• Articles

    Transient Ischemic Attacks: Part I. Diagnosis and Evaluation

    NINA J. SOLENSKI

    Transient ischemic attack is considered to be a critical harbinger of impending stroke. Rapidevaluation and treatment are essential to prevent permanent disability or death.

    Transient Ischemic Attacks: Part II. Treatment

    NINA J. SOLENSKI

    Risk-factor management includes aggressive control of blood pressure, cholesterol levels, and diabetes mellitus, along with smoking cessation and weight loss as indicated. Aspirin is the preferred agent for stroke prevention in patients who do not require anticoagulation.

    Evaluation and Management of Suspected Retinal Detachment

    RAY F. GARIANO, CHANG-HEE KIM

    Retinal detachment is a relatively uncommon disorder. Early intervention may prevent permanentvision loss.

    Atypical Pathogens and Challenges in Community-Acquired Pneumonia

    KRISTOPHER P. THIBODEAU, ANTHONY J. VIERA

    Empiric treatment of community-acquired pneumonia must include antibiotics that are effective against atypical pathogens, which are implicated in up to 40 percent of cases. Challenges, in addition to misdiagnosis, include failure of outpatient management and missed...

    Shoulder Dystocia

    ELIZABETH G. BAXLEY, ROBERT W. GOBBO

    Although shoulder dystocia often occurs without warning, calm and effective management of theemergency, including the use of the HELPERR mnemonic, usually leads to successful delivery.

    Inside AFP

    AFP Adds Henry Barry, M.D., M.S., as Editorial Contributor

    Janis Wright

    AFP recently reinforced its efforts in evidence-based medicine (EBM) with the addition of a new contributing editor, Henry C. Barry, M.D., M.S., who will help evaluate and apply the SOR (strength of recommendation) labeling taxonomy to review articles. The SOR taxonomy was...

    Newsletter

    Newsletter

    Genevieve Ressel

    FDA Releases Report on Counterfeit Drug Alert Network | AAFP Supports Racial Disparities Bill | AAFP Makes EHR Presentation at Congressional Staff Briefing | AAFP Presents Testimony on ‘Care Management Fee’ Concept | HHS Awards $595 Million for AIDS Care in Major Urban Areas ...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather McNeill

    Your patients with allergies may not be thrilled that prescription-strength allergy medication is now over-the-counter (OTC), according to survey findings cited in American Medical News. Of 239 adults surveyed, more than one half said they spent more money on allergy...

    Editorials

    The ALSO Article Series

    MARK DEUTCHMAN, CHARLES J. CARTER, BARBARA APGAR

    In this issue of American Family Physician, we begin an article series based on the Advanced Life Support in Obstetrics (ALSO®) course with an article on shoulder dystocia by Baxley and Gobbo.1 The ALSO program was developed initially at the University of Wisconsin by two...

    Health Effects from Pesticide Exposure

    GEOFFREY M. CALVERT

    All Americans are exposed to pesticides. Among approximately 1,900 subjects selected in 1999 and 2000 from the National Health and Nutrition Examination Survey (NHANES) to represent the United States population six to 59 years of age, at least 90 percent of these persons had...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Afterthoughts can often make the difference in arriving at the proper diagnosis. Sarah, a patient with diabetes, was having low back pain and diarrhea. Her pain increased during each bowel movement, and never went away entirely. She had no nausea, and no dysuria or increased...

    Cochrane for Clinicians

    What Is the Best Collection Device for Screening Cervical Smears?

    MICHAEL SCHOOFF, ANDREA LAWLOR

    A 30-year-old woman comes in for an annual examination and Papanicolaou (Pap) smear. You want to collect the sample in a way that ensures the best possibility of finding any abnormal cells.

    CLINICAL EVIDENCE CONCISE: A PUBLICATION OF BMJ PUBLISHING GROUP

    Bipolar Disorder

    JOHN R. GEDDES

    One randomized controlled trial (RCT) in people with bipolar type I disorder experiencing a manic episode found that lithium increased the proportion of people who responded after three to four weeks compared with placebo. One systematic review found that lithium increased...

    Putting Prevention Into Practice

    Screening for Prostate Cancer

    KENNETH FINK, BARBARA CLARK

    DS, a 55-year-old African-American man, comes into your office for a physical examination. While talking about his family history, you learn that his father had prostate cancer. DS asks if he should be tested for prostate cancer. Before counseling him, you review the U.S....

    Clinical Inquiries

    Do Vitamin C Supplements Reduce Cardiovascular Disease Mortality?

