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afp20070301p683.pdf

...St. Vincent’s University Hospital, Dublin, Ireland WILLIAM S. BECKETT, M.D., and PATRICIA J. SIME, M.D., University of Rochester School of Medicine and Dentistry, Rochester, New York A sbestos, a crystalline mineral that occurs in deposits throughout the world, is the smallest...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p683.pdf

afp20070301p695.pdf

...Erythema Nodosum: A Sign of Systemic Disease ROBERT A. SCHWARTZ, M.D., M.P.H., and STEPHEN J. NERVI, M.D., University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, New Jersey E rythema nodosum is a type of pan- niculitis that affects subcutaneous fat in...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p695.pdf

afp20070315p841.pdf

...842 American Family Physician www.aafp.org/afp Volume 75, Number 6 ◆ March 15, 2007 Disaster-Related Health this model is briefly summarized to orient family physi- cians to these risk factors. When clinically evaluating persons after a disaster, family physicians should con-...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p841.pdf

afp20070315p849.pdf

...850 American Family Physician www.aafp.org/afp Volume 75, Number 6 ◆ March 15, 2007 is unaware, such as previous pregnancy or sexually transmitted disease.7 EvaluatIon of thE couplE Important topics to address include the fre- quency and timing of intercourse, and the use...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p849.pdf

afp20070315p859.pdf

...Diagnosis and Treatment of Impetigo CHARLES COLE, M.D., and JOHN GAZEWOOD, M.D., M.S.P.H. University of Virginia School of Medicine, Charlottesville, Virginia I mpetigo is a highly contagious infec- tion of the superficial epidermis that most often affects children two to five years...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p859.pdf

afp20070315p869.pdf

...Common Spider Bites JAMES H. DIAZ, M.D., DR.P.H., M.P.H.T.M., and KIM EDWARD LEBLANC, M.D., PH.D. Louisiana State University School of Medicine, New Orleans, Louisiana A rthropod bites and stings are common in the United States, where more than 50,000 expo- sures occur each year.1...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p869.pdf

afp20070401p1008.pdf

...supplement use; illness; eating disorders; obesity; vision or hearing prob- lems). The American Academy of Family Physicians has joined a number of organiza- tions in endorsing guidelines to help phy- sicians perform adequate preparticipation evaluations.1 Cardiovascular...

American Family Physician

https://www.aafp.org/afp/2007/0401/afp20070401p1008.pdf

afp20070401p1017.pdf

...Work-Related Eye Injuries and Illnesses W.F. PEATE, M.D., M.P.H., University of Arizona Colleges of Medicine and Public Health, Tucson, Arizona M ore than 65,000 work-related eye injuries and illnesses cause job absenteeism in the United States every year.1 Workers who have the...

American Family Physician

https://www.aafp.org/afp/2007/0401/afp20070401p1017.pdf

afp20070401p1027.pdf

...Peppermint Oil BENJAMIN KLIGLER, M.D., M.P.H., Albert Einstein College of Medicine of Yeshiva University, Bronx, New York SAPNA CHAUDHARY, D.O., Beth Israel Continuum Center for Health and Healing, New York, New York P eppermint (Mentha x piperita) is a perennial flowering member of...

American Family Physician

https://www.aafp.org/afp/2007/0401/afp20070401p1027.pdf

afp20070401p1031.pdf

...1032 American Family Physician www.aafp.org/afp Volume 75, Number 7 ◆ April 1, 2007 anticoagulation therapy drug, food, and disease-state interactions Medications, foods, and disease states can potentiate or inhibit the effects of warfarin (Table 11,10). Some of these...

American Family Physician

https://www.aafp.org/afp/2007/0401/afp20070401p1031.pdf

afp20070415p1181.pdf

...on low back pain, written by the author of this article and by Richard B. Sisson, a medical student at Georgetown University School of Medicine, is provided on page 1190. IL LU ST R A TI O N B Y f LO Y d h O Sm eR Downloaded from the American Family...

American Family Physician

https://www.aafp.org/afp/2007/0415/afp20070415p1181.pdf

afp20070415p1199.pdf

...1200 American Family Physician www.aafp.org/afp Volume 75, Number 8 ◆ April 15, 2007 internal cervical os.4 The placenta is described as a complete previa when it covers the os and as a marginal previa when the edge lies within 2 cm of the os. When the edge is 2 to 3.5 cm (1.4...

American Family Physician

https://www.aafp.org/afp/2007/0415/afp20070415p1199.pdf

afp20070415p1207.pdf

...1208 American Family Physician www.aafp.org/afp Volume 75, Number 8 ◆ April 15, 2007 potential adverse effects and, in some practice settings, may be called on to manage them. nAusEA AnD vomiTing Approximately 70 to 80 percent of patients treated with chemotherapy...

American Family Physician

https://www.aafp.org/afp/2007/0415/afp20070415p1207.pdf

afp20070415p1219.pdf

...1220 American Family Physician www.aafp.org/afp Volume 75, Number 8 ◆ April 15, 2007 also should be assessed. Based on their Framingham risk score, patients at low risk have a less than 10 percent 10­year CAD risk, patients at intermediate risk have a 10 to 20 percent 10­year CAD...

