October 15, 1999

Anterior hip pain in adults has numerous possible causes, including muscle and tendon strains, osteoarthritis, stress fractures and osteitis pubis. Physeal injury should be considered in adolescents with anterior hip pain.

Family physicians should be familiar with the presentation, diagnosis, treatment and prevention of P. carinii pneumonia, particularly as the AIDS epidemic continues to expand beyond the familiar risk groups.

This second of two articles on sexually transmitted diseases reviews Centers for Disease Control and Prevention guidelines for the treatment of conditions characterized by vaginal discharge, as well as pelvic inflammatory disease, epididymitis, human papillomavirus infection…

Proximal occlusion of the right coronary artery requires different management than left ventricular infarction. Fluid loading is required, and inotropic support and rate and rhythm support may be necessary.

Patients who are preoccupied with an ideal body image and see themselves as ugly or misshapen can be treated with a combination of cognitive-behavioral psychotherapy and psychotropic medication.

Because the etiologies of cardiopulmonary arrest differ in adults and children, a different approach to assessment and intervention is required in the pediatric population.

Endometriosis may cause dysmenorrhea or infertility in women of childbearing age. Interruption of ovulation with medication can provide pain relief, but surgery is required for definitive diagnosis. Surgery is also useful for treatment of infertile patients, as well as those…

Dyspepsia is commonly caused by peptic ulcers or gastroesophageal reflux, but more serious conditions, such as gastric and pancreatic cancers, should also be considered. In many patients, no specific cause is identified.

By noon tomorrow, September 30, another chapter in AFP history will have ended: we're closing the doors on our Kansas City residence at 8880 Ward Parkway and moving across the Missouri state line to our new location in Leawood, Kan., where we'll reappear on October 5. At 5:00 p…

Selected policy and health issues news briefs from AAFP News Now.

Here fishy, fishy! Poor eating habits and disruptive behavior in patients with Alzheimer's disease could be reduced with the addition of brightly colored fish in an aquarium, claim researchers from Purdue University. A recent study of 60 patients showed that the addition of…

Right ventricular infarction may occur in isolation or with acute inferoposterior left ventricular myocardial infarction. In fact, right ventricular infarction occurs in as many as 30 to 50 percent of patients who have an acute inferior myocardial infarction, and it is…

The magnitude of dyspepsia is obvious; up to 40 percent of adults in the Western world have frequent episodes and, in the United States, 2 to 5 percent of primary care visits are for this condition.1–3 The cost of relevant prescription drugs alone is over $1.3 billion annually…

(51st Annual Meeting of the American Academy of Neurology) A new modification of the magnetic resonance imaging (MRI) test, called functional MRI, can help in the early diagnosis of patients with mild memory impairment in the early stages of Alzheimer's disease, according to a…

(Great Britain—The Practitioner, April 1999, p. 298.) More than one half of all persons with colorectal cancer die of the disease, even though 80 percent of cases in which cancer is localized within the bowel are potentially curable. Adults with a strong family history of colon…

The American College of Cardiology (ACC) and the American Heart Association (AHA) have issued a scientific statement calling for action against missed opportunities to prevent heart disease in women. The statement, “AHA/ACC Guide to Preventive Cardiology for Women,” was…

The Advisory Committee on Immunization Practices (ACIP) has updated recommendations for the use of varicella (chickenpox) vaccine. The updated recommendations, published in the May 28, 1999 issue of the reports and recommendations series of Morbidity and Mortality Weekly Report…

The American Academy of Pediatrics (AAP) has updated a policy statement on the sterilization of minors with developmental disabilities to include males and females. The policy appears in the August 1999 issue of Pediatrics.

When teaching students or residents in our practice, JRH always takes some time to highlight some of the joys of group family practice for them. Today offered an example of one of the aspects that JRH likes best: camaraderie. JRH, JTL and CAG were gathered around the coffee…

Also Received

Letter

PCP is a kind of pneumonia caused by the Pneumocystis carinii germ. (Say the name this way: new-mo-sis-tis ca-rin-nee-eye.) Most people infected with this germ don't get pneumonia because their immune systems are healthy and strong. People whose immune systems are weak because…

The word “endometriosis” (say it this way: end-oh-me-tree-oh-sis) means a problem with the lining of the uterus. The lining is called the endometrium. Normally, every month when you have your period, the lining (which is also called endometrial tissue) comes out in your…

Dyspepsia is a pain or an uncomfortable feeling in the upper middle part of your stomach. The pain might come and go, but it's usually there most of the time.