Abnormal Uterine Bleeding

JANET R. ALBERS, SHARON K. HULL, ROBERT M. WESLEY

In women of childbearing age who have abnormal uterine bleeding, a careful history, physical examination, and laboratory evaluation may rule out etiologies such as pregnancy, medications, iatrogenic causes, systemic conditions, and genital tract pathology. Dysfunctional...

Identifying the Vector of Lyme Disease

VINCENT LO RE, III, JAMES L. OCCI, ROB ROY MACGREGOR

Lyme disease is the most common vector-borne illness in the United States. Identification of the type of tick attached to a person is crucial in determining the proper treatment.

Hand and Wrist Injuries: Part I. Nonemergent Evaluation

JAMES M. DANIELS, II, ELVIN G. ZOOK, JAMES M. LYNCH

A systematic examination of the hand and wrist, based on an understanding of anatomy and biomechanics, allows physicians to identify many common injuries and reduces the likelihood of a missed diagnosis.

Hand and Wrist Injuries: Part II. Emergent Evaluation

JAMES M. DANIELS, II, ELVIN G. ZOOK, JAMES M. LYNCH

Physicians must be able to evaluate, triage, and stabilize emergent hand injuries such as vessel laceration, amputation, injection injuries, bites, and open fractures. Physical examination and assessment of distal function are essential before obtaining surgical consultation.

Impaired Glucose Tolerance and Impaired Fasting Glucose

SHOBHA S. RAO, PHILLIP DISRAELI, TAMARA MCGREGOR

Lifestyle interventions, including dietary changes, weight loss, and exercise, can delay or prevent progression to type 2 diabetes in patients with impaired glucose tolerance.

Screening for Obesity in Adults: Recommendations and Rationale

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for obesity in adults based on the USPSTF's examination of evidence specific to obesity and overweight in adults. It updates the 1996 recommendations contained in the Guide...

From Tick Bite to Fight Bite: Are You Ready for Room 7?

Janis Wright

April is career month for many students, and later this month local students will be visiting the American Academy of Family Physicians for Take Your Children to Work Day. We're hoping our children will learn more about family medicine and possibly even consider a career in...

Newsletter

Genevieve Ressel

AAFP and AAP Release Acute Otitis Media Guideline | HHS Releases FDA Report on Combating the Obesity Epidemic | NIDDK Sponsors Clinical Trial Focusing on Type 2 Diabetes in Youth | FDA Warns Manufacturers to Stop Distributing Products Containing Andro | HHS Launches Campaign...

Quantum Sufficit

Sarah Evans, Heather McNeill

Television viewing can be reduced in children, according to the results of a randomized controlled study published in the Archives of Pediatrics & Adolescent Medicine. Viewing time was reduced by three hours per week in children in eight preschool and day care centers in...

Metabolic Syndrome: Early Identification and a Proactive Approach Are Warranted

IGNACIO DE ARTOLA, JR.

Hardly an issue of any primary care medical journal, including this issue of American Family Physician, can be opened without encountering an article on type 2 diabetes, dyslipidemia, or hypertension. Furthermore, newspapers and television news shows are replete with reports...

Diary from a Week in Practice

“Always think twice when adjusting thyroid doses,” KS advised the fourth-year medical student. They were discussing the case of a 46-year-old woman who had been on levothyroxine for several years. The student planned to decrease her dose of medication in response to an...

Preoperative Evaluation for Noncardiac Surgery

MARK H. EBELL

Can this patient safely undergo noncardiac surgery?

Teriparatide (Forteo) for Osteoporosis

ORALIA V. BAZALDUA, JAN BRUDER

Synopsis: Teriparatide (Forteo) is a synthetic human parathyroid hormone labeled for use in men and postmenopausal women with osteoporosis who are at high risk of fractures. It activates osteoblasts to stimulate new bone formation.

Acute Shortness of Breath After Transfusion

DARIN L. DINELLI, ROBERT D. MENZIES

A 74-year-old man with a three-month history of worsening anemia was admitted for a transfusion of two units of packed red blood cells. The patient tolerated the first unit without difficulty. Before the second unit finished infusing, he developed shortness of breath, chills,...

Metformin-Induced Lactic Acidosis Is Found to Be Rare

ALLEN F. SHAUGHNESSY

Ximelagatran and Risk of Stroke in Atrial Fibrillation

HENRY BARRY

Care Recommendation Letter for Somatization Disorder

MARK EBELL

Annual Proteinuria Screening Is Not Cost-Effective

DAVID SLAWSON

Does Asthma Adversely Affect Pregnancy Outcomes?

ANNE D. WALLING

d-dimer Assay for Diagnosis of Deep Venous Thrombosis

BILL ZEPF

Optimal Time to Initiate Cereal Exposure in Infants

CAROLINE WELLBERY

Can Vaccines Containing Thimerosal Cause Autism?

CAROLINE WELLBERY

New Scoring System Predicts Prognosis in Breast Cancer

ANNE D. WALLING

Preventing Coronary Disease with Antibiotics

CAROLINE WELLBERY

ACS Guidelines for Early Detection of Cancer

Carrie Morantz

The American Cancer Society (ACS) has released its annual recommendations for the early detection of cancer. The report was published in the January/February 2004 issue of CA: A Cancer Journal for Clinicians and is available online at: http://caonline.amcancersoc.org/cgi...

Clinical Briefs

Carrie Morantz, Brian Torrey

CDC Report on Disease Characteristics | AHA Guidelines on Cardiovascular Disease | CDC Information on Ricin | MRI in Suspected MS

Treatments for Patients Exposed to Bioterrorism Agents

Alternatives to Ear Syringing for Removal of Earwax

Abnormal Uterine Bleeding

Abnormal uterine bleeding (AUB) is any bleeding from the uterus other than your normal monthly period.

Taking Steps to Prevent Type 2 Diabetes

Diabetes is a disease in which blood sugar levels are higher than normal. High blood sugar can cause heart attack, stroke, kidney disease, nerve damage, and vision loss. Type 2 diabetes is the most common form of diabetes.

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