• Articles

    Common Acute Hand Infections

    DWAYNE C. CLARK

    Infections of the hand, such as paronychia, felon, herpetic whitlow, and pyogenic flexortenosynovitis, and infections caused by clenched-fist injuries can result in significant morbidity ifnot appropriately diagnosed and treated.

    Diagnosis of Systemic Lupus Erythematosus

    JAMES M. GILL, ANNA M. QUISEL, PETER V. ROCCA, DENE T. WALTERS

    The diagnosis of systemic lupus erythematosus requires the presence of four of 11 clinical and laboratory criteria. Antinuclear antibody titer, the primary laboratory test used to diagnose the disease, has limitations and should be obtained only in patients with unexplained...

    Amiodarone: Guidelines for Use and Monitoring

    LYLE A. SIDDOWAY

    Family physicians must consider potential drug toxicity and interactions in patients who are receiving long-term amiodarone therapy.

    Returning to Work While Breastfeeding

    FRANCES BIAGIOLI

    Breastfeeding rates in the United States have improved but remain below the Healthy People 2010 goals. A breastfeeding plan can help working mothers anticipate logistical problems and devise practical pumping schedules.

    Approach to the Adult Patient with Fever of Unknown Origin

    ALAN R. ROTH, GINA M. BASELLO

    Fever of unknown origin in adults is defined as a persistent temperature higher than 38.3°C (100.9°F) with no obvious source. A cost-effective, individualized approach is essential in the evaluation of these patients.

    Inside AFP

    Support for Breastfeeding Mothers

    Janis Wright

    On page 2199 of this issue, you'll find an article titled “Returning to Work While Breastfeeding,” by Frances Biagioli, M.D., Oregon Health & Science University of Medicine, Portland. Dr. Biagioli provides a review of breastfeeding that will help family physicians provide...

    Newsletter

    Newsletter

    Matthew Neff

    AAFP Releases Recommended Adult Immunization Schedule | NRMP Requires Residency Programs to Reveal Contract Terms | CDC Report Shows Decline in U.S. Pregnancy Rate, Births, and Abortions | HHS Launches Effort to Identify Undiagnosed Cases of Diabetes | NCI, FDA Partner on Two...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather McNeill

    Dark chocolate might reduce blood pressure? Now that would be a good thing! As reported in a research letter published in JAMA, 13 adults with untreated mild hypertension were randomly assigned to receive polyphenol-rich dark chocolate bars or polyphenol-free white chocolate...

    Editorials

    Breastfeeding and Returning to Work in the Physician's Office

    DAVID MEYERS

    A young family physician recently returned to practice after taking a two-month maternity leave. She was grateful to her two male senior partners for allowing her to be at home with her first child. Although being away from her infant was difficult, she was excited about...

    Diary from a Week in Practice

    Diary from a Week in Practice

    A history of cough and fever for a week was the chief complaint of Victor, a young man who was the last patient of the day. But, he also complained of fatigue and malaise for at least two months. The reasons became more evident as he told his story. A native of Columbus,...

    Cochrane for Clinicians

    Does Metformin Improve Clinical Features of Polycystic Ovary Syndrome?

    MELISSA NOTHNAGLE, JULIE SCOTT TAYLOR

    A 30-year-old nulliparous woman who recently was diagnosed with polycystic ovary syndrome wants to become pregnant. Her body mass index (BMI) is 31.4 kg per m2, and her low-density lipoprotein (LDL) cholesterol level is 154 mg per dL (4.0 mmol per L).

    CLINICAL EVIDENCE CONCISE: A PUBLICATION OF BMJ PUBLISHING GROUP

    Influenza

    LUCY HANSEN

    One systematic review and three additional randomized controlled trials (RCTs) have found that oral amantadine reduces the duration of influenza A symptoms by about one day compared with placebo. We found insufficient evidence about adverse effects in this setting. We found...

    STEPS

    Escitalopram (Lexapro) for Depression

    SANTHI MASILAMANI, SARA C. RUPPELT

    Synopsis: Escitalopram (Lexapro) is the active s-enantiomer of the selective serotonin reuptake inhibitor (SSRI), citalopram (Celexa). It is labeled for the treatment of major depressive disorder.

    Photo Quiz

    Linear Lesions on the Face

    ADRIENNE M. MOORE, SUEPHY C. CHEN

    A 19-year-old woman presented one day after a week-long vacation in Ecuador with a cutaneous eruption localized to her face. In Ecuador, she swam in the Amazon River, ate fresh limes, was bitten by mosquitoes, and painted her face with a yellow pigment from the root of an...

    POEMs and Tips

    Is the Four-Glass Test for Prostatitis Useful?

    DAVID SLAWSON

    Aspirin Prevents Preeclampsia and Complications

    LINDA FRENCH

    Spinal Manipulation for Low Back Pain

    ALLEN F SHAUGHNESSY

    Glucosamine and Chondroitin for Osteoarthritis

    ALLEN F. SHAUGHNESSY

    Hydroxyurea Improves Mortality Rates in Sickle Cell Anemia

    CAROLINE WELLBERY

    Natriuretic Peptide Levels Aid in Identifying Cause of Dyspnea

    RICHARD SADOVSKY

    Efficacy of Eplerenone for Treatment of Heart Failure

    BILL ZEPF

    Omega-3 Fatty Acid and Heart Disease in Diabetic Women

    SUMI M. SEXTON

    Anticholinergic Therapy for Overactive Bladder Symptoms

    ANNE D. WALLING

    Anticholinergic Therapy for Overactive Bladder Symptoms

    ANNE D. WALLING

    COER Verapamil Is Ineffective in Preventing CV Disease

    CAROLINE WELLBERY

    Update on Pneumococcal Antibiotic Resistance

    BILL ZEPF

    Metformin for Polycystic Ovary Syndrome

    ANNE D. WALLING

    Effect of NSAIDs on Lung Cancer Incidence

    BILL ZEPF

    Hypertension in Pregnancy Signals Hypertension Later

    ANNE D. WALLING

    Practice Guidelines

    ACIP Releases Recommendations for Use of Live, Attenuated Influenza Vaccine

    Genevieve W. Ressel

    The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has released a supplement to the 2003 recommendations regarding prevention and control of influenza. The report summarizes guidelines for using intranasally...

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    AHRQ Criteria on Disability in Infants and Children | CDC Guidelines for Infection Control | New Web Site on Hormone Therapy | FDA Approval

    Letters to the Editor

    No Data to Show Link Between Opioid Abuse and Heroin Use

    Information from Your Family Doctor

    Returning to Work While Breastfeeding

    Breastfeeding is good for your baby—and for you. It provides the best nutrition for your baby and protects your baby against many illnesses. The American Academy of Family Physicians, along with other physician and public health groups, recommends that babies be breastfed or...



    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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