DAVID K. TUROK, STEPHEN D. RATCLIFFE, ELIZABETH G. BAXLEY
The path is unclear for the family physician trying to provide evidence-based care to women with gestational diabetes. This article uses objective data to help guide clinical decision-making, acknowledging when recommendations are based on expert opinion.
MARC A. RIEDL, ADRIAN M. CASILLAS
Although adverse drug reactions are common, identifying a true drug hypersensitivity or drug allergy can be challenging.
DEAN THOMAS SCOW, ELLEN G. SMITH, ALLEN F. SHAUGHNESSY
Although the combination of an angiotensin-converting enzyme inhibitor and an angiotensin-receptor blocker theoretically may benefit patients with heart failure, most patients who take combination therapy will not experience marked improvement in symptoms or quality of life.
ROGER J. ZOOROB, JAMES S. CAMPBELL
Dyspnea is a common problem in the outpatient primary care setting. Establishing a diagnosis can be challenging because dyspnea is a presenting symptom of many diagnostic entities.
JEFFREY STOVALL, FRANK J. DOMINO
This article reviews risk factors, assessment strategies, and risk-appropriate interventions that may help family physicians prevent suicide.
Our recent travels to the 2003 AAFP Annual Scientific Assembly in New Orleans gave us an opportunity to talk to many of our readers. As I mentioned in a previous column, we spent some time talking to readers at the publications division booth on the exhibit hall floor and...
AAFP Selects New Officers and Board Members for Upcoming Year | AAFP Establishes Center for Health Information Technology | HHS Creates Six National Centers of Excellence in Women's Health | Arizona Physician Chosen AAFP Family Physician of the Year
Sarah Evans, Heather McNeill
When riding in cars, children older than four years are safer in belt-positioning booster seats. In a cross-sectional study published in JAMA, researchers collected data on injuries to children four to seven years of age from insurance claims records and telephone surveys in...
KELLY A. GEBO, ERIC B. BASS
In June of 2002, the National Institutes of Health (NIH) convened a consensus development conference on the management of hepatitis C.1 This conference differed from a previous conference2 on management of hepatitis C by including presentations from a detailed systematic...
CHERYL A. FLYNN, Y.C. CHRISTINE CHEN
A 40-year-old man is in counseling for generalized anxiety disorder (GAD). He asks about pharmacotherapeutic treatment options, expressing a desire to avoid addictive medications.
For the past several years, Mr. and Mrs. Benedict have spent the winter months vacationing in the southwestern United States. This year, the 80-year-old couple was driving their pick-up truck back to Illinois when they encountered some ferocious weather in New Mexico. Wind...
PAUL EMERY, MARIA E. SUAREZ-ALMAZOR
One systematic review has found that hydroxychloroquine reduces disease activity and joint inflammation compared with placebo in people with rheumatoid arthritis. We found insufficient evidence about effects on functional status. One systematic review found no consistent...
Synopsis: Atomoxetine (Strattera) is a new, nonstimulant medication approved for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children and adults. Unlike methylphenidate and dextroamphetamine, which act primarily by blocking the reuptake of dopamine,...
MARK H. EBELL
How likely is cirrhosis in a patient with hepatitis C?
RAYMOND T. KUWAHARA, RAASHID HAQUE
A 25-year-old man presented to the dermatology clinic with a one-week history of intensely pruritic lesions on the hands and penis. The lesions appeared about the same time in both areas (see accompanying figure). The patient had one sexual partner who denied having any skin...
ALLEN F. SHAUGHNESSY
ALLEN F. SHAUGNESSY
ANNE D. WALLING
The American Thoracic Society (ATS), the Centers for Disease Control and Prevention (CDC), and the Infectious Diseases Society of America (IDSA) recently published a joint statement of recommendations for the treatment of tuberculosis in settings where mycobacterial cultures,...
Carrie Morantz, Brian Torrey
AHRQ Report on Treatment of Parkinson's Disease | CDC Information on Moonflower Intoxication | Guide to Assessing and Counseling Older Drivers | FDA Advisory
Current guidelines recommend initial Papanicolaou (Pap) tests three years after females become sexually active or at age 21 in sexually inactive women.1 My patients seem comfortable when I tell them they don’t need annual Pap smears. Yet, in teaching settings and among...
Gestational diabetes is a kind of diabetes some women get during pregnancy. (Say: jess-tay-shun-al die-ah-bee-tees) If you have gestational diabetes, your body cannot use glucose (blood sugar) the way it should. Too much sugar stays in your blood.
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