• Articles

    Preventive Strategies in Chronic Liver Disease: Part I. Alcohol, Vaccines, Toxic Medications and Supplements, Diet and Exercise

    THOMAS R. RILEY, III, AHSAN M. BHATTI

    Measures to prevent the progression of liver disease include complete abstinence from alcohol, vaccination against hepatitis A and B, avoidance of hepatotoxic medications and supplements, avoidance of iron supplementation (unless iron deficiency anemia is documented), and...

    Dermatomyositis

    RIC ANTHONY KOLER, ANDREW MONTEMARANO

    Dermatomyositis is an idiopathic inflammatory myopathy of unknown etiology. Early recognition and treatment are vital in decreasing the morbidity associated with systemic complications.

    Hypodermoclysis: An Alternative Infusion Technique

    MENAHEM SASSON, PESACH SHVARTZMAN

    Hypodermoclysis is a safe and simple hydration technique that is suitable for use in many hospitals and home-care situations.

    Disability Certifications in Adult Workers: A Practical Approach

    BRUCE A. BARRON

    Family physicians are frequently asked to complete disability certification forms for workers and must be familiar with disability systems to effectively address this issue.

    Charcot Foot: The Diagnostic Dilemma

    TODD C. SOMMER, THOMAS H. LEE

    A patient with neuropathic joint disease or Charcot foot can offer diagnostic and treatment challenges to the primary care physician. Early recognition of signs and symptoms, and a prompt diagnosis with immobilization of the affected limb, are necessary to prevent or minimize...

    Inside AFP

    AFP Rekindles Friendships, Purpose at AAFP's Annual Scientific Assembly

    Janis Wright

    ILLUSTRATION BY CYNTHIA J. TURNERAFP has many friends and staff around the country, including connections with Washington, D.C., and New York City. Like many other Americans, AFP's staff members have been affected by the terrorist events of September 11 and the continuing...

    Policy Center One-Pager

    Uncoordinated Growth of the Primary Care Work Force

    Family physicians, nurse practitioners and physician assistants are distinctly different in their clinical training, yet they function interdependently. Together, they represent a significant portion of the primary care work force. Training capacity for these professions has...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan

    Be careful what you swallow. Unfortunately, this was a lesson learned too late for an 86-year-old woman who presented with abdominal pain, nausea and vomiting. According to a case report in The Lancet, the woman had a history of hypertension, diabetes, chronic obstructive...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Matthew Neff

    AAFP Elects New Officers and Board Members for Upcoming Year | Publication Provides Guidelines of Physical Activity for Children | Task Force Releases New Recommendations for Management of Diabetes | IOM Issues Report on Vaccines Containing Thimerosal | HHS Awards $227...

    Editorials

    Preventive Strategies for Chronic Liver Disease

    ADRIAN M. DI BISCEGLIE

    Chronic liver disease is a major cause of death in the United States and around the world. We have come to understand that alcohol is not the only cause of cirrhosis. In fact, chronic hepatitis C virus infection is the leading cause of cirrhosis in this country. A substantial...

    Hypodermoclysis in the Treatment of Dehydration

    SUDEEP GILL, MONIDIPA DASGUPTA, PAULA ROCHON

    Hypodermoclysis, the subcutaneous infusion of fluids, has been practiced for almost a century. Despite its successful use, hypodermoclysis remains an underrecognized and underused method of rehydration. In this issue of American Family Physician, Shvartzman and Sasson1...

    Diary from a Week in Practice

    Diary from a Week in Practice

    It was one of those days when there was nowhere in the schedule to squeeze in one more patient. At 4 p.m., the receptionist asked whether she should have Barry come in. Knowing that Barry hated coming to the doctor, she suspected something was wrong. “What's the problem?” I...

    Photo Quiz

    Unusual Wrist Bruise

    MARC S. BERGER, SLOAN BETH KARVER

    A 43-year-old man presented to the emergency department after a fall backward onto his wrist, with complaints of pain in his right wrist. Radiographs showed no fracture of the wrist, metacarpals or other bones. There were no dislocations or subluxations noted. The entire...

    Cochrane for Clinicians

    Symptomatic Treatment and H. pylori Eradication Therapy for Nonulcer Dyspepsia

    JOHN SMUCNY

    A 50-year-old man presents with a history of one month of intermittent epigastric discomfort and belching. The physical examination is unremarkable. The patient has a normal hemoglobin level and tests positive for Helicobacter pylori antibody. An upper endoscopic examination...

    Tips from Other Journals

    Vascular Stenting vs. Bypass for Multivessel Disease

    BILL ZEPF

    Reducing Ischemic Events in Acute Coronary Syndrome

    GRACE BROOKE HUFFMAN

    Evidence for Management of COPD Exacerbations

    KARL E. MILLER

    Evaluation of Second-Line Therapy for Asthma

    KARL E. MILLER

    Extended-Release Medications for Overactive Bladder

    SUMI MAKKAR

    Subclavian Steal Syndrome: A Rare Cause of Syncope

    ANNE D. WALLING

    Autism: Detection, Evaluation and Interventions

    GRACE BROOKE HUFFMAN

    ‘Test-and-Scope’ Strategy Not Beneficial in Dyspepsia

    ANNE D. WALLING

    Practice Guidelines

    PHS Guidelines for Management of Occupational Exposure to HBV, HCV and HIV: Implementation for Health Care Facilities

    MONICA PREBOTH

    The U.S. Public Health Service (PHS) has updated and consolidated all of its previous guidelines and recommendations for the management of health care personnel who have occupational exposure to blood and other body fluids that might contain hepatitis B virus (HBV), hepatitis...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Report on Osteoporosis in Postmenopausal Women | Combination Hepatitis Vaccine Approved by FDA | NIA Progress Report on Alzheimer's Disease | FDA Approves Once-a-day Insulin Injection | HTAC Report on Intracoronary Brachytherapy | CDC Updates Health Information for...

    Letters to the Editor

    FRAMES Method Helps Assess Patients' Readiness to Change

    ROBYN DANIELL

    Vaginal Examination Using the Sims Position

    Information from Your Family Doctor

    Dermatomyositis and Polymyositis

    Dermatomyositis (DM) (say: derm-at-oh-my-oh-sigh-tis) and polymyositis (PM) (say: polly-my-oh-sigh-tis) are two kinds of muscle diseases. These diseases can cause pain and can make it hard for a person to get around because of muscle weakness.

    Hypodermoclysis: A Way to Replace Lost Fluids

    Hypodermoclysis (say: hi-po-dermo-cli-sis) is a way to replace lost fluids in the body. It is done when a person is too sick to drink enough water or eat enough food. A sick person might not be able to drink enough because of weakness, not wanting food or water, or if they...

    Dermatomyositis and Polymyositis

    Dermatomyositis (DM) (say: derm-at-oh-my-oh-sigh-tis) and polymyositis (PM) (say: polly-my-oh-sigh-tis) are two kinds of muscle diseases. These diseases can cause pain and can make it hard for a person to get around because of muscle weakness.

    Hypodermoclysis A Way to Replace Lost Fluids

    Hypodermoclysis (say: hi-po-dermo-cli-sis) is a way to replace lost fluids in the body. It is done when a person is too sick to drink enough water or eat enough food. A sick person might not be able to drink enough because of weakness, not wanting food or water, or if they...

    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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