• Articles

    Evaluating the Child for Sexual Abuse

    SHEELA L. LAHOTI, NATALIE MCCLAIN, REBECCA GIRARDET, MARGARET MCNEESE, KIM CHEUNG

    It is estimated that 12 to 25 percent of girls and 8 to 10 percent of boys have been sexually abused by the time they are 18 years of age. The majority of sexually abused children do not have diagnostic physical findings on examination; therefore, a thorough history is important.

    Osteoporosis: Part I. Evaluation and Assessment

    JEANNETTE E. SOUTH-PAUL

    Osteoporosis is a common, usually silent, clinical condition that is best approached through prevention to avoid long-term, devastating consequences. Part I of this two-part article addresses the evaluation and assessment of osteoporosis.

    Ergogenic Aids: Counseling the Athlete

    DALE M. AHRENDT

    Growing numbers of amateur and professional athletes are taking supplements to enhance performance. Some of these products may have serious, even fatal, adverse effects.

    Otitis Externa: A Practical Guide to Treatment and Prevention

    ROBERT SANDER

    Excessive moisture and trauma to the external auditory canal are the two most common precipitants of otitis externa.

    What You Should Know About Osteoporosis

    Osteoporosis is weak bones.

    Inside AFP

    Introducing AFP's Online CME Cases

    Janis Wright

    If you blinked lately, you might have missed a new opportunity to earn CME credit online at the AAFP Web site. AFP online CME cases have become a reality and can be found atwww.aafp.org/afp/cases/. But just what are these online cases?

    Newsletter

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    Senate Confirms Tommy Thompson to Head DHHS | AAFP Launches Public Awareness Campaign | AAFP Offers Plan for Expanding Health Care Coverage | New Resources Offered on Preventing Youth Violence | Health Care Issues at Forefront of Voters' Minds, Survey Reports | Participants...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan

    Don't leave the hospital without it. A University of California at Los Angeles study published in Circulation found that only 32 percent of heart attack survivors are prescribed cholesterol-lowering medication when leaving the hospital, yet clinical trials show that these...

    Editorials

    Ergogenic Aids: Powders, Pills and Potions to Enhance Performance

    MARK B. STEPHENS

    Americans spend several billion dollars annually on nutritional supplements. Roughly one half of the U.S. population has used some form of nutritional supplement, often on an ongoing basis.1 Supplement use extends from infancy into old age and crosses lines of gender and...

    Evaluating Children for Possible Sexual Abuse

    JOYCE A. ADAMS

    In this issue of American Family Physician, Lahoti and colleagues1 provide a useful approach to the medical evaluation of the child victim of alleged sexual abuse. Over the past 20 years, much has been learned about the presentation of sexual abuse. The vast majority of...

    Policy Center One-Pager

    Toxic Cascades: A Comprehensive Way to Think About Medical Errors

    Current thinking about threats to patient safety caused by medical errors is often focused on the immediate consequences of mistakes in the hospital setting that affect specific aspects of care, such as testing procedures or medications. Some mistakes, however, become...

    Diary from a Week in Practice

    Diary from a Week in Practice

    “To know diabetes is to know medicine.” JRH has had the opportunity many times to recall this adage, taught by one of his professors at the University of Miami. Today revealed one more facet of this story. After being called to the bedside of an unusually confused patient,...

    Photo Quiz

    Suspicious Ulcers in the Colon

    MUMTAZ JAHAN, GLORIA ACHARA, DOUGLAS REICH

    A 72-year-old Guyanese man who had lived in New York City for six years presented with a history of weakness, dizziness, decreased appetite and weight loss of 10 to 15 lb in two weeks. The patient had an unremarkable past medical history, was afebrile on admission and denied...

    Tips from Other Journals

    Docusate Sodium for Use as a Ceruminolytic Agent

    RICHARD SADOVSKY

    Counseling Parents About Pacifier Use in Infants

    GRACE BROOKE HUFFMAN

    Norethindrone Acetate and Endometrial Hyperplasia

    ANNE D. WALLING

    A Two-Dose Schedule for Hepatitis A and B Vaccination

    RICHARD SADOVSKY

    Palliative Chemotherapy in Advanced Colorectal Cancer

    ANNE D. WALLING

    Using Garlic as a Treatment for High Cholesterol Levels

    RICHARD SADOVSKY

    Diagnosis and Treatment of Deep Venous Thrombosis

    RICHARD SADOVSKY

    Distinguishing Necrotizing from Nonnecrotizing Fasciitis

    RICHARD SADOVSKY

    Joint Injury and Subsequent Development of Osteoarthritis

    RICHARD SADOVSKY

    Nitroglycerin Spray in Treatment of Uterine Inversion

    JEFFREY T. KIRCHNER

    Helicobacter pylori Treatment for Nonulcer Dyspepsia

    ANNE D. WALLING

    St. John's Wort in the Treatment of Depression

    ANNE D. WALLING

    Family Practice International

    Family Practice International

    Anne D. Walling

    (Australia—Australian Family Physician, September 2000, p. 839.) Anal fissures are splits in the anal mucosa immediately within the anal verge. Severe pain during defecation is common and the pain may persist for several hours. Bright red bleeding is also common. Most...

    Practice Guidelines

    ATS Adopts Diagnostic Standards for Tuberculosis

    SHARON SCOTT MOREY

    The American Thoracic Society (ATS) and the Centers for Disease Control and Prevention (CDC) have developed standards for the diagnosis and classification of tuberculosis. The 20-page document was prepared “to provide a framework for… the diagnostic approaches to tuberculosis...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Clinical Guidelines on Diabetic Foot Disorders | FDA Approves the Use of Oseltamivir in Children | Scientific Exhibit Deadline for AAFP Assembly | Risk of Driving in Patients with Alzheimer's Disease | Call for Papers of Family Practice Research Presentations

    Curbside Consultation

    A Major Medical Error

    ALBERT W. WU

    My patient, an 82-year-old man who had smoked cigarettes for 60 years, was admitted to the hospital for exacerbation of chronic obstructive pulmonary disease (COPD). A chest radiograph was obtained the day of his discharge, and a small density was noted by the radiologist....

    Letters to the Editor

    Pharmacotherapy for Nonmalignant Pain

    ROBERT L BARKIN

    Nutritional Supplements and Treatment of Osteoarthritis

    KENNETH N. WOLINER

    Information from Your Family Doctor

    Otitis Externa (OE)

    Otitis externa (OE) is an infection of the ear canal. Because the canal is dark and warm, it can easily get infected with bacteria (germs) and fungus.



    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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