• Articles

    Gastroesophageal Reflux Disease: Diagnosis and Management

    MARK SCOTT, AIMEE R. GELHOT

    Gastroesophageal reflux disease can usually be diagnosed on the basis of clinical presentation alone. Management includes lifestyle modifications, drug therapy and, rarely, surgery.

    When to Consider Radiation Therapy for Your Patient

    BERNARD A. TISDALE

    Family physicians are often involved in the care of patients with malignant or benign conditions that may benefit from the use of radiation therapy. Awareness of the potential benefits of this therapeutic modality is essential to ensure that these patients are given all...

    Congenital Adrenal Hyperplasia: Not Really a Zebra

    MICHAEL A. DEATON, JOHN E. GLORIOSO, DAVID B. MCLEAN

    Mild congenital hyperplasia is common, affecting from one in 100 persons to one in 1,000 persons in the United States. The hallmark of congenital adrenal hyperplasia is inadequate production of glucocorticoids. It should be considered in patients presenting with near-syncope,...

    Primary Nocturnal Enuresis: Current Concepts

    MARC CENDRON

    Primary nocturnal enuresis is a common condition in children that warrants evaluation and treatment to prevent long-term psychologic sequelae.

    Urinary Tract Infections in Adults

    ROBERT ORENSTEIN, EDWARD S. WONG

    Modern approaches to the diagnosis and management of urinary tract infections in adults are based on risk stratification.

    Herbal Remedies: Adverse Effects and Drug Interactions

    MELANIE JOHNS CUPP

    Some herbal products have been associated with bleeding, cardiovascular events, seizures and even death. Herbal products are also known to react with anticoagulants, antidepressants and other medications.

    Hypertension Treatment and the Prevention of Coronary Heart Disease in the Elderly

    MARVIN MOSER

    Isolated systolic hypertension and systolic/diastolic hypertension in the elderly should be treated with the expectation that morbidity and mortality will be reduced. Unless contraindicated, low-dose diuretic therapy should probably be used initially in most elderly patients.

    Inside AFP

    Spinning Golden Thread

    JANIS WRIGHT

    When we first started publishing patient information in AFP, we recognized our readers' need for a reliable source of patient information, but we couldn't have guessed how fast our patient information handouts would gain momentum. AFP began publishing patient information in...

    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

    A new kind of lollipop may ease cancer pain. The FDA recently approved a raspberry-flavored narcotic lozenge-on-a-stick, which contains oral fentanyl. For patients who have sudden severe pain despite opioid maintenance therapy, these lollipops can provide long-lasting pain...

    Editorials

    Does Estrogen Therapy Have a Role in Cardiovascular Prevention?

    HARVEY H. NEWNHAM, JONATHAN SILBERBERG

    Providing appropriate information about the cardiovascular risks and benefits of hormone replacement therapy (HRT) is a challenging task in a marketplace flush with fixes for cardiovascular disease. These treatments span the breadth of pharmaceutical, medical and “natural”...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Certainly the 90s are the decade of the informed consumer. It's expected that patients will want to know all about their treatment, their options, their prognosis, their ability to have consultations, etc., and many of us believe that this shift is good and progressive. At...

    Photo Quiz

    A Palmar Rash

    Marc S. Berger, JEFFREY J. MEFFERT

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

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Great Britain—British Journal of General Practice, October 1998, p. 1657.) A long-term study of oral contraceptive use in patients attending British general practices provides reassuring information about the health consequences of these medications. Over 23,000 women...

    Curbside Consultation

    Suspected Abuse in an Elderly Patient

    ROSALIE S. WOLF

    In many ways, this case represents a typical elder-abuse situation and the challenges that health care professionals face when trying to resolve it.

