• Articles

    Management of Gallstones and Their Complications

    AIJAZ AHMED, RAMSEY C. CHEUNG, EMMET B. KEEFFE

    The most important step in the successful management of gallstone disease is the accurate differentiation of gallstone-induced biliary colic from other abdominal diseases.

    Acute and Post-traumatic Stress Disorder After Spontaneous Abortion

    STEPHEN V. BOWLES, LARRY C. JAMES, DIANE S. SOLURSH, MICHAEL K. YANCEY, TED D. EPPERLY, RAYMOND A. FOLEN, MARYANN MASONE

    Spontaneous abortion may result in acute stress disorder or post-traumatic stress disorder in a small proportion of women.

    Treatment of Common Cutaneous Herpes Simplex Virus Infections

    DAVID H. EMMERT

    New antiviral medications offer increased treatment options for genital herpes. However, the convenient oral dosing regimens of famciclovir and valacyclovir may not offset the additional expense when compared with acyclovir.

    Alcoholism in the Elderly

    SALLY K. RIGLER

    Alcoholism and alcohol abuse are common but underrecognized problems in older adults.

    Management of Bacterial Endocarditis

    BARTON E. GIESSEL, CLINT J. KOENIG, ROBERT L. BLAKE, JR.

    A number of factors must be considered when choosing an antibiotic for the treatment of bacterial endocarditis.

    Clinically Significant Drug Interactions

    PAUL W. AMENT, JOHN G. BERTOLINO, JAMES L. LISZEWSKI

    Family physicians should be alert for drug interactions and should have appropriate resources to help them avoid or manage these interactions. Drug interactions may be encountered with such commonly used medications as antibiotics, warfarin, antidepressants and oral...

    Update on Colorectal Cancer

    DAVID R. RUDY, MICHAEL J. ZDON

    Colorectal cancer has a long asymptomatic period during which it can be diagnosed at a stage that is amenable to treatment. Early identification and treatment improve survival. Screening guidelines and techniques are reviewed.

    Diagnosis and Management of Acute Low Back Pain

    ATUL T. PATEL, ABNA A. OGLE

    In most patients, low back pain responds to conservative measures, including medications, physical therapy modalities and exercise. Low back pain is usually caused by muscle strain, but it can also be caused by infection, malignancy, rheumatologic diseases and neurologic...

    Osteoarthritis: Current Concepts in Diagnosis and Management

    NISHA J. MANEK, NANCY E. LANE

    Simple oral analgesics, such as acetaminophen or low dosages of nonsteroidal anti-inflammatory drugs (NSAIDs), remain the first line of treatment for uncomplicated osteoarthritis. Other treatments are higher dosages of NSAIDs, agents such as the new cyclo-oxygenase-2...

    AFP 50 Years Ago

    David G. Miller, Jr., Blanche H. Miller, BARBARA S. APGAR

    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.

    Inside AFP

    What You May Not Know About AFP

    Janis Wright

    As part of a multifaceted approach to gathering feedback from readers, AFP periodically conducts focus groups to get a close-up view of reader perceptions. Typically, a facilitator leads a group of 10 to 12 readers through a series of questions that help us get a feel for...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

    On February 22, the Clinton Administration announced several initiatives to reduce medical errors. According to the Institute of Medicine, more than one half of adverse medical events result from preventable errors, causing up to 98,000 deaths per year and costing an...

    Quantum Sufficit

    Quantum Sufficit

    Jessica Greene

    Gunfire claimed the lives of almost 80,000 young persons between 1979 and 1997 in the United States, reports USA Today. Statistics recently released by the National Center for Health Statistics rated 1994 as the most tragic year, with 5,793 young people dying of gunfire...

    Editorials

    Overcoming the Barriers to Change: Screening for Colorectal Cancer

    STEVEN H. WOOLF

    In this issue of American Family Physician, Rudy and Zdon1 review the benefits of early detection of colorectal cancer. Citing a previously published model,2 they estimate that screening 100,000 persons with fecal occult blood testing, sigmoidoscopy, barium enema or...

    Avoiding Drug Interactions

    JOYCE GENERALI

    In this issue of American Family Physician, Ament and colleagues1 highlight several important drug interactions and also raise an ongoing health care concern: How can morbidity and mortality from drug interactions be reduced?

    Diary from a Week in Practice

    Diary from a Week in Practice

    How often have you heard this maxim: “When you hear hoof beats, think of horses, not zebras?” In fact, JRH found himself repeating these words to himself today after his first patient encounter. The young male patient of 28 years arrived, complaining of sores on the shaft of...

    Conference Highlights

    Conference Highlights

    Matthew Neff

    (27th Annual Meeting of the North American Primary Care Research Group) According to a randomized controlled trial, the interventions of practice profiling feedback and patient education had little impact on promoting appropriate prescribing of antibiotics for pediatric upper...

    Tips from Other Journals

    Advising Pregnant Women About Weight Gain

    ANNE D. WALLING

    Are Natural Family Planning Programs Effective?

    KARL E. MILLER

    Treatment of Urinary Tract Infections in Children

    RICHARD SADOVSKY

    What Is the Optimal Treatment for Tennis Elbow?

    ANNE D. WALLING

    Lamivudine Is Effective for Chronic Hepatitis B

    JEFFREY T. KIRCHNER

    Questionnaire Identifies Risk for Sleep Apnea Syndrome

    RICHARD SADOVSKY

    Adenosine for Reducing Infarction Size in Acute MI

    KARL E. MILLER

    Guaiac Examination of the Rectum for Fecal Blood

    BARBARA APGAR

    Treatment of Patients with Body Dysmorphic Disorder

    JEFFREY T. KIRCHNER

    The Ten Most Commonly Used Therapeutic Herbs

    RICHARD SADOVSKY

    Poststroke Patients Are at Risk for Osteoporosis

    KARL E. MILLER

    Antibiotics in Complicated Pediatric Appendicitis

    RICHARD SADOVSKY

    Can a Wet Mount Predict Gonorrhea and Chlamydia?