American Family Physician

https://www.aafp.org/afp/2007/0415/afp20070415p1219.pdf

afp20070501p1342.pdf

...Evaluation of a First Seizure STEPHEN M. ADAMS, MD, and PAUL D. KNOWLES, MD, University of Tennessee College of Medicine, Chattanooga Unit, Chattanooga, Tennessee A bout 2 to 5 percent of Americans experience an afebrile seizure, and seizures account for approxi- mately 1 to 2...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1342.pdf

afp20070501p1349.pdf

...1350 American Family Physician www.aafp.org/afp Volume 75, Number 9 ◆ May 1, 2007 Newborn Hearing Screening children.9-11 However, in children who are not screened at birth, diagnosis of hearing loss may be delayed by as long as three years.13 Lowering the age at which screen-...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1349.pdf

afp20070501p1357.pdf

...1358 American Family Physician www.aafp.org/afp Volume 75, Number 9 ◆ May 1, 2007 Pleurisy Presentation Patients with pleuritic pain present in differ- ent ways depending on the underlying cause. Pleuritic pain typically is localized to the area that is inflamed or along...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1357.pdf

afp20070501p1365.pdf

...1366 American Family Physician www.aafp.org/afp Volume 75, Number 9 ◆ May 1, 2007 SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References Patients with high serum triglyceride levels should receive counseling about a healthy diet, regular...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1365.pdf

afp20070515p1487.pdf

...1488 American Family Physician www.aafp.org/afp Volume 75, Number 10 ◆ May 15, 2007 Kidney Disease: Dosing Dosing Adjustments Loading doses usually do not need to be adjusted in patients with chronic kidney dis- ease. Published guidelines suggest methods for maintenance dosing...

American Family Physician

https://www.aafp.org/afp/2007/0515/afp20070515p1487.pdf

afp20070515p1503.pdf

...1504 American Family Physician www.aafp.org/afp Volume 75, Number 10 ◆ May 15, 2007 menorrhagia, pelvic pain, obstructive symptoms, infertil- ity, or pregnancy loss. Menstrual abnormalities, including menorrhagia, are the most common symptoms associated with uterine fibroid...

American Family Physician

https://www.aafp.org/afp/2007/0515/afp20070515p1503.pdf

afp20070515p1513.pdf

...MD, MPH, University of Rochester School of Medicine, Rochester, New York BRIAN HERRICK, MD, University of California at San Francisco, San Francisco, California TERESA GIPSON, MD, and SUZANNE P. LEE, MD, University of Rochester School of Medicine, Rochester, New York A cute...

American Family Physician

https://www.aafp.org/afp/2007/0515/afp20070515p1513.pdf

afp20070515p1523.pdf

...57 percent of older patients in nursing homes, and 36 per- cent of patients with mental retardation.1 An anatomic deformity and an increased number of hairs in the external auditory canal, as well as physical barriers to natural wax extrusion (e.g., cotton swabs, hearing aids,...

American Family Physician

https://www.aafp.org/afp/2007/0515/afp20070515p1523.pdf

afp20070601p1660.pdf

...or all-cause mortal- ity.5,6 A Cochrane review concluded that breast self-examination has no beneficial effect and actually increases the number of Breast cancer is one of the most significant health concerns in the United States. Recent reviews have ques- tioned the value of...

American Family Physician

https://www.aafp.org/afp/2007/0601/afp20070601p1660.pdf

afp20070601p1671.pdf

...G. SHIELDS, MD, MS, University of Massachusetts, Worcester, Massachusetts STEPHEN D. RATCLIFFE, MD, MSPH, Lancaster General Hospital Family Medicine Residency Program, Lancaster, Pennsylvania PATRICIA FONTAINE, MD, MS, University of Minnesota, Minneapolis, Minnesota LARRY LEEMAN,...

American Family Physician

https://www.aafp.org/afp/2007/0601/afp20070601p1671.pdf

afp20070601p1679.pdf

...and another study found that 62 percent of family medicine and child care offices saw one or more children who required hospitalization or urgent treatment each week.1 Many of the studies describing the incidence of office emergencies have also shown that offices were inadequately...

American Family Physician

https://www.aafp.org/afp/2007/0601/afp20070601p1679.pdf

afp20070601p1689.pdf

...Ginger: An Overview BRETT WHITE, MD, Keck School of Medicine, University of Southern California, Los Angeles, California G inger (Zingiber officinale) is a member of the family of plants that includes cardamom and tur- meric. The strong aroma of gin- ger is the result of pungent...

American Family Physician

https://www.aafp.org/afp/2007/0601/afp20070601p1689.pdf

afp20070615p1805.pdf

...More recent research has demonstrated a significant decrease in the number of cases of occult bacteremia and SBI in febrile children since the advent of Haemophilus influenzae type b and Streptococcus pneu- moniae vaccines, with occult bacteremia rates of 1.6 to 1.8 percent.3,8...

