• Articles

    Pitfalls in the Radiologic Evaluation of Extremity Trauma: Part I. The Upper Extremity

    CHRISTINE M. SHEARMAN, GEORGES Y. EL-KHOURY

    The mechanism of injury, radiographic projections, plain-film signs and advanced imaging techniques for some commonly missed fractures and dislocations of the upper limb are discussed.

    Managing the Patient with Hard-to-Control Hypertension

    SUZANNE OPARIL, DAVID A. CALHOUN

    This article provides guidance in the treatment of the patient with hard-to-control hypertension, including ways to foster compliance, avoid inadequate therapeutic regimens and recognize associated conditions that cause drug resistance.

    Detecting Celiac Disease in Your Patients

    HAROLD T. PRUESSNER

    Celiac disease is a disorder of the small bowel that results from a malabsorption syndrome. It is underdiagnosed because of its protean manifestations. A gluten-free diet brings about complete resolution of symptoms in almost all patients.

    Examination of the Placenta

    JOSEPH F. YETTER, III

    A one-minute examination of the placenta performed in the delivery room may be important to the care of a mother and her newborn. Developmental, infectious, neoplastic and other abnormalities of the placenta, umbilical cord and fetal or maternal membranes may affect the...

    Medical Care for Immigrants and Refugees

    THOMAS GAVAGAN, LISA BRODYAGA

    Family physicians may encounter unique clinical presentations in patients who are immigrants and refugees, including infectious diseases, psychologic problems and effects of trauma.

    Antiviral Drugs in Healthy Children

    KATHERINE L. MARGO, ALLEN F. SHAUGHNESSY

    Drug therapy is available to reduce the impact of infections caused by varicella virus, herpes simplex virus, respiratory syncytial virus and influenza type A virus, although not all infected children need or benefit from this therapy.

    Management of Hospitalized Patients with Type 2 Diabetes Mellitus

    SANDRA H. LILLEY, GARY I. LEVINE

    Hospitalized patients with type 2 diabetes benefit from a rational approach to glycemic control. Insulin supplementation given in accordance with an algorithm may be a logical alternative to the traditional sliding-scale insulin regimen.

    Family Practice International

    Anne D. Walling

    (Great Britain—The Practitioner, October 1997, p. 571.) Oral contraceptives are effective in preventing pregnancy and are associated with many health benefits, such as protection against ovarian and endometrial cancer, improvement of menstrual disorders and reduced risk of...

    Inside AFP

    Clinical Quiz Online

    JANIS WRIGHT

    AFP has always offered readers a convenient way of earning CME credit. By simply taking the “Clinical Quiz” in each issue and sending in the quiz card, readers can rack up a substantial number of credit hours each year. Now AFP is making it even easier to earn credit. Instead...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

    Selected policy and health issues news briefs from AAFP News Now.

    Quantum Sufficit

    Just Enough

    Monica A. Preboth, Rachel Richards

    What do U.S. adults enjoy doing to pamper themselves? According to a Roper Starch Worldwide survey, taking a day off from work was cited by 23 percent of men and 15 percent of women. Buying clothing was cited by 19 percent of men and 36 percent of women, and eating a special...

    Editorials

    Nutrition and Health

    BRUCE BAGLEY

    Family physicians, managed care organizations and health planners are becoming increasingly aware of the value of good nutrition in the prevention and treatment of disease. Our focus as a health care system will shift from individual disease-oriented office visits to concern...

    Ten Commandments for the Care of Terminally Ill Patients

    JAMES R. WHITTEN

    One criticism of physicians is our difficulty in responding to the emotional circumstances of patients who are terminally ill. Working as a consultation-liaison psychiatrist for many years, I have had an opportunity to assist physicians from all specialities in attending...

    Diary from a Week in Practice

    Diary from a Week in Practice

    At the beginning of one's career as a family physician, it seems that all of the consultations are one-sided; that is, all of the consults go out and none come in. However, as time passes and our colleagues begin to know us, a shift toward a balance between in and out is...

