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 ...

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

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

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...

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

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...

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.

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...

Chronic Obstructive Pulmonary Disease

HUIB A. KERSTJENS, DIRKJE S. POSTMA

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

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

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

Brian Torrey

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

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...

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

MARY ELLEN MORTENSEN

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,...