American Family Physician

https://www.aafp.org/afp/2007/0615/afp20070615p1805.pdf

afp20070615p1813.pdf

...loss volume include the rate of change of sanitary protection during full f low, and the total number of pads and tampons used.6 Other associations include the size of clots and the number of clots greater than about 1 inch in diameter. A low ferritin level correctly predicts 60...

American Family Physician

https://www.aafp.org/afp/2007/0615/afp20070615p1813.pdf

afp20070615p1821.pdf

...Schizophrenia: A Review STEPHEN H. SCHULTZ, MD, STEPHEN W. NORTH, MD, MPH, and CLEVELAND G. SHIELDS, PhD, University of Rochester School of Medicine and Dentistry, Rochester, New York S chizophrenia is a devastating mental illness that impairs mental and social functioning and...

American Family Physician

https://www.aafp.org/afp/2007/0615/afp20070615p1821.pdf

afp20070615p1831.pdf

...1832 American Family Physician www.aafp.org/afp Volume 75, Number 12 ◆ June 15, 2007 these processes slows the rate of glucose absorption, causing decreased postprandial glucose levels.12 Pram- lintide is indicated for patients with type 1 diabetes who take mealtime insulin and...

American Family Physician

https://www.aafp.org/afp/2007/0615/afp20070615p1831.pdf

afp20070701p76.pdf

...Nausea and Vomiting KEITH SCORZA, MD, AARON WILLIAMS, DO, J. DANIEL PHILLIPS, MD, and JOEL SHAW, MD Dewitt Army Community Hospital Family Medicine Residency, Fort Belvoir, Virginia N ausea is the unpleasant, painless sensation that one may poten- tially vomit. Vomiting is an...

American Family Physician

https://www.aafp.org/afp/2007/0701/afp20070701p76.pdf

afp20070701p86.pdf

...86 American Family Physician www.aafp.org/afp Volume 76, Number 1 ◆ July 1, 2007 Dupuytren’s Disease: Diagnosis and Treatment THOMAS H. TROJIAN, MD, and STEPHANIE M. CHU, DO, University of Connecticut Health Center/Saint Francis Hospital and Medical Center, Hartford, Connecticut...

American Family Physician

https://www.aafp.org/afp/2007/0701/afp20070701p86.pdf

afp20070701p91.pdf

...Cysticercosis: An Emerging Parasitic Disease ROBERT KRAFT, MD, Smoky Hill Family Medicine Residency Program, Salina, Kansas C ysticercosis (i.e., tapeworm infec- tion) is the most common para- sitic disease worldwide, with an estimated prevalence greater than 50 million persons...

American Family Physician

https://www.aafp.org/afp/2007/0701/afp20070701p91.pdf

afp20070701p99.pdf

...to Medical Students’ Frequently Asked Questions About Family Medicine AMY L. McGAHA, MD, American Academy of Family Physicians, Leawood, Kansas ELIZABETH GARRETT, MD, MSPH, University of Missouri-Columbia School of Medicine, Columbia, Missouri ANN C. JOBE, MD, MSN, Educational...

American Family Physician

https://www.aafp.org/afp/2007/0701/afp20070701p99.pdf

afp20070715p237.pdf

...Common Problems in Endurance Athletes DAVID D. COSCA, MD, and FRANCO NAVAZIO, MD, PhD University of California Davis Sports Medicine Program, Sacramento, California P articipants in endurance sports span all ages, and although elite-level endurance athletes are typically in their...

American Family Physician

https://www.aafp.org/afp/2007/0715/afp20070715p237.pdf

afp20070715p247.pdf

...248 American Family Physician www.aafp.org/afp Volume 76, Number 2 ◆ July 15, 2007 could impact various members of the same family, may contribute to the symptom- atology of the disease.6 Current theories of pathogenesis include central sensitization and...

American Family Physician

https://www.aafp.org/afp/2007/0715/afp20070715p247.pdf

afp20070715p255.pdf

...256 American Family Physician www.aafp.org/afp Volume 76, Number 2 ◆ July 15, 2007 Although the optimal frequency of moni- toring is unknown, the ADA recommends SMBG three or more times a day for patients with type 1 diabetes.9 Patients with type 2 diabetes still benefit from at...

American Family Physician

https://www.aafp.org/afp/2007/0715/afp20070715p255.pdf

afp20070715p265.pdf

...266 American Family Physician www.aafp.org/afp Volume 76, Number 2 ◆ July 15, 2007 ophthalmia neonatorum or pneumonitis in the newborn, or postpartum endometritis in the mother. Some reports have linked chla- mydia to low birth weight and preterm birth, but one study found no...

American Family Physician

https://www.aafp.org/afp/2007/0715/afp20070715p265.pdf

afp20070801p391.pdf

...392 American Family Physician www.aafp.org/afp Volume 76, Number 3 ◆ August 1, 2007 Cytochrome P450 of drugs dependent on CYP2C19, which metabolizes phenytoin (Dilantin), pheno- barbital, omeprazole (Prilosec), and other drugs.9 Variance in drug response among persons of...

