• Articles

    Amenorrhea: Evaluation and Treatment

    TARANNUM MASTER-HUNTER, DIANA L. HEIMAN

    Patient history and physical examination can help differentiate the causes of amenorrhea. Primary amenorrhea should be evaluated in the context of the development of secondary sexual characteristics. Laboratory testing offers additional assistance in determining the cause of...

    Arrhythmogenic Right Ventricular Dysplasia

    ERIC L. ANDERSON

    Patients with arrhythmogenic right ventricular dysplasia are treated initially with antiarrhythmogenic agents, although placement of an automatic implantable cardioverter-defibrillator should be seriously considered.

    Caring for Patients After Bariatric Surgery

    AYAZ VIRJI, MICHEL M. MURR

    In severely obese patients, bariatric surgery may be curative for such obesity-related comorbidities as diabetes and obstructive sleep apnea. The number of bariatric surgeries has increased greatly in the last 10 years. It is important for family physicians to understand the...

    Diagnosis and Treatment of Chlamydia trachomatis Infection

    KARL E. MILLER

    Chlamydia trachomatis infection most commonly affects the urogenital tract. In men, the infection usually is symptomatic, with dysuria and a discharge from the penis. Untreated chlamydial infection in men can spread to the epididymis. Most women with chlamydial infection have...

    Inside AFP

    AFP Web Site Offers Readers Variety of Features

    MATTHEW J. NEFF

    The full editorial content of each issue of AFP from 1998 to the present is available online athttps://www.aafp.org/afp (see accompanying figure). While many readers know about and visit the AFP Web site, fewer are familiar with the special features that can be accessed from...

    Newsletter

    Newsletter

    LIZ SMITH

    Medicaid Cost Sharing and Premiums May Reduce Physician Revenues | AMA Supports Amendment on Cuts to Medicare Physician Payments | Increase in Candidates Matched into Family Medicine Residencies | HHS Issues Checklist to Help Clinics Prepare for Influenza Pandemic | Programs...

    Quantum Sufficit

    Quantum Sufficit

    MEREDITH DESMOND

    Men might enjoy revenge more than women, especially when it involves someone they dislike. Results of a study in the journal Nature showed that both men and women feel empathy toward people experiencing pain, but men in particular get pleasure if they have negative feelings...

    Editorials

    Bariatric Surgery: Too Many Unanswered Questions

    ARTHUR FRANK

    One of the obvious consequences of the failure of health insurance companies to pay benefits for the medical treatment of obesity is the relatively limited access to comprehensive medical programs.1 Because benefits often are paid for surgery, another consequence of this...

    Religion, Spirituality, and Their Relevance to Medicine: An Update

    ANDREW J. WEAVER, HAROLD G. KOENIG

    Before 2000, nearly 1,200 studies had examined the relationship between religion and health, with most studies reporting positive associations.1 In the past five years many new studies have been conducted that support these findings.2 Although there has been criticism of the...

    Point-of-Care Guides

    Outpatient vs. Inpatient Treatment of Community-Acquired Pneumonia

    MARK H. EBELL

    What is the role of clinical prediction tools in helping physicians decide on inpatient or outpatient treatment for patients with community-acquired pneumonia (CAP)?

    Photo Quiz

    Papules and Plaques on the Nose

    AMOR KHACHEMOUNE

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

    STEPS

    Ramelteon (Rozerem) for Insomnia

    CURT R. WARD

    Ramelteon is safe and effective for decreasing the time to persistent sleep in patients with chronic insomnia. It does not have the potential for abuse or dependence that sedative hypnotics have and is not a controlled substance.

    POEMs

    Fenofibrate Does Not Prevent Coronary Events

    HENRY BARRY

    Intranasal Steroids Effective for Acute Uncomplicated Sinusitis

    DAVID SLAWSON

    Immersion Exercise Reduces Leg Edema in Pregnancy

    LINDA FRENCH

    Conventional and Atypical Antipsychotics: Neither Safer

    MARK EBELL

    Celecoxib No Safer Than Naproxen for Peptic Ulcer

    ALLEN F. SHAUGHNESSY

    Diagnosis of Chest Cold May Decrease Antibiotic Use

    DAVID SLAWSON

    Tips from Other Journals

    Childhood Cancer Treatment Affects Future Functionality

    KENNETH W. LIN

    Hepatitis B Booster After Childhood Immunization

    ANNE D. WALLING

    Preventing Suicide: What Really Works?

    CAROLINE WELLBERY

    Effects of Conjugated Equine Estrogen on Quality of Life

    KARL E. MILLER

    Why Is the Mortality Rate from Acute MI Higher in December?

    KENNETH W. LIN

    Pioglitazone for Macrovascular Complications of Diabetes

    ANNE D. WALLING

    Practice Guidelines

    Guidelines Released for Investigation of Potential Contact with Infectious Tuberculosis

    CARRIE A. MORANTZ

    The Centers for Disease Control and Prevention (CDC) and the National Tuberculosis Controllers Association (NTCA) have released guidelines for investigation of exposure and transmission of tuberculosis and prevention of future infections through contact investigations.

    Practice Guideline Briefs

    Obesity in Pregnancy: ACOG Committee Opinion

    The American College of Obstetricians and Gynecologists (ACOG) has released an opinion statement on issues specific to pregnancy in obese women. Women who are obese are at increased risk of complications of pregnancy such as gestational hypertension and diabetes, preeclampsia...

    ACOG Releases Guidelines on Tay-Sachs Screening

    LISA GRAHAM

    The American College of Obstetricians and Gynecologists (ACOG) has released recommendations for screening for Tay-Sachs disease.

    CDC Recommendations for Improving Oral Health

    LIZ SMITH

    CDC Recommendations for Improving Oral Health

    Letters to the Editor

    Level of hCG for Considering an Ectopic Pregnancy

    Pain Management Is Part of Advance Directives Discussion

    TIMOTHY J. BENTON

    Information from Your Family Doctor

    Amenorrhea: What You Should Know

    Amenorrhea (say: uh-men-or-EE-uh) is when you don’t have periods. You can have primary or secondary amenorrhea. Primary amenorrhea is when you haven’t had a period by 14 to 16 years of age. Secondary amenorrhea is when you have had normal periods but then you don’t have one...

    Arrhythmogenic Right Ventricular Dysplasia: What You Should Know

    Arrhythmogenic right ventricular dysplasia (say: uh-RITH-mo-jen-ic right ven-TRICK-yoo-lar dis-PLAY-shuh), also called ARVD, is a rare heart problem. The heart has four sections called chambers. The right ventricle (say: VEN-trick-uhl) is one of these chambers. If you have...

    Corrections

    Correction

    The article “Foreign Body Ingestion in Children” (July 15, 2005, page 287) contained an error in the abstract. The following sentence contained a typographic error and was missing a phrase: “Foreign bodies lodged in the esophagus should be removed endoscopically, but some...



    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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