• Articles

    Assessment of Microscopic Hematuria in Adults

    MARY M. MCDONALD, DANIEL SWAGERTY, LOUIS WETZEL

    In assessing patients with microscopic hematuria, cytology plus intravenous urography, computed tomography, or ultrasonography should be considered. When urine cytology results are abnormal, cystoscopy should be performed.

    Evaluation and Treatment of the Child with Febrile Seizure

    JAMES S. MILLAR

    Most febrile seizures are self-limited and do not require treatment. Evaluation of the patient for treatable causes of the febrile illness is the most important initial step.

    Thyroiditis

    ARCHANA BINDRA, GLENN D. BRAUNSTEIN

    Depending on the etiology, thyroiditis may be painful and tender or painless, and thyroid function may be normal, elevated, depressed, or evolving. Diagnosis is by clinical context and findings, with treatment directed at symptomatic relief of pain and restoration of normal...

    Diagnosis and Treatment of Neisseria gonorrhoeae Infections

    KARL E. MILLER

    These sexually transmitted infections may manifest as a broad range of symptoms and can affect urogenital, anorectal, pharyngeal, and conjunctival areas. Treatment usually includes cephalosporins and fluoroquinolones.

    Inside AFP

    Medical Editors Ensure Accuracy, Relevancy of AFP

    ED ALDERMAN

    Under the direction of Editor Jay Siwek, M.D., the AFP medical editors examine each manuscript and department for accuracy and practicality. This second in a three-part profile looks at AFP's four associate editors. Four other editors were highlighted in the May 1 issue; the...

    Newsletter

    Newsletter

    LIZ SMITH

    CMS to Cover Shortfalls in States' Children's Health Insurance Funds | Reports Find Costs Restrict Health Technology Implementation | Family Physician Gives Invited Testimony on EHR Difficulties | HHS and China Expand Cooperation in Health and Medical Science | FDA Adopts...

    Quantum Sufficit

    Quantum Sufficit

    MEREDITH DESMOND

    Are some people genetically predisposed to anorexia nervosa? New research published in the Archives of General Psychiatry suggests that 56 percent of the risk for developing the disease is genetic. Researchers reviewed data on more than 31,000 Swedish twins born between 1935...

    Editorials

    Colorectal Cancer Screening: Don't Just Do It, Do It Right

    RICHARD C. WENDER

    Screening for colon cancer affords family physicians an opportunity to affect the health of their patients. High-quality evidence has proved that screening saves lives,1,2 and colon cancer screening falls well within accepted cost-effectiveness parameters.3 Furthermore, a...

    Point-of-Care Guides

    Radiography After Cervical Spine Injury

    MARK H. EBELL

    Neck pain caused by blunt trauma from a motor vehicle collision, fall, or other injury is a common occurrence. Many patients who decline ambulance transport after an injury will present to their primary care physician rather than the emergency department. Two clinical rules...

    Photo Quiz

    A Swelling in the Neck

    ALEXANDER K.C. LEUNG, DANIÈLE PACAUD

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

    Putting Prevention Into Practice

    Screening for Overweight in Children and Adolescents

    IRIS R. MABRY

    Case study: EH is a five-year-old boy seeing you for a routine well-child examination. His mother is concerned about his weight. He weighs 55 lb (25 kg), and his height is 42.5 in (108 cm). His body mass index (BMI) is 21.4 kg per m2, which places him in the 95th percentile...

    STEPS

    Levonorgestrel-Releasing Intrauterine System (Mirena) for Contraception

    PHARM D. LISA MCCARTHY

    The levonorgestrel-releasing intrauterine system is a reliable, reversible, low-maintenance method of long-term contraception. Rates of failure are similar to those of female sterilization, and the risk of expulsion is minimal for most users.

