Cover	1161	1259

	Articles
1161	Practical Therapeutics Gastroesophageal Reflux Disease: Diagnosis and Management MARK SCOTT, M.D., and AIMEE R. GELHOT, PHARM.D. Gastroesophageal reflux disease can usually be diagnosed on the basis of clinical presentation alone. Management includes lifestyle modifications, drug therapy and, rarely, surgery.
	Patient information: "Gastroesophageal Reflux Disease," p. 1172
1177	When to Consider Radiation Therapy for Your Patient BERNARD A. TISDALE, M.D. Family physicians are often involved in the care of patients with malignant or benign conditions that may benefit from the use of radiation therapy. Awareness of the potential benefits of this therapeutic modality is essential to ensure that these patients are given all possible treatment options.
1190	Congenital Adrenal Hyperplasia: Not Really a Zebra MICHAEL A. DEATON, PH.D., M.D., JOHN E. GLORIOSO, M.D., and DAVID B. MCLEAN, M.D. Mild congenital hyperplasia is common, affecting from one in 100 persons to one in 1,000 persons in the United States. The hallmark of congenital adrenal hyperplasia is inadequate production of glucocorticoids. It should be considered in patients presenting with near-syncope, severe acne, mild hyperpigmentation and a poor response to stress or infections.
	Patient information: "Congenital Adrenal Hyperplasia: What It Is and How It's Treated," p. 1199
1205	Primary Nocturnal Enuresis: Current Concepts MARC CENDRON, M.D. Primary nocturnal enuresis is a common condition in children that warrants evaluation and treatment to prevent long-term psychologic sequelae.
	Patient information: "Why Does My Child Wet the Bed?" p. 1219
1225	Urinary Tract Infections in Adults ROBERT ORENSTEIN, D.O., and EDWARD S. WONG, M.D. Modern approaches to the diagnosis and management of urinary tract infections in adults are based on risk stratification.
	Patient information: "Urinary Tract Infections," p. 1237
1239	Clinical Pharmacology Herbal Remedies: Adverse Effects and Drug Interactions MELANIE JOHNS CUPP, PHARM.D. Some herbal products have been associated with bleeding, cardiovascular events, seizures and even death. Herbal products are also known to react with anticoagulants, antidepressants and other medications.
	Patient information: "Herbal Health Products--What You Should Know," p. 1245
1248	Clinical Opinion Hypertension Treatment and the Prevention of Coronary Heart Disease in the Elderly MARVIN MOSER, M.D. Isolated systolic hypertension and systolic/diastolic hypertension in the elderly should be treated with the expectation that morbidity and mortality will be reduced. Unless contraindicated, low-dose diuretic therapy should probably be used initially in most elderly patients.

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	Departments
1086	Inside AFP
1095	Newsletter
1099	Quantum Sufficit
1103	Clinical Quiz
1108	Letters to the Editor Potentially Fatal Natural Remedies Lentigo Maligna Melanoma and Excisional Biopsy Techniques
1125	Editorial Does Estrogen Therapy Have a Role in Cardiovascular Prevention?
1132	CME Calendar
1157	Diary from a Week in Practice
1259	Photo Quiz
1263	Tips from Other Journals
1314	Family Practice International
1319	Curbside Consultation
1321	Special Medical Reports CDC Issues New Recommendations for the Prevention and Control of Hepatitis C Virus Infection
1325	Clinical Briefs
1331	Information for Authors
1335	Physician's Bookshelf
1340	Medical Services
1341	Classified Information

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