• Articles

    Aseptic Meningitis in the Newborn and Young Infant

    CECILIA M.R. NORRIS, PETER G. DANIS, TESSA D. GARDNER

    In any newborn or young infant with fever and lethargy or irritability, the diagnosis of meningitis must be considered and lumbar puncture performed, unless clinically contraindicated. Antimicrobial therapy that targets all likely organisms should be administered until the...

    Shoulder Instability in Young Athletes

    BRIAN L. MAHAFFEY, PATRICK A. SMITH

    Shoulder instability is a common injury in young athletes. Tests to determine whether anterior, posterior or multidirectional instability is present are important aspects of the physical examination. Early surgical repair of the shoulder may reduce the risk of recurrent...

    HPV Testing in the Evaluation of the Minimally Abnormal Papanicolaou Smear

    BARBARA S. APGAR, GREGORY BROTZMAN

    Management of the minimally abnormal Papanicolaou smear may include testing for human papillomavirus (HPV). The hybrid capture test detects both oncogenic and nononcogenic types of the virus.

    Elder Mistreatment

    DANIEL L. SWAGERTY, JR., PAUL Y. TAKAHASHI, JONATHAN M. EVANS

    Mistreatment includes physical abuse and neglect, psychologic abuse, financial exploitation and violation of rights. Diagnosis of elder mistreatment depends on a detailed history from both patient and caregiver, and a comprehensive physical examination. When mistreatment is...

    Cutaneous T-Cell Lymphoma Presenting as Benign Dermatoses

    KATHLEEN B. ELMER, RITA M. GEORGE

    Making a diagnosis early in the course of cutaneous T-cell lymphoma is difficult, since the signs of this disease mimic several benign skin disorders.

    School Problems and the Family Physician

    DEBRA M. PHILLIPS, SHIRLEY K. LONGLETT, CHRISTOPHER MULRINE, JERRY KRUSE, RHONDA KEWNEY

    Medical causes of learning difficulties can be identified or excluded with the help of a thorough history and physical examination. Assessment and management of the child with these complex problems requires the help of a multidisciplinary team of professionals.

    Stroke: Part II. Management of Acute Ischemic Stroke

    OSCAR BENAVENTE, ROBERT G. HART

    Stroke should be considered a true medical emergency requiring rapid assessment and early intervention. The use of tissue plasminogen activator within three hours of stroke onset improves neurologic outcome, and more agents should be available soon.

    Treatment of Type 2 Diabetes Mellitus

    JOE A. FLORENCE, BRYAN F. YEAGER

    In the past three years, the development of new oral agents for the treatment of type 2 diabetes has expanded the range of therapy for patients with this disorder.

    Inside AFP

    Glancing Back and Looking Ahead: What's Happening at AFP?

    Janis Wright

    Near the end of last year, we took a look at some of the improvements AFP had in store for this year. While we're not yet halfway into the year, many of the changes on our list are already old news: graphic refinements in tables and figures, redesigned patient information...

    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

    Transplants using organs from “marginal” donors (those who are clinically unstable or over 45 years of age) may be more successful than transplants using organs from “normal” donors, according to results of a study in Transplantation that included 137 patients who received...

    Editorials

    Reducing Patient Anxiety About Positive Screening Tests

    JON O. NEHER

    False-positive screening tests are common and can be emotionally devastating to patients. Unfortunately, many patients are not aware that the vast majority of positive screening tests occur in completely healthy persons. In the case of fecal occult blood testing, for instance...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Today a father came in after “go-carting” with his son and daughter over the weekend. It had occurred to him that by following the go-cart on his dirt bike, he could gauge the cart's speed by following at the same speed himself. The theory worked just fine, and the peak...

    Conference Highlights

    Conference Highlights

    Verna L. Rose

    (36th Annual Meeting of the Infectious Diseases Society of America) Research indicates that men who are positive for human immunodeficiency virus (HIV) infection and who are undergoing treatment with highly active antiretroviral chemotherapy (HAART) may still be able to...

