
DAVID PELEG, M.D., COLLEEN M. KENNEDY, M.D., and STEPHEN K. HUNTER, M.D., PH.D.
Intrauterine growth restriction carries an increased risk of perinatal morbidity and mortality. General management measures include treatment of maternal disease, good nutrition and institution of bed rest.

Patient information: "Intrauterine Growth Restriction: When Your Baby Stops Growing Before Birth," p. 465

471 Clinical Pharmacology
Drugs for Conversion of Atrial Fibrillation
JOSEPH T. DELL'ORFANO, M.D., JERRY C. LUCK, M.D., DEBORAH L. WOLBRETTE, M.D., HEMANTKUMAR PATEL, M.D., and GERALD V. NACCARELLI, M.D.
Management of atrial fibrillation may include control of heart rate and rhythm, anticoagulation therapy, or a combination of these strategies.

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	Articles
383	Travel Medicine: Helping Patients Prepare for Trips Abroad LEW DICK, M.D., M.P.H. Appropriate medical advice for travelers is based on the most recent expert recommendations related to the destination plus an appreciation of the needs and risk factors of each patient.
	Patient information: "International Travel: Tips for Staying Healthy," p. 401
405	Henoch-Schönlein Purpura: A Review DEBRA M. KRAFT, M.D., DENISE MCKEE, M.D., and CAROL SCOTT, M.D. Henoch-Schönlein purpura is a vasculitis of childhood that results in a purpuruc rash, abdominal pain and arthritis. The symptoms often do not appear as a triad, which can create difficulty in establishing the diagnosis.
	Patient information: "What Is Henoch-Schönlein Purpura?," p. 411
415	DOT Examinations: Practical Aspects and Regulatory Review FORREST POMMERENKE, M.D., M.P.H., KURT HEGMANN, M.D., M.P.H., and NATALIE P. HARTENBAUM, M.D., M.P.H. In performing medical certification examinations, the physician's primary responsibility is to protect the public from potentially unsafe drivers.
432	Clinical Opinion Prostate Cancer Screening: More Harm Than Good? MICHAEL L. LEFEVRE, M.D., M.S.P.H. When prostate-specific antigen (PSA) screening is examined critically from the standpoint of the general principles of screening, evidence from prospective studies to support the routine use of PSA testing is lacking.
443	A Different Look at Corticosteroids ROGER J. ZOOROB, M.D., M.P.H., and DAWN CENDER, PHARM. D. Commonly overlooked indications for steroid use include croup, Pneumocystis carinii pneumonia, hyperthyroidism, cancer-related pain and alcoholic encephalopathy.
453	Radiologic Decision-Making Intrauterine Growth Restriction: Identification and Management DAVID PELEG, M.D., COLLEEN M. KENNEDY, M.D., and STEPHEN K. HUNTER, M.D., PH.D. Intrauterine growth restriction carries an increased risk of perinatal morbidity and mortality. General management measures include treatment of maternal disease, good nutrition and institution of bed rest.
	Patient information: "Intrauterine Growth Restriction: When Your Baby Stops Growing Before Birth," p. 465
471	Clinical Pharmacology Drugs for Conversion of Atrial Fibrillation JOSEPH T. DELL'ORFANO, M.D., JERRY C. LUCK, M.D., DEBORAH L. WOLBRETTE, M.D., HEMANTKUMAR PATEL, M.D., and GERALD V. NACCARELLI, M.D. Management of atrial fibrillation may include control of heart rate and rhythm, anticoagulation therapy, or a combination of these strategies.