• Articles

    Dietary Therapy for Children with Hypercholesterolemia

    RAANAN SHAMIR, EDWARD A. FISHER

    The National Cholesterol Education Program's diagnostic and treatment approaches in children at high risk for atherosclerosis as adults are reviewed, and a practical guide for implementation is presented.

    Evaluation of Overuse Elbow Injuries

    ERIC M. CHUMBLEY, FRANCIS G. O'CONNOR, ROBERT P. NIRSCHL

    Diagnosing overuse elbow injuries requires a knowledge of elbow anatomy as well as good history-taking and physical examination skills. Overuse injuries can be divided into anterior, posterior, lateral and medial disorders.

    Recognizing an Index Case of Tuberous Sclerosis

    JOSEPH S. HURST, SUSAN WILCOSKI

    Tuberous sclerosis is a neurocutaneous syndrome marked by seizures and mental retardation. Dermatologic manifestations such as ash-leaf spots or facial angiofibromas may assist in the diagnosis of the disorder.

    Urinary Tract Infections During Pregnancy

    JOHN E. DELZELL, JR., MICHAEL L. LEFEVRE

    Urinary tract infections such as asymptomatic bacteriuria, cystitis and pyelonephritis are common causes of morbidity during pregnancy and should always be treated with appropriate antibiotics.

    Treatment of Psoriasis: An Algorithm-Based Approach for Primary Care Physicians

    ASHA G. PARDASANI, STEVEN R. FELDMAN, ADELE R. CLARK, null P.A.-C.

    Treatment of localized psoriasis begins with topical corticosteroids and coal tar or calcipotriene. Difficult-to-control lesions may be improved with anthralin or tazarotene.

    Pathologic Gambling

    BRIAN K. UNWIN, MARK K. DAVIS, JASON B. DE LEEUW

    Pathologic gambling is a common condition, often accompanied by depression and alcohol abuse. Family physicians should be aware of screening tools and therapeutic options to treat patients and aid family members in coping with this disorder.

    Managing Pain in the Dying Patient

    PHILIP S. WHITECAR, A. PATRICK JONAS, MARK E. CLASEN

    Based on an appropriate assessment and following established guidelines on the use of analgesics, family physicians can provide successful pain relief in nearly 90 percent of dying patients.

    1999 USPHS/IDSA Guidelines for the Prevention of Opportunistic Infections in Persons Infected with HIV: Part III. Prevention of Disease Recurrence

    This is part III of a three-part series of articles derived from the USPHS/IDSA guidelines. New data about the prevention of opportunistic diseases have emerged since the guidelines were first published in 1997, and this section discusses prevention of disease recurrence.

    AFP 50 Years Ago

    This feature is part of a year-long series of excerpts and special commentaries celebrating AFP's 50th year of publication. Excerpts from the two 1950 volumes of GP, AFP's predecessor, appear along with highlights of 50 years of family medicine.

    Clarification

    A statement about metformin and radiographic contrast material in the article “Evaluation of Asymptomatic Microscopic Hematuria in Adults” (September 15, 1999, page 1143) requires clarification. Starting with the third sentence of the third complete paragraph on page 1148,...

    Inside AFP

    A Multifaceted Approach to End-of-Life Issues

    Janis Wright

    While rewards for editors are sometimes intangible, with their efforts to preserve the purity of thought from author to paper painstaking yet often invisible, it's undoubtedly gratifying to witness the transformation of an idea from drawing board to journal page, especially...

    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

    Jessica Greene

    Genetic testing might allow some at-risk patients to reduce their risk of cancer. According to a recent study reported in the Journal of the National Cancer Institute, prophylactic bilateral oophorectomy significantly reduced breast cancer risk in patients who had the BRCA1...

    Editorials

    Hypercholesterolemia in Children

    RAE-ELLEN W. KAVEY

    Over the past two decades, convincing evidence has emerged linking defined risk factors with atherosclerosis, the pathologic basis for cardiovascular disease. Postmortem studies have clearly shown that elevated total and low-density lipoprotein (LDL) cholesterol levels are...

    Family Physicians Should Be Experts in Palliative Care

    ROBERT B. GWINN

    I will not endure chemotherapy. I will not go through that indignity. If this is the way I am to end my life, that's fine. I don't want to retch and writhe in nausea. I don't want to lose my hair and dignity. I am ready to go if that is what is demanded of me.

    Diary from a Week in Practice

    Diary from a Week in Practice

    After 20 years of practice, JRH has days when, with just a few clues, the diagnosis seems obvious. Last week, a middle-aged woman (a mother of three) with pain in the right upper quadrant came in for evaluation. Physical examination quickly showed a positive Murphy's punch....

    Photo Quiz

    Palpable Shin Lesions

    Marc S. Berger, ARSHAD H. MALIK, PETER MALET

    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—The Practitioner, October 1999, p. 746.) Although atrial fibrillation occurs in up to 2.4 percent of persons older than 50 years of age, many cases are asymptomatic and undiagnosed. Patients with atrial fibrillation are at increased risk of stroke,...

    Curbside Consultation

    Setting Limits on Demanding Patients

    VICTORIA MAIZES

    The first step in addressing unnecessary demands is to ascertain the patient's needs.

    Practice Guidelines

    ACC/AHA Guidelines for Ambulatory ECG

    Sharon Scott Morey

    The American College of Cardiology (ACC) and the American Heart Association (AHA) have developed guidelines for the use of ambulatory electrocardiography (ECG).

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Public Education of the American Academy of Pediatrics (AAP) has issued a statement on the effects of the mass media on children and adolescents. The paper appears in the August 1999 issue of Pediatrics.

