• Articles

    Identification and Management of Tuberculosis

    ANTHONY F. JERANT, MICHELLE BANNON, STEPHEN RITTENHOUSE

    A high index of suspicion is required to identify patients who require purified protein derivative skin testing for possible tuberculosis infection. In patients with a positive skin test whose clinical history or sputum smear is consistent with active disease, prompt...

    The Preparticipation Athletic Evaluation

    KURT KUROWSKI, SANGILI CHANDRAN

    An appropriately structured preparticipation athletic examination improves a physician's ability to detect patients at risk for sudden exercise-related death, as well as conditions susceptible to rehabilitation.

    Preparticipation Examination Appendix

    FIGURE 1.Patient stands straight with arms at sides, facing examiner. Normal findings: symmetry of upper and lower extremities and trunk. Common abnormalities include enlarged acromioclavicular joint, enlarged sternoclavicular joint, asymmetric waist (leg-length difference or...

    Treatment of Seborrheic Dermatitis

    BETTY ANNE JOHNSON, JULIA R. NUNLEY

    A number of genetic, hormonal and environmental factors may contribute to the development of seborrheic dermatitis. Many topical agents are available to control this inflammatory disorder.

    Practical Use of the Pessary

    ANTHONY J. VIERA, MARGARET LARKINS-PETTIGREW

    The pessary is an effective nonsurgical way to treat a variety of gynecologic problems, such as pelvic support defects and stress urinary incontinence.

    Bisphosphonates: Safety and Efficacy in the Treatment and Prevention of Osteoporosis

    SUSAN L. GREENSPAN, STEVEN T. HARRIS, HENRY BONE, PAUL D. MILLER, ERIC S. ORWOLL, NELSON B. WATTS, CLIFFORD J. ROSEN

    Osteoporosis affects more than 28 million Americans. One class of agents used to treat osteoporosis is the bisphosphonates, which have been shown to have a strong safety and tolerability profile.

    New Classification and Update on the Quinolone Antibiotics

    DANA E. KING, ROBB MALONE, SANDRA H. LILLEY

    The new classification of quinolone antibiotics takes into account the expanded antimicrobial spectrum of the newer fluoroquinolones and their clinical indications. This classification can help family physicians prescribe quinolones appropriately and evaluate new drugs as...

    Noise-Induced Hearing Loss

    PETER M. RABINOWITZ

    Hearing loss caused by occupational or recreational exposure to noise is virtually 100 percent preventable. Family physicians can educate patients to avoid potentially damaging noise, to use adequate hearing protection and to seek treatment for an existing hearing deficit.

    An Approach to Drug Abuse, Intoxication and Withdrawal

    A. JAMES GIANNINI

    By identifying the effects of the six neurotransmitters on which drugs of abuse act, family physicians can make accurate diagnoses and institute appropriate interventions.

    Medical Surveillance in Work-Site Safety and Health Programs

    JAMES C. WESDOCK, ROSEMARY K. SOKAS

    Family physicians who perform employee medical surveillance must visit the work site. Many resources are available to help physicians design a comprehensive surveillance program.

    Bilious Vomiting in the Newborn: Rapid Diagnosis of Intestinal Obstruction

    KEN KIMURA, VERA LOENING-BAUCKE

    Bilious vomiting, with or without abdominal distention, is the initial sign of intestinal obstruction in newborns. Duodenal atresia, midgut malrotation and volvulus, jejunoileal atresia, meconium ileus and necrotizing enterocolitis are the most common causes.

    AFP 50 Years Ago

    Edwin Matlin

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

    Inside AFP

    A Changing of the Guard for the “Radiologic Decision-Making” Series

    Janis Wright

    The article on page 2791, “Bilious Vomiting in the Newborn: Rapid Diagnosis of Intestinal Obstruction,” by Ken Kimura, M.D., and Vera Loening-Baucke, M.D., represents the last of the articles in the “Radiologic Decision-Making” series coordinated by Thomas J. Barloon, M.D.,...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Verna L. Rose

    On March 30, the House Judiciary Committee voted 26 to 2 to approve the Quality Health Care Coalition Act of 1999. Known as the “Campbell” bill because of its sponsorship by Rep. Tom Campbell (R-Calif.), the measure would permit physicians to join together to negotiate with...

