December 15, 2009

Articles

NSAID Prescribing Precautions

AMANDA RISSER, DEIRDRE DONOVAN, JOHN HEINTZMAN, TANYA PAGE

When prescribing nonsteroidal anti-inflammatory drugs for inflammation, pain, or fever, physicians should be aware of the patient's risk factors for complications.

Intrapartum Fetal Monitoring

R. EUGENE BAILEY

Maternal and fetal risk factors influence the use of intrapartum fetal monitoring. Categorization of fetal heart rate tracings depends on multiple components.

Evening Primrose Oil

BRYAN BAYLES, RICHARD USATINE

Evening primrose oil is a supplement of essential fatty acids known for its use in the treatment of several conditions, but there is limited evidence to support its therapeutic effectiveness.

Latex Allergy

SUSAN M. POLLART, CRISTA WARNIMENT, TAKAHIRO MORI

Symptoms can range from rash or blisters to nausea, vomiting, or anaphylactic shock. Risk factors include spina bifida, occupational exposure to latex, multiple surgeries, and allergies to certain foods.

Evaluation and Treatment of Hematospermia

KSENIJA B. STEFANOVIC, PETER C. GREGG, MICHAEL SOUNG

Prevalence is highest in men younger than 40 years, in whom the condition is often benign and self-limited, and observation is usually all that is needed formanagement. Extensive evaluation for more serious underlying causes, including prostate cancer, is necessary in patients…

Hip Impingement: Identifying and Treating a Common Cause of Hip Pain

GEOFFREY S. KUHLMAN, BENJAMIN G. DOMB

For this common cause of hip pain, radiography, magnetic resonance arthrography, and injection of local anesthetic can confirm the diagnosis. Physical therapy or arthroscopy often allows patients to resume premorbid physical activities.

Applying HIV Testing Guidelines in Clinical Practice

MEGAN R. MAHONEY, JESS FOGLER, SHANNON WEBER, RONALD H. GOLDSCHMIDT

Early diagnosis of human immunodeficiency virus identifies patients needing treatment and could prevent transmission to others. Whether screening is performed using a routine or risk-based approach, more widespread testing is the goal.

Inside AFP

Professional Artists Enhance Quality and Value of AFP

JOYCE A. MERRIMAN

The medical illustrators who create the art used on AFP covers, within articles, and in patient handouts are talented professionals, and their work enhances the quality, readability, and value of AFP articles. We rarely have an opportunity to thank these individuals personally…

AFP News Now - AFP Edition

AAFP News Now: AFP Edition

AAFP Applauds House Passage of Bill to Fix Sustainable Growth Rate Formula | Demand Outpacing Supply of Vaccines for H1N1 and Seasonal Flu | USPSTF Makes Changes to Breast Cancer Screening Recommendations | CMS Extends 2010 Medicare Provider Participation Enrollment Period…

Editorials

NSAIDs and Cardiovascular Risk

GUNNAR H. GISLASON

Nonsteroidal anti-inflammatory drugs (NSAIDs) have been used effectively for the treatment of pain conditions and inflammation over the past 100 years and are among the most commonly used drugs worldwide. However, during the last decade there have been increased concerns…

Clinical Evidence Handbook

Migraine Headache in Children

NICK BARNES, ELIZABETH JAMES

What are the effects of treatments for acute attacks and prophylaxis of migraine headache in children?

STEPS

Sinecatechins (Veregen) for External Genital and Perianal Warts

KELLY P. MASTERS

Sinecatechins offers no clear advantage with regard to safety and tolerability. Indirect comparisons with other treatments suggest that sinecatechins may be more effective, with fewer recurrences of warts following successful treatment, but direct comparisons are lacking.

U.S. Preventive Services Task Force

Screening for Phenylketonuria: Reaffirmation Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends screening for phenylketonuria (PKU) in newborns.

FPIN's Clinical Inquiries

Aspirin Use in Children for Fever or Viral Syndromes

ANTHONY I. BEUTLER, GREGORY T. CHESNUT, JOHN C. MATTINGLY, BARBARA JAMIESON

Aspirin should not be used to treat acute febrile viral illness in children.

Photo Quiz

Nonhealing Diaper Rash with Associated Hepatosplenomegaly

JAMES A. FRENCH, II, SAMIR SOFTICH

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

Cutaneous Abdominal Nodule After Cesarean Delivery

LANA H. HAWAYEK, FARAH R. ABDULLA

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

Tips from Other Journals

Practice Guidelines

ACOG Guidelines for Managing Hereditary Breast and Ovarian Cancer Syndrome

MARA LAMBERT

The American College of Obstetricians and Gynecologists (ACOG) has produced guidelines for physicians caring for patients with BRCA1 and BRCA2 gene mutations. Hereditary breast and ovarian cancer syndrome is an inherited cancer-susceptibility syndrome.

Letters to the Editor

Information from Your Family Doctor

Electronic Fetal Monitoring

EFM is a way for your doctor to know how your baby is doing when you are in labor. During prenatal visits, patients usually decide if they want to use EFM. Even if you decide not to use it, your doctor may recommend that you change to a different type of monitoring if there are…

Latex Allergy

It is a reaction you get from contact with latex products. The allergy is usually caused by the natural rubber protein in latex. Latex comes from tropical rubber trees. It is used to make everyday products and medical equipment. Some of these items include:

PtEd

Hematospermia: Blood in the Semen

Hematospermia (he-muh-toh-spur-me-uh) is when you have blood in your semen. It usually happens in men younger than 40 years, but men of any age can have it. The causes in men younger than 40 years usually are not serious.

Hip Impingement: What You Should Know

Hip impingement (im-PINJ-ment) is when two bones rub against each other in the hip joint. It is also called femoroacetabular impingement (FEM-uh-ro-ASS-uh-TAB-yoo-lar im-PINJ-ment, or FAI for short). The hip joint has two bones that fit together like a ball in a socket (see…

Corrections

Correction

The article, “Recognition and Management of Vitamin D Deficiency,” (October 15, 2009, page 841) incorrectly listed falls as the leading cause of death among persons 65 years and older in the first column on page 843. Falls are the leading cause of injury death among this…

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