• Articles

    Epstein-Barr Virus Infectious Mononucleosis

    MARK H. EBELL

    Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with fever and sore throat, particularly if they also have significant anterior cervical adenopathy, significant fatigue, posterior cervical adenopathy, inguinal adenopathy,...

    Pharmacologic Prevention of Osteoporotic Fractures

    THOMAS M. ZIZIC

    Bisphosphonates are the most effective agents for reducing the risk of vertebral and nonvertebral fractures. Other options include teriparatide, raloxifene, and salmon calcitonin. Although hormone therapy reduces fracture risk, the benefits may not outweigh the reported risks.

    Blunt Trauma in Pregnancy

    NANCY BETH GROSSMAN

    Trauma is the most common cause of nonobstetric death among pregnant women in the United States. All pregnant women with traumatic injury should be assessed formally in a medical setting. Prevention of trauma through proper use of seat belts and recognition of domestic...

    Management of Acute Nasal Fractures

    CORRY J. KUCIK, TIMOTHY CLENNEY, JAMES PHELAN

    Injuries to the nose are relatively common; in cases of facial trauma, nasal fractures account for about 40 percent of bone injuries. Treatment in the primary care setting consists of evaluation, pain and infection management, minimal debridement and, when the physician is...

    Inside AFP

    Something for Everyone in AFP

    JANIS WRIGHT

    AFP’s editors work toward offering a variety of topics in each issue, covering diagnosis and treatment of diseases commonly seen in primary care. This issue offers a review of osteoporosis, representing the 2004 Annual Clinical Focus (ACF) of the American Academy of Family...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    HHS Releases National Pandemic Influenza Preparedness Plan | DEA and Other Experts Release Guide for Treating Patients in Pain | HHS and USDA Have Updated Dietary Guidelines | HRSA Reports HIV/AIDS Programs Are Slowing Spread of Disease | COGME Releases Report on Physician...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS, LINNEA KORINEK, LORI PARRY, MONICA PREBOTH

    The summer months bring warmer weather, longer daylight hours, and more risk for tetanus. According to survey results from the National Gardening Association, 40 percent of consumers surveyed said they were not immunized against tetanus. Annually, 80 percent of gardeners...

    Editorials

    Osteoporosis Management: Out of Subspecialty Practice and into Primary Care

    MARGARET GOURLAY

    A 60-year-old, small-framed woman with good general health but a strong family history of osteoporosis presents for her well-woman examination. Because she meets screening criteria for osteoporosis,1 her family physician orders a bone density test. Her T-scores are −2.8 at...

    The Continuity of Care Record

    DAVID C. KIBBE, ROBERT L. PHILLIPS, JR, LARRY A. GREEN

    For more than a decade there has been agreement in the United States that information technology is a critical part of any effort to achieve high performance health care for everyone. The potential benefits of moving from sequences of disconnected and episodic visits between...

    Diary from a Week in Practice

    Diary

    JOHN O’HANDLEY

    The triage nurse, MF, asked hesitantly if JOH wanted to see the patient who had taken “four buses” to reach the mobile clinic. Her problem was really more social than medical. She had bipolar disorder and was taking two potent medications for this problem, but she would soon...

    Cochrane for Clinicians

    Effectiveness of Condoms in Reducing Heterosexual Transmission of HIV

    WILLIAM E. CAYLEY, JR

    Evidence indicates that male condoms reduce the risk of heterosexual HIV transmission by 80 percent.

    Cochrane Briefs

    Cochrane Briefs

    CLARISSA KRIPKE

    Drug Treatments for Patients with Dysthymia

    Cochrane Briefs

    CLARISSA KRIPKE

    Optimal Dosage of Tricyclic Antidepressants

    Clinical Evidence Handbook

    Benign Prostatic Hyperplasia

    ROBYN WEBBER

    What are the effects of treatment?

    Putting Prevention Into Practice

    Screening for Dementia

    GURVANEET RANDHAWA

    Case study: RG, a 75-year-old, college-educated man, presents for an annual physical examination. His friend recently was diagnosed with Alzheimer’s disease. RG is concerned about his occasional memory lapses and is worried that he also has the disease.

    FPIN's Clinical Inquiries

    What Is the Best Antiviral Agent for Influenza Infection?

