• Articles

    Lymphadenopathy: Differential Diagnosis and Evaluation

    ROBERT FERRER

    Only 1 percent of patients with lymphadenopathy who are seen in a primary care setting will have a malignancy as the underlying cause.

    Treatment of Hypertension: Insights from the JNC–VI Report

    NORMAN M. KAPLAN

    The report of the Sixth Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure provides useful guidelines for appropriate management of patients with hypertension and suggests drugs that may benefit patients with coexistent conditions.

    Appropriate Use of Antibiotics for URIs in Children: Part II. Cough, Pharyngitis and the Common Cold

    SCOTT F. DOWELL, BENJAMIN SCHWARTZ, WILLIAM R. PHILLIPS

    The second part of this two-part article reviews the principles of judicious antimicrobial therapy for cough, pharyngitis and the common cold in children.

    Using DSM-IV Primary Care Version: A Guide to Psychiatric Diagnosis in Primary Care

    DAVID PINGITORE, RANDY A. SANSONE

    The Diagnostic and Statistical Manual of Mental Disorders (4th ed., primary care) provides family physicians with algorithms to be used in the diagnosis of psychiatric disorders. The algorithms accommodate the clinical needs of family physicians.

    Diagnosis and Classification of Diabetes Mellitus: New Criteria

    JENNIFER MAYFIELD

    New recommendations from the American Diabetes Association and the World Health Organization include a change in the nomenclature identifying two of the major types of diabetes mellitus, a simplification of the diagnostic criteria to include two fasting plasma glucose...

    Oral Contraceptive Use During the Perimenopausal Years

    JO T. VAN WINTER, MATTHEW E. BERNARD

    Use of a low-dose oral contraceptive during the perimenopausal years appears to provide both birth control and estrogen supplementation in selected patients.

    Intrauterine Growth Retardation

    ROBERT C. VANDENBOSCHE, JEFFREY T. KIRCHNER

    Intrauterine growth retardation occurs in 4 to 7 percent of all pregnancies. Early detection and prompt management usually assure a good fetal outcome.

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, May 1998, p. 354.) Although most women notice some cyclic variation in mood and physical symptoms, only 12 to 16 percent have significant symptoms associated with the menstrual cycle, and only a small proportion of these seek medical...

    Inside AFP

    The Booth and Beyond

    JANIS WRIGHT

    If you're like me, you may be feeling a bit of jet lag after your trip home from San Francisco. Perhaps you were one of the more than 20,000 attendees at the AAFP's recent Annual Scientific Assembly who gathered to participate in CME events, rekindle friendships, touch base...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

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

    Quantum Sufficit

    Quantum Sufficit

    Monica A. Preboth, Shyla Wright

    After more than 2,000 years, the mystery of Alexander the Great's death may have been solved. According to an analysis published in the New England Journal of Medicine the likely deliverer of death was typhoid fever, rather than poisoning or malaria as was popularly believed....

    Editorials

    New Diabetes Guidelines: A Closer Look at the Evidence

    STEVEN H. WOOLF, STEPHEN F. ROTHEMICH

    In this issue of American Family Physician, Mayfield1 summarizes recent recommendations of the American Diabetes Association (ADA), which broaden the diagnostic criteria for diabetes mellitus and advocate routine screening. Under the new guidelines,2 the threshold fasting...

    Simplifying the Diagnosis of Diabetes Mellitus

    JAY S. SKYLER

    In the United States today, diabetes mellitus is a public health nightmare.Consider the following:

    Current Hypertension Control Is Just Not Good Enough

    HARRIET P. DUSTAN

    Dramatic decreases in hypertension-related mortality from strokes and heart attacks have occurred in the 25 years since the National High Blood Pressure Education Program (NHBPEP) began: a 59.0 percent reduction for stroke mortality and a 53.2 percent reduction for coronary...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Every physician has his or her own bag of tricks—a collection of remedies, insights or diagnostic aids through which he or she sifts to have just the right approach to each individual patient. Today, JRH was able to use one of these on a patient: a young mother of two who is...

    Conference Highlights

    Conference Highlights

    Verna L. Rose

    (31st Annual Meeting of the Society for Epidemiologic Research) Results of a retrospective study show that the risk of giving birth to a premature or low-birth-weight infant is increased in women who have been treated with conization for cervical carcinoma in situ, compared...

    Tips from Other Journals

    Use of Tamoxifen in Women with Early Breast Cancer

    ANNE D. WALLING

    Invasive vs. Conservative Management of Non–Q-Wave MI

    JEFFREY T. KIRCHNER

    Advantages of Venipuncture Over Heel Stick in Newborns

    GRACE BROOKE HUFFMAN

    Adherence to Guidelines for Treating Acute Gastroenteritis

    GRACE BROOKE HUFFMAN

    Lung Cancer in Candidates for Lung-Volume Reduction Surgery

    BARBARA APGAR

    Antisocial Personality and Substance Abuse

    BARBARA APGAR

    Classification System for Stratification of Stroke Risk

    RICHARD SADOVSKY

    Sodium Restricted Diets: Necessary in Hypertension?

