• Articles

    The Painful Shoulder: Part II. Acute and Chronic Disorders

    THOMAS W. WOODWARD, THOMAS M. BEST

    Assessment of acute and chronic shoulder injuries can be a challenge because of the unique anatomy of the glenohumeral joint. Some injuries can be managed conservatively, but surgical treatment may be necessary.

    Treatment of Recurrent Vulvovaginal Candidiasis

    ERIKA N. RINGDAHL

    Clinical evaluation of recurrent episodes of vulvovaginal candidiasis is critical. After the acute episode has been treated, subsequent prophylaxis (maintenance therapy) is important.

    Lichen Planus

    RAJANI KATTA

    Lichen planus is an inflammatory mucocutaneous condition with a distinctive appearance. Localized disease may be treated with potent topical corticosteroids, while systemic corticosteroids are often required for generalized disease.

    Pediatric Emergency Preparedness in the Office

    DEREK S. WHEELER, MARK L. KIEFER, W. BRADLEY POSS

    Office emergencies in children are not as uncommon as is usually perceived. Many physicians' offices are not optimally prepared for these critical situations.

    Current Management of Mitral Valve Prolapse

    DANIEL P. BOUKNIGHT, ROBERT A. O'ROURKE

    Mitral valve prolapse is the most common form of valvular heart disease, affecting 3 to 6 percent of the population. Family physicians should be aware of the management and complications of this valvular abnormality.

    The Female Athlete Triad

    JULIE A. HOBART, DOUGLAS R. SMUCKER

    Early screening for and recognition of the female athlete triad can facilitate timely intervention and prevent irreversible bone loss in female athletes.

    Choosing Drug Therapy for Patients with Hyperlipidemia

    RICHARD S. SAFEER, CYNTHIA L. LACIVITA

    Medication is often needed to achieve ideal cholesterol levels. Family physicians may choose from several effective classes of drugs.

    AFP 50 Years Ago

    Herman Goodman, Karl E. Miller

    This feature is part of a year-long series of excerpts and special commentaries celebrating AFP's 50thyear 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

    Artist Floyd Hosmer: Giving AFP a Touch of Light

    Janis Wright

    The four illustrations highlighting this page have several things in common: all of them originated from the Birmingham, Ala., studio of Floyd E. Hosmer, all of them tell a story in medicine, and all of them have draped covers of AFP with the glow of bosky light. The earth...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    The American Academy of Family Physicians (AAFP) has announced that Douglas Henley, M.D., has accepted the position of executive vice president (EVP) at the AAFP headquarters in Leawood, Kan. The announcement came at the academy's Annual Leadership Forum on April 29 in Kansas...

    Quantum Sufficit

    Just Enough

    Jessica Greene

    If your cancer patients are turning to alternative therapies, they may be in trouble, according to a recent report in Hippocrates. A recent Harvard study showed that 28 percent of 480 women with stage I or II breast cancer used alternative treatments after surgery. When...

    Editorials

    Pediatric Emergencies: Preparedness and Prevention

    DAVID TRACHTENBARG

    The article on pediatric emergency preparedness by Wheeler and colleagues1 in this issue of American Family Physician should encourage many family physicians to review their office plans for management of pediatric emergencies. Because it is not possible to prepare for every...

    Mitral Valve Prolapse: Implications for the Primary Care Physician

    R.A. NISHIMURA, K.R. KIDD

    A 72-year-old man presented with acute pulmonary edema after having had fever and constitutional symptoms for one week. He was found to have severe mitral regurgitation associated with a ruptured mitral chord and infective endocarditis. The patient required medical treatment...

    Diary from a Week in Practice

    Diary from a Week in Practice

    CAG was surprised by an additional use a patient found for his continuous positive airway pressure equipment. This obese man with obstructive sleep apnea had recently lost more than 80 lb and felt that he had a new lease on life now that he could sleep every night. The only...

    Photo Quiz

    Lentigo Maligna Melanoma

    JEFFREY J. MEFFERT

    A 63-year-old man presented to the office for evaluation of a brown patch on his upper cheek and lower eyelid (see the accompanying photo). The patch had been present for more than 10 years and was gradually increasing in size. The patient had no visual complaints, adenopathy...

    Tips from Other Journals

    Can Ranitidine Raise Blood Alcohol Levels?

