Articles
Overview of Refractive Surgery
Refractive surgery procedures include radial keratotomy (RK), photorefractive keratectomy (PRK), laser-assisted in situ keratomileusis (LASIK), laser thermal keratoplasty (LTK) and intrastromal corneal rings (ICR). Because of increased media coverage and advertising of these…
Interstitial Cystitis: Urgency and Frequency Syndrome
The diagnosis of interstitial cystitis, a painful, chronic disease of the bladder, is often a challenge and involves ruling out other conditions that affect the bladder.
Evaluation and Management of Infants and Young Children with Fever
Studies conducted since publication of the 1993 practice guideline for the management of fever without source have led to several minor modifications, but the subject remains controversial.
Challenges in Pain Management at the End of Life
Pain control at the end of life requires an understanding of various pain syndromes and the use of appropriate strategies to manage changes in the patient's pain pattern.
Inside AFP
Introducing Four New Family Physician Diarists
As you'll see on page 1178 of this issue, “Diary from a Week of Practice” has undergone a change in contributors. Earlier this year, Walter L. Larimore, M.D., who had for the past nine years coordinated “Diary from a Week in Practice” along with John R. Hartman, M.D., left his…
Newsletter
Newsletter
AAFP Compiles Resources for Physicians in Aftermath of Terrorist Attacks | Endocrinology Groups Announce New Diabetes Guidelines | Performance-Enhancing Supplement Use Is Increasing Among U.S. Youth | HRSA Provides New Tool for Improving Cultural Competency | Two Organizations…
Quantum Sufficit
Quantum Sufficit
It is a widely known fact that men and women use different navigational strategies to get to the same place in the real world. However, in the virtual world minor navigational differences are magnified, with the men performing better than women in computer-generated spaces…
Editorials
Fever Without Source in Infants and Young Children—A Hot Potato?
Although fever is common in infants and young children three to 36 months of age, its management remains challenging and controversial. In this issue of American Family Physician,1 Luszczak provides an update of the 1993 practice guideline on the management of febrile infants…
Managing Pain at the End of Life
As a patient nears the end of life, treatment goals change from measures aimed at prolonging life via cure or remission of disease to the provision of palliative care. Palliative care focuses on maximizing the quality of the patient's remaining life by relieving suffering…
Diary from a Week in Practice
Diary from a Week in Practice
The outreach program has a motor coach equipped with examination rooms, a pharmacy, a radiography unit, a basic lab and a patient education area that travels to homeless shelters where medical students and family practice residents do clinical rotations. A man who was homeless…
Photo Quiz
A Widened Mediastinum
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
Cochrane for Clinicians: Putting Evidence into Practice
What Is the Best Way to Treat Trichomoniasis in Women?
Nitroimidazoles (such as metronidazole [Flagyl]) are the most effective treatment for parasitological cure of trichomoniasis. Single-dose treatment is as effective as longer term treatment but increases side effects.
Tips from Other Journals
Treatment for Head Lice in School-Aged Children
Statin Use in Patients with Acute Myocardial Infarction
Reviewing the Use of Meningococcal Vaccine
Screening Spirometry for Detection of COPD
WBC Count Predicts Increased Mortality in Acute MI
Three Clinical Tests Reliably Diagnose Rotator Cuff Tears
Clinical Decision Aid for Discontinuing In-Hospital CPR
Antibiotic Therapy for Pelvic Inflammatory Disease
Practice Guidelines
ACIP Releases Guidelines on the Prevention and Control of Influenza
The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has issued recommendations on the prevention and control of influenza for the 2001–2002 influenza season.
Clinical Briefs
Clinical Briefs
AAP Statement on the Use of Fruit Juice in Children | Resistance Training in Older Adults | Topical Solution for Nail Fungus | Paroxetine Approved for Generalized Anxiety | SAMHSA Brochures on Substance Abuse in Adolescence | FDA Approval of Pulse Dye Lasers to Treat Psoriasis
Curbside Consultation
Confronted by an Unexpected Laboratory Result
As we can see, an inadvertent laboratory test result may lead to a cascade of further tests—possibly resulting in unnecessary morbidity or even (rarely) mortality. Each year, millions of screening tests are ordered in violation of recommended guidelines—because of simple…
Letters to the Editor
Information from Your Family Doctor
What Should I Know About Refractive Surgery?
Refractive surgery is an alternative to wearing glasses or contact lenses. It can correct nearsightedness, farsightedness and astigmatism. The different kinds of surgeries are explained below.
Interstitial Cystitis: A Bladder Problem
Interstitial cystitis is a chronic bladder problem. About 750,000 Americans have interstitial cystitis. Most of them are women. People with interstitial cystitis have a bladder wall that is inflamed and irritated (red and sore). This inflammation can scar the bladder or make it…
