• Articles

    Common Overuse Tendon Problems: A Review and Recommendations for Treatment

    JOHN J. WILSON, THOMAS M. BEST

    Examination of tendinopathies should include assessment for swelling, asymmetry, and erythema of involved tendons; range-of-motion testing; palpation for tenderness; and maneuvers that reproduce pain. Surgery is an effective treatment that should be reserved for patients who...

    Chasteberry

    BEATRIX ROEMHELD-HAMM

    Chasteberry has been used since ancient times to treat gynecologic conditions. Modern physicians have used the herb to treat cyclical breast discomfort and premenstrual syndrome.

    Prader-Willi Syndrome

    DANIEL J. WATTENDORF, MAXIMILIAN MUENKE

    Prader-Willi syndrome is a genetic disorder that usually involves chromosome 15. Diagnosis often is delayed because the clinical findings are relatively nonspecific and the dysmorphism often is subtle.

    Intertrigo and Common Secondary Skin Infections

    CAMILA K. JANNIGER, ROBERT A. SCHWARTZ, JACEK C. SZEPIETOWSKI, ADAM REICH

    Intertrigo, an inflammatory condition that affects opposing surfaces of skinfolds, is commonly complicated by secondary bacterial or fungal infections. Physicians should treat the infection and instruct patients to take preventive measures.

    Mohs Micrographic Surgery

    GLEN M. BOWEN, L. WHITE GEORGE, JR, JOHN W. GERWELS

    Mohs micrographic surgery is the treatment of choice for removing skin cancers in critical sites, large or recurrent tumors, tumors in sites of radiation therapy, and tumors with aggressive histologic features.

    Psychogenic Nonepileptic Seizures

    TAOUFIK M. ALSAADI, ANNA VINTER MARQUEZ

    Psychogenic nonepileptic seizures are somatic manifestations of psychologic distress. Early recognition can prevent morbidity from inappropriate treatment.

    Inside AFP

    Editors Look Forward to Meeting Readers at Assembly

    A. MERRIMAN JOYCE

    The Annual Scientific Assembly of the American Academy of Family Physicians is just around the corner. During the last week of September, several thousand family physicians, residents, and students will gather in San Francisco to hear presentations on the latest clinical...

    Newsletter

    Newsletter

    CARRIE MORANTZ

    HHS Outlines Principles for Reauthorization of Ryan White CARE Act | CDC Finds Record Immunization Coverage Rates in U.S. Children | Registration Open for STFM’s Conference on Patient Education | Bill Would Stop Medicare Pay Cuts, Institute Pay-for-Performance | National...

    Quantum Sufficit

    Quantum Sufficit

    MEREDITH DESMOND

    Could laughter be the newest weight loss fad? Investigators at the Vanderbilt University Medical Center in Nashville say that laughing for 10 to 15 minutes each day can burn 10 to 40 calories, depending on a person’s body weight. Long considered “the best medicine,” laughter...

    Editorials

    Family Medicine and Health Care Reform

    JOHN P. GEYMAN

    A growing part of the U.S. population, together with many health professionals, have become concerned about problems in our health care system. Health care costs continue to rise, unabated, several times faster than the cost of living, rendering medical insurance and health...

    Graham Center Policy One-Pagers

    Patterns of Visits to Physicians’ Offices, 1980 to 2003

    In the past quarter century, the number of office visits to physicians in the United States increased from 581 million per year to 838 million per year, with slightly more than one half of total visits since 1980 being made to primary care physicians. Most visits to primary...

    Diary from a Week in Practice

    Diary from a Week in Practice

    TONY MIKSANEK

    Lorraine’s right leg was approximately three times the size of her left one. Astonishingly, it caused her no pain. Her lower legs and feet have been slightly swollen for years, but this massive edema was a new development. “I traveled out-of-state two days ago and sat in the...

    Cochrane for Clinicians

    Short-Acting Insulin Analogues vs. Human Insulin for Diabetes

    MICHAEL SCHOOFF, KRISTA EHLERS

    A 63-year-old woman has poor control of her type 2 diabetes with oral medications alone. You decide to discuss insulin therapy with her.

    Cochrane Briefs

    Do Tympanostomy Tubes for OME Prevent Hearing Loss?

    MARK H. EBELL

    Do Tympanostomy Tubes for OME Prevent Hearing Loss?

    Room Air vs. Oxygen for Resuscitating Infants at Birth

    CLARISSA KRIPKE

    Room Air vs. Oxygen for Resuscitating Infants at Birth

    Clinical Evidence Handbook

    Urinary Tract Infection in Children

    JAMES LARCOMBE

    Antibiotics. There is consensus that antibiotics are likely to be beneficial compared with placebo. Placebo-controlled trials of antibiotics for treating children with symptomatic acute urinary tract infection (UTI) are considered unethical.

    FPIN's Clinical Inquiries

    Statin Therapy in Patients with Type 2 Diabetes

    VINCENT LO, JOHN NOVIASKY, JOAN NASHELSKY

    Should statin therapy be offered to all patients with type 2 diabetes?