    GRACE BROOKE HUFFMAN

    Role of Vaccination in the Prevention of Hepatitis A

    ANNE D. WALLING

    Factors Increasing Hemorrhage Risk in Warfarin Users

    GRACE BROOKE HUFFMAN

    Readability of Consent Forms for Surgical and Other Procedures

    JEFFREY T. KIRCHNER

    Idiopathic Thrombocytopenic Purpura Diagnosis in Children

    JEFFREY T. KIRCHNER

    Effects of Hypertension in Black Pregnant Women

    ANNE D. WALLING

    Cost Comparison of Enoxaparin vs. Unfractionated Heparin

    BARBARA APGAR

    Effects of Lowering Average or Below-Average Cholesterol

    BARBARA APGAR

    Risks and Benefits of Surgery for Carotid Endarterectomy

    ANNE D. WALLING

    Comparison of Techniques for Saphenous Vein Harvesting

    ANNE D. WALLING

    Use of Topical Cyproterone Acetate for Women with Acne

    BARBARA APGAR

    Safety of Stereotactic Brain Biopsy for Intracranial Lesions

    JEFFREY T. KIRCHNER

    Antibiotics for Permanent Pacemaker Implantation

    BARBARA APGAR

    Interpretation of Head CTs to Determine Stroke Treatment

    GRACE BROOKE HUFFMAN

    Association Between H. pylori and Ischemic Heart Disease

    BARBARA APGAR

    Community-Acquired Pneumonia and Use of Macrolide Antibiotics

    KARL MILLER

    Transvaginal Sonohysterography in Postmenopausal Bleeding

    BARBARA APGAR

    Effectiveness of Ring Block for Neonatal Circumcision

    ANNE D. WALLING

    Photo Quiz

    Diffuse Papular Eruption

    Marc S. Berger, MARC S. BERGER, HERNANDO SALAZAR

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

    Special Medical Reports

    CDC Issues Guidelines for Prevention, Detection and Treatment of Iron Deficiency

    Sharon Scott Morey

    The Centers for Disease Control and Prevention (CDC), in collaboration with experts on iron deficiency, has developed recommendations for the prevention, detection and treatment of iron deficiency. The recommendations, published in the April 3, 1998, issue of Morbidity and...

    ACOG Releases Report on Antimicrobial Therapy in Pregnancy

    Sharon Scott Morey

    The Committee on Educational Bulletins of the American College of Obstetricians and Gynecologists (ACOG) has released a report titled “Antimicrobial Therapy for Obstetric Patients” (Educational Bulletin No. 245). The report summarizes current information on the use of...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    A report in the July 10, 1998, issue of Morbidity and Mortality Weekly Report summarizes information about cases of imported dengue in U.S. residents during 1996. Most of the patients with a diagnosis of dengue for whom a travel history was known probably acquired the...

    Physician's Bookshelf

    Book Reviews

    BARBARA S. APGAR, TONY KNOTT

    Also Received

    Letters to the Editor

    Diagnosis of Acromioclavicular Joint Dislocations

    STEVEN J. BLIVIN, ROBERT F. RASPA

    Use of Antibiotics in Patients with Acute Bronchitis

    DEAN A. SEEHUSEN

    Bronchodilator Therapy in Patients with Acute Bronchitis

    Smoking Cessation in Recovering Alcoholics

    ROBERT J. BOLSTER

    Relationship Between the Patient and the Medical Student

    SUSAN STANGL

    The Role of the Family Physician in Hospice Care

    Use of Systemic Tetracyclines in Women Who Are Lactating

    JEANNE SPENCER

    Information from Your Family Doctor

    Runny Nose in Children

    A runny nose usually starts when a cold is starting to get better. When the cold virus first infects the nose and sinuses, the nose starts making lots of clear mucus. This mucus helps wash the virus out of the nose and sinuses. After two or three days, as the body fights back...

    Do I Have Diabetes?

    Diabetes mellitus is a serious, chronic condition of high blood sugar. If left untreated, it may result in blindness, heart attacks, strokes, kidney failure and amputations. Diabetes is the fourth leading cause of death in the United States. More than 178,000 people die each...

    Very-Low-Dose Birth Control Pills in Mid-Life (Perimenopause)

    Very-low-dose birth control pills (brand names: Estrin 1/20, Alesse) are also called oral contraceptives. They have less estrogen than regular birth control pills. These pills have 20 micrograms of estrogen, compared with 30 to 50 micrograms in regular birth control pills....

    IUGR—Why Is My Baby Small and What Can Be Done About It?

    IUGR stands for intrauterine growth retardation. This means that your baby is growing slowly and doesn't weigh as much as your doctor expected for this stage of pregnancy. If your unborn baby weighs less than most babies at this stage, your baby might have IUGR. IUGR is also...

    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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