• Articles

    Contemporary Management of Angina: Part I. Risk Assessment

    DIANE R. ZANGER, ALLEN J. SOLOMON, BERNARD J. GERSH

    Determining the level of risk is important early in the course of coronary artery disease to identify patients who require percutaneous or surgical treatment and patients who will benefit most from medical therapy.

    Management of Acute Gastroenteritis in Children

    DAVID M. BURKHART

    Most children with acute gastroenteritis can be managed safely and cost-effectively with only pediatric oral rehydration solutions. Hospitalization and an extensive work-up are rarely required.

    Case Studies in Partner Violence

    A.E. EYLER, MARIAN COHEN

    Family physicians can play a crucial role in detecting domestic violence and preventing further injury.

    Marijuana: Medical Implications

    JOHN R. HUBBARD, SHARONE E. FRANCO, EMMANUEL S. ONAIVI

    Because of the long half-life of marijuana, persons who use it may be predisposed to adverse incidents and cognitive difficulties for days after the feeling of acute intoxication fades.

    Acute Knee Injuries: Use of Decision Rules for Selective Radiograph Ordering

    HOWARD B. TANDETER, PESACH SHVARTZMAN, MAX A. STEVENS

    The application of decision rules for the selective use of radiographs in patients with acute knee injuries may reduce health costs without increasing adverse outcomes.

    Oral Pharmacologic Management of Type 2 Diabetes

    MATTHEW C. RIDDLE

    Clear targets for glycemic control have been established, and new oral agents are now available. Because different classes of agents have additive therapeutic effects but independent side effects, combinations of agents may be highly effective.

    Inside AFP

    Y2K, 50 and 24: Three Big Numbers for AFP

    Janis Wright

    On this day in mid-November, as we finish the last issue of AFP that will enter the mail stream before our calendars register zero zero, we're beginning to sense the reality of the ending millennium. Now that Y2K is a little over a month away, many of us wonder just what will...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

    On November 3, the Secretary of Health and Human Services Donna Shalala published the “Standards for Privacy of Individually Identifiable Health Information” in the Federal Register. Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Congress was...

    Quantum Sufficit

    Quantum Sufficit

    Jessica Greene

    What are the top drugs prescribed by family physicians? According to Scott-Levin, Premarin was the most commonly prescribed drug between June of 1997 and June of 1998, accounting for 4.4 percent of the total family practice retail market. With almost 13 million prescriptions,...

    Editorials

    Reframing Our Approach to Domestic Violence: The Cyclic Batterer Syndrome

    JODEAN NICOLETTE, JIM NUOVO

    In this issue of American Family Physician, Eyler and Cohen1 provide two illustrative cases of domestic violence and intervention techniques, but they transcend the paradigm of this major public health issue by presenting a case in which the patient is the perpetrator.

    We Repeat, 30 Years Later: ORT for Acute Diarrheal Disease Is “In”

    MARY ELLEN AVERY

    Many of today's experienced clinicians grew up with the belief that clear liquids by mouth are appropriate in the treatment of vomiting and diarrhea. We have recommended a variety of liquids, such as tea, cola syrup from the local soda fountain diluted in water, chicken broth...

    Diary from a Week in Practice

    Diary from a Week in Practice

    CAG recently learned another helpful trick from our nurse practitioner, Lori White. A one-week-old infant presented with head lice acquired from his sisters, who had just started school. To avoid any medications that might be toxic, Lori suggested applying petroleum jelly to...

    Photo Quiz

    Painter's Knee?

    Marc S. Berger, GLENNA P. HENDRICKS

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

    Conference Highlights

    Conference Highlights

    Matthew Neff

    (51st Annual Scientific Assembly of the American Academy of Family Physicians) The majority of family physicians are unprepared to advise their patients about herbal products and supplements, and are unaware of the prevalence of their use even though more than one half of...

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, August 1999, p. 773.) Men consult physicians only about one half as frequently as women. Cultural and personal reasons for this discrepancy include difficulty in admitting stress or symptoms, low priority for health compared with work...

    Curbside Consultation

    Is My Colleague Overprescribing Narcotics?

