DEWEY C. SCHEID, ROBERT. M. HAMM
Acute rhinosinusitis is one of the most common conditions that physicians treat in ambulatory practice. Although often caused by viruses, it sometimes is caused by bacteria, a condition that is called acute bacterial rhinosinusitis. The signs and symptoms of acute bacterial...
DEWEY C. SCHEID, ROBERT. M. HAMM
Although most cases of acute rhinosinusitis are caused by viruses, acute bacterial rhinosinusitis is a fairly common complication. Even though most patients with acute rhinosinusitis recover promptly without it, antibiotic therapy should be considered in patients with...
EDWARD ONUSKO
Tympanometry provides useful quantitative information about the presence of fluid in the middle ear, mobility of the middle ear system, and ear canal volume. Its use has been recommended in conjunction with more qualitative information (e.g., history, appearance, and mobility...
JAMES M. LYZNICKI, MARY ANNE MCCAFFREE, CAROLYN B. ROBINOWITZ
Childhood bullying has potentially serious implications for bullies and their targets. Bullying involves a pattern of repeated aggression, a deliberate intent to harm or disturb a victim despite the victim’s apparent distress, and a real or perceived imbalance of power....
ROBERT B. SAPER, DAVID M. EISENBERG, RUSSELL S. PHILLIPS
Over-the-counter dietary supplements to treat obesity appeal to many patients who desire a “magic bullet” for weight loss. Asking overweight patients about their use of weight-loss supplements and understanding the evidence for the efficacy, safety, and quality of these...
JANIS WRIGHT
The 2005 Annual Clinical Focus (ACF) of the American Academy of Family Physicians (AAFP) was launched last month at the Academy’s 2004 Annual Scientific Assembly in Orlando. The upcoming year’s focus is on genomics and the role that family physicians have in preventive,...
GENEVIEVE RESSEL
Manufacturer Will Not Ship Influenza Vaccine as Expected | SAMHSA Releases Findings of 2003 National Survey on Drug Use and Health | AAFP Supports Legislation on FDA-Sanctioned Drug Imports | AHRQ Releases Study on Medication Usage in Chronic Illness | Robert Graham Center...
SARAH EVANS
The nation is on its way toward meeting a national health objective. A study published in the Morbidity and Mortality Weekly Report showed that between 1999 and 2003, lifetime cigarette use (anyone who has ever tried smoking) declined from 70.4 percent to 58.4 percent....
FRANCIS COLLINS
The dawning of the genome era is changing the scope of care for family physicians, with significant implications for the design of future health care delivery systems. Many consider the imminent introduction of genomics into clinical medicine to be the most significant...
DAN MERENSTEIN
Antibiotics are no longer first-line treatment for many upper respiratory tract infections. Currently, the American Academy of Pediatrics and the American Academy of Family Physicians are promoting new guidelines for treatment of acute otitis media, proposing that antibiotics...
TONY MIKSANEK
Donna never dreamed that one day she would be an organ donor. Of course, she never imagined that her mother, Isabell, would need a kidney transplant either. Despite heart problems most of her life, Isabell always gave a maximal effort. Her family bragged that she had the...
JULIE SCOTT TAYLOR
A five-year-old girl presents with a 4-by-6-cm area of honey-crusted confluent papules of four days’ duration on her face. Your diagnosis is impetigo.
MARK H. EBELL
Donepezil in the Treatment of Vascular Dementia
MARK H. EBELL
NSAIDs vs. Opiates for Pain in Acute Renal Colic
DANIEL HAJIOFF
Topical Aluminium Acetate Drops (As Effective As Topical Anti-Infective Agents).We found no randomized controlled trials (RCTs) that compared topical aluminium acetate with placebo. One RCT in people with acute diffuse otitis externa found no significant difference between...
CRAIG M. HALES, GURVANEET RANDHAWA
MN, a 25-year-old woman, visits your office for evaluation of insomnia. As part of her social history, she tells you that she is a “social drinker.” Further questioning reveals that she drinks about as much as she did during college. You want to better assess her alcohol use.
MARK D. LISBY
Does screening with mammography reduce breast cancer mortality in women 40 to 49 years of age?
SELIM R. BENBADIS
A 32-year-old woman is brought to the emergency department because of a blackout episode. This is her third visit in five months. She recalls nothing unusual before the episode, and had no warning symptoms. As with previous blackouts, she found herself on the floor and...
ALLEN F. SHAUGHNESSY
LINDA FRENCH
ALLEN F. SHAUGHNESSY
HENRY BARRY
ALLEN F. SHAUGHNESSY
ALLEN F. SHAUGHNESSY
MARK EBELL
HENRY BARRY
KARL E. MILLER
KARL E. MILLER
RICHARD SADO SKY
KARL E. MILLER
ANNE D. WALLING
CAROLINE WELLBERY
RICHARD SADOVSKY
KARL E. MILLER
KARL E. MILLER
KARL E. MILLER
RICHARD SADOVSKY
KARL E. MILLER
KARL E. MILLER
KARL E. MILLER
BILL ZEPF
BILL ZEPF
MATTHEW J. NEFF
The American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines recently issued a joint executive summary of guidelines for the management of ST-elevation myo-cardial infarction (STEMI). This “Practice Guideline” will focus on two...
CARRIE MORANTZ, BRIAN TORREY
The Committee on Practice Bulletins—Obstetrics of the American College of Obstetricians and Gynecologists has released a new guideline entitled, “Management of Postterm Pregnancy.” The guideline appears in the September 2004 issue of Obstetrics and Gynecology and is available...
DAVID NOWELS
Recently, one of my patients with severe asthma died at her home. I had not seen her in a month or two and learned of her death only when a representative from the coroner’s office arrived at my door with a death certificate in hand. He insisted that I sign it even though I...
SANTIAGO MACHIN HAMALAINEN, MARIA DE LOS ANGELES GOMEZ MEDINA
Sinuses are open spaces behind the bones around your nose and eyes. The walls, or linings, of the sinuses make mucus. When you breathe air in through your nose, the mucus adds moisture to the air in your nose, traps dust, and helps fight infections.
A bully is someone who does or says mean things to get power over another person. Bullying is not just hitting, shoving, or kicking. A bully might call someone names or say bad things about them. A bully also might leave people out of activities on purpose or refuse to talk...
The Letter to the Editor, “Tolerance and Dependence Risk with the Use of Carisoprodol,” by Craig Heacock, M.D., and Mark S. Bauer, M.D. (April 1, 2004, page 1622), incorrectly stated that meprobamate is a schedule IV barbiturate with a long history of abuse. The second...
All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.
CME | |
POC | |
Free | |
Alg | |
DDx | |
PtEd |