• Articles

    Cryosurgery for Common Skin Conditions

    Mark D. Andrews

    Cryosurgery is an easily performed, highly effective treatment for a broad range of skin conditions.

    Depression in Later Life: A Diagnostic and Therapeutic Challenge

    Richard B. Birrer, Sathya P. Vemuri

    Depression in elderly patients is widespread and often underdiagnosed or undertreated. Depression should be treated using a biopsychosocial approach, with psychotherapy and antidepressants that are appropriate for geriatric patients.

    Management of Hyponatremia


    Hyponatremia is an important electrolyte abnormality with potentially significant rates of morbidity and mortality. Common causes include medications and the syndrome of inappropriate antidiuretic hormone secretion.

    Diethylstilbestrol Exposure


    Women who took diethylstilbestrol during pregnancy have a slightly increased risk of breast cancer. Their offspring have a higher incidence of structural reproductive tract anomalies and an increased risk for some types of cancer.

    Guillain-Barré Syndrome


    Guillain-Barré syndrome is a rapidly progressive polyneuropathy. Treatment consists of supportive care and plasmapheresis or intravenous immunoglobulin.

    Inside AFP

    Lifestyle and Prevention

    Janis Wright

    Sprinkled throughout this issue are articles that, considered together, build a picture of the challenges family physicians face in ensuring their patients’ health. Take note of the Graham Center One-Pager on page 2310 of this issue: “What People Want from Their Family...



    Genevieve Ressel

    NIH Announces New National Diabetes Education Program Resources | Journals Publish Robert Graham Center Research Articles | IOM Releases Report on the Safety of Dietary Supplements | AAFP and Partner Produce a Toolkit for Active Aging | AAFP Submits Testimony Covering Title...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Evans, Heather McNeill

    Data from a 2000 report prepared for the American Association of Suicidology show that the overall rate of suicide in the United States is 10.7 per 100,000 persons. According to Preventing Suicide, persons who are contemplating suicide can reach a trained crisis line worker...

    Graham Center Policy One-Pager

    What People Want from Their Family Physician

    The public wants and is satisfied by care provided within a patient-physician relationship based on understanding, honesty, and trust. If the U.S. health care system is ever to become patient-centered, it must be designed to support these values and sustain, rather than...

    Few People in the United States Can Identify Primary Care Physicians

    Almost one decade after the Institute of Medicine (IOM) defined primary care, only one third of the American public is able to identify any of the medical specialties that provide it, and only 17 percent were able to accurately distinguish primary care physicians from medical...


    Protecting American Families from Injury

    Sue Binder

    In June 2004, the Centers for Disease Control and Prevention’s National Center for Injury Prevention and Control will celebrate its 12th anniversary. The vision of the Injury Center, which was founded in 1992 in response to an Institute of Medicine report, is to apply public...

    Management of Newly Detected Atrial Fibrillation

    Michael L. Lefevre

    Atrial fibrillation is the most common type of arrhythmia in adults, with the prevalence increasing from less than 1 percent in persons younger than 60 years to more than 8 percent in those older than 80 years.1 Each year in the United States, there are more than 700,000...

    Diary from a Week in Practice

    Diary from a Week in Practice

    When a downcast, 54-year-old hypertensive, diabetic, hypercho-lesterolemic woman who is new to me complains of episodic “trouble catching my breath,” I of course worry about coronary artery disease. But, my thoughts soon veer off in other directions—first, when she...

    U.S. Preventive Services Task Force

    Screening for Thyroid Disease: Recommendation Statement

    This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for thyroid disease and the supporting scientific evidence, and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, Second...

    FPIN's Clinical Inquiries

    Which Antidepressant Is Best to Avoid Sexual Dysfunction?

    John Smucny, Michael S. Park

    Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual dysfunction than selective serotonin reuptake inhibitors...