    POEMs

    Aspirin Lowers Cardiovascular Risk in Men and Women

    DAVID SLAWSON

    Oral Rotavirus Vaccines Are Safe and Effective in Children

    MARK EBELL

    Watchful Waiting Acceptable Option for Inguinal Hernia

    DAVID SLAWSON

    Many Patients with Barrett's Esophagus Have No Reflux

    MARK EBELL

    Pushing During Second-Stage Labor Is Matter of Preference

    LINDA FRENCH

    Above- and Below-Elbow Casts for Children Are Similar

    HENRY BARRY

    Toremifene Is Effective Therapy for Mastalgia

    DAVID SLAWSON

    Practice Guidelines

    ACIP Updates Recommendations for Prevention of Hepatitis B Virus Transmission

    CARRIE MORANTZ

    The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) has updated its strategy to eliminate hepatitis B virus (HBV) transmission in the United States.

    Practice Guidelines Briefs

    CDC Reports on Mumps Outbreak in Midwest

    CARRIE MORANTZ

    The Centers for Disease Control and Prevention (CDC) is investigating an outbreak of mumps that began in Iowa in December 2005. Other cases that were thought to be linked to the Iowa outbreak were being investigated in Illinois, Kansas, Minnesota, Missouri, Nebraska, and...

    AAN Review of Carotid Endarterectomy

    LIZ SMITH

    A subcommittee of the American Academy of Neurology (AAN) reviewed articles on carotid endarterectomy to assess the effectiveness of the procedure in preventing stroke in patients with internal carotid artery stenosis.

    NCHS Publishes Personal Health Assessment Survey Results

    LISA GRAHAM

    The National Center for Health Statistics (NCHS) published statistics on personal health assessment, reporting that American Indian/Alaskan Native and black adults were less likely than white or Asian adults to assess their health as excellent or very good.

    Letters to the Editor

    Use of Mifepristone for Treatment of Ectopic Pregnancy

    Tips from Other Journals

    Treatment of Chlamydia trachomatis in Adolescents

    KARL E. MILLER

    Effect of School-Based Fitness Programs on Overweight Children

    KARL E. MILLER

    Effect of Three Health Diets on Cardiovascular Markers

    CAROLINE WELLBERY

    HIV Testing for Patients with Nonspecific Viral Symptoms

    KENNETH W. LIN

    Bupropion and Nortriptyline for Smoking Cessation

    KARL E. MILLER

    High-Fiber Diets Do Not Prevent Colon Cancer

    CAROLINE WELLBERY

    Condom Use Lowers Genital Herpes Risk

    KENNETH W. LIN

    Prevention and Diagnosis of Fetal Alcohol Syndrome

    ANNE D. WALLING

    Information from Your Family Doctor

    Microscopic Hematuria: What You Should Know

    Microscopic hematuria (say: HEE-ma-tur-ee-uh) is a small amount of blood in your urine. The amount of blood is so small that it does not change the color of your urine. It can only be seen through a microscope.

    Febrile Seizures: What You Should Know

    Febrile (say: FEB-rile) seizures are convulsions (severe shaking of the body) caused by a fever in infants and young children. During a febrile seizure, the child's arms and legs shake. Most febrile seizures last a minute or two, but they can range from a few seconds to more...

    Gonorrhea: What You Should Know

    Gonorrhea (say: gon-or-EE-ah) is an infection caused by germs. It can affect a woman's cervix (the opening to the womb) and a man's penis. It also can affect the rectal area, throat, and eyes. You can get gonorrhea by having sex (vaginal, oral, or anal) with a person who has...

    Health Tips for Air Travel

    Several things can make traveling by plane more comfortable. The air in airplanes is dry. You should drink plenty of nonalcoholic drinks so you won't get dehydrated.

    Jet Lag: What You Should Know

    Your body has an internal “clock” that controls your temperature, blood pressure, and hormones. When you travel across several time zones in one day, your internal clock can get out of step. This is called jet lag.

    Traveling Abroad: Tips for Staying Healthy

    It is a good idea to have medical and dental check-ups before your trip. You should be aware of any problems and find out about any medicines you should take. Also, remember that your health insurance may not pay for treatment in another country. Find out what your insurance...

    Corrections

    Corrections

    Corrections



    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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