• Articles

    New Strategies in the Medical Management of Asthma

    KAREN M. GROSS, CHARLES D. PONTE

    Patients with persistent asthma require medications for both long-term control and quick relief of symptoms. The pharmacotherapy of asthma is briefly reviewed, including the newer therapeutic agents and the recent guidelines from the National Asthma Education and Prevention...

    Lisfranc Injury of the Foot: A Commonly Missed Diagnosis

    KEVIN E. BURROUGHS, CURTIS D. REIMER, KARL B. FIELDS

    Timely diagnosis facilitates treatment of Lisfranc injury and decreases the risk of long-term disability. Mild to moderate sprains can be treated with immobilization, but fracture–dislocations generally require surgery.

    Indications for Anticoagulation in Atrial Fibrillation

    WAHEED AKHTAR, WILLIAM C. REEVES, ASSAD MOVAHED

    Patients with atrial fibrillation should be considered for anticoagulation or antiplatelet therapy based on the patient's age, the presence of other risk factors for stroke and the risk of complications from anticoagulation.

    Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Dependence

    NORMAN S. MILLER, MARK S. GOLD

    Primary care physicians may use pharmacotherapy and psychosocial methods to manage withdrawal syndromes and prevent relapse in patients with drug and alcohol disorders.

    Assessment of Abnormal Growth Curves

    JAMES D. LEGLER, LEWIS C. ROSE

    Children whose growth parameters are at the extremes of the growth curve but who have normal growth rates are likely to be healthy. Conversely, accelerated or slowed growth rates are rarely normal and warrant further evaluation.

    Diagnosis and Management of Common Tinea Infections

    SARA L. NOBLE, ROBERT C. FORBES, PAMELA L. STAMM

    The treatment of tinea infection is based of the anatomic location of the infection, the likelihood of patient compliance and the safety, efficacy and cost of appropriate agents. Newer oral and topical antifungal agents, including imidazoles and allylamines, have greatly...

    Treatment Strategies for Premenstrual Syndrome

    JANICE E. DAUGHERTY

    Premenstrual symptoms that impair daily life have been estimated to occur in up to 40 percent of women of reproductive age. A comprehensive treatment plan that encourages a healthy lifestyle may relieve symptoms in most women.

    Inside AFP

    JANIS WRIGHT

    It's no secret that AFP is a success, but how does AFP stay at the top of the reading list for family physicians? A key factor is the ongoing effort by AFP's editors and staff to gather and analyze readers' opinions. Throughout the year we administer various surveys,...

    Newsletter

    ROSEMARIE SWEENEY, VERNA L. ROSE

    The American Medical Accreditation Program (AMAP), the National Committee for Quality Assurance (NCQA) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) announced a joint effort to coordinate performance measurement activities across the entire...

    Family Practice International

    Anne D. Walling

    (Great Britain—The Practitioner, March 1998, p. 200.) In susceptible persons, inhaled protein or spores can cause an immunologic response in the peripheral bronchioles and alveoli, leading to severe pulmonary fibrosis. This condition (allergic alveolitis) is usually caused by...

    Quantum Sufficit

    Quantum Sufficit

    Monica A. Preboth, Shyla Wright

    What do you get when you cross broccoli and Chinese kale? Broccolini, the newest vegetable on the market. Broccolini looks like broccoli except for its longer, asparagus-like stem. The taste is described as sweeter than broccoli—a combination of broccoli and asparagus, with a...

    Editorials

    AAFP/ACOG Educational and Practice Guidelines

    PATRICK B. HARR, THOMAS F. PURDON

    The recommended core educational guidelines for family practice residents in maternity and gynecologic care appear in this issue of American Family Physician,1 as well as a joint statement on cooperative practice and hospital privileges,2 both created by a joint task force of...

    Anticoagulation in Elderly Persons: A Call for Wider Use

    VALERY A. PORTNOI

    The decision to initiate anticoagulation treatment is one of the most difficult in the practice of geriatrics. The difficulty stems from concern about the adverse effects of bleeding complications, particularly intracranial hemorrhage. Warfarin is most commonly prescribed for...

    Diary from a Week in Practice

    Diary from a Week in Practice

    The last few weeks of pregnancy are often difficult for patients, especially if the pregnancy goes past the “due date.” TBS has heard of many unusual ways of inducing of labor from anxious moms-to-be and their families, such as walking, cleaning the house, herbal supplements,...

    Photo Quiz

    Chronic Papular Eruption of the Skin

    JOSEPH C. ENGLISH, III, THOMAS K. VAUGHAN, DAVID P. HALBACH

    A four-year-old child presented to the office for evaluation of a nonpruritic generalized cutaneous eruption that had been present for six months. Physical examination revealed multiple flesh-colored and tannish-brown papules, from 1 to 2 mm in diameter, on the child's torso,...

    Conference Highlights

    Conference Highlights

    Verna L. Rose

    (Annual Meeting of the American College of Allergy, Asthma and Immunology) Having a social support system reduces the negative impact of stress on the immune system, according to a study that evaluated the influence of susceptibility to infection and social interactions. A...