    Point-of-Care Guides

    Routine Screening for Depression, Alcohol Problems, and Domestic Violence

    Mark H. Ebell

    During routine office visits, primary care physicians are expected to efficiently and effectively screen their patients for common, important conditions. Routine screening for depression is recommended by the U.S. Preventive Services Task Force (USPSTF) as long as systems are...


    Ethinyl Estradiol/Drospirenone (Yasmin): A Newer Oral Contraceptive

    Melissa A. Somma

    An effective oral contraceptive, ethinyl estradiol/drospirenone can elevate potassium levels when given in combination with other potassium-elevating agents and offers no advantage over traditional oral contraceptives.

    Photo Quiz

    Leg Rash


    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.


    Canadian C-Spine Rule Better Than NEXUS Rule

    Mark Ebell

    Natural History of Ganglion Cysts of the Palmar Wrist

    Mark Ebell

    High Coronary Artery Calcium Score Predicts Risk of CHD

    David Slawson

    Helicobacter pylori Infection and Gastric Cancer Risk

    David Slawson

    Practice Guidelines

    Recommended Childhood and Adolescent Immunization Schedule, United States, July to December, 2004

    Richard D. Clover, Herbert F. Young

    The recommended Childhood and Adolescent Immunization Schedule for July to December 2004 has been released by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Family Physicians (AAFP), and the American Academy of Pediatrics (AAP).

    AAFP and ACP Release Practice Guideline on Management of Newly Detected Atrial Fibrillation

    Genevieve W. Ressel

    The Joint Panel of the American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP) have developed recommendations for adult patients with first-detected atrial fibrillation.

    Clinical Briefs

    Clinical Briefs

    Carrie Morantz, Brian Torrey

    Obesity and Sedentary Lifestyle Guidelines | FDA Advisory on Antidepressants

    Letters to the Editor

    How Should Physicians Decide to Resuscitate a Patient?

    Stephen Hanson

    Tips from Other Journals

    Low-Dose Aspirin and Renal Function in Elderly Patients

    Karl E. Miller

    Benefits of Exercise in Patients with Alzheimer’s Disease

    Caroline Wellbery

    Nonoperative Treatment of Achilles Tendon Rupture

    Karl E. Miller

    Negative Emotions Increase Coronary Heart Disease Risk

    Richard Sadovsky

    Mechanical Reperfusion for Patients with MI

    Caroline Wellbery

    Post-acute Myocardial Care and the Use of ACE Inhibitors

    Richard Sadovsky

    Benefit of Lipid-Lowering Drugs in Patients with CHD

    Richard Sadovsky

    Shock Wave Therapy for Rotator Cuff Tendonitis

    Caroline Wellbery

    Antibiotic Prescribing for Upper Respiratory Infections

    Caroline Wellbery

    Information from Your Family Doctor


    Diethylstilbestrol (say: die-eth-el-still-bess-troll), or DES, is a man-made estrogen. Between 1938 and 1971, millions of women in the United States were given DES to keep them from losing their baby or giving birth too early. DES was used in other countries until at least...

    Chronic Obstructive Pulmonary Disease

    Chronic obstructive pulmonary disease (or COPD) is a lung disease. It blocks the large and small airways of your lungs. COPD includes two main illnesses, chronic bronchitis and emphysema (say: em-fi-see-ma). There is no cure for COPD.

    Chronic Cough: Causes and Cures

    If you have had a cough for more than three weeks, it may be a chronic cough. When something is called “chronic,” that means that it lasts for a long time. Here are some questions to help you decide if you should call your doctor:

    Chronic Bronchitis

    There are tubes in your lungs that air goes through. When the tubes become irritated, you have chronic bronchitis (say: brawn-kie-tiss). Thick mucus forms in these tubes (called bronchial tubes), and the mucus makes it hard to get air into your lungs. Symptoms of chronic...





    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.

    Tag Legend


    CME Continuing Medical Education Credit
    POC Point-of-Care Resource
    FREE Free Access
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education