March 1, 2007

Articles

Preparation of the Cardiac Patient for Noncardiac Surgery

CHRISTOPHER FLOOD, LEE A. FLEISHER

Patients at high risk of cardiac-related morbidity may develop myocardial ischemia perioperatively. During preoperative evaluation, physicians should consider pos-sible interactions of patient-specific risk factors, surgery-specific risk factors, and exercise capacity. Beta…

Autoimmune Polyglandular Syndrome, Type II

BARBARA A. MAJERONI, PARAG PATEL

Autoimmune polyglandular syndrome, type II is the combination of autoimmune adrenal insufficiency with autoimmune thyroid disease, type 1 autoimmune diabetes mellitus, or both. It is a rare condition, but failure to recognize it could be life threatening.

AlgPtEdAnemia

Iron Deficiency Anemia

SHERSTEN KILLIP, JOHN M. BENNETT, MARA D. CHAMBERS

Iron deficiency anemia may be the result of blood loss, inadequate dietary intake, hampered absorption, or physiologic losses in a woman of reproductive age. The U.S. Preventive Services Task Force recommends screening in pregnant women and routine iron supplementation for high…

Asbestos-Related Lung Disease

KATHERINE M.A. O'REILLY, ANNE MARIE MCLAUGHLIN, WILLIAM S. BECKETT, PATRICIA J. SIME

Diagnostic testing and follow-up assessment for asbestos-related respiratory dis- eases such as lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma are recommended for persons with a history of signifi-cant exposure, although it is…

Erythema Nodosum: A Sign of Systemic Disease

ROBERT A. SCHWARTZ, STEPHEN J. NERVI

Although erythema nodosum usually has no specific identifiable cause, it may be a sign of a treatable disorder, and possible triggers should be investigated. Streptococcal infections are the most common identifiable etiology, especially in children; drug and hormonal reactions…

Inside AFP

Physicians from a Variety of Specialties Contribute to Variety of AFP

JOYCE A. MERRIMAN

American Family Physician is designed to provide information on a broad spectrum of topics, just as family physicians need to be knowledgeable about a variety of conditions and diseases. Much like family physicians who consult subspecialists when appropriate, the editors of AFP…

Newsletter

Newsletter

President's Health Insurance Plan Has Pros, Cons for Family Physicians | AAFP Opposes President's Proposed Budget Cuts to Health Care Programs | Retail Health Clinics Sign Agreement to Support AAFP's Desired Attributes | U.S. Lawmakers, Coalitions Call for Title VII Support…

Quantum Sufficit

Quantum Sufficit

SHERRI DAMLO

Patients and their families who buy a fast-food meal at the hospital might think it is healthier than the same meal eaten outside of the facility. A study conducted by Pennsylvania researchers revealed that 59 of the 200 children's hospitals surveyed hosted on-site fast-food…

Editorials

The Importance of Reporting Mistreatment of the Elderly

LISA M. GIBBS, LAURA MOSQUEDA

Elder mistreatment often occurs insidiously, beneath the radar of those who see the effects but do not recognize the cause. Although difficult to measure, the best estimate places the prevalence of elder abuse at 3.2 percent in the United States.1 By 2030, the number of persons…

Cochrane for Clinicians

Are Oral Betamimetics Effective Maintenance Therapies After Threatened Preterm Labor?

GLENN GRIFFIN

There is no evidence to support the use of oral betamimetics for maintenance therapy after treatment for threatened preterm labor, and there is a risk of adverse effects with these drugs.

Effectiveness of Dressings for Healing Venous Leg Ulcers

PABLO LOPEZ, ROBERT DACHS

No single dressing or type of dressing appears to be superior to others in the complete healing of ulcers or in healing rate.

Telephone Counseling Improves Smoking Cessation Rates

ELISSA MEITES, DAVID H. THOM

Telephone counseling can improve long-term smoking cessation rates. Multiple proactive calls are more effective than a single reactive call.

Clinical Evidence Handbook

Tennis Elbow

RACHELLE BUCHBINDER, SALLY GREEN, PETER STRUIJS

What are the effects of treatments for tennis elbow?

FPIN's Clinical Inquiries

Treatment of Impetigo

DAVID PRICE, VICTORIA BETANCOURT, LEONORA KAUFMAN, JOSÉ E. RODRÍGUEZ

Topical mupirocin (Bactroban) and fusidic acid (not available in the United States) are more effective than placebo and at least as effective as oral antibiotics for the treatment of limited impetigo, and are better tolerated.

Photo Quiz

Solitary Pulmonary Nodule in an 84-Year-Old Man

IVAN DAMJANOV, REGINALD W. DUSING, MARIO SICAJA

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

Tips from Other Journals

Curbside Consultation

Are Obese Physicians Effective at Providing Healthy Lifestyle Counseling?

JO MARIE REILLY

More than 40 percent of American adults are classified as obese by the Centers for Disease Control and Prevention, and obesity is associated with many comorbidities (e.g., hypertension, type 2 diabetes, asthma, depression, orthopedic problems, sleep apnea).2 Physicians are not…

Practice Guidelines

Diagnosis and Management of Chronic Heart Failure in Adults

LIZ SMITH

Changes in the diagnosis and management of chronic heart failure in adults are reflected in updated guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA).

Practice Guideline Briefs

AGA Releases Position Statement on Gastrointestinal Medication Use During Pregnancy

LISA GRAHAM

The American Gastroenterological Association (AGA) has released a position statement on gastrointestinal medication use in pregnant women. Drug treatment of gastrointestinal disease in pregnant women can be difficult, as the U.S. Food and Drug Administration classifications are…

Letters to the Editor

Information from Your Family Doctor

Asbestosis: What You Should Know

Asbestosis (az-bes-TOE-sis) is a disease that scars your lungs. It happens when you breathe in asbestos (az-BEST-us) fibers over time. Asbestos is a mineral that was used in the past to make things fireproof.

PtEd

Eczema: What You Should Know

Eczema (EX-zuh-mah) is an itching, scaling, swelling rash on the skin. The upper layers of the skin turn red and swell (inflame) and form dry or greasy scales (skin flakes). In severe cases, yellow and red pimples form on the skin, behind the ears, in the ear canal, on the…

PtEd

Rosacea: What You Should Know

Rosacea (ro-ZAY-she-ah) is a disease that affects the skin on the face. It often begins as redness that looks like a blush across the nose, cheeks, chin, or forehead. As time goes on, red pimples and pus-filled bumps may appear. Some people also notice small blood vessels…

PtEd

Psoriasis: What You Should Know

Psoriasis (sor-EYE-ah-sis) is a condition that causes thick red or silvery spots that look like scales to form on your skin. The scaling is probably the result of an increase in the number of skin cells. Sometimes pus-filled blisters form. Most of the time, the skin on the…

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