Articles
Traveler’s Diarrhea
Acute diarrhea in persons traveling to developing countries usually is caused by bacteria in food and water contaminated with fecal matter. Empiric treatment with antibiotics and loperamide is effective and often limits symptoms to one day.
Treatment of Edema
A systematic approach is needed in patients with edema to determine the underlying diagnosis. Treatment should include sodium restriction, nonpharmacologic treatments, and appropriate diuretic use.
Evaluation and Prevention of Diabetic Neuropathy
Diabetic neuropathy occurs in type 1 and type 2 diabetes. Strict control of blood glucose levels and good daily foot care are key to preventing complications.
Management of Heatstroke and Heat Exhaustion
Outdoor laborers, athletes, children, and elderly persons are at increased risk; however, preventive measures and early recognition may avert much of theassociated morbidity and mortality.
Inside AFP
A Look Inside this Issue
Inside AFP typically explains what is going on “inside” in the sense of “behind the scenes” at AFP, but the title of the department really suggests that it’s about what you will find in the current issue. With that in mind, I plan to use this page to occasionally introduce some…
Newsletter
Newsletter
AAFP Joins National Call to Action on Adult Immunizations | Depression in Pregnant Women Is Common But Often Untreated | CDC Adopts New Mosquito Repellent Guidelines | HHS Launches Campaign to Reduce Infant Mortality Rates in Blacks | AAFP Updates Recommendations on Screening…
Quantum Sufficit
Quantum Sufficit
Americans are living longer than ever, according to the latest numbers from the Centers for Disease Control and Prevention (CDC). The CDC reports that in 2003, the overall U.S. life expectancy was 77.6 years. The life-expectancy gap between women and men continued to narrow…
Editorials
The Vitamin E Saga: Lessons in Patient-Oriented Evidence
Hormone therapy, cyclooxygenase-2 inhibitors, and now vitamin E have all not fulfilled early promises. How can this be? What is wrong with the way we choose drugs for our patients?
Diary from a Week in Practice
Diary
The holidays are supposed to be happy times with family and friends. Peter was returning to the mobile clinic for replenishment of his asthma medications and because of a history of red, matted eyes. He had been to a neighborhood health center, but they had to send away for his…
Cochrane for Clinicians
Improving Adherence to Treatment for Hypertension
The most effective strategy to improve patient compliance with antihypertensive medication is to simplify the dosing regimen. There is more limited evidence to support a variety of motivational strategies. Patient education alone is ineffective.
Treating GER in Children Younger Than Two Years
Thickened feeds and metoclopramide reduce symptoms of GER in normally developing infants. However, elevating the head of the crib appears to have no effect.
Umbilical Cord Clamping in Preterm Infants
Many patients request delayed umbilical cord clamping in their birth plans. Delayed cord clamping allows continued perfusion while the baby transitions to newborn circulation. However, when an infant is high risk, physicians frequently clamp and cut the cord early to allow the…
U.S. Preventive Services Task Force
Screening for Abdominal Aortic Aneurysm: Recommendation Statement
This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for abdominal aortic aneurysm (AAA) and the supporting scientific evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.
Clinical Evidence Handbook
Fracture Prevention in Postmenopausal Women
What are the effects of treatments to prevent fractures in postmenopausal women?
Putting Prevention Into Practice
Screening for Abdominal Aortic Aneurysm
M.G., a 70-year-old black man, requests refills for his medicines. His medications include lisinopril, atorvastatin, glipizide, and daily aspirin. He smoked heavily when he was younger but quit about 15 years ago. He also asks that you order “whatever tests should be done at my…
FPIN's Clinical Inquiries
Treatment of Calf Deep Venous Thrombosis
Patients with a first episode of calf DVT with a transient risk factor should receive heparin therapy followed by oral anticoagulation for six to 12 weeks.
Photo Quiz
An Elderly Woman with a Non-healing Ulcer
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
POEMs
DHEA Effective for Midlife-Onset Depression
Raising HDL Cholesterol Level Slightly Beneficial
Tips from Other Journals
Treating Resistant Head Lice
Use of Soy Ineffective for Menopausal Symptoms
Emergency Evaluation of Syncope in Children
Effect of Galantamine on Patients with Dementia
Drug-Eluting Stents Used in Coronary Artery Procedures
Short-Course Treatment for Uncomplicated Cellulitis
Varicella Zoster Vaccination: An Update
Rate vs. Rhythm Control for Atrial Fibrillation
Cervical Spine Conditions in Athletes
Use of Prescription Drugs During Pregnancy
An Update on Thyroid Eye Disease
Diabetes: Hyperglycemia and Cardiovascular Risk
Practice Guidelines
American Cancer Society Releases Annual Guidelines for the Early Detection of Cancer
The American Cancer Society (ACS) has released its annual recommendations for the early detection of cancer.
Practice Guideline Briefs
FDA Warns Against Off-Label Use of Antipsychotic Drugs
FDA Warns Against Off-Label Use of Antipsychotic Drugs
AAP Recommends Caring for Children with Special Needs at Home
AAP Recommends Caring for Children with Special Needs at Home
Letters to the Editor
Case Report: Exposure to Parvovirus B19 Presenting as Acute Arthralgia
Information from Your Family Doctor
Traveler's Diarrhea: What You Should Know
Traveler's diarrhea can occur when you go to another country (usually a developing country). It also can occur shortly after you get home.
What You Should Know About Edema
Edema (say: eh-DEE-mah) is swelling or puffiness of parts of the body. Edema usually happens in the feet, ankles, and legs. It also can affect the face and hands. Pregnant women and elderly people often get edema, but it can happen to anyone.
Diabetic Neuropathy
Diabetic neuropathy is nerve damage that happens in people with diabetes. It is more common in men than in women.
Heat Exhaustion and Heatstroke: What You Should Know
Heat exhaustion happens when your body gets too hot. It can be caused by exercise or hot weather. You may feel weak, dizzy, or worried. You also may have a headache or a fast heartbeat. You may get dehydrated and have very little urine.