American Family Physician

https://www.aafp.org/afp/2007/0801/afp20070801p391.pdf

afp20070801p397.pdf

...Recommendations for Preconception Care MICHAEL C. LU, MD, MPH, University of California, Los Angeles, David Geffen School of Medicine and School of Public Health, Los Angeles, California F or more than two decades, prena- tal care has been a cornerstone for improving pregnancy...

American Family Physician

https://www.aafp.org/afp/2007/0801/afp20070801p397.pdf

afp20070801p405.pdf

...Turner Syndrome: Diagnosis and Management THOMAS MORGAN, MD, Washington University School of Medicine, St. Louis, Missouri T urner syndrome is diagnosed in females with partial or complete absence of one X chromosome (45,X karyotype). Clinical mani- festations vary and may be...

American Family Physician

https://www.aafp.org/afp/2007/0801/afp20070801p405.pdf

afp20070815p517.pdf

...T he American Academy of Sleep Medicine defines insomnia as unsatisfactory sleep that impacts daytime functioning.1 More than one third of adults report some degree of insomnia within any given year, and 2 to 6 percent use medications to aid sleep.2 Insomnia is associated with...

American Family Physician

https://www.aafp.org/afp/2007/0815/afp20070815p517.pdf

afp20070815p539.pdf

...540 American Family Physician www.aafp.org/afp Volume 76, Number 4 ◆ August 15, 2007 Iron overload, documented by high trans- ferrin saturation, is common in patients with liver disease and other immunocom- promising conditions who develop V. vul- nificus infection.2 In human and...

American Family Physician

https://www.aafp.org/afp/2007/0815/afp20070815p539.pdf

afp20070815p549.pdf

...U se of complementary and alter- native medicine in all of its varieties, such as herbal rem- edies and dietary supplements, increased from 34 percent of the overall U.S. population in 1990 to 42 percent in 1997.1 Use appears to be twice as great in persons reporting anxiety and...

American Family Physician

https://www.aafp.org/afp/2007/0815/afp20070815p549.pdf

afp20070901p658.pdf

...School, Minneapolis, Minnesota JANET SILVERSTEIN, MD, University of Florida College of Medicine, Gainesville, Florida FRANCINE KAUFMAN, MD, Childrens Hospital Los Angeles and Keck School of Medicine of the University of Southern California, Los Angeles, California ELIZABETH...

American Family Physician

https://www.aafp.org/afp/2007/0901/afp20070901p658.pdf

afp20070901p667.pdf

...This is one in a series of Clinical Pharmacology articles coordinated by Allen F. Shaughnessy, PharmD, Tufts University Family Medicine Residency Program, Malden, Mass. Downloaded from the American Family Physician Web site at www.aafp.org/afp. Copyright © 2007 American Academy...

American Family Physician

https://www.aafp.org/afp/2007/0901/afp20070901p667.pdf

afp20070901p675.pdf

...676 American Family Physician www.aafp.org/afp Volume 76, Number 5 ◆ September 1, 2007 Allergens and Asthma exposure and symptoms are perennial. Con- sequently, many patients who are allergic to common indoor allergens are not aware of the role of allergen exposure in their...

American Family Physician

https://www.aafp.org/afp/2007/0901/afp20070901p675.pdf

afp20070915p801.pdf

...802 American Family Physician www.aafp.org/afp Volume 76, Number 6 ◆ September 15, 2007 arthritis, soft tissue masses (i.e., tophi), nephrolithiasis, and urate nephropathy. Asymptomatic hyperuricemia is common and usually does not lead to clinical gout. The relationship...

American Family Physician

https://www.aafp.org/afp/2007/0915/afp20070915p801.pdf

afp20070915p817.pdf

...of Metatarsal Fractures ROBERT L. HATCH, MD, MPH, University of Florida, Gainesville, Florida JOHN A. ALSOBROOK, MD, South Bend Sports Medicine Program, South Bend, Indiana JAMES R. CLUGSTON, MD, MS, University of Florida, Gainesville, Florida M etatarsal fractures represent 5...

American Family Physician

https://www.aafp.org/afp/2007/0915/afp20070915p817.pdf

afp20070915p829.pdf

...September 15, 2007 ◆ Volume 76, Number 6 www.aafp.org/afp American Family Physician 829 Ocular Emergencies PRABHAT K. POKHREL, MD, MS, PhD, Genesys Regional Medical Center, Grand Blanc, Michigan SANAZ A. LOFTUS, MD, University of Minnesota, Minneapolis, Minnesota E ye injury,...

American Family Physician

https://www.aafp.org/afp/2007/0915/afp20070915p829.pdf

afp20070915p843.pdf

...Treatment of Lateral Epicondylitis GREG W. JOHNSON, MD, KARA CADWALLADER, MD, SCOT B. SCHEFFEL, MD, and TED D. EPPERLY, MD, Family Medicine Residency of Idaho, Boise, Idaho L ateral epicondylitis is one of the most common overuse syndromes seen in primary care, with an annual...

