• Articles

    Management of Helicobacter pylori Infection

    LINDA N. MEURER, DOUGLAS J. BOWER

    Helicobacter pylori is the cause of most ulcer disease and a primary risk factor for cancer. Eradication of this infection, which results in ulcer healing and a reduction in complication and recurrence rates, requires completion of a 10- to 14-day multidrug regimen and close...

    Spinal Epidural Abscess: A Diagnostic Challenge

    DEARDRE CHAO, ANIL NANDA

    Spinal epidural abscess can lead to irreversible neurologic damage or death if not treated expeditiously. Actinomyces odontolyticus is a rare cause; Staphylococcus aureus is the more common cause.

    Interviewing When Family Members Are Present

    FORREST LANG, KIM MARVEL, DAVID SANDERS, DAEL WAXMAN, KATHLEEN L BEINE, CAROL PFAFFLY, ELIZABETH MCCORD

    The presence of a patient's family member at an office visit creates unique opportunities and challenges to the physician. A set of core skills and advanced skills are available for conduct effective family interview.

    Radiologic Bone Assessment in the Evaluation of Osteoporosis

    RICHARD BRUNADER, DAVID K SHELTON

    Osteoporosis is often diagnosed using measurements of bone mineral density. Common imaging modalities include dual-energy x-ray absorptiometry, quantitative computed tomography, and calcaneal ultrasonography.

    Venomous Snakebites in the United States: Management Review and Update

    GREGORY JUCKETT, JOHN G. HANCOX

    Venomous snakebite is a true medical emergency requiring immediate attention; however, recommendations regarding first aid and management of snakebite have changed radically in recent years, necessitating an update on this challenging problem.

    Assessing Oral Malignancies

    MEA A. WEINBERG, DENISE J. ESTEFAN

    Oral cancer accounts for approximately 3 percent of all cases of cancer in the United States. Sixty percent of oral cancers are well advanced by the time they are detected, despite frequent oral cavity examinations by physicians and dentists. Controversy exists over whether...

    Infant Botulism

    NADINE COX, RANDY HINKLE

    Infant botulism is caused by ingestion of Clostridium botulinum spores found in soil and honey products and should be identified and treated early to prevent respiratory failure.

    Minimal Excision Technique for Epidermoid (Sebaceous) Cysts

    THOMAS J ZUBER

    The minimal excision technique is a less invasive intervention for removal of epidermoid cysts. The minimal excision, which involves a 2- to 3-mm incision, expression of cyst contents, and extraction of the cyst wall through the incision, is a simple procedure that can be...

    Inside AFP

    AFP Author Specializes in Pests and Parasites

    Janis Wright

    Among the many excellent articles in this issue is one of several articles contributed over the years by Gregory Juckett, M.D., M.P.H., whom we've come to know as our pest specialist. “Venomous Snakebites in the United States: Management Review and Update,” written by Dr....

    Newsletter

    Newsletter

    Matthew Neff

    Crawford Is Named Deputy Commissioner of the FDA | 2004 WONCA Meeting Will Be Held in Conjunction with AAFP Scientific Assembly | President's TANF Proposal Sends Welfare Reform to Next Level | Former South Carolina Governor to Head Rural Health Committee | NRHA to Conduct...

    Quantum Sufficit

    Quantum Sufficit

    Heather McNeill, Sarah Morgan

    Some devices have a low profile. According to survey results published in Obstetrics & Gynecology, many gynecologists may have “forgotten” about intrauterine devices (IUDs) because of their infrequent use. While the IUD is a safe and effective form of contraception, only...

    Editorials

    The Clinical Importance of Defining Family

    JACK H. MEDALIE, KATHY COLE-KELLY

    The name of our discipline—family practice—implies that “family” is the focus of care.1 The definition of family varies with the clinical situation and has important clinical implications. Some family physicians care for multiple family members of differing ages. The...

    Diary from a Week in Practice

    Diary from a Week in Practice

    “We need a doctor for an emergency right away!” The message came over the two-way radio from a triage nurse inside the shelter to personnel on the mobile clinic. JOH envisioned several scenarios as he hurried to the shelter. “Was a nurse in danger?” “Was a patient seizing?” ...

    Cochrane for Clinicians

    Do NSAIDs Help in Acute or Chronic Low Back Pain?

    GLENN GRIFFIN, FRED TUDIVER, WILLIAM D. GRANT

    A 42-year-old man presents with a one-day history of moderately severe low back pain that began after he bent over to pick up a newspaper.

    Clinical Evidence Handbook

    Depressive Disorders

    JOHN R. GEDDES, ROB BUTLER

    What are the effects of treatments for depressive disorders?