    HEATHER BITTNER FAGAN, AMY HOLLIHAN MOELLER

    Four antiviral agents have been approved by the U.S. Food and Drug Administration for the treatment of influenza infection: amantadine (Symmetrel), oseltamivir (Tamiflu), rimantadine (Flumadine), and zanamivir (Relenza). No head-to-head trials have compared the effectiveness...

    Photo Quiz

    Intestinal Obstruction in an Octogenarian

    SHANMUGAM UTHAMALINGAM, SAJAL KUMAR, ABU R. VASUDEVAN

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

    POEMs

    Combination Antiemetics for Postoperative Nausea

    MARK EBELL

    Postmenopausal Estrogen and Cognitive Function

    DAVID SLAWSON

    Blood Loss of 80 mL or More Poorly Defines Menorrhagia

    LINDA FRENCH

    Many Pap Smears Unnecessary After Hysterectomy

    DAVID SLAWSON

    Prophylactic Cerclage in Women with a Short Cervix

    LINDA FRENCH

    Misoprostol for Uterine Evacuation in Missed Abortion

    LINDA FRENCH

    Homocysteine Level and Osteoporosis Risk

    MARK EBELL

    Postmenopausal Estrogen Therapy and Dementia

    DAVID SLAWSON

    Practice Guidelines

    ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery

    MATTHEW J. NEFF

    The American College of Obstetricians and Gynecologists (ACOG) recently issued clinical management guidelines for vaginal birth after cesarean delivery (VBAC) in various situations.

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Influenza Activity in the United States

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    AAP Report on Adolescent Sexuality

    Letters to the Editor

    Night Sweats Are Commonly Vasomotor Symptoms

    Potential Interaction Between Soy Milk and Warfarin

    TSUNG O. CHENG

    Tips from Other Journals

    Does Valacyclovir Each Day Keep HSV-2 Away?

    BILL ZEPF

    Low-Risk Patients with Chest Pain Do Not Need Telemetry

    RICHARD SADOVSKY

    Infant Mortality Rate Doubles with Short Umbilical Cord

    ANNED. WALLING

    Antibiotics for Acute Sinusitis

    BILL ZEPF

    Which Women Develop Fever Following Hysterectomy?

    ANNE D WALLING

    Can the Internet Be Used to Treat Depression?

    ANNE D WALLING

    Accuracy of Early Results with Home Pregnancy Test Kits

    KARL E MILLER

    Homocysteine and Cardiac Event Risk in Patients with Diabetes

    RICHARD SADOVSKY

    Adenotonsillectomy for Sleep Apnea in Children

    CAROLINE WELLBERY

    Antiplatelet Therapy for Acute Coronary Syndrome

    RICHARD SADOVSKY

    Management Strategies for Obsessive-Compulsive Disorder

    BILL ZEPF

    Update on the Management of Migraine Headaches

    ANNE D WALLING

    Diagnosis and Management of Overactive Bladder

    BILL ZEPF

    Bedside Predictors of Bacteremia

    BILL ZEPF

    Blood Pressure Monitoring: Home vs. Physician’s Office

    CAROLINE WELLBERY

    Radiographic Resolution of Pneumonia in the Elderly

    CAROLINE WELLBERY

    Predictors of New-Onset Kidney Disease

    CAROLINE WELLBERY

    Benefits of Inactivated Influenza Vaccine in Children

    BILL ZEPF

    Information from Your Family Doctor

    Things to Know About Infectious Mononucleosis

    Infectious mononucleosis (say: in-feck-shuss mon-oh-new-clee-oh-siss), or mono, often is caused by the Epstein-Barr virus. Mono usually is not serious, but some people with mono feel very tired and have pain in their joints that lasts for several weeks.

    Seat Belt Use During Pregnancy

    Yes, you should always wear a seat belt. Wearing your seat belt protects you and your baby. The most common reason a fetus dies after a car crash is because the mother dies.

    Flu and Colds

    Colds and the flu have many of the same symptoms. A cold is usually mild, while the flu tends to be more severe.

    Flu Vaccinations

    The flu (also called influenza) is an infection in the nose, throat, and lungs that is caused by a virus. About 10 to 20 percent of Americans get the flu each year. Some people get very sick. Each year, about 130,000 people go to a hospital with the flu, and 20,000 people die...

    Antibiotics: When They Can and Can’t Help

    Antibiotics (say: “ant-eye-by-ah-tiks”) are medicines that can stop some infections and can even save lives. But antibiotics can do more harm than good if they are not used the right way. You can protect yourself and your family by knowing when you should use antibiotics and...



    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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