American Family Physician

https://www.aafp.org/afp/2007/0915/afp20070915p843.pdf

afp20071001p1005.pdf

...1006 American Family Physician www.aafp.org/afp Volume 76, Number 7 ◆ October 1, 2007 Peptic Ulcer Disease patients with duodenal ulcers and from 59 to 4 percent in patients with gastric ulcers.8 nsaiDs NSAIDs are the most common cause of peptic ulcer dis- ease in...

American Family Physician

https://www.aafp.org/afp/2007/1001/afp20071001p1005.pdf

afp20071001p975.pdf

...976 American Family Physician www.aafp.org/afp Volume 76, Number 7 ◆ October 1, 2007 Chronic Foot Pain flexion at the metatarsophalangeal joint. The initial plain radiographs showed subtle lucency with cortical interruption over the distal shaft of the second metatarsal, which...

American Family Physician

https://www.aafp.org/afp/2007/1001/afp20071001p975.pdf

afp20071001p987.pdf

...988 American Family Physician www.aafp.org/afp Volume 76, Number 7 ◆ October 1, 2007 distress. Symptoms can last from a few hours to two days. Chest radiography shows diffuse parenchymal infiltrates, a wet silhouette around the heart, or intralobar fluid accu- mulation5 (Figure...

American Family Physician

https://www.aafp.org/afp/2007/1001/afp20071001p987.pdf

afp20071001p997.pdf

...Bell’s Palsy: Diagnosis and Management JEFFREY D. TIEMSTRA, MD, and NANDINI KHATKHATE, MD University of Illinois at Chicago College of Medicine, Chicago, Illinois B ell’s palsy is an idiopathic, acute peripheral-nerve palsy involving the facial nerve, which supplies all the muscles...

American Family Physician

https://www.aafp.org/afp/2007/1001/afp20071001p997.pdf

afp20071015p1159.pdf

...Outpatient Care of the Premature Infant AMY LaHOOD, MD, and CATHY A. BRYANT, MD, St. Vincent Family Medicine Residency Program, Indianapolis, Indiana I nfants born before 37 weeks’ gestation are considered to be premature.1 Two percent of all premature infants are believed to be...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1159.pdf

afp20071015p1169.pdf

...Methamphetamine Abuse BRADFORD T. WINSLOW, MD, Swedish Medical Center Family Medicine Residency, Littleton, Colorado KENTON I. VOORHEES, MD, University of Colorado at Denver and Health Sciences Center, Denver, Colorado KATHERINE A. PEHL, MD, Denver Health Medical Center, Denver,...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1169.pdf

afp20071015p1179.pdf

...Inherited differences in drug effects in terms of drug metabolism were first docu- mented in the 1950s,6,7 creating a field of research and medicine that is concerned with the interaction of drug therapies and genetic variation (i.e., pharmacogenetics). Because most drug effects are...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1179.pdf

afp20071015p1185.pdf

...Foreign Bodies in the Ear, Nose, and Throat STEVEN W. HEIM, MD, MSPH, and KAREN L. MAUGHAN, MD University of Virginia School of Medicine, Charlottesville, Virginia M ost patients with ear, nose, and throat foreign bodies are children; intellectually chal- lenged or mentally ill...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1185.pdf

afp20071101p1314.pdf

...PETER M. RABINOWITZ, MD, MPH, Yale University School of Medicine, New Haven, Connecticut ZIMRA GORDON, DVM, MPH, Rippowam Animal Hospital, Stamford, Connecticut LYNDA ODOFIN, DVM, MSPH, Yale University School of Medicine, New Haven, Connecticut M ost human infectious...

American Family Physician

https://www.aafp.org/afp/2007/1101/afp20071101p1314.pdf

afp20071101p1323.pdf

...and Treatment ROBERT C. LANGAN, MD; PATRICIA B. GOTSCH, MD; MICHAEL A. KRAFCZYK, MD; and DAVID D. SKILLINGE, DO, St. Luke’s Family Medicine Residency, Bethlehem, Pennsylvania U lcerative colitis is a chronic dis- ease characterized by diffuse mucosal inflammation of the colon....

American Family Physician

https://www.aafp.org/afp/2007/1101/afp20071101p1323.pdf

afp20071101p1333.pdf

...1334 American Family Physician www.aafp.org/afp Volume 76, Number 9 ◆ November 1, 2007 often is the lack of any physical or laboratory findings to explain the patient’s excessive preoccupation with somatic symptoms that initially prompts the physician to consider the diagnosis....

American Family Physician

https://www.aafp.org/afp/2007/1101/afp20071101p1333.pdf

afp20071101p1341.pdf

...1342 American Family Physician www.aafp.org/afp Volume 76, Number 9 ◆ November 1, 2007 second trimester are caused by chromosomal abnormali- ties, and about 12 percent of late second trimester losses are attributed to this cause.12 Chromosomal abnormalities found in second...

American Family Physician

https://www.aafp.org/afp/2007/1101/afp20071101p1341.pdf

afp20071115p1477.pdf

...Temporomandibular Joint Disorders JENNIFER J. BUESCHER, MD, MSPH, Clarkson Family Medicine Residency, Omaha, Nebraska T emporomandibular joint (TMJ) disorder refers to a cluster of con- ditions characterized by pain in the TMJ or its surrounding tissues, functional limitations of...

