• Articles

    Withholding and Withdrawing Life-Sustaining Treatment

    RICHARD J. ACKERMANN

    Family physicians struggle with helping patients and families make end-of-life care decisions. Withholding and withdrawing life-sustaining treatment is appropriate and ethical in many situations.

    Anemia in the Elderly

    DOUGLAS L. SMITH

    Serum ferritin is the most useful test for differentiating iron deficiency anemia from anemia of chronic disease. Determination of the serum methylmalonic acid level may be useful in the diagnosis of vitamin B12 deficiency.

    Treating Fibromyalgia

    PAUL J. MILLEA, RICHARD L. HOLLOWAY

    Fibromyalgia is a common chronic condition that is usually best managed with low-dose antidepressant therapy and exercise.

    Generalized Anxiety Disorder

    MICHAEL F. GLIATTO

    Generalized anxiety disorder is a common condition that may present significant diagnostic and therapeutic challenges for family physicians.

    A Family Physician's Guide to Monitoring Methotrexate

    KELLY W. JONES, SUPEN R. PATEL

    Methotrexate is used in the treatment of various immunologic diseases, such as psoriasis and rheumatoid arthritis. Although methotrexate is often prescribed by subspecialists, family physicians may assume responsibility for monitoring therapy with this highly effective but...

    AFP 50 Years Ago

    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

    Introducing Contributors from the Medical College of Wisconsin

    Janis Wright

    “Treating Fibromyalgia,” an article by Paul J. Millea, M.D., M.S., and Richard L. Holloway, Ph.D., on page 1575 of this issue, starts off a new series of “Practical Therapeutics” articles contributed by the Department of Family and Community Medicine at the Medical College of...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    Selected policy and health issues news briefs from AAFP News Now.

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    Picture this: a family gathered together at the dinner table—it's a good way for parents to be sure the kids are eating properly, right? Actually, that concept is supported in a recent Nutrition and Health News Alert published by the National Dairy Council. The newsletter...

    Editorials

    Treating Fibromyalgia: Science vs. Art

    DANIEL J. CLAUW

    In this issue of American Family Physician, Millea and Holloway1 provide an excellent overview of the treatment of fibromyalgia. As the authors indicate, it is important for primary care physicians to be able to recognize this entity because it is a condition that occurs...

    Generalized Anxiety Disorder in Family Practice Patients

    MICHAEL K. MAGILL, KAREN GUNNING

    Anxiety is a common symptom in family practice, with approximately 15 percent of patients meeting research criteria for any anxiety disorder.1,2 The medical literature often suggests that anxiety and depression are underdiagnosed and undertreated in the primary care setting,...

    Diary from a Week in Practice

    Diary from a Week in Practice

    JTL had an interesting experience while on rounds visiting his hospitalized patients this morning. As he reviewed charts at the nursing station, he had the opportunity to interact with other health care professionals making rounds, specifically, the registered nurse making...

    Photo Quiz

    Facial Masses

    MATTHEW E. FALAGAS, ELIAS SIAKAVELLAS, ROCHELLE SCHEIB

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

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, April 2000, p. 328.) In adolescent patients, anorexia nervosa often begins with moderate dieting, but then they become driven to be in control of their diet because they feel they have little control in other areas of their life. The...

    Practice Guidelines

    Headache Consortium Releases Guidelines for Use of CT or MRI in Migraine Work-up

    SHARON SCOTT MOREY

    Guidelines on the use of computed tomography (CT) or magnetic resonance imaging (MRI) in patients presenting with migraine have been developed by the U.S. Headache Consortium.

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    In a new discussion paper, the Institute for Safe Medication Practices (ISMP) calls for the widespread use of handheld prescribing technology as a way to prevent dangerous medication errors that result from illegible handwritten prescriptions. The recently published...

    Curbside Consultation

    A Consultant Takes Over

    RONALD SCHNEEWEISS

    What is the role of a consultant in the referral process?

    AAFP Core Educational Guidelines

    Patient Education

    Patient education can be defined as the process of influencing patient behavior and producing the changes in knowledge, attitudes and skills necessary to maintain or improve health. The Latin origin of the word doctor,“docere,” means “to teach,” and the education of patients...

    Multimedia Review

    Multimedia Review

    GARY A. RATKIN, PEGGY MENTOR

    Book Reviews | Geriatrics Review Syllabus | Also Received

    Letters to the Editor

    Foreign-Body Aspiration, Asthma and Chronic Bronchitis

    KEDAR S. DESHPANDE, LINDA B. HARAMATI, THOMAS K. ALDRICH, MORRIS EDELMAN, ESPERANZA VILLANUEVA

    Tips from Other Journals

    Smoking and Dementia: No Inverse Relationship?

