Cover	567	499

	Articles
455	Diabetes Care Update Management of Diabetic Ketoacidosis ABBAS E. KITABCHI, PH.D., M.D., and BARRY M. WALL, M.D. Diabetic ketoacidosis remains a common cause of hospitalization. Use of treatment algorithms and flow sheets can prevent errors in the management of this "routine" medical emergency.
471	Case Studies in International Travelers LYNN W. KITCHEN, M.D., M.P.H. Family physicians should remain alert to the presence of unusual diseases in patients returning from travel outside the United States, including malaria, amebiasis and cutaneous larva migrans.
477	Current Trends in Cervical Ripening and Labor Induction JEFFERSON H. HARMAN, JR., LT COL, USAF, MC, FS, and ANDREW KIM, MAJ, USAF, MCCurrent pharmacologic methods for cervical ripening and induction are reviewed, with a focus on the use of misoprostol.
	Patient information: "Facts About Labor Induction," p. 484
489	Primary Dysmenorrhea ANDREW S. COCO, M.D. Primary dysmenorrhea is a common problem in young women. Nonsteroidal anti-inflammatory drugs and oral contraceptives are the treatments of choice.
499	Reactive Arthritis (Reiter's Syndrome) WERNER F. BARTH, M.D., and KINIM SEGAL, M.D. Reactive arthritis is the most common inflammatory polyarthritis in young men. Initial treatment consists of high dosages of potent nonsteroidal anti-inflammatory drugs.
	Patient information: "What You Should Know About Reactive Arthritis," p. 507
510	Endogenous Endophthalmitis: Case Report and Brief Review CESAR F. ROMERO, M.D., MANDEEP K. RAI, M.D., CAREEN Y. LOWDER, M.D., PH.D., and KARIM A. ADAL, M.D., M.S. The authors describe a patient with endogenous endophthalmitis caused by Staphylococcus aureus. A review of the literature is presented, with emphasis on diagnosis and management.
524	Post-traumatic Stress Reactions Following Motor Vehicle Accidents DENNIS J. BUTLER, PH.D., H. STEVEN MOFFIC, M.D., and NICK W. TURKAL, M.D. Every year, more than 3 million persons are injured in motor vehicle accidents. A number of victims have chronic post-traumatic stress symptoms. An awareness of patient characteristics and pre-accident functioning enhances evaluation of these symptoms.
	Patient information: "After a Traffic Accident," p. 531
535	How to Recognize and Treat Acute HIV Syndrome BARBARA LEE PERLMUTTER, M.D., PH.D., JORDAN B. GLASER, M.D., and SAMWEL O. OYUGI, M.D. Early identification and treatment of acute HIV syndrome may halt disease progression and restore immunocompetence.
	Patient information: "Acute HIV Syndrome," p. 545
549	Peyronie's Disease: Current Management JAMES FITKIN, M.D., and GEORGE T. HO, M.D. In its early stages, Peyronie's disease may resolve spontaneously; however, patients with advanced disease should be referred for urologic consultation about surgical options.
	Patient information: "Peyronie's Disease," p. 554
558	Heart Murmurs in Pediatric Patients: When Do You Refer? MICHAEL E. MCCONNELL, M.D., SAMUEL B. ADKINS III, M.D., and DAVID W. HANNON, M.D. Most children with heart murmurs do not have cardiac disease. A complete examination, including precordial palpation, auscultation of the two heart sounds and listening for systolic and diastolic murmurs, can determine patients who require referral or can be followed by the family physician.
	Patient information: "Heart Murmurs in Children--What Parents Should Know," p. 565
567	Soft Tissue Sarcomas: Integrating Primary Care Recognition with Tertiary Care Center Treatment THOMAS C. ROSENTHAL, M.D., and WILLIAM KRAYBILL, M.D. For the best outcome, a patient with a soft tissue sarcoma more than 5 cm in diameter or located in a difficult area should be sent to a cancer referral center.
575	Protecting the Health and Safety of Working Teenagers HARRIET RUBENSTEIN, M.P.H., J.D., MARNA R. STERNBACH, M.D., and SUSAN H. POLLACK, M.D. Family physicians can help protect teenagers by counseling them about workplace health and safety issues.
	Patient information: "Health and Safety Issues for Working Teens," p. 587

---

	Departments
368	Inside AFP
375	Newsletter
379	Quantum Sufficit
383	Clinical Quiz
392	Letters to the Editor Provocation-Neutralization in the Treatment of Food Allergy The Family Physician as a Hospitalist
413	Editorials Acute HIV-1 Infection: Early Identification and Treatment The Conundrum of Early HIV Infection Current Trends in Cervical Ripening and Labor Induction
421	CME Calendar
449	Diary from a Week in Practice
547	Subscription Change of Address Form
593	Photo Quiz
600	Conference Highlights
607	Tips from Other Journals
644	Family Practice International
647	Patient Information Collections Diabetes: What You Need to Know Diabetes: How to Use Insulin Diabetes and Exercise Diabetes and Nutrition
657	Curbside Consultation
660	Core Educational Guidelines
665	Special Medical Reports AAP Issues Guidelines for Urinary Tract Infections in Infants and Toddlers Eleven National Medical Associations Join to Prevent Pneumonia
672	Clinical Briefs
681	Physician's Bookshelf
687	Information for Authors Author statements form: p. 689
690	Medical Services
691	Classified Information

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

---

Copyright © 1999 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.