• Articles

    The Patient with Daily Headaches

    MORRIS MAIZELS

    The term 'chronic daily headache' (CDH) describes a variety of headache types, of which chronic migraine is the most common. Daily headaches often are disabling and may be challenging to diagnose and treat. Medication overuse, or drug rebound headache, is the most treatable...

    Diagnosis and Management of Preeclampsia

    LANA K. WAGNER

    Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood...

    Diagnosis and Treatment of Hypothermia

    LYNNE MCCULLOUGH, SANJAY ARORA

    Although hypothermia is most common in patients who are exposed to a cold environment, it can develop secondary to toxin exposure, metabolic derangements, infections, and dysfunction of the central nervous and endocrine systems. The clinical presentation of hypothermia...

    Management of Genital Warts

    CHARLES M. KODNER, SORAYA NASRATY

    Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed. Biopsy, viral typing, acetowhite staining, and other diagnostic measures are not...

    Inside AFP

    AFP Over 20 Years

    JANIS WRIGHT

    In the previous issue of AFP, I referred to my 20th anniversary of employment at the American Academy of Family Physicians (AAFP), occurring in December. Somewhat sheepishly, though, I’ve realized that I’ve been writing this page for seven years without properly introducing...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    NIH Awards More Than $24 Million to Help Eliminate Health Disparities | HHS Announces New Initiatives to Help Americans Quit Smoking | Web Site on Handwashing Offers Tips for Prevention of Influenza | STFM Hosts 31st Annual Predoctoral Education Conference | IQLM Offers E...

    Quantum Sufficit

    Quantum Sufficit

    SARAH EVANS

    Female athletes use oral contraceptives to regulate their menstrual cycles with no negative effect on their body composition, but the use of these agents could have a long-term impact on their athletic performance because the agents may cause an increase in fat mass. As...

    Editorials

    Chronic Daily Headache

    ROBERT SMITH

    Chronic daily headache (CDH) is a label for a heterogeneous group of headache disorders that can be a management challenge for busy physicians. Patients with CDH account for most referrals to headache specialists.1 Disagreement about the clinical groupings and diagnostic...

    Diary from a Week in Practice

    Diary

    KATHY SOCH

    “I’ve got high blood pressure, diabetes, a weak heart, blood clots, foot ulcers, and emphysema,” the elderly man explained. After waiting to catch his breath, he added, “If you can think of any problem I don’t have, give me a minute and I’ll get it!” Then he laughed heartily...

    Point-of-Care Guides

    Prognosis in Patients with Upper GI Bleeding

    MARK H. EBELL

    Upper GI bleeding remains a common problem and reason for hospital admission. A more precise estimate of a patient’s prognosis would be helpful to physicians who are deciding on hospital discharge and the intensiveness of monitoring in inpatient and outpatient settings.

    STEPS

    Transdermal Oxybutynin (Oxytrol) for Urinary Incontinence

    PAMELA DULL

    The transdermal patch of oxybutynin is no more effective than the short- or long-acting oral form. The patch costs more, but causes less dry mouth. Skin reactions will cause about 10 percent of patients to stop using it.

    Photo Quiz

    Whitish Papules and Plaques on the Tongue

    AMOR KHACHEMOUNE, MANA OGHOLIKHAN

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

    POEMs

    Is Exercise an Effective Therapy for Menopausal Hot Flushes?

    LINDA FRENCH

    Septic Arthritis or Transient Synovitis of the Hip?

    HENRY BARRY

    Lower Dose of Omeprazole as Effective as High Dose for Acid-Related Dyspepsia

    MARK EBELL

    SSRIs Provide Modest Benefit in Selected Patients with IBS

    MARK EBELL

    Practice Guidelines

    The 2005 Recommended Adult Immunization Schedule, United States, October 2004–September 2005

    RICHARD K. ZIMMERMAN

    Cooperation continues between the American Academy of Family Physicians (AAFP), the Advisory Committee on Immunization Practices (ACIP), and the American College of Obstetricians and Gynecologists (ACOG) with the publication of the Recommended Adult Immunization Schedule by...

    Practice Guideline Briefs

    Recommendations to Reduce Obesity in Children and Adolescents

    CARRIE MORANTZ, BRIAN TORREY

    The Institute of Medicine of the National Academies has released recommendations that aim to reduce obesity in children and adolescents, by increasing and improving opportunities for children to engage in physical activity and eat a healthy diet.

    Letters to the Editor

    Response to Proposal for Use of SORT Evidence Levels

    Tips from Other Journals

    Does IV Magnesium Benefit Patients with Acute Stroke?

    ANNE D. WALLING

    Alcohol Consumption and Cardiovascular Mortality

    KARL E. MILLER

    Effects of Hormone Therapy on Urinary Incontinence

    ANNE D. WALLING

    Cesarean Risk and Labor Duration in Obese Mothers

    ANNE D. WALLING

    Intra-articular Injections for Osteoarthritis of the Knees

    ANNE D. WALLING

    Information from Your Family Doctor

    Rebound Headaches

    Headaches that happen every day or almost every day may be caused by overuse of pain medicines. Often these headaches begin early in the morning. The location and severity of the headache may change from day to day. People who have rebound headaches also may have nausea,...

    What You Should Know About Genital Warts

    Genital warts are small, skin-colored bumps that look like tiny cauliflowers. They can be on or inside the genitals. The genital area includes the vagina, vulva, cervix, urethra, penis, scrotum, and anus. These warts are not the same as warts you may find on other parts of...



    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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