    ANNE D. WALLING

    Understanding the Treatment Options for Neutropenia

    RICHARD SADOVSKY

    Anergy Panels as Routine Adjunct to TB Skin Testing

    GRACE BROOKE HUFFMAN

    Colorectal Cancer: Screening for Non-Polypoid Lesions

    ANNE D. WALLING

    Management of the Febrile Child with Neutropenia

    KARL E. MILLER

    Behavioral and Drug Treatment for Urge Incontinence

    GRACE BROOKE HUFFMAN

    Wrist Splinting in Patients with Carpal Tunnel Syndrome

    KARL E. MILLER

    Early Diagnosis Improves Management of Influenza A

    RICHARD SADOVSKY

    Efficacy of Calcipotriol for Treatment of Chronic Psoriasis

    ANNE D. WALLING

    Sigmoidoscopy in Diagnosing Microscopic Colitis

    GRACE BROOKE HUFFMAN

    Reducing Neonatal Group B Streptococcal Sepsis

    ANNE D. WALLING

    Hyaluronic Acid Improves Long-Term Knee Function

    KARL E. MILLER

    Heart Rate Recovery After Stress Testing Predicts Mortality Risk

    RICHARD SADOVSKY

    Preventive Medicine in Primary Care Practices

    AMY S. WEICHEL

    Evaluating Menorrhagia and Providing Effective Treatment

    RICHARD SADOVSKY

    Driving Impairment from Marijuana and Alcohol

    RICHARD SADOVSKY

    Which Symptoms Are Actually Associated with Teething?

    GRACE BROOKE HUFFMAN

    Signs and Symptoms of Pediatric Corneal Abrasions

    JEFFREY T. KIRCHNER

    Metformin Plus Rosiglitazone Therapy for Type 2 Diabetes

    GRACE BROOKE HUFFMAN

    Does Gastrointestinal Wall Thickness Indicate Cirrhosis?

    BARBARA APGAR

    Vegetarian Diet Lowers Lipids in Premenopausal Women

    RICHARD SADOVSKY

    Radiation vs. Axillary Lymph Node Sampling

    KARL E. MILLER

    Guidelines for Detecting Developmental Hip Dysplasia

    GRACE BROOKE HUFFMAN

    Obstructive Airway Disease: Which Factors Are Useful?

    GRACE BROOKE HUFFMAN

    Strategies for Identifying UTIs in Febrile Young Girls

    JEFFREY T. KIRCHNER

    Aquatic Training and Safety for Infants and Toddlers

    GRACE BROOKE HUFFMAN

    Is Helical CT Angiography a Better Screen for Pulmonary Embolism?

    KARL E. MILLER

    Information from Your Family Doctor

    Artificial Fluids and Nutrition

    If a patient isn't able to swallow because of a temporary medical problem, artificial feeding and fluids can be given until they recover.

    Cardiopulmonary Resuscitation (CPR)

    CPR may be done when a person stops breathing or the heart stops beating (like when a person has a heart attack). When it's possible that the person may recover, CPR is important.

    Information for Patients Living with Fibromyalgia

    Fibromyalgia is a common condition that causes pain in muscles, joints, ligaments and tendons. People with fibromyalgia often feel tired and stiff. They may also have trouble sleeping and may feel depressed. The symptoms of fibromyalgia are a little different in every person...

    What You Should Know About Generalized Anxiety Disorder

    Generalized anxiety disorder (GAD) causes people to be worried or tense most of the time. Sometimes, they think something terrible will happen even though there's no reason to think that it will. They may also worry about health, money, family or work. They may feel tense...

    Taking Methotrexate

    Methotrexate is a medicine that makes your immune system less active. Methotrexate is used to treat rheumatoid arthritis, psoriasis, Crohn's disease and other diseases that are associated with an immune system that is too active.

    Advance Directives and Do-Not-Resuscitate Orders

    Advance directives tell your doctor what kind of care you want if you become unable to make medical decisions (if you are in a coma, for example). If you are admitted to the hospital, the staff will probably talk to you about advance directives.

    Autopsy: Questions and Answers

    An autopsy is an exam of the body after a person has died. The purpose of an autopsy is to answer any questions about the person's illness or the cause of death. In addition, autopsies provide valuable information that helps doctors save the lives of others.

    Grieving: Facing Illness, Death and Other Losses

    Grief is a normal, healthy response to different types of losses. One of the greatest losses that can occur is the death of someone you love. Other losses that may cause grief include the loss of your health or the health of someone you care about, or the end of an important...

    Breast Pain in Women

    Breast pain is a common problem in younger women who are still having periods (menstrual cycles). It is less common in older women. The pain can be in one breast or in both. It may come and go each month, or it may last for several weeks, or even months.

    Genetic Testing for Breast Cancer Risk: What Does It Mean to Me?

    It is not known exactly what causes breast cancer, but there are certain risk factors that seem to increase a person's chance of getting the disease. It's estimated that about 10 percent of breast cancer cases are hereditary (run in the family). In many of these cases, a...

    Food Choices to Help Reduce Your Risk of Cancer

    Whole-grain breads and cereals

    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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