    Special Medical Reports

    CDC Issues New Recommendations for the Prevention and Control of Hepatitis C Virus Infection

    Verna L. Rose

    The Centers for Disease Control and Prevention (CDC) has issued recommendations for the prevention and control of hepatitis C virus (HCV) infection and associated chronic disease. These recommendations, published in the October 16, 1998, issue of the recommendations and...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    Two relatively new medications, naltrexone (Trexan) and acamprosate, show promise in the treatment of patients with alcohol dependence, according to a study sponsored by the Agency for Health Care Policy and Research (AHCPR) under its evidence-based practice program. The...

    Physician's Bookshelf

    Physician's Bookshelf

    WILLIAM B. SHORE, DARWIN DEEN

    Book Reviews | Book Reviews | Also Received

    Letters to the Editor

    Lentigo Maligna Melanoma and Excisional Biopsy Techniques

    Potentially Fatal Natural Remedies

    ALAN T. MARTY

    Tips from Other Journals

    Antithrombotic Therapy for Atrial Fibrillation

    RICHARD SADOVSKY

    Treatment of Sore Nipples in Women Who Are Lactating

    JEFFREY T. KIRCHNER

    Rotavirus Vaccine as a Routine Immunization in Infants

    RICHARD SADOVSKY

    Use of Pergolide for Treatment of Restless Legs Syndrome

    TODD OTTESON

    Physical Training for Patients with Severe Osteoarthritis

    KARL MILLER

    Strategies for Perioperative Medical Management

    RICHARD SADOVSKY

    Addition of Ipratropium for Acute Asthma in Children

    JEFFREY T. KIRCHNER

    Does the Addition of Acarbose to Metformin Lower HbA1c?

    TODD OTTESON

    Obesity as a Cause of Dyspnea in Otherwise Healthy Men

    JEFFREY T. KIRCHNER

    Distinguishing Epileptic vs. Nonepileptic Staring in Children

    RICHARD SADOVSKY

    Choice of HRT Regimen and Postmenopausal Symptoms

    ANNE D. WALLING

    Is Sertraline Effective in the Treatment of Panic Disorder?

    JEFFREY T. KIRCHNER

    Can Local Anesthesia Reduce Post-laparoscopic Pain?

    ANNE D. WALLING

    Suppression of Genital Herpes With Famciclovir

    GRACE BROOKE HUFFMAN

    Prevention and Treatment of Postherpetic Neuralgia

    ANNE D. WALLING

    Recognition and Prevention of Carbon Monoxide Poisoning

    JEFFREY T. KIRCHNER

    Azithromycin for Treatment of Pneumonia in Children

    RICHARD SADOVSKY

    Cesarean vs. Vaginal Delivery of Infants in Breech Presentation

    ANNE D. WALLING

    A Cost-Effective Strategy for Diagnosing Vaginal Candidiasis

    ANNE D. WALLING

    Information from Your Family Doctor

    Gastroesophageal Reflux Disease

    Gastroesophageal reflux disease (also called GERD) is the medical term for chronic heartburn. Many people have heartburn at times. It's caused by irriration from stomach acid that backs up into the esophagus. The esophagus is the tube that carries food from your mouth to your...

    Congenital Adrenal Hyperplasia: What It Is and How It's Treated

    A person with congenital adrenal hyperplasia (or CAH) doesn't make enough cortisol. Cortisol is a hormone that helps your body in times of physical stress. If you have CAH, your body's adrenal gland tries to make cortisol, but it can't make enough.

    Why Does My Child Wet the Bed?

    Enuresis (say “en-yur-ee-sis”) is the loss of bladder control that leads to the release of urine. There are several kinds of enuresis. Nocturnal enuresis is also called “bed-wetting,” because it happens during the night while a child is sleeping. Bed-wetting is fairly common;...

    Urinary Tract Infections

    Urinary tract infections (also called “UTIs”) are very common. Each year, more than 7 million doctor's office visits are made because of UTIs. A woman is eight times more likely to get a UTI than a man. The main risk factors for UTIs are the following:

    Herbal Health Products—What You Should Know

    Don't think that herbal health products are safe just because they come from plants. Even some plants are poisonous. Although herbal products are advertised as “natural,” they aren't natural to the human body.

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    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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