    ERIC A. VOTH

    Physicians regularly face the ethical dilemma of determining whether the prescribing habits of a colleague are appropriate, and must then decide how to deal with that person. Such situations can engender hostility and resentment among colleagues and are rarely easily handled.

    Special Medical Reports

    AAFP and AAP Issue a Practice Parameter on the Management of Minor Closed Head Injury in Children

    Monica Preboth

    The Committee on Quality Improvement of the American Academy of Pediatrics (AAP) and the Committee on Clinical Policies and Research of the American Academy of Family Physicians (AAFP), in conjunction with experts in neurology, emergency medicine and critical care, research...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Quality Improvement, Subcommittee on Febrile Seizures, of the American Academy of Pediatrics (AAP) has developed a practice parameter on the long-term treatment of neurologically healthy infants and children between six months and five years of age who have...

    Physician's Bookshelf

    Book Reviews

    JEFFREY T. KIRCHNER, CLARISSA C. KRIPKE, CAROLINE WELLBERY

    Also Received

    Letters to the Editor

    Treatment Choices for Plantar Fasciitis

    Use of Intravenous Colchicine for Podagra

    EUGENE GUAZZO

    Delusions of Parasitosis

    MARK B. STEPHENS

    Resources for Patients with Amyotrophic Lateral Sclerosis

    ROBERT ROSS

    Surgical Options for Male Pattern Baldness

    Folic Acid Requirements for Women of Childbearing Age

    Tips from Other Journals

    Behavior Therapy vs. Medication for Depression

    KARL E. MILLER

    DVT Outcomes with a Negative Thigh Sonogram

    KARL E. MILLER

    Choosing Correct Quinolone Therapy: Which Generation?

    RICHARD SADOVSKY

    Assessment of Pain Resulting from Emergency Procedures

    RICHARD SADOVSKY

    Prostacyclin Therapy for Pulmonary Hypertension

    RICHARD SADOVSKY

    Screening for Coronary Artery Disease in Diabetics

    COURTENAY BROOKS

    Steroids of Limited Benefit for Exacerbations of COPD

    JEFFREY T. KIRCHNER

    Exercise Can Improve Outcomes in Osteoarthritis

    KARL E. MILLER

    Vulvar Sensitivity Improves After Estradiol Cream

    ANNE D. WALLING

    New Developments in Antiretroviral Treatment

    RICHARD SADOVSKY

    Aggressive Lipid Lowering Improves Cardiac Outcomes

    KARL E. MILLER

    Reviewing Clinical Experience with Pheochromocytoma

    RICHARD SADOVSKY

    Diagnosing Pulmonary Embolism in Surgical Patients

    JOSEPH COONEY

    Control of Invasive Meningococcal Disease

    RICHARD SADOVSKY

    LMWHs for Acute Deep Venous Thrombosis

    RICHARD SADOVSKY

    Cigar Smoking Linked to Increased Health Risks in Men

    JEFFREY T. KIRCHNER

    Treatment for Depression in Patients with Heart Disease

    KARL E. MILLER

    Recognition and Management of Elder Mistreatment

    RICHARD SADOVSKY

    Cost Comparison of Fluoxetine and Tricyclic Antidepressants

    JIM NUOVO

    Radioiodine Therapy for Multinodular Goiter

    BARBARA APGAR

    Ambulatory Arrhythmia Monitoring Devices

    RICHARD SADOVSKY

    ACLAs: Risk Factors for Atherothrombosis

    RICHARD SADOVSKY

    Maternal HIV Levels Correlate with Perinatal Transmission

    JEFFREY T. KIRCHNER

    Transdermal vs. Oral Hormone Replacement Therapy

    COURTENAY BROOKS

    Information from Your Family Doctor

    Treating Gastroenteritis and Dehydration in Your Child

    Gastroenteritis can cause vomiting and diarrhea (very frequent, watery bowel movements). This illness is very common in children.

    Adverse Effects of Marijuana

    Yes. When you're chemically dependent on marijuana, it means you crave it and you need to take more and more to get the same effect. You may have withdrawal symptoms when you stop using it. Because marijuana is a lot stronger than it used to be, you're also more likely to...



    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