• Articles

    Dysmenorrhea

    LINDA FRENCH

    Most patients who present with menstrual pain can be treated empirically for a presumptive diagnosis of primary dysmenorrhea. Nonsteroidal anti-inflammatory drugs are the initial treatment of choice. Oral contraceptives and other hormonal therapies can be considered, and some...

    Undiagnosed Vitamin D Deficiency in the Hospitalized Patient

    DAVID LYMAN

    Vague musculoskeletal complaints in hospitalized, critically ill patients may be attributed to multiple underlying disease processes rather than a deficiency of vitamin D. However, failure to diagnose an underlying vitamin D deficiency places the patient at risk for continued...

    Management of Epistaxis

    CORRY J. KUCIK, TIMOTHY CLENNEY

    Although epistaxis usually responds to compression, treatment options such as topical vasoconstriction, cautery, or packing must be considered when bleeding persists.

    Selecting Medications for the Treatment of Urinary Incontinence

    BARRY D. WEISS

    The first step in the evaluation of patients with urinary incontinence is to rule out reversible conditions, conditions requiring special evaluation, and overflow bladder.Pelvic muscle exercises are the best treatment for urge incontinence; medicationscan be an effective...

    AFP’s Reviewers

    The following list contains the names of those who served from December 1, 2003, to November 30, 2004, as reviewers of manuscripts submitted to American Family Physician. These reviewers have donated a significant amount of their time to reviewing manuscripts for AFP. We are...

    Inside AFP

    CME Credit for Peer Reviewers

    JANIS WRIGHT

    Even though AFP publishes clinical reviews rather than primary research, AFP has long upheld its editorial standards through a rigorous peer-review process similar to those of research journals. Editor Jay Siwek, M.D., and his assistant, Taiya Olayinka, oversee the peer...

    Newsletter

    Newsletter

    GENEVIEVE RESSEL

    IHI Launches National Campaign to Save 100,000 Lives in U.S. Hospitals | NPSF Launches Interactive Educational Web Site | AHRQ Launches Bioterrorism Preparedness Listserv | NHLBI Issues Alert to Continue Transfusions in Patients with Sickle Cell Disease | AAFP Sends Letter to...

    Quantum Sufficit

    Quantum Sufficit

    AMBER HUNTZINGER

    Preschoolers need to hit the playground running, according to a study that recently appeared in Pediatrics. The study found that most three- to five-year-olds are not getting even half of the minimum two hours of physical activity per day that are recommended to keep them...

    Editorials

    Vitamin D Deficiency—The Once and Present Epidemic

    JAMES P. RICHARDSON

    Humans, like all vertebrates, require calcium for signal and muscle contraction, and to build and maintain skeletons. We also need vitamin D to maintain calcium homeostasis, as outlined in Lyman’s1 review of vitamin D deficiency among hospitalized patients in this issue of...

    Diary from a Week in Practice

    Diary

    PAUL GROSS

    When Ricardo Revelo, an intense, iron-fisted father, comes in for a physical, I’m startled to hear him ask about his 13-year-old son’s urine test. “Urine test?” I ask. “The one we did last week,” he replies. Huh? I haven’t seen Manuel in over a month. Nonetheless, I check our...

    U.S. Preventive Services Task Force

    Screening for Visual Impairment in Children Younger Than Five Years: Recommendation Statement

    This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendation on screening for visual impairment in children younger than five years and the supporting evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive...

    STEPS

    Omalizumab (Xolair) for Treatment of Asthma

    LIYA DAVYDOV

    Omalizumab is an immunomodulatory therapy for the control of symptoms in patients with moderate to severe allergic asthma uncontrolled with conventional therapy. Given its high cost, the requirement that it be administered in a physician’s office, and side effects, it is...

    Photo Quiz

    Tiny, Skin-Colored Papules on the Arms and Hands

    JOSIE A. PIELOP, SYLVIA HSU

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

    POEMs

    Does Adenotonsillectomy Reduce the Number of Throat Infections?