    Photo Quiz

    Itchy Plaques on the Abdomen

    BENJAMIN BARANKIN

    A woman brought her nine-year-old son in because of a pruritic rash on his abdomen (see accompanying figure). The rash was isolated to the abdomen, although the child had incidental keratosis pilaris on his extensor arms. There was a family history of atopy, but the child was...

    POEMs

    Calcium with Vitamin D Effective for Prevention of First Fracture

    ALLEN F. SHAUGHNESSY

    Radical Prostatectomy in Men with Symptomatic Prostate Cancer

    MARK EBELL

    Best Cutoff Age for Endoscopy in Uncomplicated Dyspepsia

    MARK EBELL

    Tubes Marginally Effective in Otitis Media with Effusion

    HENRY BARRY

    Tips from Other Journals

    Parent Intervention in Risky Adolescent Behaviors

    KARL E. MILLER

    Meperidine for Dystocia During First Stage of Labor

    KARL E. MILLER

    Methotrexate and Polymyalgia Rheumatica Therapy

    RICHARD SADOVSKY

    Cholesterol and Risk of MI in Older Adults

    CAROLINE WELLBERY

    Do Antioxidants Increase Mortality?

    ANNE D. WALLING

    Intervention and Treatment Strategies for Elder Abuse

    ANNE D. WALLING

    Effects of Low Literacy on Diabetes Management

    CAROLINE WELLBERY

    Nicotine Dependence and Psychiatric Disorders

    KARL E. MILLER

    Risk of Recurrence and Death After Lower GI Bleeding

    ANNE D. WALLING

    Corticosteroids and Mortality in Patients with Head Trauma

    ANNE D. WALLING

    Family History and Coronary Atherosclerosis

    KENNETH LIN

    Do Patients Know When to Replace Their Inhalers?

    KARL E. MILLER

    Effects of Alcohol Screening in Emergency Departments

    ANNE D. WALLING

    Metformin for Anovulation in Normoandrogenic Women

    KARL E. MILLER

    Safety of Influenza Vaccine in Infants and Children

    KARL E. MILLER

    Could a Vaccine Prevent Cervical Cancer?

    ANNE D. WALLING

    Who Should Be Tested for Hepatitis C Virus Infection?

    RICHARD SADOVSKY

    Osteoporosis Prevention in Postmenopausal Women

    KARL E. MILLER

    Adolescents Prefer Honesty and Patient-Centered Care

    CAROLINE WELLBERY

    Acupuncture for Persistent Childhood Allergic Rhinitis

    CAROLINE WELLBERY

    Impact of Practice Guidelines on Treatment of Pneumonia

    KARL E. MILLER

    ARBs vs. ACE Inhibitors in Patients with Cardiac Disease

    RICHARD SADOVSKY

    Is Immediate Anticoagulation Helpful for Acute Ischemic Stroke?

    RICHARD SADOVSKY

    Approach to Treatment of Fibromyalgia Reviewed

    CAROLINE WELLBERY

    Are Over-the-Counter PPIs Cost-effective in Nonulcer Dyspepsia?

    RICHARD SADOVSKY

    Diagnosis and Treatment of Gastroparesis

    RICHARD SADOVSKY

    Prevalence of Obesity Increases as Patients Age

    CAROLINE WELLBERY

    Practice Guidelines

    ACCP and ACAAI Release Guidelines on Inhaled Aerosol Therapy for Patients with Pulmonary Disease

    AMBER HUNTZINGER

    The American College of Chest Physicians (ACCP) and the American College of Asthma, Allergy, and Immunology (ACAAI) have released evidence-based recommendations to guide physicians in choosing aerosol devices and drug formulations for patients with pulmonary disease....

    Practice Guideline Briefs

    HIV Prevalence and Testing Trends in Men Who Have Sex with Men

    CARRIE A. MORANTZ, AMBER HUNTZINGER

    HIV Prevalence and Testing Trends in Men Who Have Sex with Men

    CDC Reports on U.S. Heat-Related Mortality

    CARRIE A. MORANTZ, AMBER HUNTZINGER

    CDC Reports on U.S. Heat-Related Mortality

    AHA Scientific Statement on Off-Pump vs. On-Pump Coronary Artery Bypass Grafting

    CARRIE A. MORANTZ, AMBER HUNTZINGER

    AHA Scientific Statement on Off-Pump vs. On-Pump Coronary Artery Bypass Grafting

    NCHS Statistics on the Use of Electronic Medical Records

    CARRIE A. MORANTZ, AMBER HUNTZINGER

    NCHS Statistics on the Use of Electronic Medical Records

    Letters to the Editor

    Emergency Contraception: A Potential Solution

    SARA SHIELDS, LUCY CANDIB, NIDHI LAL

    Case Report: Use of Prazosin for Treatment of Posttraumatic Stress Disorder

    LINDA J. GRIFFITH

    Information from Your Family Doctor

    Intertrigo: What You Should Know

    Intertrigo (say: in-ter-TRY-go) is caused by wetness and soreness in skinfolds—areas where skin rubs against skin. Intertrigo leads to an itchy rash that can get infected with germs or yeast.

    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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