    Tips from Other Journals

    Outcomes in Patients With Primary Raynaud Phenomenon

    BARBARA APGAR

    Incidence and Risk Factors of Clostridium difficile Colitis

    RICHARD SADOVSKY

    Two New Treatments for Male Androgenetic Alopecia

    BARBARA APGAR

    Exercises Reduce Incontinence During and After Pregnancy

    ANNE D. WALLING

    Significance of Asymptomatic Carotid Bruits in the Elderly

    GRACE BROOKE HUFFMAN

    Impact of Job Satisfaction on Chronic Low Back Pain

    KARL MILLER

    Identification and Treatment of Kawasaki Disease

    RICHARD SADOVSKY

    Level of Alcohol Intake and Risk of Breast Cancer

    GRACE BROOKE HUFFMAN

    Inherited Bleeding Disorders in Women with Menorrhagia

    ANNE D. WALLING

    Comparison of ‘Statin’ Drugs for Hypercholesterolemia

    RICHARD SADOVSKY

    Vagal Stimulation to Halt Supraventricular Tachycardia

    RICHARD SADOVSKY

    Raloxifene for Treatment of Postmenopausal Osteoporosis

    BARBARA APGAR

    Increase in Drug Abuse Among U.S. Adolescents

    JEFFREY T. KIRCHNER

    Amlodipine or Diltiazem with Atenolol for Angina

    RICHARD SADOVSKY

    Treatment of Recurrent Genital Herpes Infections

    BARBARA APGAR

    Transient Post-Transfusion Blood Abnormalities

    GRACE BROOKE HUFFMAN

    Transrectal Ultrasound in Evaluation of Male Infertility

    BARBARA APGAR

    Schizophrenia as a Long-term Outcome of Pregnancy

    BARBARA APGAR

    Choice of Management for the Third Stage of Labor

    ANNE D. WALLING

    Incidence of Concussion in Elite Soccer Players

    KARL MILLER

    Teratogenic Risk of SSRIs Used During Pregnancy

    GRACE BROOKE HUFFMAN

    Long-Acting Calcium Channel Blockers in Hypertension

    RICHARD SADOVSKY

    Optimization of Medication Use in the Elderly Population

    RICHARD SADOVSKY

    Treatment Of Anogenital Warts With 0.5 Percent Podofilox Gel

    BARBARA APGAR

    Weight Change and Risk of Hypertension in Women

    RICHARD SADOVSKY

    Linoleic Acid and Calcium for Prevention of Preeclampsia

    ANNE. D. WALLING

    Special Medical Reports

    Recommendations for the Use of Antiretroviral Drugs in Pregnant Women Infected with HIV

    Verna Rose

    The Public Health Service has updated the 1994 guidelines for the use of zidovudine (Retrovir) to reduce the risk for perinatal transmission of human immunodeficiency virus (HIV). The new report is intended to help health care professionals educate pregnant women with HIV...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    The American Academy of Dermatology (AAD) has challenged the recent report of a study from Memorial Sloan-Kettering Cancer Center suggesting that suncreens do not protect against melanoma. The AAD says in a statement that it is concerned about the health consequences of...

    AAFP Core Educational Guidelines

    Maternity and Gynecologic Care

    This document was developed by a joint task force of the American Academy of Family Physicians and the American College of Obstetricians and Gynecologists.

    AAFP–ACOG Joint Statement on Cooperative Practice and Hospital Privileges

    AAFP–ACOG Joint Statement on Cooperative Practice and Hospital Privileges

    Physician's Bookshelf

    Book Reviews

    ALAN M. ADELMAN, JAMES G. RICCA

    Practical Guide to the Care of the Geriatric Patient | Evidence Based Medicine: How to Practice and Teach EBM | Also Received

    Resident and Student Voice

    Death Pronouncement: Survival Tips for Residents

    LUCILLE R. MARCHAND, KENNETH P. KUSHNER, LYNDA SIEWERT

    Where do residents learn about death pronouncement? The hit medical shows on television glamorize life-saving high drama, not the business of declaring someone dead—by yourself in the middle of the night. Medical students and residents receive mixed and varied unofficial...

    Letters to the Editor

    Warfarin Therapy for Elderly Persons with Atrial Fibrillation

    Information from Your Family Doctor

    Managing Your Asthma Flare-ups

    To keep your asthma under control, you need to know what to do when you have a flare-up of symptoms (sometimes this is called an “exacerbation”). First, you need to know the symptoms that tell you your asthma is getting worse (flaring up). Second, you need to know how to...

    Tinea Infections: Athlete's Foot, Jock Itch and Ringworm

    Tinea is a fungus that can grow on your skin, hair or nails. As it grows, it spreads out in a circle, leaving normal-appearing skin in the middle. This makes it look like a ring. At the edge of the ring, the skin is lifted up by the irritation and looks red and scaly. To some...

    Premenstrual Syndrome: Getting Relief

    Premenstrual syndrome (called PMS for short), has many symptoms. The symptoms can occur a week or so before the menstrual period starts.

    Corrections

    Corrections

    Corrections

    Corrections

    Corrections



    Disclosure

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


    Tag Legend

    Legend

    CME CME
    POC POC
    FREE Free
    Alg Alg
    DDx DDx
    PtEd PtEd