• Articles

    Preparation of the Cardiac Patient for Noncardiac Surgery

    CHRISTOPHER FLOOD, LEE A. FLEISHER

    Patients at high risk of cardiac-related morbidity may develop myocardial ischemia perioperatively. During preoperative evaluation, physicians should consider pos-sible interactions of patient-specific risk factors, surgery-specific risk factors, and exercise capacity. Beta...

    Autoimmune Polyglandular Syndrome, Type II

    BARBARA A. MAJERONI, PARAG PATEL

    Autoimmune polyglandular syndrome, type II is the combination of autoimmune adrenal insufficiency with autoimmune thyroid disease, type 1 autoimmune diabetes mellitus, or both. It is a rare condition, but failure to recognize it could be life threatening.

    Iron Deficiency Anemia

    SHERSTEN KILLIP, JOHN M. BENNETT, MARA D. CHAMBERS

    Iron deficiency anemia may be the result of blood loss, inadequate dietary intake, hampered absorption, or physiologic losses in a woman of reproductive age. The U.S. Preventive Services Task Force recommends screening in pregnant women and routine iron supplementation for...

    Asbestos-Related Lung Disease

    KATHERINE M.A. O'REILLY, ANNE MARIE MCLAUGHLIN, WILLIAM S. BECKETT, PATRICIA J. SIME

    Diagnostic testing and follow-up assessment for asbestos-related respiratory dis- eases such as lung cancer, asbestosis, pleural plaques, benign pleural effusion, and malignant mesothelioma are recommended for persons with a history of signifi-cant exposure, although it is...

    Erythema Nodosum: A Sign of Systemic Disease

    ROBERT A. SCHWARTZ, STEPHEN J. NERVI

    Although erythema nodosum usually has no specific identifiable cause, it may be a sign of a treatable disorder, and possible triggers should be investigated. Streptococcal infections are the most common identifiable etiology, especially in children; drug and hormonal...

    Inside AFP

    Physicians from a Variety of Specialties Contribute to Variety of AFP

    JOYCE A. MERRIMAN

    American Family Physician is designed to provide information on a broad spectrum of topics, just as family physicians need to be knowledgeable about a variety of conditions and diseases. Much like family physicians who consult subspecialists when appropriate, the editors of...

    Newsletter

    Newsletter

    President's Health Insurance Plan Has Pros, Cons for Family Physicians | AAFP Opposes President's Proposed Budget Cuts to Health Care Programs | Retail Health Clinics Sign Agreement to Support AAFP's Desired Attributes | U.S. Lawmakers, Coalitions Call for Title VII Support |...

    Quantum Sufficit

    Quantum Sufficit

    SHERRI DAMLO

    Patients and their families who buy a fast-food meal at the hospital might think it is healthier than the same meal eaten outside of the facility. A study conducted by Pennsylvania researchers revealed that 59 of the 200 children's hospitals surveyed hosted on-site fast-food...

    Editorials

    The Importance of Reporting Mistreatment of the Elderly

    LISA M. GIBBS, LAURA MOSQUEDA

    Elder mistreatment often occurs insidiously, beneath the radar of those who see the effects but do not recognize the cause. Although difficult to measure, the best estimate places the prevalence of elder abuse at 3.2 percent in the United States.1 By 2030, the number of...

    Cochrane for Clinicians

    Are Oral Betamimetics Effective Maintenance Therapies After Threatened Preterm Labor?

    GLENN GRIFFIN

    There is no evidence to support the use of oral betamimetics for maintenance therapy after treatment for threatened preterm labor, and there is a risk of adverse effects with these drugs.

    Cochrane Briefs

    Effectiveness of Dressings for Healing Venous Leg Ulcers

    PABLO LOPEZ, ROBERT DACHS

    No single dressing or type of dressing appears to be superior to others in the complete healing of ulcers or in healing rate.

    Telephone Counseling Improves Smoking Cessation Rates

    ELISSA MEITES, DAVID H. THOM

    Telephone counseling can improve long-term smoking cessation rates. Multiple proactive calls are more effective than a single reactive call.