American Family Physician

https://www.aafp.org/afp/2007/1115/afp20071115p1477.pdf

afp20071115p1489.pdf

...1490 American Family Physician www.aafp.org/afp Volume 76, Number 10 ◆ November 15, 2007 Plain-film radiography is somewhat lim- ited in evaluating bone destruction because 40 to 50 percent of the trabecular bone must be destroyed before it becomes evident on imaging. Bone scans,...

American Family Physician

https://www.aafp.org/afp/2007/1115/afp20071115p1489.pdf

afp20071115p1497.pdf

...Nonspecific Low Back Pain and Return to Work TRANG H. NGUYEN, MD, and DAVID C. RANDOLPH, MD, MPH University of Cincinnati College of Medicine, Milford, Ohio T he management of low back pain and determining the patient’s safe return to work are common issues encountered by family...

American Family Physician

https://www.aafp.org/afp/2007/1115/afp20071115p1497.pdf

afp20071115p1509.pdf

...Acute Pericarditis LESLIE E. TINGLE, MD; DANIEL MOLINA, MD; and CHARLES W. CALVERT, DO Baylor Family Medicine Residency at Garland, Garland, Texas A cute pericarditis is a common disease that must be considered in the differential diagnosis of chest pain in adults.1 The clinical...

American Family Physician

https://www.aafp.org/afp/2007/1115/afp20071115p1509.pdf

afp20071115p1518.pdf

...Several mind-body therapies have been proven effective for the treatment of head- ache.1 Mind-body medicine focuses on the interactions among the brain, mind, body, and behaviors, and on the ways in which emotional, mental, social, spiritual, and behavioral factors can affect...

American Family Physician

https://www.aafp.org/afp/2007/1115/afp20071115p1518.pdf

afp20071201p1650.pdf

...1650 American Family Physician www.aafp.org/afp Volume 76, Number 11 ◆ December 1, 2007 Diagnosis and Treatment of Otitis Media KALYANAKRISHNAN RAMAKRISHNAN, MD, FRCSE; RHONDA A. SPARKS, MD; and WAYNE E. BERRYHILL, MD University of Oklahoma Health Sciences Center, Oklahoma City,...

American Family Physician

https://www.aafp.org/afp/2007/1201/afp20071201p1650.pdf

afp20071201p1661.pdf

...December 1, 2007 ◆ Volume 76, Number 11 www.aafp.org/afp American Family Physician 1661 The Physical Therapy Prescription SCOTT E. RAND, MD, Conroe Medical Education Foundation, Conroe, Texas CHRIS GOERLICH, MSC, PT, Texas Sports Medicine Center, Tomball, Texas KRISTINA MARCHAND, MD,...

American Family Physician

https://www.aafp.org/afp/2007/1201/afp20071201p1661.pdf

afp20071201p1669.pdf

...December 1, 2007 ◆ Volume 76, Number 11 www.aafp.org/afp American Family Physician 1669 Evaluation of Back Pain in Children and Adolescents ROBERT M. BERNSTEIN, MD, Cedars-Sinai Medical Center, Los Angeles, California HAROLD COZEN, MD, Palos Verdes Estates, California L ow back...

American Family Physician

https://www.aafp.org/afp/2007/1201/afp20071201p1669.pdf

afp20071201p1679.pdf

...December 1, 2007 ◆ Volume 76, Number 11 www.aafp.org/afp American Family Physician 1679 Chronic Pancreatitis RAJASREE J. NAIR, MD, and LANIKA LAWLER, MD, Baylor Family Medicine Residency Program, Garland, Texas MARK R. MILLER, MD, Digestive Health Associates of Texas, Garland, Texas...

American Family Physician

https://www.aafp.org/afp/2007/1201/afp20071201p1679.pdf

afp20071215p1795.pdf

...1796 American Family Physician www.aafp.org/afp Volume 76, Number 12 ◆ December 15, 2007 weight loss (Table 26-11). however, the disease can affect several organ systems, including the skin, liver, nervous system, bones, reproductive system, and endocrine sys- tem.12,13...

American Family Physician

https://www.aafp.org/afp/2007/1215/afp20071215p1795.pdf

afp20071215p1815.pdf

...Diagnosis of the Swollen Red Eyelid ART PAPIER, MD; DAVID J. TUTTLE, MD; and TARA J. MAHAR, MD University of Rochester School of Medicine and Dentistry, Rochester, New York P atients with eyelid erythema and edema often present first to the family physician. Cellulitis may be...

American Family Physician

https://www.aafp.org/afp/2007/1215/afp20071215p1815.pdf

afp20071215p1827.pdf

...1828 American Family Physician www.aafp.org/afp Volume 76, Number 12 ◆ December 15, 2007 treatment in pregnant women (Table 2).1 This change occurred because of recent evi- dence supporting azithromycin as safe and effective during pregnancy.4-6 Neisseria Gonorrhoeae Since the...