    Quantum Sufficit

    Quantum Sufficit

    Jessica Greene

    Growing up in America might be harder than we think. According to a report in Time magazine, less than two thirds of American adolescent students reside with both of their parents. This number is shocking when compared with rates in other countries, such as Greece, where 91...

    Editorials

    Factors at Play in the Athletic Preparticipation Examination

    DOUGLAS B. MCKEAG, ROBERT E. SALLIS

    The medical community continues to benefit when physicians reexamine topics that have been widely written about, as authors Kurowski and Chandran have done in this issue of American Family Physician.1 However, their debate over the preparticipation physical examination deals...

    It Won't Be Me Next Time: An Opinion on Preparticipation Sports Physicals

    JONATHAN D. REICH

    I sat in the pediatrics section meeting at a local community hospital when they asked for volunteers for preparticipation sports physical examinations. As a pediatric cardiologist, I figured I might offer valuable help. When I arrived at the enormous gymnasium of the local...

    Family Practice and the Elimination of Tuberculosis

    RICHARD J. O'BRIEN, DAVID L. COHN

    After an unprecedented increase in reported cases of tuberculosis in the United States that began in 1986, the disease has been brought under control. In 1999, the number of reported cases of tuberculosis declined to an all-time low of 17,528, and the country recommitted...

    Diary from a Week in Practice

    Diary from a Week in Practice

    A 24-year-old mother of two who had undergone bilateral tubal ligation visited JTL following hospitalization for the evaluation of right lower quadrant pain. The hospitalist and general surgeon concluded that her pain was likely psychogenic, because the results of the...

    Photo Quiz

    Postpartum Axillary Masses

    MARK B. STEPHENS, JAY B. ERICKSON

    Case 1: A 23-year-old black woman (gravida 2, para 2) presented two weeks postpartum with painless swelling of her left axilla. Her medical history was notable for sickle cell anemia. Her pregnancy was unremarkable, resulting in the spontaneous vaginal delivery of a healthy...

    Tips from Other Journals

    Appealing Treatments of Sleep Disorders in Children

    ANNE D. WALLING

    CSF Leukocyte Aggregation to Identify Bacterial Meningitis

    RICHARD SADOVSKY

    Clinical Guidelines Improve Outcomes in Unstable Angina

    KARL E. MILLER

    Should Pregnant Women Be Screened for Hepatitis C?

    ANNE D. WALLING

    Use of Ace Inhibitors in Treating Acute MI

    RICHARD SADOVSKY

    Improving Compliance After Abnormal Pap Smears

    JIM NUOVO

    Newer Medications for Pediatric Epilepsy

    GRACE BROOKE HUFFMAN

    Treating Deep Venous Thrombosis with Thrombolysis

    GRACE BROOKE HUFFMAN

    Considerations in the Management of Fibromyalgia

    RICHARD SADOVSKY

    The Shoulder: Prereduction vs. Postreduction Radiographs

    JIM NUOVO

    Antiviral Use Can Reduce Perinatal Transmission of HIV

    KARL E. MILLER

    Can Color of Fecal Blood Predict GI Bleeding Site?

    KARL E. MILLER

    Treating Partners of Women with Bacterial Vaginosis

    ANNE D. WALLING

    Predicting Adverse Outcome in Children with Sickle Cell Disease

    JEFFREY T. KIRCHNER

    Use of ACE Inhibitors in Patients with Type 2 Diabetes

    RICHARD SADOVSKY

    A Comparison of Treatments in Children with ADHD

    GRACE BROOKE HUFFMAN

    Is It Pediatric Septic Arthritis or Transient Synovitis of the Hip?

