• Articles

    Common Conditions of the Achilles Tendon

    MICHAEL F. MAZZONE, TIMOTHY MCCUE

    Although problems with the Achilles tendon are increasingly common, especially in physically active persons, the diagnosis is missed in about one fourth of cases. Basic treatme nt is often helpful, but physical therapy, orthotics, and surgery may be necessary in recalcitrant...

    Adolescent Idiopathic Scoliosis: Radiologic Decision-Making

    K. ALLEN GREINER

    Most patients with adolescent idiopathic scoliosis do not require treatment, but family physicians need to understand the measurement of scoliotic curves and be able to discuss issues of cosmesis with patients and their families.

    Acute Respiratory Distress Syndrome

    MICHAEL P. MORTELLITI, HAROLD L. MANNING

    The complex pathophysiology of acute respiratory distress syndrome involves an inciting local or systemic event that initiates pulmonary endothelial and epithelial damage. Early identification and treatment of the underlying disorder and aggressive supportive care are essential.

    Neurologic Complications of Prostate Cancer

    RAMSIS BENJAMIN

    Prompt treatment with dexamethasone sodium phosphate can improve outcomes in patients with spinal cord compression caused by metastatic prostate cancer. Surgical removal of a solitary brain lesion usually extends survival. Multiple brain metastases are commonly treated with a...

    Lactose Intolerance

    DANIEL L. SWAGERTY, JR., ANNE D. WALLING, ROBERT M. KLEIN

    Lactose intolerance is a common condition with symptoms of abdominal pain, bloating, and discomfort accompanied by passage of excessive flatus and watery stool following the ingestion of foods containing lactose.

    Autoimmune Bullous Dermatoses: A Review

    KELLY M. BICKLE, TOM R. ROARK, SYLVIA HSU

    Bullous dermatoses can be debilitating and possibly fatal. Physicians should be able to recognize these blistering autoimmune diseases.

    Dermal Electrosurgical Shave Excision

    THOMAS J. ZUBER

    Dermal electrosurgical shave excision describes the technique of sharp removal of epidermal or dermal lesions by horizontal slicing. Electrosurgical feathering is then performed to eliminate sharp wound edges and contour the wound to the surrounding skin.

    Inside AFP

    2002 AAFP Annual Clinical Focus on Cancer

    Janis Wright

    The article “Neurologic Complications of Prostate Cancer” on page 1850 exemplifies the American Academy of Family Physician's 2002 Annual Clinical Focus (ACF) on cancer. The educational initiative, which focuses on cancer prevention, detection, management, support and...

    Newsletter

    Newsletter

    Rosemarie Sweeney, Matthew Neff

    New Manual Available to Assist in Compliance with HIPAA | Family Practice Match Results Show Improved Fill Rate | AMSA Encourages Students to Support Work Week Regulations Act | <i>Annals of Family Medicine</i> Announces Editors | Family Physician Named Vice-Chair of COGME

    Quantum Sufficit

    Quantum Sufficit

    Heather McNeill, Sarah Morgan

    Parents with young children in day care may take comfort in this news: All of those runny noses, coughs, and sneezes may not be in vain. According to a prospective study published in the Archives of Pediatrics and Adolescent Medicine, children in large day care centers, who...

    Editorials

    Counseling Patients About Prostate Cancer Screening

    LEWIS E. FOXHALL, ANDREW C. VON ESCHENBACH

    Although the prostate-specific antigen (PSA) test has been in widespread use as a cancer screening tool for well over a decade, early detection and treatment remain clouded by unresolved questions. The argument over the value of PSA testing in asymptomatic men has been...

    Diary from a Week in Practice

    Diary from a Week in Practice

    The events of September 11 have affected all of us in many different ways. Physicians are especially aware of the toll that terrorism has exacted. Some people now refuse to fly on airplanes. Others fear opening their mail. Suddenly ciprofloxacin (Cipro) has emerged as a more...

    Cochrane for Clinicians

    Is Alarm Intervention Effective in the Treatment of Enuresis?

