Articles - September 15, 1998 - American Family Physician


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Cover	p. 891	p. 873

Articles

873 Problem-Oriented Diagnosis
Recognizing Neoplastic Skin Lesions: A Photo Guide
LEWIS C. ROSE, M.B., B.S.(LOND)
Most skin cancers are identifiable, and early recognition is the critical first step toward the management of cutaneous neoplasm.

Patient information: "How to Prevent Skin Cancer," p. 887

891 The Gomco Circumcision: Common Problems and Solutions
DAVID PELEG, M.D., and ANN STEINER, M.D.
The Gomco clamp has become one of the most frequently used instruments for the performance of circumcision because of its ability to prevent injury and bleeding in infants.

907 Constipation in the Elderly
DAVID C. SCHAEFER, M.D., PH.D., and LAWRENCE J. CHESKIN, M.D.
Treatment of constipation should be directed at the underlying abnormality, and chronic laxative use should be avoided. First-line therapies include bowel retraining, increased intake of dietary fiber and fluids, and more physical activity, if possible.

920 Management of Female Sexual Assault
LINDA M. PETTER, D.O., and DAVID L. WHITEHILL, M.D.
Management of sexual assault should include treatment of physical injuries, prophylaxis for pregnancy and sexually transmitted diseases, and therapy for psychosocial sequelae.

Patient information: "What to Do if You're Raped," p. 929

935 Recognizing Occupational Disease--Taking an Effective Occupational History
MICHAEL B. LAX, M.D., M.P.H., WILLIAM D. GRANT, ED.D., FEDERICA A. MANETTI, M.D., M.S., and ROSEMARY KLEIN, M.S., C-ANP, COHN-S
By taking a complete work history and establishing access to occupational health resources, family physicians can improve their ability to recognize and treat occupational diseases.

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	Articles
873	Problem-Oriented Diagnosis Recognizing Neoplastic Skin Lesions: A Photo Guide LEWIS C. ROSE, M.B., B.S.(LOND) Most skin cancers are identifiable, and early recognition is the critical first step toward the management of cutaneous neoplasm.
	Patient information: "How to Prevent Skin Cancer," p. 887
891	The Gomco Circumcision: Common Problems and Solutions DAVID PELEG, M.D., and ANN STEINER, M.D. The Gomco clamp has become one of the most frequently used instruments for the performance of circumcision because of its ability to prevent injury and bleeding in infants.
907	Constipation in the Elderly DAVID C. SCHAEFER, M.D., PH.D., and LAWRENCE J. CHESKIN, M.D. Treatment of constipation should be directed at the underlying abnormality, and chronic laxative use should be avoided. First-line therapies include bowel retraining, increased intake of dietary fiber and fluids, and more physical activity, if possible.
920	Management of Female Sexual Assault LINDA M. PETTER, D.O., and DAVID L. WHITEHILL, M.D. Management of sexual assault should include treatment of physical injuries, prophylaxis for pregnancy and sexually transmitted diseases, and therapy for psychosocial sequelae.
	Patient information: "What to Do if You're Raped," p. 929
935	Recognizing Occupational Disease--Taking an Effective Occupational History MICHAEL B. LAX, M.D., M.P.H., WILLIAM D. GRANT, ED.D., FEDERICA A. MANETTI, M.D., M.S., and ROSEMARY KLEIN, M.S., C-ANP, COHN-S By taking a complete work history and establishing access to occupational health resources, family physicians can improve their ability to recognize and treat occupational diseases.