• Articles

    Serum Tumor Markers

    GREG L. PERKINS, EVAN D. SLATER, GEORGANNE K. SANDERS, JOHN G. PRICHARD

    Tumor markers are most useful for monitoring response to therapy and detecting early cancer recurrence. With the exception of prostate-specific antigen, tumor markers do not have sufficient sensitivity or specificity for use in screening.

    Ivermectin Use in Scabies

    ROBERT S. FAWCETT

    Although standard topical agents are effective in treating many patients with scabies infection, oral ivermectin is an effective alternative.

    The Nature and Management of Labor Pain: Part I. Nonpharmacologic Pain Relief

    LAWRENCE LEEMAN, PATRICIA FONTAINE, VALERIE KING, MICHAEL C. KLEIN, STEPHEN RATCLIFFE

    Increased availability of nonpharmacologic methods of pain relief such as warm water baths, continuous caregiver support, and sterile-water injections could provide effective alternatives for women in labor.

    The Nature and Management of Labor Pain: Part II. Pharmacologic Pain Relief

    LAWRENCE LEEMAN, PATRICIA FONTAINE, VALERIE KING, MICHAEL C. KLEIN, STEPHEN RATCLIFFE

    Parenteral opioids and epidural analgesia are the most commonly used methods of labor pain relief in the United States, despite some questions about safety and efficacy. Nitrous oxide and paracervical block could provide a wider range of pain-relief options for women in labor.

    Pruritus

    SCOTT MOSES

    Pruritus is common in skin disorders such as xerotic eczema, atopic dermatitis, and allergic contact dermatitis. In some patients, however, it may be a sign of an underlying systemic disease.

    Cerebrospinal Fluid Analysis

    DEAN A. SEEHUSEN, MARK M. REEVES, DEMITRI A. FOMIN

    Lumbar puncture is performed frequently in primary care. Properly interpreted tests can make cerebrospinal fluid a key tool in the diagnosis of a variety of diseases. Proper evaluation of cerebrospinal fluid depends on knowing which tests to order, the normal value ranges for...

    Differential Diagnosis and Treatment of Hearing Loss

    JON E. ISAACSON, NEIL M. VORA

    More than 28 million Americans have some degree of hearing loss. The diagnosis of hearing loss includes determination of the type of loss—conductive, sensorineural, or both.

    Diagnostic Approach to Polyarticular Joint Pain

    ANNA MIES RICHIE, MARK L. FRANCIS

    A thorough history and a complete physical examination are essential in narrowing the many possible causes of polyarticular joint pain. Clinical factors that can be helpful in achieving a specific diagnosis include disease chronology, inflammation, distribution, extra...

    Inside AFP

    AFP Editors Prepare for Assembly in New Orleans

    Janis Wright

    A few weeks ago, the professional editors of AFP welcomed an assembly of medical editors to the Leawood, Kan., editorial office at the AAFP headquarters for our annual editorial board meeting. In a few weeks, some of the medical editors and professional staff editors will be...

    Newsletter

    Newsletter

    Matthew Neff

    AAFP Launches Initiative to Strengthen Patients' Voices in Congress | New Guide Available Online to Help Physicians Counsel Older Drivers | Fact Sheet Outlines Health Issues for Patients to Address with Physicians | Percentage of U.S. Children Who Receive Immunizations Is...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather McNeill

    Baby teeth are a potential source of stem cells. In a study published in the Proceedings of the National Academy of Sciences and summarized in a BMJ news brief, researchers found that the dental pulp of front incisor teeth contains robust stem cells. The researchers were able...

    Editorials

    Management of Labor Pain: Promoting Patient Choice

    LAWRENCE LEEMAN, PATRICIA FONTAINE, VALERIE KING, MICHAEL C. KLEIN, STEPHEN RATCLIFFE

    In 2001, the Nature and Management of Labor Pain symposium (see Leeman, et al.,1 in this issue) brought together family physicians, obstetrician–gynecologists, nurse-midwives, childbirth educators, and anesthesiologists for a critical analysis and discussion of systematic...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Differential diagnoses are influenced to a certain extent by our cultural experience. So, when physicians encounter patients from other cultures, it may be necessary to broaden the differential. The elderly Somali woman, a refugee in this country for two years, was...