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, December 1998, p. 1095.) Recurrent lower urinary tract infections (UTIs) can be difficult to treat in older (toilet-trained) children. Infrequent episodes, up to three per year, can usually be managed by a five-day course of an...

    Special Medical Reports

    AHA Assesses the Impact of Genotyping on Diagnosis of Genetic Cardiac Disease

    Sharon Scott Morey

    The American Heart Association (AHA) has issued a report on the impact of laboratory molecular diagnosis of three genetically transmitted cardiovascular diseases: hypertrophic cardiomyopathy, long-QT syndrome and Marfan syndrome. The report notes that the present role for the...

    AAP Updates Its Recommendations on Circumcision

    Verna L. Rose

    Although circumcision has potential benefits, the data “are not sufficient” to recommend neonatal male circumcision as a part of routine medical care, according to a new policy statement from the American Academy of Pediatrics (AAP) published in the March 1999 issue of...

    Clinical Briefs

    Clinical Briefs

    Verna L. Rose

    Most Americans do not receive screening for colorectal cancer even though evidence exists that reduction in colorectal cancer morbidity and mortality can be achieved through detection and treatment of early-stage colorectal cancers and the identification and removal of...

    Letters to the Editor

    Gomco Circumcision

    Tips from Other Journals

    Should Patients With GERD Be Treated Continuously?

    ANNE D. WALLING

    Thrombosis, Stress Ulcers and Catheter-Related Infection

    GRACE BROOKE HUFFMAN

    Inhaled Steroids Not Linked to Congenital Malformations

    ANNE D. WALLING

    Do Doulas Have a Positive Effect on Outcome of Labor?

    ANNE D. WALLING

    Treatment of Patients with Epilepsy Emergencies

    JIM NUOVO

    Esophageal Reflux a Trigger for Asthma Symptoms

    JEFFREY T. KIRCHNER

    Can HPV Infection Be Sexually Transmitted Between Women?

    KARL MILLER

    Diagnosing Severe Dizziness in Older Adults

    GRACE BROOKE HUFFMAN

    Sonography in Evaluation of Lower Abdominal Pain

    KARL MILLER

    Treatment of Hypersexuality in Nursing Home Residents

    GRACE BROOKE HUFFMAN

    Visual Criteria for Evaluating Pigmented Skin Lesions

    KARL MILLER

    Plain or Buffered Lidocaine for Neonatal Circumcision?

    ANNE D. WALLING

    A Patient-Centered Discussion of Advance Medical Planning

    GRACE BROOKE HUFFMAN

    Does Injectable Contraceptive Cause Bone Loss in Women?

    ANNE D. WALLING

    ERT and Breast Cancer Risk in Women with Prior Biopsies

    JEFFREY T. KIRCHNER

    Lovastatin in Adolescents with Familial Hypercholesterolemia

    GRACE BROOKE HUFFMAN

    The Role of Tobacco and Cocaine in Spontaneous Abortion

    JEFFREY T. KIRCHNER

    Effectiveness of Zafirlukast as Monotherapy for Severe Asthma

    JEFFREY T. KIRCHNER

    AHA Statement on Antioxidants and Coronary Disease Prevention

    JAMES NUOVO

    Low Doses of Mifepristone for Emergency Contraception

    ANNE D. WALLING

    Information from Your Family Doctor

    When Your Shoulder Goes Out of Place

    “Shoulder instability” is what doctors say you have when your shoulder goes a little out of place or feels like it might. “Instability” means that the shoulder bones aren't stable—they aren't held together as tight as they should be.

    Testing for Human Papillomavirus

    Human papillomavirus (also called HPV) causes a common infection that one person can give to another person during sex. There are many types of HPV. Some types of HPV cause genital warts. Other types of HPV are connected with cancer of the cervix.

    New Treatments for Diabetes

    Diabetes is a disease that you can get when your body doesn't make enough of a hormone called insulin, or when your body can't use insulin the right way. Insulin helps balance the glucose (sugar) in your blood. The blood sugar level is too high in people with diabetes....



    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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