    ALLEN F. SHAUGHNESSY

    Value of Adding Bupropion to Nicotine Replacement

    ALLEN F. SHAUGHNESSY

    Atorvastatin Delays Cardiovascular Disease in Patients with Diabetes

    HENRY BARRY

    Erythromycin with Certain Drugs Increases Risk of Sudden Death

    MARK EBELL

    Talking About Death to Children with Cancer

    MARK EBELL

    Thrombolysis Not Helpful for Unselected Patients with PE

    MARK EBELL

    Lactobacillus Does Not Prevent Post-Antibiotic Vaginitis

    ALLEN F. SHAUGHNESSY

    Migraine Headache Often Labeled as Sinus Headache

    ALLEN F. SHAUGHNESSY

    Practice Guidelines

    ACCP Guidelines for Pulmonary Arterial Hypertension

    CARRIE A. MORANTZ

    The American College of Chest Physicians (ACCP) has released evidence-based practice guidelines for the early detection and diagnosis of pulmonary arterial hypertension (PAH).

    Practice Guideline Briefs

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Guidelines for Prescribing Antiepileptic Drugs

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Diagnosis of Celiac Disease

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Guidelines for Pediatric Intermediate Care

    Practice Guideline Briefs

    CARRIE MORANTZ, BRIAN TORREY

    Benefits of Omega-3 Fatty Acids

    Letters to the Editor

    When Should Pregnant Women with Diabetes Receive Insulin?

    Contact Information Needed for Manufacturers of Diaphragms

    Aspirin Use for Prevention of CHD: An FP’s Story

    WILLIAM F. MISER

    Tips from Other Journals

    Laparoscopic Surgery vs. Open Colectomy for Colon Cancer

    BILL ZEPF

    Which Patients Benefit Most from Carotid Endarterectomy?

    ANNE D. WALLING

    Treating Minor Depression and Dysthymia in the Elderly

    CAROLINE WELLBERY

    Abnormal Uterine Bleeding: Surgical or Medical Therapy?

    CAROLINE WELLBERY

    Is Acupuncture Cost Effective for Chronic Headache?

    ANNE D. WALLING

    Cognitive Behavior Therapy for Hypochondriasis

    CAROLINE WELLBERY

    Frequency of Ejaculation and Risk for Prostate Cancer

    CAROLINE WELLBERY

    Triage Options for Strep Throat

    CAROLINE WELLBERY

    Eating Fish Decreases Risk of Coronary Heart Disease

    RICHARD SADOVSKY

    Benefits and Risks of Estrogen in Postmenopausal Women

    CAROLINE WELLBERY

    Treatment Options in Patients with Plantar Fasciitis

    BILL ZEPF

    Is There Such a Thing as Diastolic Heart Failure?

    BILL ZEPF

    Coronary Calcium Scores in the Diagnosis of Stenosis

    RICHARD SADOVSKY

    Vasopressin Receptor Antagonist Used in the Treatment of CHF

    CAROLINE WELLBERY

    Laparoscopic Surgery vs. Open Mesh Repair of Hernia

    BILL ZEPF

    Opportunistic Infections After Use of TNF Antagonists

    BILL ZEPF

    Risk of Low Birth Weight with Dental Radiography

    CAROLINE WELLBERY

    Are Statins Safe in Patients with Elevated Liver Enzymes?

    RICHARD SADOVSKY

    Information from Your Family Doctor

    Painful Menstrual Periods

    Most women have some crampy pain with their periods, especially as teenagers. The pain often is low in the pelvis and starts just before your period or at the beginning of your period. It often lasts one to three days. The pain can be bad enough to keep you from doing things...

    Nosebleeds

    Nosebleeds happen when the lining of your nose is hurt or gets dry. This damages the blood vessels in your nose.

    Pelvic Floor Muscle Exercises

    Pelvic floor muscles help prevent urinary incontinence. Incontinence happens when the pelvic floor muscles get weak and cause you to leak urine. Pregnancy, childbirth, and being overweight can weaken pelvic floor muscles in women. In men, surgery for prostate cancer is...

    Corrections

    Correction



    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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