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February 15, 1999 - AFP
Cover Article 'Common' Uncommon Anemias Topical Psoriasis Therapy
Cover 851 957
Articles
817 Diagnosis and Treatment of the Acute Scrotum
LARIS E. GALEJS, MAJ, USAF, MC, and EVAN J. KASS, M.D.
Testicular torsion must be treated in a timely manner if the testis is to be saved. Other causes of scrotal pain or swelling include torsion of a testicular appendage, epididymitis, trauma, hernia, hydrocele, varicocele and Schönlein-Henoch purpura.
829 Liver Disease in Pregnancy
CHRISTINE M. HUNT, M.D., and ALA I. SHARARA, M.D.
Rare liver diseases result in increased maternal and fetal mortality. Treatment may involve prompt delivery, whereupon the liver disease usually reverses.
844 Evaluating Patients for Return to Work
DANIEL O. WYMAN, M.D., M.P.H.
The family physician is often instrumental in the process of returning a patient to work after injury or illness. Helpful sources of information include discussions with the patient's supervisor, job demand analysis evaluations and the Dictionary of Occupational Titles.
851 'Common' Uncommon Anemias
SIMEON D. ABRAMSON, M.D., and NEIL ABRAMSON, M.D.
The most common types of unusual anemia are the anemia of renal disease, thalassemia, anemia of chronic disease and myelodysplastic syndrome.
861 Evaluation and Treatment of Childhood Obesity
REBECCA MORAN, M.D.
Although the prevalence of childhood obesity has risen in the past several decades, this condition remains underdiagnosed and undertreated. All obese children should be screened for cardiac risk factors and other possible sequelae.
Patient information: "Helping Your Child Keep a Healthy Weight," p. 871
Patient information: "Helping Your Child Lose Weight," p. 873
878 Neurologic Complications of Systemic Cancer
HERBERT B. NEWTON, M.D.
Brain metastases, the most common neurologic complication in cancer patients, typically present as headaches or altered mental status.
893 Surgical Options in the Management of Groin Hernias*
TIM BAX, M.D., BRETT C. SHEPPARD, M.D., and RICHARD A. CRASS, M.D.
Most groin hernias require surgical repair. The many herniorrhaphy techniques can be grouped into four categories: open anterior repair, open posterior repair, tension-free repair with mesh and laparoscopic procedures.

* The article by Bax and colleagues is being republished in the printed version of AFP, with corrected art, from the January 1, 1999 issue. The corrections have been made to the online article as well. The link above will take you to the corrected article, which remains part of the January 1, 1999 online issue.

910 Esophageal Atresia and Tracheoesophageal Fistula
DWAYNE C. CLARK, LCDR, MC, USNR
Esophageal atresia, with or without tracheoesophageal fistula, is a congenital disorder that must be recognized immediately to prevent complications of aspiration and to prepare for timely surgical correction.
Patient information: "Esophageal Atresia and Tracheoesophageal Fistula," p. 919
925 Gout and Hyperuricemia
MARK D. HARRIS, M.D., LORI B. SIEGEL, M.D., and JEFFREY A. ALLOWAY, M.D.
Clinical gout comprises a heterogeneous group of disorders characterized by deposition of monosodium urate crystals in and about the joints and tendons. Gout progresses through four clinical phases: asymptomatic hyperuricemia, acute gouty arthritis, intercritical gout (intervals between attacks) and chronic tophaceous gout.
937 Recognizing Problem Sleepiness in Your Patients
NATIONAL CENTER ON SLEEP DISORDERS RESEARCH WORKING GROUP
Problem sleepiness occurs when the amount of sleep is inadequate because of primary sleep disorders, other medical conditions or lifestyle factors.

945
Practical Therapeutics
Low-Molecular-Weight Heparin in Outpatient Treatment of DVT
BRYAN F. YEAGER, PHARM.D., and SAMUEL C. MATHENY, M.D., M.P.H.
Low-molecular-weight heparins are as safe and effective as unfractionated heparin in the treatment of deep venous thrombosis, and hospitalization may not be required with the use of these newer agents.

957
Clinical Pharmacology
Topical Psoriasis Therapy
DANIEL G. FEDERMAN, M.D., CATHERINE W. FROELICH, M.D., and ROBERT S. KIRSNER, M.D.
Recent advances in topical therapy for psoriasis offer considerable hope and convenience to patients with this dermatosis. Vitamin D analogs, topical retinoids and new anthralin preparations have expanded physicians' therapeutic armamentarium.
Patient information: "Help for Psoriasis," p. 964


Departments
734 Inside AFP
745 Newsletter
749 Quantum Sufficit
753 Clinical Quiz
758 Editorials
  • Childhood Obesity: Time for Action, Not Complacency
  • Problem Sleepiness: An Often Unrecognized Condition
774 Letters to the Editor
  • ACOG/AAFP Guidelines for Obstetrics and Gynecology
  • Screening for Inborn Errors of Metabolism in Children
  • Freezer Burn to the Sacral Area Using a Plastic Cooler Insert
789 CME Calendar
813 Diary from a Week in Practice
969 Conference Highlights
972 Tips from Other Journals
1042 Family Practice International
1047 Special Medical Reports
  • NOF Urges Bone Density Tests for Certain Postmenopausal Women and All Women Over Age 65
  • NIH Issues Consensus Statement on the Rehabilitation of Persons with Traumatic Brain Injury
1054 Clinical Briefs
1067 Information for Authors
1070 Medical Services
1071 Classified Information


Copyright © 1999 by the American Academy of Family Physicians.
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