    Putting Prevention Into Practice

    Screening for Skin Cancer

    REBECCA FERRINI

    A 65-year-old white man is in your office for a routine evaluation of his blood pressure. He complains of decreased urinary stream and nocturia. You notice that he has not had a rectal examination in the past two years, and you prepare to do this examination. When he has...

    Photo Quiz

    Sunken Cheeks

    RAYMOND T. KUWAHARA, ROBERT B. SKINNER, JR.

    A 55-year-old man presented to a dermatology clinic with the chief complaint of sunken cheeks (see accompanying figure), which he first noticed two months earlier. Past medical history included testing positive for human immunodeficiency virus (HIV) and taking highly active...

    Tips from Other Journals

    Angiotensin Receptor Blockers in Standard CHF Therapy

    BILL ZEPF

    HRT and Stroke Risk After Acute Myocardial Infarction

    KARL E. MILLER

    Antioxidants, Niacin, and Simvastatin in CHD

    BILL ZEPF

    Use of Naltrexone to Maintain Sobriety in Alcoholics

    BILL ZEPF

    Serotonin Reuptake Inhibitors and Gastrointestinal Bleeding

    ANNE D. WALLING

    Do Video Games Lead to Violent Behavior in Children?

    ANNE D. WALLING

    How Effective Is Sildenafil for Male Erectile Dysfunction?

    ANNE D. WALLING

    Comparing Oral Triptans in Treatment of Acute Migraine

    ANNE D. WALLING

    Do NSAIDs Have a Protective Effect in Alzheimer's Disease?

    BILL ZEPF

    Evidence-Based Approach to Febrile Seizures in Children

    ANNE D. WALLING

    Hormone Contraceptives and Bone Mineral Density

    ANNE D. WALLING

    Is Collaborative Care Better in Treatment of Panic Disorders?

    KARL E. MILLER

    Exercise to Treat Postpartum Urinary Incontinence

    ANNE D. WALLING

    Combination Therapy in Chronic Hepatitis C

    ANNE D. WALLING

    Long-Term Effects of Sexual Risk Prevention Intervention

    KARL E. MILLER

    Practice Guidelines

    Introduction to AAFP Summary of Recoommendations for Periodic Health Examinations

    Genevieve Ressel

    The American Academy of Family Physicians (AAFP) has updated the Summary of Policy Recommendations for Periodic Health Examinations. The report originated with the Commission on Clinical Policies and Research and was approved by the AAFP Board of Directors in August 1996,...

    Clinical Briefs

    Clinical Briefs

    Elaine Kierl Gangel, Monica Preboth

    Lyme Disease Vaccine Pulled from the Market | Medication Errors and Drug Name Issues | AHRQ Booklet on Staying Healthy at 50 Years and Beyond | AHRQ Report on Chronic Fatigue Syndrome | International Bug-Borne Disease Research | NCI Statement on Mammography Screening |...

    Curbside Consultation

    How Can I Help My Patient Stop Drinking?

    MARY-ANNE ENOCH

    I have a patient in her 50s with a history of alcohol abuse. My first contact with this patient was five years ago, during my residency. At that time, she was diagnosed with bleeding esophageal varices secondary to alcohol abuse. She subsequently quit drinking and remained...

    Letters to the Editor

    Treatment of Streptococcal Pharyngitis

    ANDREW M. MOHLER

    Treatment of Hansen's Disease

    WILLIAM A. ALTO

    Information from Your Family Doctor

    What Should I Know About Helicobacter pylori Infections?

    Helicobacter pylori (say: hel-lick-o-back-ter pie-lor-ee) are bacteria that can live in stomach acid. In many people, infection does not cause any symptoms. In some people, it can hurt the stomach lining, leading to gastritis (inflammation) and ulcers. Most patients with...

    Snakebite Prevention and First Aid

    Most snakebites occur between April and October, when outdoor activities are popular. You can avoid snakebites by taking the following steps:

    Protecting Oral Health During Cancer Therapy

    Cancer is treated with radiation therapy (high-energy x-rays that kill or harm cancer cells), chemotherapy (medicine used to kill cancer cells), surgery and bone marrow transplantation (replacement of the spongy tissue inside bones that is killed or harmed by chemotherapy or...

    Minimal Excision Technique for Removal of an Epidermoid Cyst

    An epidermoid cyst is a benign (not cancer), slow-growing skin growth that results from injury to a hair follicle in association with acne, from a defect in the skin or from injury to the skin beneath the skin surface. The cyst contain a cheesy yellow material. Rupture of the...

    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.


    Tag Legend

    Legend

    CME CME
    POC POC
    FREE Free
    Alg Alg
    DDx DDx
    PtEd PtEd