    RICHARD SADOVSKY

    How Well Can We Predict Benefits of Hospice Care?

    GRACE BROOKE HUFFMAN

    Blood Cultures in Community-Acquired Pneumonia

    JEFFREY T. KIRCHNER

    Bacterial Balance in Healing Chronic Pressure Ulcers

    ANNE D. WALLING

    Safety of Hepatitis A Vaccine in Organ Transplant Patients

    JEFFREY T. KIRCHNER

    Can Diet Relieve a Woman's Premenstrual Symptoms?

    ANNE D. WALLING

    Alcohol and NSAIDs Increase Risk for Upper GI Bleeding

    KARL E. MILLER

    Post-MI Beta Blocker Use in Elderly Diabetic Patients

    KARL E. MILLER

    Are Newer Antihypertensives More Beneficial?

    ANNE D. WALLING

    Growth Hormone in Children and Adolescents of Short Stature

    RICHARD SADOVSKY

    Primary Angioplasty vs. Thrombolysis for Acute MI

    JEFFREY T. KIRCHNER

    Using Anticoagulation for Stroke Prevention

    RICHARD SADOVSKY

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Canada—Canadian Family Physician, February 2000, p. 303.) When the trabecular mesh-work is blocked at the junction of the cornea and iris, the resulting rise in intraocular pressure can reach dangerously high levels and damage the optic nerve. Acute closed-angle glaucoma...

    Practice Guidelines

    ACC/AHA Revise Guidelines for Coronary Bypass Surgery

    Sharon Scott Morey

    The American College of Cardiology (ACC) and the American Heart Association (AHA) have revised their original 1991 guidelines for coronary artery bypass surgery. The revised recommendations, developed by the ACC/AHA Task Force on Practice Guidelines, are based primarily on...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Troglitazone (Rezulin), a drug used in the treatment of type 2 diabetes mellitus (formerly non–insulin-dependent diabetes mellitus), was recently removed from the market at the request of the U.S. Food and Drug Administration (FDA).

    Curbside Consultation

    What Your Patients Don't Tell You

    RICHARD SOBEL, STEVEN SOBEL

    A mother brought her 11-year-old son to my office because he was having recurrent severe colicky midabdominal pains. She had taken him to the emergency department the day before but was not satisfied because “they did nothing for him.” I, too, found nothing physically wrong...

    Putting Prevention Into Practice

    Adult Immunization—Influenza Vaccine

    MARTIN C. MAHONEY

    DB is 72 years old and recently moved into a nursing home. She has not received her yearly influenza shot. DB has numerous health problems, including diabetes mellitus, arthritis (for which she receives prednisone) and emphysema. She has a history of having influenza almost...

    Multimedia Review

    Book Reviews

    DAVID CASARETT, STUART PICKELL

    Also Received

    Letters to the Editor

    Oral Contraceptives and Prevention of Implantation

    An Uninvited Guest in the Ear

    KOICHI TSUNODA, TOM BAER

    Asymptomatic Microscopic Hematuria

    Information from Your Family Doctor

    Questions and Answers About TB

    Tuberculosis (say: too-burr-cue-low-sis), or TB for short, is an infection caused by a bacteria (a germ). TB usually affects the lungs, but it can spread to the kidneys, bones, spine, brain and other tissues.

    Seborrhea: What It Is and How to Treat It

    Seborrhea (say: seb-uh-ree-uh) is a common skin problem. It causes a red, itchy rash and white scales. When it affects the scalp, it is called “dandruff.” It can be on parts of the face as well, including the folds around the nose and behind the ears, the forehead, and the...

    How to Use a Pessary

    A pessary is a plastic device that fits into your vagina to help support your uterus (womb), vagina, bladder or rectum.

    How to Prevent Noise-Induced Hearing Loss

    Noise-induced hearing loss is the slow loss of hearing caused by too much noise. Hearing loss happens when too much noise hurts the hair cells in the inner ear.

    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.


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