American Family Physician

https://www.aafp.org/afp/2007/1215/afp20071215p1827.pdf

afp20071215p1837.pdf

...Minimizing Adverse Drug Events in Older Patients CUNG B. PHAM, MD, Tufts University Family Medicine Residency, Malden, Massachusetts ROBERT L. DICKMAN, MD, Tufts University School of Medicine, Boston, Massachusetts O lder adults experience a dispro- portionate share of...

American Family Physician

https://www.aafp.org/afp/2007/1215/afp20071215p1837.pdf

afp20080101p47.pdf

...MauRa R. McLaughLiN, MD, and PeteR haM, MD, University of Virginia School of Medicine, Charlottesville, Virginia a newborn’s skin may exhibit a vari- ety of changes during the first four weeks of life. Most of these changes are benign and self-limited, but others require...

American Family Physician

https://www.aafp.org/afp/2008/0101/afp20080101p47.pdf

afp20080101p56.pdf

...MD, University of Virginia School of Medicine, Charlottesville, Virginia nina r. O’COnnOr, MD, Chestnut Hill Hospital Family Practice Residency Program, Philadelphia, Pennsylvania Peter haM, MD, University of Virginia School of Medicine, Charlottesville, Virginia B...

American Family Physician

https://www.aafp.org/afp/2008/0101/afp20080101p56.pdf

afp20080101p65.pdf

...66 American Family Physician www.aafp.org/afp Volume 77, Number 1 ◆ January 1, 2008 such as football and rugby where participants are driven to the ground and land with the weight of their opponent on top of them. Patients who have sustained clavicle fractures typically hold...

American Family Physician

https://www.aafp.org/afp/2008/0101/afp20080101p65.pdf

afp20080101p73.pdf

...Family Medicine Residency Program at Cambridge Health Alliance, Cambridge, Massachusetts A bout one in four persons tak- ing prescription medication also take a dietary supplement.1,2 According to the National Cen- ter for Complimentary and Alternative Medicine (NCCAM), a...

American Family Physician

https://www.aafp.org/afp/2008/0101/afp20080101p73.pdf

afp20080115p167.pdf

...168 American Family Physician www.aafp.org/afp Volume 77, Number 2 ◆ January 15, 2008 End-of-Life Communication January 15, 2008 ◆ Volume 77, Number 2 www.aafp.org/afp American Family Physician 169 Physicians should customize discussions, especially in situations that are...

American Family Physician

https://www.aafp.org/afp/2008/0115/afp20080115p167.pdf

afp20080115p177.pdf

...D ietary supplements, commonly referred to as natural medicines, herbal medicines, or alternative medicines, account for nearly $20 billion in U.S. sales annually.1 These products have a unique regulatory status that allows them to be marketed with little or no credible...

American Family Physician

https://www.aafp.org/afp/2008/0115/afp20080115p177.pdf

afp20080115p187.pdf

...188 American Family Physician www.aafp.org/afp Volume 77, Number 2 ◆ January 15, 2008 the team in identifying appropriate weight goals. Behav- ioral health care professionals perform cognitive behav- ior, interpersonal, or family therapy, and may assist with pharmacotherapy.2-4,8...

American Family Physician

https://www.aafp.org/afp/2008/0115/afp20080115p187.pdf

afp20080201p311.pdf

...312 American Family Physician www.aafp.org/afp Volume 77, Number 3 ◆ February 1, 2008 be a side effect of erlotinib (Tarceva), an oral small mol- ecule inhibitor, but it could also be a surrogate marker of the drug’s effectiveness.5,6 If the patient is also tak- ing warfarin...

American Family Physician

https://www.aafp.org/afp/2008/0201/afp20080201p311.pdf

afp20080201p321.pdf

...andreW T. GoldSTein, Md, The Johns Hopkins School of Medicine, Baltimore, Maryland F amily physicians are in an ideal position to identify and treat non- neoplastic epithelial disorders of the vulva, which include lichen sclerosus, lichen planus, and lichen simplex chronicus....

American Family Physician

https://www.aafp.org/afp/2008/0201/afp20080201p321.pdf

afp20080201p331.pdf

...S. GRISWOLD, MD, MPH; HELEN ARONOFF, MD, MAT; JOAN B. KERNAN, BS; and LINDA S. KAHN, PhD State University of New York at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York A bout 1.1 million American ado- lescents (ages 12 through 17) met substance abuse...

American Family Physician

https://www.aafp.org/afp/2008/0201/afp20080201p331.pdf

afp20080201p339.pdf

...340 American Family Physician www.aafp.org/afp Volume 77, Number 3 ◆ February 1, 2008 of purulent material under the nail fold, as indicated by drainage of pus when the nail fold is compressed12,13 (Figure 2). An untreated infection may evolve into a subun- gual abscess, with...

American Family Physician

https://www.aafp.org/afp/2008/0201/afp20080201p339.pdf

afp20080215p453.pdf

...454 American Family Physician www.aafp.org/afp Volume 77, Number 4 ◆ February 15, 2008 the age of the patient is an important initial consid- eration. Patients younger than 40 years are more likely to present with shoulder instability or mild rotator cuff disease (impingement,...

