March 1, 2001

Articles

Evaluating the Child for Sexual Abuse

SHEELA L. LAHOTI, NATALIE MCCLAIN, REBECCA GIRARDET, MARGARET MCNEESE, KIM CHEUNG

It is estimated that 12 to 25 percent of girls and 8 to 10 percent of boys have been sexually abused by the time they are 18 years of age. The majority of sexually abused children do not have diagnostic physical findings on examination; therefore, a thorough history is important.

Osteoporosis: Part I. Evaluation and Assessment

JEANNETTE E. SOUTH-PAUL

Osteoporosis is a common, usually silent, clinical condition that is best approached through prevention to avoid long-term, devastating consequences. Part I of this two-part article addresses the evaluation and assessment of osteoporosis.

Ergogenic Aids: Counseling the Athlete

DALE M. AHRENDT

Growing numbers of amateur and professional athletes are taking supplements to enhance performance. Some of these products may have serious, even fatal, adverse effects.

Otitis Externa: A Practical Guide to Treatment and Prevention

ROBERT SANDER

Excessive moisture and trauma to the external auditory canal are the two most common precipitants of otitis externa.

What You Should Know About Osteoporosis

Osteoporosis is weak bones.

Inside AFP

Introducing AFP's Online CME Cases

Janis Wright

If you blinked lately, you might have missed a new opportunity to earn CME credit online at the AAFP Web site. AFP online CME cases have become a reality and can be found atwww.aafp.org/afp/cases/. But just what are these online cases?

Newsletter

Newsletter

Rosemarie Sweeney, Toni Lapp

Senate Confirms Tommy Thompson to Head DHHS | AAFP Launches Public Awareness Campaign | AAFP Offers Plan for Expanding Health Care Coverage | New Resources Offered on Preventing Youth Violence | Health Care Issues at Forefront of Voters' Minds, Survey Reports | Participants…

Quantum Sufficit

Quantum Sufficit

Sarah Morgan

Don't leave the hospital without it. A University of California at Los Angeles study published in Circulation found that only 32 percent of heart attack survivors are prescribed cholesterol-lowering medication when leaving the hospital, yet clinical trials show that these…

Editorials

Ergogenic Aids: Powders, Pills and Potions to Enhance Performance

MARK B. STEPHENS

Americans spend several billion dollars annually on nutritional supplements. Roughly one half of the U.S. population has used some form of nutritional supplement, often on an ongoing basis.1 Supplement use extends from infancy into old age and crosses lines of gender and…

Evaluating Children for Possible Sexual Abuse

JOYCE A. ADAMS

In this issue of American Family Physician, Lahoti and colleagues1 provide a useful approach to the medical evaluation of the child victim of alleged sexual abuse. Over the past 20 years, much has been learned about the presentation of sexual abuse. The vast majority of…

Graham Center Policy One-Pager

Toxic Cascades: A Comprehensive Way to Think About Medical Errors

Current thinking about threats to patient safety caused by medical errors is often focused on the immediate consequences of mistakes in the hospital setting that affect specific aspects of care, such as testing procedures or medications. Some mistakes, however, become apparent…

Diary from a Week in Practice

Diary from a Week in Practice

“To know diabetes is to know medicine.” JRH has had the opportunity many times to recall this adage, taught by one of his professors at the University of Miami. Today revealed one more facet of this story. After being called to the bedside of an unusually confused patient, JRH…

Photo Quiz

Suspicious Ulcers in the Colon

MUMTAZ JAHAN, GLORIA ACHARA, DOUGLAS REICH

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Tips from Other Journals

Family Practice International

Family Practice International

Anne D. Walling

(Australia—Australian Family Physician, September 2000, p. 839.) Anal fissures are splits in the anal mucosa immediately within the anal verge. Severe pain during defecation is common and the pain may persist for several hours. Bright red bleeding is also common. Most fissures…

Practice Guidelines

ATS Adopts Diagnostic Standards for Tuberculosis

SHARON SCOTT MOREY

The American Thoracic Society (ATS) and the Centers for Disease Control and Prevention (CDC) have developed standards for the diagnosis and classification of tuberculosis.

Clinical Briefs

Clinical Briefs

Monica Preboth

Clinical Guidelines on Diabetic Foot Disorders | FDA Approves the Use of Oseltamivir in Children | Scientific Exhibit Deadline for AAFP Assembly | Risk of Driving in Patients with Alzheimer's Disease | Call for Papers of Family Practice Research Presentations

Curbside Consultation

A Major Medical Error

ALBERT W. WU

Virtually all of us have faced the awful realization that we have made a serious error. Almost as chilling is the prospect of telling the patient or family members about the error.

Letters to the Editor

Information from Your Family Doctor

Otitis Externa (OE)

Otitis externa (OE) is an infection of the ear canal. Because the canal is dark and warm, it can easily get infected with bacteria (germs) and fungus.

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