• Articles

    Foot Fractures Frequently Misdiagnosed as Ankle Sprains

    DANIEL B. JUDD, DAVID H. KIM

    Most ankle injuries are straightforward ligamentous injuries; however, subtle fractures can present similarly to ankle sprains. Fractures of the talar dome, lateral talar process, posterior talar process, and anterior process of the calcaneus can usually be managed...

    Tension-Type Headache

    PAUL J. MILLEA, JONATHAN J. BRODIE

    While tension-type headaches are a common condition, the pathophysiology and mechanism remain unclear. Chronic daily headaches are similar in quality to tension-type headaches but occur at least six days per week.

    Treatment of Ethylene Glycol Poisoning

    ROBERT D. SCALLEY, DAVID R. FERGUSON, JOHN C. PICCARO, MARTIN L. SMART, THOMAS E. ARCHIE

    Expeditious diagnosis and treatment of ethylene glycol poisoning can limit metabolic acidosis and renal failure. Fomepizole is a new agent for the treatment of ethylene glycol poisoning.

    Echinococcosis—An Emerging Parasite in the Immigrant Population

    MILAD CHRIEKI

    Echinococcosis is a rare infection caused by a tapeworm. The infection occurs most commonly in persons who raise sheep or cattle and have contact with dogs.

    Uterine Rupture: What Family Physicians Need to Know

    KEVIN S. TOPPENBERG, WILLIAM A. BLOCK, JR.

    Uterine rupture is a potentially catastrophic complication of vaginal birth after cesarean section that demands prompt surgical management for fetal and maternal rescue and thorough preparation to minimize poor outcomes.

    The Adult Neck Mass

    ERIC SCHWETSCHENAU, DANIEL J. KELLEY

    When an adult presents with a neck mass, malignancy is the greatest concern. Other possible causes include congenital anomalies, inflammatory or infectious conditions, traumatic injury, and metabolic or autoimmune disorders.

    Consider the Cost When Prescribing Antibiotics

    H. PHILIP SACHS

    to the editor: I enjoyed reading Drs. Oliphant and Green's comprehensive review entitled “Quinolones: A Comprehensive Review.”1 However, the premise that “Levofloxacin is an excellent first-line agent in the treatment of prostatitis” from the article and repeated in the ...

    Inside AFP

    Planning the AFP Calendar

    Janis Wright

    ILLUSTRATION BY MARK E. SCHULERAFP has a full calendar—one filled with deadlines, that is. Each issue reflects the fulfillment of hundreds of deadlines: art and editorial deadlines, production deadlines, printing deadlines, Web production deadlines. Even our deadlines have...

    Newsletter

    Newsletter

    Matthew Neff

    Senate to Take Action on Medicare Physician Payment Issue | HHS Releases $100 Million in Emergency Assistance Funds for Severe Heat | Bilingual Booklet to Assist Low-Income Familes with Health Insurance | 2002 AAFP Scientific Assembly Preregistration Deadline Is September 10 ...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather Mcneill

    Good health comes to those who wait. Patients with an upper respiratory tract infection (URTI) who delay taking antibiotics for the infection are less likely to use antibiotics, states a study published in the Journal of Family Practice. The study included 129 patients with a...

    Editorials

    Tension-Type Headache: A Challenge for Family Physicians

    ANNE D. WALLING

    Why don't tension-type headaches get more respect? They affect up to 80 percent of adults,1 are responsible for huge financial costs, and account for more than one half of the headache consultations patients have with family physicians.2 However, the amount of research and...

    Diary from a Week in Practice

    Diary from a Week in Practice

    In southern Illinois, hunting and fishing are more than popular pastimes. They are often a way of life. A retired veteran with diabetes, Leo Grakus epitomizes the deer hunters of our region. Today he recounted his latest adventure. “I was bow hunting and nailed a magnificent...

    Cochrane for Clinicians

    Screening for and Treating Asymptomatic Bacterial Vaginosis in Pregnancy

    RABIN CHANDRAN

    A 24-year-old woman, gravida 2, para 1, who has no history of preterm labor, presents at 13 weeks' gestation for prenatal care. She has no complaint of vaginal discharge.

