Cover	2809	2773

	Articles
2761	Aseptic Meningitis in the Newborn and Young Infant CECILIA M.R. NORRIS, M.D., PETER G. DANIS, M.D., and TESSA GARDNER, M.D. In any newborn or young infant with fever and lethargy or irritability, the diagnosis of meningitis must be considered and lumbar puncture performed, unless clinically contraindicated. Antimicrobial therapy that targets all likely organisms should be administered until the results of cerebrospinal fluid culture are available.
2773	Shoulder Instability in Young Athletes BRIAN L. MAHAFFEY, M.D., and PATRICK A. SMITH, M.D. Shoulder instability is a common injury in young athletes. Tests to determine whether anterior, posterior or multidirectional instability is present are important aspects of the physical examination. Early surgical repair of the shoulder may reduce the risk of recurrent dislocation.
	Patient information: "When Your Shoulder Goes Out of Place," p. 2787
2794	HPV Testing in the Evaluation of the Minimally Abnormal Papanicolaou Smear BARBARA S. APGAR, M.D., M.S., and GREGORY BROTZMAN, M.D. Management of the minimally abnormal Papanicolaou smear may include testing for human papillomavirus (HPV). The hybrid capture test detects both oncogenic and nononcogenic types of the virus.
	Patient information: "Testing for Human Papillomavirus," p. 2801
2804	Elder Mistreatment DANIEL L. SWAGERTY, JR., M.D., M.P.H., PAUL Y. TAKAHASHI, M.D., and JONATHAN M. EVANS, M.D. Mistreatment includes physical abuse and neglect, psychologic abuse, financial exploitation and violation of rights. Diagnosis of elder mistreatment depends on a detailed history from both patient and caregiver, and a comprehensive physical examination. When mistreatment is suspected, adult protective services should be contacted.
2809	Cutaneous T-Cell Lymphoma Presenting as Benign Dermatoses KATHLEEN B. ELMER, MAJ, USAF, MC, FS, and RITA M. GEORGE, MAJ, USAF, MC, FS Making a diagnosis early in the course of cutaneous T-cell lymphoma is difficult, since the signs of this disease mimic several benign skin disorders.
2816	School Problems and the Family Physician DEBRA M. PHILLIPS, M.D., SHIRLEY LONGLETT, M.S., L.C.P.C., CHRISTOPHER MULRINE, ED.D., JERRY KRUSE, M.D., M.S.P.H., and RHONDA KEWNEY, L.C.S.W. Medical causes of learning difficulties can be identified or excluded with the help of a thorough history and physical examination. Assessment and management of the child with these complex problems requires the help of a multidisciplinary team of professionals.
2828	Stroke: Part II. Management of Acute Ischemic Stroke OSCAR BENAVENTE, M.D., FRCP(C), and ROBERT G. HART, M.D. Stroke should be considered a true medical emergency requiring rapid assessment and early intervention. The use of tissue plasminogen activator within three hours of stroke onset improves neurologic outcome, and more agents should be available soon.
2835	Practical Therapeutics Treatment of Type 2 Diabetes Mellitus JOE A. FLORENCE, M.D., and BRYAN F. YEAGER, PHARM.D. In the past three years, the development of new oral agents for the treatment of type 2 diabetes has expanded the range of therapy for patients with this disorder.
	Patient information: "New Treatments for Diabetes," p. 2849

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	Departments
2693	Inside AFP
2701	Newsletter
2705	Quantum Sufficit
2709	Clinical Quiz
2714	Editorials Reducing Patient Anxiety About Positive Screening Tests
2724	Letters to the Editor Gomco Circumcision
2733	CME Calendar
2756	Diary from a Week in Practice
2855	Conference Highlights
2859	Tips from Other Journals
2910	Family Practice International
2915	Special Medical Reports AHA Assesses the Impact of Genotyping on Diagnosis of Genetic Cardiac Disease Updates Its Recommendations on Circumcision
2925	Clinical Briefs
2929	Information for Authors Author statements form: p. 2930
2933	Medical Services
2934	Classified Information

This article exemplifies the AAFP 1998-99 Annual Clinical Focus on management and prevention of the complications of diabetes.

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Copyright © 1999 by the American Academy of Family Physicians.
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