    Photo Quiz

    Common Lesions on the Floor of the Mouth

    Marc S. Berger, MARC S. BERGER

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

    Special Medical Reports

    ACOG Issues Report on Sexual Assault

    Verna L. Rose

    The American College of Obstetricians and Gynecologists (ACOG), under the auspices of the ACOG Committee on Educational Bulletins, has issued a report (ACOG Educational Bulletin No. 242) on the management of women who are victims of sexual assault. The report includes...

    IOM Recommends Increased Calcium Intakes

    Verna L. Rose

    The first in a series of reports on Dietary Reference Intakes (DRIs) by the Institute of Medicine (IOM) covers the nutrients associated with bone growth and osteoporosis. The report, “Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride,”...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    The Alzheimer's Disease Education and Referral (ADEAR) Center of the National Institute on Aging (NIA) has published a document titled “Progress Report on Alzheimer's Disease, 1997.” The 46-page report describes recent research focusing on changes in the brain in patients...

    Physician's Bookshelf

    Physician's Bookshelf

    SCOTT H. GRINDEL, CHARLES CEFALU, LINDA S. GROSSMAN

    Book Reviews | Book Reviews | Book Reviews | Also Received

    Letters to the Editor

    Stable Coronary Artery Disease

    Primary Mediastinal Germ Cell Tumor in HIV Infection

    MONJUR AHMED, BIPINCHANDRA BHAGAT, JOSEPH ANIGBOGU, MICHAEL KHINE

    Famciclovir and Valacyclovir

    LINDA J. DAWSON, DONNA K. MORGAN

    Benefits of Screening for Colorectal Cancer

    SSRIs and St. John's Wort: Possible Toxicity?

    JEOFFRY B. GORDON

    Tips from Other Journals

    Diagnostic Accuracy of Tests for Eradication of H. pylori

    KARL MILLER

    Cervicography as Adjunct to Pap Smear Diagnosis

    JEFFREY T. KIRCHNER

    Prevalence and Recognition of Depression in Elderly Patients

    RICHARD SADOVSKY

    Efficacy of Pramipexole in Early Parkinson's Disease

    GRACE BROOKE HUFFMAN

    Clinical Detection of Left-Sided Heart Failure

    GRACE BROOKE HUFFMAN

    Accuracy of the Electronic Pacifier Thermometer

    JEFFREY T. KIRCHNER

    Family Opinions About End-of-Life Medical Care

    GRACE BROOKE HUFFMAN

    Ardeparin and Danaparoid for Prevention of DVT

    BARBARA APGAR

    Effect of Aspirin on Preventing Stroke in Atrial Fibrillation

    BARBARA APGAR

    Role of Hepatitis G Virus in Acute and Chronic Liver Disease

    RICHARD SADOVSKY

    Changes in the Incidence of Bacterial Meningitis

    JEFFREY T. KIRCHNER

    AIDS, Unexplained Fever and Value of Bone Marrow Biopsy

    BARBARA APGAR

    Use of Prednisone and Aspirin for Recurrent Fetal Loss

    JEFFREY T. KIRCHNER

    Psychiatric Disorders and Teenage Parenthood

    BARBARA APGAR

    Chronic Fatigue Syndrome: Not a Diagnosis in Children

    GRACE BROOKE HUFFMAN

    Abciximab and Long-Term Protection from Restenosis

    GRACE BROOKE HUFFMAN

    Use of Antibiotics for Acute Otitis Media in Children

    ANNE D. WALLING

    Relationship Between Estrogen Therapy and Cervical Cancer

    ANNE D. WALLING

    Nizatidine for Prevention of Postprandial Heartburn

    BARBARA APGAR

    An Otic Solution for the Treatment of Acute Ear Pain

    JEFFREY T. KIRCHNER

    Physicians' Efforts to Help Patients Stop Smoking

    BARBARA APGAR

    Information from Your Family Doctor

    Living with Hypertension

    Hypertension, or high blood pressure, is a condition that raises the pressure inside the blood vessels (veins and arteries). High blood pressure damages the blood vessels. It can lead to serious health problems, including stroke, heart attack, heart failure and kidney failure.

    Celiac Disease

    Your doctor says you have celiac disease. What does that mean to you? It means some good things and some not-so-good things:

    Corrections

    Correction



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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