• Articles

    Evaluating the Child with Purpura

    ALEXANDER K.C. LEUNG, KA WAH CHAN

    Purpura can be the sign of a relatively benign condition or the manifestation of a serious underlying disorder. It may occur secondary to thrombocytopenia, platelet dysfunction, a coagulation deficiency or a vascular defect.

    The Abdominal Wall: An Overlooked Source of Pain

    SAUD SULEIMAN, DAVID E. JOHNSTON

    The abdominal wall is often overlooked as a source of pain. If a hernia or other structural disease is excluded, injection of a local anesthetic with or without a corticosteroid into the pain trigger point can be diagnostic and therapeutic.

    Impact of Anorexia, Bulimia and Obesity on the Gynecologic Health of Adolescents

    MARJORIE E. KAPLAN SEIDENFELD, VAUGHN I. RICKERT

    The most common menstrual disorders in patients with anorexia, bulimia and obesity are amenorrhea, oligomenorrhea and irregular menses, respectively.

    The V-Y Plasty in the Treatment of Fingertip Amputations

    EDWARD A. JACKSON

    The V-Y plasty repair technique of fingertip amputations can be learned and applied easily in the family practice setting.

    Tick-borne Diseases

    ANDY GAYLE, ERIKA RINGDAHL

    Tick-borne illnesses usually present with nonspecific symptoms and can be difficult to recognize. Although preventing tick bites is the best method for preventing these diseases, knowing the common presentation, diagnostic options and treatments available can help the...

    Inside AFP

    AFP Prepares to Adopt Strength-of-Evidence Labeling

    Janis Wright

    AFP has long been known for clinical updates that provide diagnostic and treatment recommendations drawn from the best available evidence. Now AFP is planning to introduce a rating system that will identify the strength of evidence for key clinical recommendations contained...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    According to an item published in a recent issue of America's Pharmacist, the incidence of America ns who self-medicate is on the rise. Results of a study conducted for the Consumer Health Products Association indicate that nearly 80 percent of Americans used over-the-counter...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Matthew Neff

    Secretary Thompson Announces Reorganization and Name Change for HCFA | NRC Urges Routine Childhood Screening for Autism | HHS Initiative Aims to Increase Access to Prescription Drugs | HRSA Grants Will Increase Number of Health Professionals in Needy Areas | Americans View...

    Editorials

    Challenges in Eating Disorders: Past and Present

    JOSIE L TENORE

    Eating disorders are a complex group of illnesses that often are seen in the adolescent female population. During the past three decades, the prevalence of eating disorders has increased dramatically; currently, the overall incidence is approximately 5 percent.1,2 Although...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Today, JTL received a letter from a former intern, Susan Hawn, who he remembered from his days as a member of the family practice faculty. Dr. Hawn expressed how she has enjoyed every minute of solo practice in her hometown in rural Georgia. JTL hopes that there are medical...

    Cochrane for Clinicians

    Should We Prescribe Antibiotics for Acute Otitis Media?

    CHARLES B. EATON

    Based on this review and the systematic reviews of Rosenfeld and Kozyrskyj, antibiotics appear to play a small but potentially useful role in the treatment of acute otitis media in children. Antibiotics produce a reduction in pain at two to seven days but have no effect on...

    Photo Quiz

    Pitted Palms and Fingers

    SYLVIA HSU, JO ANN LEE

    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, January 2001, p. 36.) Approximately 10 percent of men and 4 percent of women have renal calculi and 60 to 80 percent experience at least one recurrent episode. Peak incidence is between 20 and 50 years of age. The stone should always be...

    Practice Guidelines

    Principles of Appropriate Antibiotic Use: Part II. Nonspecific Upper Respiratory Tract Infections

    GENEVIEVE RESSEL

    Widespread use of antibiotics in agriculture, increased antibiotic use in children and excessive use of antibiotics in adults have caused an increase in antibiotic-resistant organisms in the past decade. To address this issue, the Centers for Disease Control and Prevention ...

    American Heart Association Scientific Statement on the Primary Prevention of Ischemic Stroke

    JOANNE CHATFIELD

    The American Heart Association (AHA) has issued a scientific statement on the primary prevention of ischemic stroke. The scientific statement includes an overview of established and potential risk factors and recommendations.

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Use of Helical CT for Lung Cancer Screening | FDA Approves Treatment With Botulinum Toxin Type A

    Curbside Consultation

    A Case of Physician Burnout

    MARSHALL ZASLOVE

    Monday morning. A waiting room full of walk-in patients. A patient in pain who says, “Fix this now.” And a physician who wonders if he is going to have to leave clinical practice, defeated by the stress and the hassles. How many things can we find wrong in this everyday...

    Letters to the Editor

    Comments on Spiritual Assessment and Medicine

    Tips from Other Journals

    Routes of Administration for Meningococcal Vaccine

    BILL ZEPF

    Stopping Thyroid Hormone Replacement in the Elderly

    JEFFREY T. KIRCHNER

    A New Test to Detect and Differentiate Dementias

    SUMI MAKKAR

    Weekly Interferon Effective in Treatment of Hepatitis C

    JEFFREY T. KIRCHNER

    Whey Hydrolysate in Reducing Infantile Colic

    GRACE BROOKE HUFFMAN

    Postmenopausal HRT and Cardiovascular Disease Risk

    RICHARD SADOVSKY

    Information from Your Family Doctor

    What You Should Know About Tick-borne Diseases

    Tick-borne diseases are a group of illnesses that people get from tick bites. They occur in all areas of the United States and affect people of all ages. These diseases are more common in the spring and summer months when tick bites are more common. Some of the common tick...

    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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