    KARL E. MILLER

    Effect of Glycemic Control on Fetal Growth

    ANNE D. WALLING

    Significance of Positive Conization Margins

    BARBARA APGAR

    Treating Lipid Disorders in Elderly Patients

    GRACE BROOKE HUFFMAN

    Prognosis of Children with Vertically Acquired HCV

    JEFFREY T. KIRCHNER

    Optimal Insulin Dosing Regimen During Pregnancy

    ANNE D. WALLING

    Causes of Occult and Obscure Gastrointestinal Bleeding

    RICHARD SADOVSKY

    Effect of Ramipril on Deaths from Cardiovascular Events

    JEFFREY T. KIRCHNER

    Thrombolytics and Angioplasty in the Treatment of Acute MIs

    KARL E. MILLER

    HRT Reduces Accuracy of Screening Mammography

    ANNE D. WALLING

    Progression of Renal Disease in Type 1 Diabetes

    KARL E. MILLER

    Poison Ivy, Oak and Sumac Contact Dermatitis

    RICHARD SADOVSKY

    Nonemergency Use of Parenteral Phenytoin Products

    BARBARA APGAR

    Update on the Management of Childhood Poisoning

    JEFFREY T. KIRCHNER

    Influenza Immunization in Long-Term Care Facilities

    ANNE D. WALLING

    Plan-B Contraception Decreases Risk of Pregnancy

    BARBARA APGAR

    Management of Patients with Atrial Fibrillation

    ANNE D. WALLING

    Oral Antibiotic Therapy for Septic Arthritis in Children

    RICHARD SADOVSKY

    Cost-Effective Evaluation of Acute Viral Hepatitis

    RICHARD SADOVSKY

    Primary Repair of Obstetric Anal Sphincter Lacerations

    BARBARA APGAR

    Anticoagulation After Lower Extremity Revascularization

    ANNE D. WALLING

    Side Effects Associated with Use of Oral Contraceptives

    ANNE D. WALLING

    Anticoagulant Therapy, Gross Hematuria and Evaluation

    KARL E. MILLER

    Nursing Home Guidelines for Treatment of Pneumonia

    GRACE BROOKE HUFFMAN

    Using Prourokinase for Acute Ischemic Stroke

    GRACE BROOKE HUFFMAN

    Reversing the Effects of Warfarin with Phytonadione

    BARBARA APGAR

    Treatment of Constipation in Chronic Methadone Users

    GRACE BROOKE HUFFMAN

    Assessing Patients with Medically Unknown Symptoms

    RICHARD SADOVSKY

    Do High-Carbohydrate Diets Affect Risk for Heart Disease?

    RICHARD SADOVSKY

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, January 2000, p. 35.) The Achilles tendon has a relatively poor blood supply and a low metabolic rate. Thus, it can carry heavy loads under tension over prolonged periods without ischemic damage, but the tendon is slow to heal when...

    Practice Guidelines

    AAP Issues Recommendations on the Prevention and Treatment of Lyme Disease

    Toni Lapp

    The American Academy of Pediatrics (AAP) Committee on Infectious Diseases has issued recommendations for the prevention of Lyme disease. The recommendations appear in the January 2000 issue of Pediatrics.

    AHRQ Releases Evidence Report on Brain Injury in Children

    Sharon Scott Morey

    The Agency for Healthcare Research and Quality (AHRQ; formerly the Agency for Health Care Policy and Research) has released an evidence-based report on the rehabilitation of children and adolescents with traumatic brain injury. The report is the product of the AHRQ evidence...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Committee on Adolescent Health Care of the American College of Obstetricians and Gynecologists (ACOG) has developed an educational bulletin on the benefits and safety of oral contraceptive (OC) use in adolescents. The bulletin (ACOG Educational Bulletin No. 256) replaces...

    Putting Prevention Into Practice

    Screening for Colorectal Cancer

    MARTIN MAHONEY

    SE is a 69-year-old man who has never been screened for colorectal cancer. After conducting a history and physical examination, it appears that he is not at high risk for colorectal cancer.

    Multimedia Review

    Book Reviews

    STEPHEN M. HUFFMAN

    Also Received

    Letters to the Editor

    Cervical Spine Radiographs

    KIM BULLOCK

    Social Anxiety Disorder

    Tar Compounds and Atopic Dermatitis

    Information from Your Family Doctor

    Recurrent Yeast Infections

    If you have a yeast infection, you may have a thick, white discharge from your vagina. You may also have itching or discomfort. If you have a discharge, it usually doesn't smell bad. You may have a burning feeling around the outside of your vagina when you go to the bathroom...

    Lichen Planus

    Lichen planus is a skin disease. Men and women get it and it occurs in every race. While it may occur at any age, it usually affects middle-aged adults.

    What You Should Know About Mitral Valve Prolapse

    The mitral valve controls the flow of blood between two “chambers,” or “rooms,” of your heart, called the left atrium and the left ventricle. Normally, blood flows only from the atrium to the ventricle. When the heart relaxes in between beats, the two “flaps” of the mitral...

    The Female Athlete Triad

    The female athlete triad is a disorder that has three parts. It affects (1) your eating habits, (2) your menstrual periods and (3) the strength of your bones. If you have the female athlete triad, you've stopped eating normally. Your menstrual periods have stopped or have...

    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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