    DOUG AUKERMAN

    Do vitamin C supplements reduce mortality in patients with cardiovascular disease?

    Photo Quiz

    Sinusitis and Renal Failure in an Elderly Patient

    DINKAR KAW, DOUGLAS WASHING, KULWANT SINGH MODI, PANDURANGA S. RAO

    A 78-year-old woman presented to the emergency department with complaints of malaise, decreased urine output, and lower extremity swelling for one month. She said that she looked “different” (Figure 1). She was treated for sinusitis two months earlier with ciprofloxacin and...

    Patient Information Collection

    Anorexia Nervosa

    Eating Disorders

    Sports and Women Athletes: The Female Athlete Triad

    POEMs

    Intra-articular Hyaluronic Acid for Knee Osteoarthritis

    DAVID SLAWSON

    Does Adding Liothyronine to Levothyroxine Help Patients?

    DAVID SLAWSON

    Follow-up Culture in Children with UTI Yields Nothing

    HENRY BARRY

    Are Antidepressants Effective for Chronic Low Back Pain?

    HENRY BARRY

    Tips from Other Journals

    Long-Term Sequelae of Breast Cancer Treatment

    BILL ZEPF

    Exercise Testing as a Predictor of Mortality in Women

    CAROLINE WELLBERY

    Using Guggulipid to Lower High Cholesterol Levels

    CAROLINE WELLBERY

    Update: Giant Cell Arteritis and Polymyalgia Rheumatica

    RICHARD SADOVSKY

    Managing Ovarian Cysts in Postmenopausal Women

    ANNE D. WALLING

    Risk Classification for Stroke, Death, and Atrial Fibrillation

    CAROLINE WELLBERY

    Inhaled Flunisolide for Management of Acute Asthma

    KARL E. MILLER

    Improving Osteoporosis Care Following Hip Fracture

    Richard Sadovsky

    Local Anesthesia Preferred for Groin Hernia Repair

    ANNE D. WALLING

    Long-Term Effect of Intensive Treatment on Nephropathy

    CAROLINE WELLBERY

    Role of Pneumatic Otoscopy in Diagnosing Ear Infections

    CAROLINE WELLBERY

    Dyslipidemia in Patients on HIV Drug Therapy

    BILL ZEPF

    Good News and Bad News on Screening for Alcohol Abuse

    ANNE D. WALLING

    No Role for Influenza Vaccine in Preventing Otitis Media

    CAROLINE WELLBERY

    Preventing Running Injuries

    ANNE D. WALLING

    Low-Dosage Oral Morphine Relieves Refractory Dyspnea

    ANNE D. WALLING

    Candesartan Improves Outcomes in Chronic Heart Failure

    ANNE D. WALLING

    A Watchful Waiting Prescription for Otitis Media

    CAROLINE WELLBERY

    Erythropoietin Improves Anemia but Not Cancer Control

    ANNE D. WALLING

    Anticoagulation Risks in Atrial Fibrillation

    BILL ZEPF

    HAART and Patients with HIV Infection

    ANNE D. WALLING

    Effect of Cannabinoid on Chronic Neuropathic Pain

    CAROLINE WELLBERY

    Practice Guidelines

    ACS Releases Guidelines on Nutrition and Physical Activity During and After Cancer Treatment

    Matthew J. Neff

    The American Cancer Society (ACS) issued a report discussing optimal nutrition and physical activity issues during the phases of cancer treatment and recovery, living after recovery from treatment, and living with advanced cancer. The full report appeared in the September...

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    Update on Pneumococcal Conjugate Vaccine Shortage | Strength Training Among Older Adults | Pneumonia Calculator for PDAs | Strength Training Recommendations for Older Adults

    Curbside Consultation

    Conflict with a Consultant

    RICHARD W. LORD

    I have a 26-year-old patient whose first child was born at 30 weeks and survived; she then lost a second child in a miscarriage at 18 weeks. Currently, she is 20 weeks pregnant, and she very much wants this pregnancy to progress successfully. So far, everything has gone well...

    Letters to the Editor

    Tolerance and Dependence Risk with the Use of Carisoprodol

    CRAIG HEACOCK, MARK S. BAUER

    Atypical Laryngeal Dystonia Caused by an Antiemetic

    OLIVER FREUDENREICH

    Information from Your Family Doctor

    Strokes and TIAs

    A stroke happens when too little blood flows to the brain. With too little blood flow, the brain does not get enough oxygen and important nutrients.



    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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