American Family Physician

https://www.aafp.org/afp/2008/0215/afp20080215p453.pdf

afp20080215p469.pdf

...Although a number of studies have exam- ined the effect of maternal smoking dur- ing pregnancy, they have had conflicting results showing increased, decreased, and no risk.12-14 However, a personal smoking history is associated with increased risk of testicular cancer. One study...

American Family Physician

https://www.aafp.org/afp/2008/0215/afp20080215p469.pdf

afp20080215p483.pdf

...Of greater concern is the large number of adolescents who start smoking early in life and continue throughout adulthood. Cur- rently, 3 million U.S. adolescents younger than 18 years smoke cigarettes.2 Almost one fourth of adolescents smoke by the time they graduate from high...

American Family Physician

https://www.aafp.org/afp/2008/0215/afp20080215p483.pdf

afp20080215p493.pdf

...494 American Family Physician www.aafp.org/afp Volume 77, Number 4 ◆ February 15, 2008 chronic shoulder pain.10 therefore, the risks and benefits of each class should be considered before use.6 PhysicAl TherAPy Physical therapy encompasses a large range of treat- ments....

American Family Physician

https://www.aafp.org/afp/2008/0215/afp20080215p493.pdf

afp20080301p621.pdf

...Diagnosis of Ear Pain JOHN W. ELY, MD, MSPH; MARLAN R. HANSEN, MD; and ELIZABETH C. CLARK, MD, MPH University of Iowa Carver College of Medicine, Iowa City, Iowa E ar pain (otalgia) is a common symp- tom in primary care with many pos- sible causes. When the cause arises from the ear...

American Family Physician

https://www.aafp.org/afp/2008/0301/afp20080301p621.pdf

afp20080301p635.pdf

...March 1, 2008 ◆ Volume 77, Number 5 www.aafp.org/afp American Family Physician 635 Diagnosis and Treatment of Female Sexual Dysfunction JENNIFER E. FRANK, MD, University of Wisconsin School of Medicine and Public Health, Appleton, Wisconsin PATRICIA MISTRETTA, MPAS, Martin Army...

American Family Physician

https://www.aafp.org/afp/2008/0301/afp20080301p635.pdf

afp20080301p643.pdf

...Retention in Adults: Diagnosis and Initial Management Brian a. SeliuS, DO, and rajeSh SuBeDi, MD, Northeastern Ohio Universities College of Medicine, St. Elizabeth Health Center, Youngstown, Ohio u rinary retention is the inabil- ity to voluntarily urinate. acute urinary...

American Family Physician

https://www.aafp.org/afp/2008/0301/afp20080301p643.pdf

afp20080301p651.pdf

...Tourette’s Syndrome CHRISTOPHER KENNEY, MD; SHENG-HAN KUO, MD; and JOOHI JIMENEZ-SHAHED, MD Baylor College of Medicine, Houston, Texas I n 1885, Georges Gilles de la Tourette described the major clinical features of the syndrome that now carries his name. Tourette’s syndrome is one...

American Family Physician

https://www.aafp.org/afp/2008/0301/afp20080301p651.pdf

afp20080315p785.pdf

...of Adult Depression Stephen M. AdAMS, Md; KArl e. Miller, Md; and robert G. ZylStrA, edd, lCSW University of Tennessee College of Medicine, Chattanooga, Tennessee d epression is common in primary care patients, with an incidence from 10 to 14 percent among patients who present...

American Family Physician

https://www.aafp.org/afp/2008/0315/afp20080315p785.pdf

afp20080315p797.pdf

...JAMES T. MARTIN, Dr.rer.nat., College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California D ental infections, including den- tal caries and periodontal dis- ease, are commonly encountered in the primary care setting in the United...

American Family Physician

https://www.aafp.org/afp/2008/0315/afp20080315p797.pdf

afp20080315p807.pdf

...808 American Family Physician www.aafp.org/afp Volume 77, Number 6 ◆ March 15, 2008 failure to thrive, dementia) currently repre- sent 56 percent of all hospice admissions.6-8 The responsibility for hospice referral in a non-cancer diagnosis often falls to the pri- mary care...

American Family Physician

https://www.aafp.org/afp/2008/0315/afp20080315p807.pdf

afp20080315p819.pdf

...820 American Family Physician www.aafp.org/afp Volume 77, Number 6 ◆ March 15, 2008 (including adolescents), even if they are not engaging in high-risk sexual behaviors.2,3 Younger women have a higher risk of gonorrhea and chlamydia infection than older women; this is because...

American Family Physician

https://www.aafp.org/afp/2008/0315/afp20080315p819.pdf

afp20080401p957.pdf

...April 1, 2008 ◆ Volume 77, Number 7 www.aafp.org/afp American Family Physician 957 Pharmacologic Management of Heart Failure Caused by Systolic Dysfunction WILLIAM E. CHAVEY, MD, MS; BARRY E. BLESKE, PharmD; R. VAN HARRISON, PhD; ROBERT V. HOGIKYAN, MD, MPH; SEAN K. KESTERSON, MD;...

American Family Physician

https://www.aafp.org/afp/2008/0401/afp20080401p957.pdf

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