    Photo Quiz

    Lateral Knee Pain After Aerobic Exercise

    JEFF C. LEGGIT, null M.D

    A 38-year-old woman presented with a two-month history of left lateral knee pain. The pain appeared after she had started an aerobic exercise program that combined martial arts and shadow boxing. Physical examination revealed tenderness over the lateral aspect of the...

    CLINICAL EVIDENCE CONCISE: A PUBLICATION OF BMJ PUBLISHING GROUP

    Chronic Obstructive Pulmonary Disease

    HUIB A. KERSTJENS, DIRKJE S. POSTMA

    What are the short- and long-term effects of maintenance drug treatment?

    Tips from Other Journals

    CHD Risk and Fish Consumption in Women

    GRACE BROOKE HUFFMAN

    Thyroid Hormone Effect on Hypertension, Aortic Stiffness

    RICHARD SADOVSKY

    Obesity Increases Risk of Oral Contraceptive Failure

    ANNED. WALLING

    Recognition of Nonalcoholic Fatty Liver Disease

    BILL ZEPF

    Understanding Migraine Headaches in Women

    ANNE D. WALLING

    Guidelines, Recommendations on Peanut Allergy

    BILL ZEPF

    Metformin Lowers Insulin Resistance in PCOS Patients

    RICHARD SADOVSKY

    Losartan Does More Than Lower Blood Pressure

    ANNE D. WALLING

    St. John's Wort in the Treatment of Depression

    GRACE BROOKE HUFFMAN

    Azithromycin Ineffective in Treatment of Acute Bronchitis

    ANNE D. WALLING

    Are Corticosteroids Useful in the Treatment of Sarcoidosis?

    GRACE BROOKE HUFFMAN

    Identification of Endometritis in Women with PID

    RICHARD SADOVSKY

    Beyond Enteral Feeding to Nutritional Pharmacology

    ANNE D. WALLING

    Managing Gastroesophageal Reflux Disease

    GRACE BROOKE HUFFMAN

    Intervention to Prevent Neonatal GBS Infection

    RICHARD SADOVSKY

    When to Avoid TMP/SMX for Empiric Therapy of Cystitis

    ZEPF BILL

    Update on Controversy Over Managing Abnormal Pap Smears

    ANNE D. WALLING

    Aerobic Exercise Can Reduce High Blood Pressure

    RICHARD SADOVSKY

    Drinking Tea May Increase Bone Mineral Density

    RICHARD SADOVSKY

    Practice Guidelines

    ACIP Releases 2002 Guidelines on the Prevention and Control of Influenza

    Genevieve W. Ressel

    The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has issued recommendations on the prevention and control of influenza for the 2002–2003 influenza season. This report updates the 2001 recommendations by the ACIP...

    Clinical Briefs

    Clinical Briefs

    Brian Torrey

    ATS Guidelines for the Six-Minute Walk Test | ACOG Opinion Paper on Vaginal Agenesis

    Resident and Student Voice

    Love in the Time of Medical School

    TARAYN GRIZZARD

    Birds do it. Bees do it. And, occasionally, overeducated and sleep-deprived medical students manage to do it. At some point in nearly every medical student's career, love happens. Whether it is the concept of “forever” or a momentary lapse of sanity, relationships during...

    Curbside Consultation

    A Hearing Problem

    STEVEN BARNETT

    One of my patients brought her father as a new patient to my office. The man had moved nearby after his wife's death a year ago. His daughter said she thought he was depressed, because he didn't talk as much as he used to, and he wasn't interested in “going out and doing...

    Letters to the Editor

    Letters to the Editor

    MARY ELLEN MORTENSEN

    Information from Your Family Doctor

    Tension Headaches

    A headache is called a tension headache if it causes feelings of tightness or pressure on your forehead or the sides of your head. The pain often moves into your neck and shoulders. Headaches are called chronic if you have one every day or nearly every day.

    Echinococcosis

    Echinococcosis (Say this: eh-kinno-cock-ko-sus.), also called hydatid disease, is an infection caused by eating food or water that is contaminated with the eggs of the Echinococcus worm. This worm is a microscopic tapeworm that is often found in dogs and common livestock,...



    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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