Articles
Foot Fractures Frequently Misdiagnosed as Ankle Sprains
Most ankle injuries are straightforward ligamentous injuries; however, subtle fractures can present similarly to ankle sprains. Fractures of the talar dome, lateral talar process, posterior talar process, and anterior process of the calcaneus can usually be managed…
Tension-Type Headache
While tension-type headaches are a common condition, the pathophysiology and mechanism remain unclear. Chronic daily headaches are similar in quality to tension-type headaches but occur at least six days per week.
Treatment of Ethylene Glycol Poisoning
Expeditious diagnosis and treatment of ethylene glycol poisoning can limit metabolic acidosis and renal failure. Fomepizole is a new agent for the treatment of ethylene glycol poisoning.
Echinococcosis—An Emerging Parasite in the Immigrant Population
Echinococcosis is a rare infection caused by a tapeworm. The infection occurs most commonly in persons who raise sheep or cattle and have contact with dogs.
Uterine Rupture: What Family Physicians Need to Know
Uterine rupture is a potentially catastrophic complication of vaginal birth after cesarean section that demands prompt surgical management for fetal and maternal rescue and thorough preparation to minimize poor outcomes.
The Adult Neck Mass
When an adult presents with a neck mass, malignancy is the greatest concern. Other possible causes include congenital anomalies, inflammatory or infectious conditions, traumatic injury, and metabolic or autoimmune disorders.
Consider the Cost When Prescribing Antibiotics
to the editor: I enjoyed reading Drs. Oliphant and Green's comprehensive review entitled “Quinolones: A Comprehensive Review.”1 However, the premise that “Levofloxacin is an excellent first-line agent in the treatment of prostatitis” from the article and repeated in the…
Inside AFP
Planning the AFP Calendar
ILLUSTRATION BY MARK E. SCHULERAFP has a full calendar—one filled with deadlines, that is. Each issue reflects the fulfillment of hundreds of deadlines: art and editorial deadlines, production deadlines, printing deadlines, Web production deadlines. Even our deadlines have…
Newsletter
Newsletter
Senate to Take Action on Medicare Physician Payment Issue | HHS Releases $100 Million in Emergency Assistance Funds for Severe Heat | Bilingual Booklet to Assist Low-Income Familes with Health Insurance | 2002 AAFP Scientific Assembly Preregistration Deadline Is September 10…
Quantum Sufficit
Quantum Sufficit
Good health comes to those who wait. Patients with an upper respiratory tract infection (URTI) who delay taking antibiotics for the infection are less likely to use antibiotics, states a study published in the Journal of Family Practice. The study included 129 patients with a…
Editorials
Tension-Type Headache: A Challenge for Family Physicians
Why don't tension-type headaches get more respect? They affect up to 80 percent of adults,1 are responsible for huge financial costs, and account for more than one half of the headache consultations patients have with family physicians.2 However, the amount of research and…
Diary from a Week in Practice
Diary from a Week in Practice
In southern Illinois, hunting and fishing are more than popular pastimes. They are often a way of life. A retired veteran with diabetes, Leo Grakus epitomizes the deer hunters of our region. Today he recounted his latest adventure. “I was bow hunting and nailed a magnificent…
Cochrane for Clinicians: Putting Evidence into Practice
Screening for and Treating Asymptomatic Bacterial Vaginosis in Pregnancy
No. Screening for and treating BV in pregnant women who are at low risk for preterm delivery does not lower the risk of preterm delivery. If this patient were at high risk for preterm delivery (i.e., a history of preterm delivery or underweight before pregnancy), it would be…
Photo Quiz
Lateral Knee Pain After Aerobic Exercise
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
Clinical Evidence Handbook
Chronic Obstructive Pulmonary Disease
What are the short- and long-term effects of maintenance drug treatment?
Tips from Other Journals
CHD Risk and Fish Consumption in Women
Thyroid Hormone Effect on Hypertension, Aortic Stiffness
Obesity Increases Risk of Oral Contraceptive Failure
Understanding Migraine Headaches in Women
Metformin Lowers Insulin Resistance in PCOS Patients
Losartan Does More Than Lower Blood Pressure
St. John's Wort in the Treatment of Depression
Azithromycin Ineffective in Treatment of Acute Bronchitis
Are Corticosteroids Useful in the Treatment of Sarcoidosis?
Identification of Endometritis in Women with PID
Beyond Enteral Feeding to Nutritional Pharmacology
Intervention to Prevent Neonatal GBS Infection
Update on Controversy Over Managing Abnormal Pap Smears
Aerobic Exercise Can Reduce High Blood Pressure
Drinking Tea May Increase Bone Mineral Density
Practice Guidelines
ACIP Releases 2002 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 2002–2003 influenza season.
Clinical Briefs
Clinical Briefs
ATS Guidelines for the Six-Minute Walk Test | ACOG Opinion Paper on Vaginal Agenesis
Resident and Student Voice
Love in the Time of Medical School
Birds do it. Bees do it. And, occasionally, overeducated and sleep-deprived medical students manage to do it. At some point in nearly every medical student's career, love happens. Whether it is the concept of “forever” or a momentary lapse of sanity, relationships during…
Curbside Consultation
A Hearing Problem
This brief vignette raises questions about the biopsychosocial aspects of presbycusis. The answers to these questions can help guide clinical strategies for patients with hearing loss and their family members.
Letters to the Editor
Information from Your Family Doctor
Tension Headaches
A headache is called a tension headache if it causes feelings of tightness or pressure on your forehead or the sides of your head. The pain often moves into your neck and shoulders. Headaches are called chronic if you have one every day or nearly every day.
Echinococcosis
Echinococcosis (Say this: eh-kinno-cock-ko-sus.), also called hydatid disease, is an infection caused by eating food or water that is contaminated with the eggs of the Echinococcus worm. This worm is a microscopic tapeworm that is often found in dogs and common livestock…