    LINDA M. FRENCH

    The Cochrane Abstract is a summary of a review from the Cochrane Library. It is accompanied by an interpretation that will help clinicians put evidence into practice. Linda M. French, M.D., presents a clinical scenario and question based on the Cochrane Abstract, along with...

    Clinical Evidence Handbook

    Migraine Headache

    LUIS E. MORILLO

    What are the effects of drug treatments for acute migraine headache?

    Photo Quiz

    Swollen Tonsil

    STEVEN H. YALE, JOSEPH M. MAZZA, GWEN E. STONE

    A 75-year-old woman presented for a physical examination. Her history was significant for intermittent dysphagia. She denied any history of cigarette smoking or alcohol use. Physical examination showed a well-defined 2 cm × 3 cm submucosal mass in the left peritonsillar...

    Tips from Other Journals

    Review of Unrecognized Myocardial Infarction

    RICHARD SADOVSKY

    Is Conscious Sedation During EEG in Children Safe?

    GRACE BROOKE HUFFMAN

    Clubbing: Bedside Evaluation for Associated Conditions

    GRACE BROOKE HUFFMAN

    What Is the Best Treatment Strategy for Tennis Elbow?

    ANNE D. WALLING

    Update on Management of Childhood Asthma

    RICHARD SADOVSKY

    Clinically Important Changes in Pain Severity on VAS

    RICHARD SADOVSKY

    Evaluating Perioperative Use of Herbal Medications

    GRACE BROOKE HUFFMAN

    Delayed Thrombocytopenia Following Use of Heparin

    RICHARD SADOVSKY

    Postoperative Pneumonia After Noncardiac Surgery

    RICHARD SADOVSKY

    HRT and Cardiovascular Events After Acute MI

    KARL E. MILLER

    Glycemic Control and Self-Monitoring of Glucose Levels

    GRACE BROOKE HUFFMAN

    Review of Interventions in Adolescent Suicide

    GRACE BROOKE HUFFMAN

    Managing Panic Disorder in the Emergency Department

    RICHARD SADOVSKY

    Cognitive Behavior Treatment of Chronic Disease

    RICHARD SADOVSKY

    Antibiotics May Improve Myocardial Infarction Survival

    RICHARD SADOVSKY

    Urine Dipstick vs. Urinalysis to Identify UTIs in Women

    RICHARD SADOVSKY

    Practice Guidelines

    Revised Growth Charts for Children

    Peter Dawson

    In May, 2000, the Centers for Disease Control and Prevention (CDC) published revised growth charts for children to replace those published in 1977. The revised charts, accompanied by a technical report, are available on the Internet atwww.cdc.gov/growthcharts.

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    HTAC Report on MMR Vaccine and Autism | Health Supervision for Sickle Cell Disease | AAP Statement on Skateboard and Scooter Injuries | AHRQ Consumer Tips Sheet on Preventing Medical Errors | ACOG Opinion Paper on Placenta Accreta | CDC Report on Fluoridation of Public...

    Curbside Consultation

    Isn't This Statutory Rape?

    MARC TUNZI

    Several pregnant teenagers in my practice are underage and have boyfriends older than 18. Isn't this statutory rape? Some of these patients are immigrants who prefer to keep a low profile, not calling the attention of local authorities to themselves or their boyfriends. In...

    Letters to the Editor

    Differential Diagnosis of Acute Inhalation Anthrax

    Lorraine L. Hazard

    Effects of Benzodiazepines After Procedures in Elderly Patients

    Anne Walling, Don Caspray

    Interstitial Cystitis Is a Legitimate and Serious Condition

    Should Perindopril Be Used to Treat Patients with Heart Failure?

    Letters to the Editor

    Cervical Cancer Screening

    Information from Your Family Doctor

    Lactose Intolerance

    If you have lactose intolerance, you have trouble digesting milk, ice cream and cheese. This condition is most common among people of Asian, American Indian, Hispanic and South American, and black heritage.

    Dermal Electrosurgery Shave Excision

    Dermal electrosurgery shave excision is a procedure used to remove skin tumors and other skin growths. The technique involves shaving the growth off the skin, without penetrating the skin. Electrosurgery is used to remove any remaining tumor cells from the base of the wound,...

    Corrections

    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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