    POEMs and Tips

    MRA vs. Ultrasonography for Carotid Stenosis

    HENRY BARRY

    Naturopathic Ear Drops Work for Ear Pain in Children

    LINDA FRENCH

    Which Diet Best Slows Diabetic Nephropathy?

    DAVID SLAWSON

    COX-2 Inhibitors Likely Safe for Aspirin-Allergic Asthma

    DAVID SLAWSON

    Effect of Artificial Nipple Use on Breastfeeding

    SUMI M. SEXTON

    Insufficient Data on Preventing Partner Violence

    CAROLINE WELLBERY

    Exercise in Patients with Deep Venous Thrombosis

    KARL E. MILLER

    Approach to Young Children with Febrile Seizures

    RICHARD SADOVSKY

    Warfarin Management with Mild Elevation of INR

    KARL E. MILLER

    Hypoalbuminemia in Acute Illness: Should We Intervene?

    RICHARD SADOVSKY

    Does Interferon Prevent Relapse in Multiple Sclerosis?

    ANNE D. WALLING

    Management of the Clinically Inapparent Adrenal Mass

    RICHARD SADOVSKY

    Six-Minute Walk Test and Functioning of Older Patients

    KARL E. MILLER

    Factors Affecting Accuracy of Mammography Screening

    RICHARD SADOVSKY

    Managing Respiratory Syncytial Virus Bronchiolitis

    RICHARD SADOVSKY

    Beta Blocker Initiation Safe and Effective in Heart Failure

    CAROLINE WELLBERY

    Distal Hyperplastic Polyps and Proximal Hyperplasia

    CAROLINE WELLBERY

    Multidose vs. Single-Dose Therapy in Ectopic Pregnancy

    ANNE D. WALLING

    Weekly Therapy Is Effective in Prevention of Osteoporosis

    ANNE D. WALLING

    Practice Guidelines

    Evaluation of Epigastric Discomfort and Management of Dyspepsia and GERD

    Barrett M. Schroeder

    The Institute for Clinical Systems Improvement (ICSI) recently published a guideline on the evaluation and management of dyspepsia and gastroesophageal reflux disease (GERD).

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    AHA Statement on Community Cardiovascular Health | CDC Report on Vaccine-Related Adverse Events | NAEPP Guidelines on Asthma Care | AGA Report on Gastroesophageal Reflux Disease | CDC Guidelines on Catheter-Related Infections

    Letters to the Editor

    Physicians Should Counsel Patients About Exercise

    GUSTAVO DE TERESA, Carolina Burgos

    There Is No Substitute for a Thorough Drug History

    Nagesh Chopra

    Cow's Milk Protein Intolerance and Childhood Constipation

    WILLIAM MORA

    Thyroid Nodules and Survivors of Hodgkin's Disease

    KEVIN C. OEFFINGER, CHARLES A. SKLAR, MELISSA M. HUDSON

    Information from Your Family Doctor

    Labor Pain: What to Expect and Ways to Relieve Pain

    Almost all women find childbirth painful. During the first stage of labor, the opening to the uterus (called the cervix) slowly opens. Pain usually is felt in the abdomen or back during contractions (labor pains). In the second stage of labor, the cervix is open, and you can...

    What Can I Do for Dry, Itchy Skin?

    Many things can make your skin itch. Dry skin, eczema, and hives can cause itching all over your body. Contact dermatitis is another cause of all-over itching. You can get this condition after your skin comes in contact with something that irritates it, such as a strong...

    Pregnancy: Prenatal Care

    Your doctor will probably start by asking you about your medical history and how you have been feeling. You will probably be weighed and have your blood pressure taken at every visit during your pregnancy. Your doctor also may listen to the baby's heartbeat at every visit,...

    Pregnancy and Exercise

    It is probably safe, but you should check with your doctor first. Although some questions have been asked about the effects of exercise on pregnant women, there is no proof that gentle exercise has any bad effects on pregnancy. Gentle exercise might help you feel better and...

    Respiratory Infections During Pregnancy

    A viral respiratory infection is a contagious illness that affects your respiratory tract (your breathing) and causes other symptoms. The flu and the common cold are examples of viral respiratory infections. Other examples of respiratory viruses are:

    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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