January 15, 2011

Articles

Respiratory Syncytial Virus Infection in Children

MARIN DAWSON-CASWELL, HERBERT L. MUNCIE, JR.

Diagnosis of respiratory syncytial virus infection is based on patient history and physical examination. The goal of treatment is to maintain hydration and oxygenation; most children recover uneventfully.

Cat-scratch Disease

STEPHEN A. KLOTZ, VOICHITA IANAS, SEAN P. ELLIOTT

Diagnosis of cat-scratch disease is most often arrived at by obtaining a history of exposure to cats and a serologic test with high titers of immunoglobulin G antibody to Bartonella henselae. Most cases are self-limited and do not require antibiotic treatment. Cat-scratch…

AlgPtEd

Evaluation and Management of Intestinal Obstruction

PATRICK G. JACKSON, MANISH RAIJI

Patients with intestinal obstruction often present with nausea and emesis, colicky abdominal pain, and a failure to pass flatus or bowel movements. Radiologic imaging can confirm the diagnosis. Clinically stable patients can be treated conservatively, but surgical intervention…

Specialized Nutrition Support

DOINA KULICK, DARWIN DEEN

The decision to initiate specialized nutrition support is based on the patient's preexisting nutritional status, the impact of the disease process on nutritional intake, and the likelihood that it will improve patient outcome or quality of life. Parenteral nutrition should be…

AFP News Now - AFP Edition

AAFP News Now: AFP Edition

Federal Government Exempts Physicians from Red Flags Rule | AAFP, Other Primary Care Organizations Adopt Joint Principles for Medical Education | CDC Updates Guidelines on GBS Disease and Revises STD Guidelines | New AAFP Performance Improvement CME Program Focuses on…

Editorials

Increasing Patient Access to VBAC: New NIH and ACOG Recommendations

LAWRENCE M. LEEMAN, VALERIE J. KING

The increasing rate of cesarean deliveries and the lack of access to TOLAC have created a major public health concern. Maternal morbidity and mortality seem to be increasing in the United States, partly as a result of the increase in repeat cesarean deliveries.

Clinical Evidence Handbook

Shoulder Pain

RICHARD MURPHY, ANDREW CARR

What are the effects of oral and topical drug treatment in persons with shoulder pain?What are the effects of local injections, nondrug and surgical treatments in persons with shoulder pain?

U.S. Preventive Services Task Force

Screening for Impaired Visual Acuity in Older Adults: Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for visual acuity for the improvement of outcomes in older adults.

Putting Prevention Into Practice

Screening for Impaired Visual Acuity in Older Adults

KENNETH W. LIN, EWELL M. HOLLIS

Case study: A 68-year-old black man presents for a routine checkup and refill of his hypertension medication. He has smoked a pack of cigarettes daily for more than 45 years. He asks if he should be screened for cataracts, which his father developed in his 60s. The patient…

Photo Quiz

Acute Foot Rash in a Healthy Child During Travel

MONTY J. VANBEBER, MARIANNE C. TARGINO-VANBEBER, ROGER ZOOROB

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

FPIN's Clinical Inquiries

Reducing ACL Injuries in Female Athletes

SHELLEY RINGO, GARY KELSBERG, LEILANI ST. ANNA

Neuromuscular training programs that include plyometric and strengthening exercises significantly reduce noncontact ACL injuries in female soccer and handball players older than 14 years.

Practice Guidelines

ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery

CARRIE ARMSTRONG

The rate of cesarean delivery has increased dramatically in the United States over the past four decades, perpetuated somewhat by the dictum “once a cesarean, always a cesarean.” However, evidence has shown that many women who have had a cesarean delivery can safely deliver…

Letters to the Editor

Information from Your Family Doctor

Respiratory Syncytial Virus Infection

Respiratory syncytial virus (RESS-per-uh-TORee sin-SISH-uhl VIE-russ), or RSV, causes lung infections in children, especially those younger than two years. Children younger than one year may get a cough and runny nose, and may wheeze when they breathe. Older children may have…

PtEd

Intestinal Obstruction

Intestinal obstruction is when there is a blockage in the small or large intestine that prevents food from passing through.

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