    Letters to the Editor

    Neurologic Complications of Epstein-Barr Virus Infection

    MICHAEL W. SIMON

    Patient Compliance: In Search of the Real Question in Diabetes Care

    CLAUDIA CHAUFAN

    Comment on the Family Physician as Hospitalist

    JAMES E. GOODWIN

    Tips from Other Journals

    Clinical Characteristics of Chlamydia pneumoniae

    JEFFREY T. KIRCHNER

    Options in Community-Acquired Pneumonia

    JEFFREY T. KIRCHNER

    Early Invasive Treatment in Patients with Unstable CAD

    ANNE D. WALLING

    Is Corticosteroid-Induced Osteoporosis Being Prevented?

    KARL E. MILLER

    Effects of Hysteroscopy on Menorrhagia and Infertility

    ANNE D. WALLING

    Screening Diabetic Patients with a Ketone Dip Test

    RICHARD SADOVSKY

    Patient Care in the Aftermath of Discharge from an ICU

    ANNE E. WALLING

    Pacemakers in the Elderly: A Review of Their Use

    GRACE BROOKE HUFFMAN

    Omeprazole vs. Cisapride for Relief of Heartburn

    ANNE D. WALLING

    Intercessory Prayer and Patient Outcomes in Coronary Care Units

    BARBARA APGAR

    Use of Troglitazone for Vasospastic Angina Pectoris

    RICHARD SADOVSKY

    Azithromycin for Treatment of Incubating Syphilis

    RICHARD SADOVSKY

    A Pathogenic Triad in the Diagnosis of Chronic Cough

    JEFFREY T. KIRCHNER

    Breast-Feeding Provides Protection Against Pregnancy

    KARL E. MILLER

    Insights into Pathophysiology and Treatment of Pemphigus

    ANNE D. WALLING

    Zanamivir for Influenza Prevention in Healthy Adults

    GRACE BROOKE HUFFMAN

    Smoking Cessation Without Weight Gain in Women

    ANNE D. WALLING

    Treating Urinary Tract Infections in Young Children

    GRACE BROOKE HUFFMAN

    Social Activity as a Predictor of Survival in Elderly Patients

    ANNE D. WALLING

    Management of Pain in Patients with Cancer

    RICHARD SADOVSKY

    High-Dose Morphine Is Safe Pain Control at End of Life

    KARL E. MILLER

    Can Transdermal Estrogen Prevent Bone Loss?

    ANNE D. WALLING

    Sunscreen and Beta-Carotene for Preventing Skin Cancer

    ANNE D. WALLING

    Use of NPPV in Chronic Respiratory Failure

    JOSEPH COONEY

    Use of Enoxaparin for Anticoagulation Therapy

    RICHARD SADOVSKY

    Long-Term Benefits of Pollen Immunotherapy

    JEFFREY T. KIRCHNER

    Prevalence of Vaginal Douching Despite its Adverse Effects

    JEFFREY T. KIRCHNER

    Do Weight Changes Occur with Long-Term Fluoxetine Therapy?

    BARBARA APGAR

    Premenstrual Syndrome and the Placebo Response

    BARBARA APGAR

    Cranial Irradiation in Patients with Small-Cell Lung Cancer

    JEFFREY T. KIRCHNER

    Effects of Zanamivir on the Course of Influenza

    JEFFREY T. KIRCHNER

    Estrogen-Androgen Replacement Therapy and Liver Function

    BARBARA APGAR

    Reduction of Fracture Risk in Women with Osteoporosis

    GRACE BROOKE HUFFMAN

    Antimycobacterial Therapy for Tuberculosis

    AMY S. WEICHEL

    Do Sputum Smears Positive for AFB Signify Treatment Failure?

    JEFFREY T. KIRCHNER

    Meyer Dysplasia as a Cause of Hip Pain in Children

    JEFFREY T. KIRCHNER

    Prevalence of STDs in Teens with Moderate Risk Behaviors

    KARL E. MILLER

    Reducing Vaginal Bleeding During Hormone Therapy

    ANNE D. WALLING

    Risk Factors for Rupture of Abdominal Aortic Aneurysm

    RICHARD SADOVSKY

    Information from Your Family Doctor

    Diet Tips for Children with High Blood Cholesterol

    High blood cholesterol, also called hypercholesterolemia, is an unhealthy level of cholesterol in the blood. Having high levels of blood cholesterol can cause your child to have heart problems when he or she gets older. But there are changes you can make in your child's diet...

    Tuberous Sclerosis and Your Baby

    Tuberous sclerosis causes growths in the brain, eyes, heart, kidney, skin or lungs. These growths are usually benign (not cancer). The first signs may be seizures and spots on the skin. People in the same family who have tuberous sclerosis may have no learning problems or...

    Urinary Tract Infections During Pregnancy

    Urinary tract infections are caused by bacteria. The most common type of urinary tract infection is a bladder infection. Other types of urinary tract infections are kidney infections and infections of the urethra. The urethra is the small tube that goes from the bladder to...

    Questions About Psoriasis

    Psoriasis (say: sore-eye-a-sis) is a very common skin disorder. Over 7 million people in the United States have it. It causes large red or purple patches on your skin, with scaly skin on top of them. The patches look thick and bumpy. They are usually on the elbows, knees and...

    Pathologic Gambling

    Pathologic gambling affects about 10 million Americans. People with this condition can't control their impulses to gamble. They end up losing a lot of money and get into financial trouble. Gambling usually causes problems with work or relationships. Men or women of any age...

    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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