    BARBARA APGAR

    Cancer, Significance of Pain Severity and Quality of Life

    KARL E. MILLER

    Pentoxifylline ‘Inconclusive’ in Healing of Venous Ulcers

    ANNE D. WALLING

    Reassessing the Age Limit of Precocious Puberty in Girls

    GRACE BROOKE HUFFMAN

    Does Conjugal Loss Cause Depression in the Elderly?

    KARL E. MILLER

    Effect of Amantadine in Patients with Dyskinesias

    GRACE BROOKE HUFFMAN

    Treating Myasthenia Gravis With Thymectomy

    RICHARD SADOVSKY

    Preventing Progression of Rheumatoid Arthritis

    RICHARD SADOVSKY

    Using Opioid Rotation in the Treatment of Cancer Patients

    KARL E. MILLER

    Oseltamivir for the Prevention of Influenza

    JEFFREY T. KIRCHNER

    Using Interferon to Prevent Hepatocellular Carcinoma

    RICHARD SADOVSKY

    Value of Chest Radiogram in Diagnosing a Pneumothorax

    GRACE BROOKE HUFFMAN

    Can Patients Reliably Monitor Their Own Blood Pressure?

    ANNE D. WALLING

    Eradication of H. Pylori May Relieve Non-Ulcer Dyspepsia

    ANNE D. WALLING

    Intracranial Head Injuries in Infants: Clinical Evaluation

    GRACE BROOKE HUFFMAN

    Pyelonephritis in Pregnancy: Is Hospitalization Necessary?

    ANNE D. WALLING

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, November 1999, p. 1109.) Most conventional joint prostheses are made of metal and plastic and are fixed to the skeleton with polymethylmethacrylate cements. Wear and cement breakdown can cause these devices to deteriorate. Because of...

    Practice Guidelines

    ACC/AHA Guidelines on the Management of Acute Myocardial Infarction

    Sharon Scott Morey

    The American College of Cardiology (ACC) and the American Heart Association (AHA) have updated the ACC/AHA guidelines for the management of myocardial infarction. Developed by the ACC/AHA Task Force on Practice Guidelines, the guidelines cover a wide scope, from management in...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Obstetric Practice of the American College of Obstetricians and Gynecologists (ACOG) has issued an opinion paper (Committee Opinion no. 228) on the induction of labor with misoprostol. The opinion paper appears in the November 1999 issue of Obstetrics and...

    Letters to the Editor

    Rapid ‘Dipstick’ Assays for the Detection of Malaria

    The True Incidence of GERD-Induced Globus

    Information from Your Family Doctor

    Gallstones: What Are They? How Are They Treated?

    The gallbladder is a small “bag” just under your liver. It stores digestive juices that are made by the liver. Sometimes these juices become solid and form stones, called gallstones.

    What Can I Do About Genital Herpes?

    No vaccine can protect you from HSV infection, but you can do some things to keep from getting infected.

    What Should I Know About Genital Herpes?

    Genital herpes is a viral infection. It is caused by the herpes simplex virus, which is called HSV for short. One form of the herpes virus causes “cold sores” around the mouth or lips. This kind can be passed around if someone touches the cold sore and then touches another...

    Bacterial Endocarditis: A Heart at Risk

    Bacterial endocarditis (BE) is an infection of the valves and inner lining of the heart. It happens when bacteria from the skin, mouth or intestines enter the bloodstream and infect the heart valves and lining.

    Screening for Colorectal Cancer

    Colorectal cancer is cancer of the colon or rectum. The colon is the large intestine, and the rectum is the part of the large intestine that is closest to the anus (the outside opening to the intestine).

    Acute Low Back Pain

    Most often, low back pain is caused by a stretched or strained muscle. This muscle hurts when you move while it is healing.

    Alcohol or Drug Abuse Recovery: Your Doctor Can Help You

    The decision to stop using alcohol or other drugs (as well as a history of previous use) is very important to your health. If your doctor knows that you have made this decision, he or she can help you in your recovery. By working with your doctor, you can increase your chance...

    Is Alcohol a Problem for You?

    If you don't have a drinking problem, it's probably safe for you to drink a limited amount of alcohol without affecting your health. A sensible drinking limit for people who don't have a problem with alcohol is:

    Alcohol Withdrawal Syndrome

    Alcohol withdrawal syndrome is a set of symptoms (health conditions) that people get when they suddenly stop drinking after using alcohol for a long time. Some people have mild shakiness and sweats. Some people hallucinate—they hear and see things that don't exist. The worst...

    Teen Drinking: It Can Spin Your World Around

    TV and radio make it sound easy to “just say no”, but it may not be so easy for you. You have some real pressures. Maybe your friends want you to drink with them. Maybe you are stressed out at home, at school or at work. You may be looking to alcohol as a way to make people...

    Smoking Cessation in Recovering Alcoholics: Fiction Versus Fact

    “Smoking isn't a bigger problem for people in recovery than it is for anyone else. You're just trying to scare me.”

    Naltrexone for Alcoholism

    Yes. Most experts agree that alcoholism is a disease, just as high blood pressure, diabetes and arthritis are diseases. Like these other diseases, alcoholism tends to run in the family. Alcoholism is a chronic disease. “Chronic” means that it lasts for a long time or comes...

    Corrections

    Corrections

    Corrections

    Corrections



    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