• Articles

    Drug Dosing Adjustments in Patients with Chronic Kidney Disease

    MYRNA Y. MUNAR, HARLEEN SINGH

    Physicians should be aware of medications that can cause adverse reactions and failure of therapy if dosages are not adjusted properly in patients with chronic kidney disease. Initial dosages can be determined using published guidelines but should be adjusted based on patient...

    Uterine Fibroid Tumors: Diagnosis and Treatment

    PATRICIA EVANS, SUSAN BRUNSELL

    Many uterine fibroid tumors are asymptomatic and may be diagnosed incidentally. Several imaging modalities are available to evaluate their size and position. Treatment should be individualized and may include hysterectomy, myomectomy, uterine artery embolization, myolysis,...

    Acute Pancreatitis: Diagnosis, Prognosis, and Treatment

    JENNIFER K. CARROLL, BRIAN HERRICK, TERESA GIPSON, SUZANNE P. LEE

    Acute pancreatitis, a reversible inflammatory process of the pancreas, can be limited to pancreatic tissue or can involve peripancreatic tissues or more distant organ sites. Acute pancreatitis may occur as an isolated attack or may be recurrent and can range in severity from...

    Cerumen Impaction

    DANIEL F. McCARTER, A. URSULLA COURTNEY, SUSAN M. POLLART

    Impacted cerumen can cause complications such as hearing loss, pain, and dizziness, and it also can interfere with tympanic membrane examination. The overall quality of evidence on treatments is limited, but watchful waiting, manual removal, use of ceruminolytics, and...

    Inside AFP

    Professional Editors Medical Editors' Contributions to AFP

    MATTHEW J. NEFF

    The challenge of editing articles for American Family Physician is to combine a thorough knowledge of medicine with skillful wordsmithing. To meet this challenge, medical and professional editors work collaboratively to guide articles from submission to print, while ensuring...

    Newsletter

    Newsletter

    GAO Report Demonstrates Potential Cost Benefits of Physician Profiling | Congress Requests Study of Resident Duty Hours and Patient Safety | AAFP Calls for Federal Funding Increases for Key Programs in 2008 | Universal Credentialing Form Adopted in Seven States | Study Finds...

    Quantum Sufficit

    Quantum Sufficit

    SHERRI DAMLO

    According to study results published in the Archives of Disease in Childhood, children consume nearly one third more snack food when they eat in large groups. Researchers analyzed the dietary patterns of 54 children 2.5 to 6.5 years of age. They found that those who ate in...

    Editorials

    Management Options for Uterine Fibroid Tumors

    JOHN BUEK

    The management options for uterine fibroid tumors have expanded greatly in the past 20 years. As Dr. Evans discusses in this issue of American Family Physician,1 there are few randomized trials to help generate level A evidence for appropriate counseling. Because of this lack...

    U.S. Statin Guidelines: Expensive but Not Necessarily Effective

    HENRY C. BARRY, JEROME R. HOFFMAN

    In 2000, the World Health Organization (WHO) ranked the overall performance of health care systems of its member nations.1 It considered responsiveness of the system, fairness of financial contribution, overall health goal attainment, per capita health care expenditure, and...

    Close-ups

    The Importance of Touch

    CAROLINE WELLBERY

    The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

    Point-of-Care Guides

    Predicting Postoperative Nausea and Vomiting

    MARK H. EBELL

    Postoperative nausea and vomiting are uncomfortable for patients, can prolong hospitalization, and can lead to more serious complications, including aspiration pneumonia.

    Photo Quiz

    Pain in the Right Lower Quadrant

    JIANN-SHANG CHOU, CHEN-RONG CHUNG, WEI-MING HU

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

    STEPS

    Insulin Inhalation Powder (Exubera) for Diabetes Mellitus

    NANCY BORJA, KAREN DANIEL, JOHN B. TOURTELOT

    Inhaled insulin provides an alternative route of administration for rapid-acting insulin but offers no other benefit over available insulin therapy. It may reduce, but not eliminate, the need for self-injection in patients with type 1 diabetes. In patients with type 2...

    Practice Guidelines

    Joint Guideline Released for Atrial Fibrillation

    AMBER HUNTZINGER

    A joint guideline for atrial fibrillation has been released by the American College of Cardiology (ACC), American Heart Association (AHA), and European Society of Cardiology (ESC). This guideline assists physicians by describing diagnosis and management options.

    AAN Releases Recommendations for the Diagnostic Evaluation of the Child with Status Epilepticus

    LISA GRAHAM

    The American Academy of Neurology (AAN) and the Child Neurology Society have created recommendations for evaluation and diagnostic laboratory testing of children with status epilepticus.

    Practice Guideline Briefs

    AHA Diet and Lifestyle Recommendations

    LAURA COUGHLIN

    Improving dietary and lifestyle habits is a critical part of any strategy for cardiovascular risk reduction. The American Heart Association (AHA) recently revised its diet and lifestyle recommendations to reflect new evidence.

    Letters to the Editor

    Medicine and the Pharmaceutical Industry: A Call to Action

    Tips from Other Journals

    Does Stenting Produce Better Results Than Endarterectomy?

    ANNE D. WALLING

    Depressive and Anxiety Disorders Can Affect Asthma Control

    KARL E. MILLER

    Preparticipation Sports Exam Can Prevent Sudden Death

    CAROLINE WELLBERY

    No Clinical Signs of Rhinosinusitis Predict Benefit from Antibiotics

    KENNETH W. LIN

    Fruit Juice Related to Obesity in High-Risk Children

    CAROLINE WELLBERY

    Unrecognized Malignancy in Patients with DVT

    ANNE D. WALLING

    Breast Cancer Risk with Estrogen Therapy

    ANNE D. WALLING

    Information from Your Family Doctor

    Earwax: What You Should Know

    Earwax, or cerumen (suh-ROO-mun), is a wax made in your ear. It protects the skin inside your ear canal.



    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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