Articles
Managing Benign Prostatic Hyperplasia
Recent changes in the treatment of benign prostatic hyperplasia include wider patient use of complementary medicines, selective alpha-blocker medical therapy, and less invasive surgical treatments.
Principles of Office Anesthesia: Part I. Infiltrative Anesthesia
Infiltrative anesthetics are a mainstay for use during painful office procedures because of their safety, low cost, and quick efficacy.
Principles of Office Anesthesia: Part II. Topical Anesthesia
The development of topical anesthetics such as TAC, LET, and EMLA has provided the family physician with multiple options for anesthetizing open and intact skin.
Virtual Endoscopy: A Promising New Technology
Advanced processing of helical computed tomographic data sets allows for three-dimensional and virtual endoscopy models that are ideal for screening, because they are noninvasive and require minimal patient preparation.
Common Bacterial Skin Infections
The most common bacterial skin infections include cellulitis, erysipelas, impetigo, folliculitis, furuncles, and carbuncles. All of these infections are typically diagnosed by clinical presentation and treated empirically.
Alternative Therapies for Traditional Disease States: Menopause
In the United States, about three fourths of perimenopausal women experience hot flushes; one half report feeling irritated or depressed; and about one third have dyspareunia, vaginal dryness, or decreased libido. Some women are looking for alternatives to traditional hormone…
Inside AFP
Utah Valley Family Practice Residency Launches Series on Common Skin Problems
The article on page 119, by Daniel L. Stulberg, M.D., Marc A. Penrod, M.D., and Richard A. Blatny, M.D., is the first in a new series on the management of common skin problems, contributed by the Utah Valley Family Practice Residency, Provo, Utah. Dr. Stulberg, who is director…
Newsletter
Newsletter
HHS Releases Report on the Health Status of Women in the United States | Family Physician Web Site Adds New ‘Web Reviews’ Column | NHLBI Study Links Teenaged Girls’ Weight Concerns with Smoking | NIDDK Web Page Provides Information on Obesity and Weight Loss | HHS Reports No…
Quantum Sufficit
With their intense study habits and long work hours, medical students aren't known for eating healthfully. However, students at 21 medical schools in the United States are part of a program entitled “Whole Heartedly: Cooking Classes for Healthy Living.” The goal of the classes…
Editorials
Managing Chronic Pain in the Primary Care Setting
The National Center for Health Statistics estimates that 32.8 percent of the U.S. general population has persistent or chronic pain symptoms.1 It is further estimated that 94 million U.S. residents have some form of episodic or persistent pain—whether it be pain associated with…
Diary from a Week in Practice
Diary from a Week in Practice
Errol, an elderly man of above-average intelligence, was in my office today for follow-up of his chronic obstructive pulmonary disease. Three months ago I had prescribed for him a combination metered-dose inhaler of ipratropium bromide and albuterol sulfate (Combivent). He had…
Clinical Evidence Handbook
Community-Acquired Pneumonia
What are the effects of antibiotics in outpatient settings? What are the effects of treatments in people admitted to the hospital? What are the effects of treatments in people in intensive care? What are the effects of guidelines? What are the effects of preventive…
Putting Prevention Into Practice
Screening for Chlamydial Infection
Case study: TC is a 24-year-old woman who comes to your office for a well-woman visit. Her last physical examination was at age 16 with her pediatrician. She has been sexually active since the age of 15 and has had three “lifetime” partners.
Photo Quiz
Red Ear
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
Tips from Other Journals
Inhaled Beta Agonists and Exacerbation of CAD
Managing Dyspnea in Patients at the End of Life
Atypical Chest Pain Caused by Esophageal Problems
Improving Asthma Outcomes and Self-Care Behaviors
Treatment of Pressure Ulcers with Sequential Dressings
Practice Guidelines
NIH Releases Statement on Osteoporosis Prevention, Diagnosis, and Therapy
Osteoporosis is a disorder of the skeletal system characterized by weakened bone strength, which results in an increased risk of fracture. The National Institutes of Health (NIH) has released a consensus statement on the prevention, diagnosis, and therapy of osteoporosis.
Clinical Briefs
Clinical Briefs
Tetanus Vaccine Now Available for Wound Care | Nutrition and Physical Activity for Cancer Prevention | Obesity Management Guidelines | Antiretroviral Agent Use in Patients with HIV | FDA Approves Olmesartan
Letters to the Editor
Information from Your Family Doctor
BPH—A Problem with Your Prostate
The prostate is a gland that makes the fluid in semen. It is located under a man's bladder and wraps around his urethra (see drawing below). The urethra is the tube that carries urine from the bladder through the penis to the outside of the body.