    Clinical Evidence Handbook

    Tennis Elbow

    RACHELLE BUCHBINDER, SALLY GREEN, PETER STRUIJS

    What are the effects of treatments for tennis elbow?

    FPIN's Clinical Inquiries

    Treatment of Impetigo

    DAVID PRICE, VICTORIA BETANCOURT, LEONORA KAUFMAN, JOSÉ E. RODRÍGUEZ

    Topical mupirocin (Bactroban) and fusidic acid (not available in the United States) are more effective than placebo and at least as effective as oral antibiotics for the treatment of limited impetigo, and are better tolerated.

    Photo Quiz

    Solitary Pulmonary Nodule in an 84-Year-Old Man

    IVAN DAMJANOV, REGINALD W. DUSING, MARIO SICAJA

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

    Curbside Consultation

    Are Obese Physicians Effective at Providing Healthy Lifestyle Counseling?

    JO MARIE REILLY

    More than 40 percent of American adults are classified as obese by the Centers for Disease Control and Prevention, and obesity is associated with many comorbidities (e.g., hypertension, type 2 diabetes, asthma, depression, orthopedic problems, sleep apnea).2 Physicians are...

    Practice Guidelines

    Diagnosis and Management of Chronic Heart Failure in Adults

    LIZ SMITH

    Changes in the diagnosis and management of chronic heart failure in adults are reflected in updated guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA).

    Practice Guideline Briefs

    AGA Releases Position Statement on Gastrointestinal Medication Use During Pregnancy

    LISA GRAHAM

    The American Gastroenterological Association (AGA) has released a position statement on gastrointestinal medication use in pregnant women. Drug treatment of gastrointestinal disease in pregnant women can be difficult, as the U.S. Food and Drug Administration classifications...

    Letters to the Editor

    Treatment of Aggression in Patients with Mental Retardation

    BEN LACY

    Importance of Counseling Patients About Contraception

    Tips from Other Journals

    Alternative Therapies Worsen Breast Cancer Outcomes

    ANNE D. WALLING

    Open Access Scheduling Improves Well-Child Care

    KARL E. MILLER

    Treating Erectile Dysfunction Improves Psychosocial Functioning

    CAROLINE WELLBERY

    Acute Coronary Syndrome: Invasive vs. Noninvasive Treatment

    ANNE D. WALLING

    Physician-Patient Communication Affects New Medication Adherence

    KARL E. MILLER

    Ultrasonography Detects Malignant Adnexal Masses

    ANNE D. WALLING

    Allergic Rhinitis Affects Sleep Quality in Adults

    KARL E. MILLER

    Benefits of Fish Consumption Outweigh Risks

    CAROLINE WELLBERY

    Predicting Life Expectancy After a Colorectal Cancer Diagnosis

    KENNETH W. LIN

    Is Obesity a Protective Factor in Heart Failure?

    CAROLINE WELLBERY

    How Effective Is Childhood Pneumococcal Vaccination?

    ANNE D. WALLING

    Information from Your Family Doctor

    Asbestosis: What You Should Know

    Asbestosis (az-bes-TOE-sis) is a disease that scars your lungs. It happens when you breathe in asbestos (az-BEST-us) fibers over time. Asbestos is a mineral that was used in the past to make things fireproof.

    Eczema: What You Should Know

    Eczema (EX-zuh-mah) is an itching, scaling, swelling rash on the skin. The upper layers of the skin turn red and swell (inflame) and form dry or greasy scales (skin flakes). In severe cases, yellow and red pimples form on the skin, behind the ears, in the ear canal, on the...

    Rosacea: What You Should Know

    Rosacea (ro-ZAY-she-ah) is a disease that affects the skin on the face. It often begins as redness that looks like a blush across the nose, cheeks, chin, or forehead. As time goes on, red pimples and pus-filled bumps may appear. Some people also notice small blood vessels...

    Psoriasis: What You Should Know

    Psoriasis (sor-EYE-ah-sis) is a condition that causes thick red or silvery spots that look like scales to form on your skin. The scaling is probably the result of an increase in the number of skin cells. Sometimes pus-filled blisters form. Most of the time, the skin on the...



    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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