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.

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

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

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...

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...

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

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...

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.

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

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.

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?

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...

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

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

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....

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

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

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.

Correction