Cover	1799	1871

	Articles
1799	Diagnosis and Management of Gout JOEL R. PITTMAN, PHARM.D., and MICHAEL H. BROSS, M.D. Clinical manifestations of gout include acute and chronic arthritis, tophi, interstitial renal disease and uric acid nephrolithiasis. The diagnosis of this disease is based on the identification of uric acid crystals in joints, tissues or body fluids.
	Patient information: "Gout, and What to do About It," p. 1810
1813	Safety of Radiographic Imaging During Pregnancy KEVIN S. TOPPENBERG, M.D., D. ASHLEY HILL, M.D., and DAVID P. MILLER, M.S. Radiographic imaging during pregnancy is often necessary for the health of the mother and has an acceptable safety profile. Nonurgent radiologic testing, however, should be avoided between 10 and 17 weeks of gestation, the most sensitive time for central nervous system teratogenesis.
	Patient information: "The Safety of X-rays During Pregnancy," p. 1820
1823	Chronic Abdominal Pain in Childhood: Diagnosis and Management ALAN M. LAKE, M.D. Some common presentations of chronic abdominal pain in children are reviewed, with special emphasis on etiology and management of functional abdominal pain, constipation and peptic disease.
1835	Problem-Oriented Diagnosis Health Screening in Older Women CHARLES P. MOUTON, M.D., M.S., and DAVID V. ESPINO, M.D. In addition to screening for cancer, cerebrovascular disease and cardiovascular disorders, women over 65 years of age should undergo recommended health screening for hearing and vision loss, functional impairment, osteoporosis, depression and other conditions that contribute to morbidity and mortality in this age group.
1843	Adhesive Capsulitis: A Sticky Issue LORI B. SIEGEL, M.D., NORMAN J. COHEN, M.D., and ERIC P. GALL, M.D. Adhesive capsulitis is an idiopathic condition that restricts shoulder movement. Nonsteroidal anti-inflammatory drugs, physical therapy and local injections remain the mainstay of treatment and may improve the functional outcome.
	Patient information: "Adhesive Capsulitis," p. 1851
1857	Caring for Infants with Congenital Heart Disease and Their Families REBECCA B. SAENZ, M.D., DIANE K. BEEBE, M.D., and LARAMIE C. TRIPLETT, M.D. Feeding difficulties in association with tachypnea, sweating and subcostal recession, or severe growth impairment should raise the index of suspicion for congenital heart disease.
	Patient information: "Coping with Congenital Heart Disease in Your Baby," p. 1867
1871	Clinical Pharmacology Topical Therapies for Glaucoma: What Family Physicians Need to Know PETER R. LEWIS, M.D., T. GRANT PHILLIPS, M.D., and JOSEPH W. SASSANI, M.D. Topical agents remain the mainstay of glaucoma therapy. Dorzolamide, brinzolamide, brimonidine and latanoprost are promising new agents.
	Patient information: "Using Glaucoma Eyedrops," p. 1882
1885	Multiple Myeloma: Recognition and Management ENITZA D. GEORGE, M.D., and RICHARD SADOVSKY, M.D., M.S. Multiple myeloma is the most common primary bone cancer in adults. Patients with multiple myeloma commonly present with bone pain, but a pathologic fracture is the presenting feature in up to 30 percent of cases.
	Patient information: "What Is Multiple Myeloma? How Is It Treated?" p. 1893
1899	Chronic Critical Limb Ischemia: Diagnosis, Treatment and Prognosis JAMIE D. SANTILLI, M.D., and STEVEN M. SANTILLI, M.D., PH.D. Ischemic rest pain is typically described as burning pain in the arch or distal foot that occurs while the patient is recumbent. An ankle-brachial index of 0.4 or less suggests the presence of critical limb ischemia.
1911	Practical Therapeutics Insomnia MARK EDDY, PH.D., and GORDON S. WALBROEHL, M.D. Despite a variety of potential etiologies, insomnia can be successfully treated with pharmacologic or behavior interventions.
	Patient information: "Insomnia: What to Do When You Can't Sleep," p. 1918

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	Departments
1719	Inside AFP
1725	Newsletter
1729	Quantum Sufficit
1741	Clinical Quiz
1747	Editorials Preventive Care for the Elderly: Getting By in the Absence of Evidence
1753	Letters to the Editor Prevention of Relapse in Alcohol Dependence Management of Gastroenteritis in Breast-Fed Children
1761	CME Calendar
1795	Diary from a Week in Practice
1919	Photo Quiz
1923	Tips from Other Journals
2000	Family Practice International
2003	Curbside Consultation
2007	Special Medical Reports CDC Issues Revised Guidelines for the Prevention of Human Rabies Updates Its Guidelines for Evaluation of Sexual Abuse
2021	Clinical Briefs
2029	Resident and Student Voice
2035	Physician's Bookshelf
2043	Information for Authors
2046	Medical Services
2047	Classified Information

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