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afp20061001p1159.pdf

...Guide to Crisis Management MICHAEL G. KAVAN, PH.D., THOMAS P. GUCK, PH.D., and EUGENE J. BARONE, M.D. Creighton University School of Medicine, Omaha, Nebraska P hysicians often are required to assist patients in crisis. An estimated 4 percent of visits to primary care physicians...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1159.pdf

afp20061015p1319.pdf

...1320 American Family Physician www.aafp.org/afp Volume 74, Number 8 ◆ October 15, 2006 Hirschsprung’s Disease in older children (Table 1).5,6 Approximately 80 percent of patients present in the first few months of life with difficult bowel movements, poor feeding, and progres-...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1319.pdf

afp20061015p1331.pdf

...Preventing Cardiovascular Disease in Women SHARONNE N. HAYES, M.D., Mayo Clinic College of Medicine, Rochester, Minnesota C ardiovascular disease (CVD) remains the most common cause of death in women and men in the developed world, despite the mul- tiple epidemiologic and...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1331.pdf

afp20061015p1347.pdf

...Management of Common Opioid-Induced Adverse Effects JOHN M. SWEGLE, PHARM.D., Mercy Family Medicine Residency Program, Mason City, Iowa CRAIG LOGEMANN, PHARM.D., Urbandale Family Physicians, Urbandale, Iowa O pioids are useful agents for man- aging acute and chronic pain.1 When...

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1347.pdf

afp20061015p1357.pdf

...1358 American Family Physician www.aafp.org/afp Volume 74, Number 8 ◆ October 15, 2006 head and Neck Injuries be immobilized and the patient prepared for transport to an emergency department.4 Any focal neurologic symptom suggests a potential central nervous system injury....

American Family Physician

https://www.aafp.org/afp/2006/1015/afp20061015p1357.pdf

afp20061101p1510.pdf

...November 1, 2006 ◆ Volume 74, Number 9 www.aafp.org/afp American Family Physician 1511 research by the U.S. military in the South Pacific confirmed a predominantly bacte- rial process as the cause.5,11 Approximately 50 percent of bacterial cases involve Pseu- domonas aeruginosa,...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1510.pdf

afp20061101p1521.pdf

...LURIE, M.D., PH.D., BARBARA GAWINSKI, PH.D., DEBORAH PIERCE, M.D., M.P.H., and SALLY J. ROUSSEAU, M.S.W., University of Rochester School of Medicine and Dentistry, Rochester, New York T he Diagnostic and Statistical Man- ual of Mental Disorders, 4th ed., (DSM-IV) categorizes...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1521.pdf

afp20061101p1527.pdf

...Nutrition in Toddlers RICHARD E. ALLEN, M.D., M.P.H., St. Mark’s Family Medicine Residency, Salt Lake City, Utah ANYA L. MYERS, R.D., M.SC., Chinook Health, Cardston, Alberta A n important change in nutritional habits occurs during the transi- tion from infancy to toddlerhood at...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1527.pdf

afp20061101p1537.pdf

...1538 American Family Physician www.aafp.org/afp Volume 74, Number 9 ◆ November 1, 2006 Abdominal Pain causes in younger patients; however, certain disease pro- cesses occur more often in older patients. CHOLECYSTITIS Biliary tract disease, including cholecystitis, is the...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1537.pdf

afp20061101p1547.pdf

...Epidemiology The most important risk factor for both conditions is older age, and the number of persons at risk in developed countries is expected to double in the next 25 years as the average age of the population increases.4 PMR has a prevalence of one in 133 among persons older...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1547.pdf

afp20061115p1714.pdf

...Acute Ankle Sprain: An Update DOUGLAS IVINS, M.D., M.S.C.E., University of Oklahoma College of Medicine-Tulsa, Tulsa, Oklahoma A cute ankle injury is one of the most common musculoskeletal injuries in athletes and sedentary persons, accounting for an estimated 2 mil- lion...

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1714.pdf

afp20061115p1729.pdf

...1730 American Family Physician www.aafp.org/afp Volume 74, Number 10 ◆ November 15, 2006 Granuloma Annulare lower than in the general population. Patients with dia- betes mellitus had a higher incidence of chronic relaps- ing granuloma annulare than patients without diabetes....

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1729.pdf

afp20061115p1739.pdf

...Testicular Torsion ERIKA RINGDAHL, M.D., and LYNN TEAGUE, M.D. University of Missouri-Columbia School of Medicine, Columbia, Missouri T he annual incidence of testicu- lar torsion is one in 4,000 males younger than 25 years.1 Intravagi- nal torsion, caused by a congenital...

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1739.pdf

afp20061115p1749.pdf

...1750 American Family Physician www.aafp.org/afp Volume 74, Number 10 ◆ November 15, 2006 Acute Coronary Syndrome/Acute Myocardial Infarction Acute coronary syndrome (ACS) represents an acute cardiac event, specifically unsta- ble angina or acute myocardial infarction (MI)....

American Family Physician

https://www.aafp.org/afp/2006/1115/afp20061115p1749.pdf

afp20061201p1864.pdf

...December 1, 2006 ◆ Volume 74, Number 11 www.aafp.org/afp American Family Physician 1865 Unintentional Childhood Injuries InfAnts Suffocation. Most injury-related deaths in infants (66 percent) are the result of suf- focation.1 Today, most suffocation deaths occur because...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1864.pdf

afp20061201p1873.pdf

...Emergencies MARK L. HIGDON, LTC, MC, USA, Martin Army Community Hospital Family Medicine Residency Program, Fort Benning, Georgia JENNIFER A. HIGDON, D.O., The Medical Center Family Medicine Residency Program, Columbus, Georgia F amily physicians are more likely to encounter...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1873.pdf

afp20061201p1883.pdf

...Erythema Multiforme MICHELE R. LAMOREUX, M.D., MARNA R. STERNBACH, M.D., and W. TERESA HSU, M.D., PH.D., Drexel University College of Medicine, Philadelphia, Pennsylvania E rythema multiforme is an acute, self-limited, and sometimes recur- ring skin condition considered to be a...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1883.pdf

afp20061215p2046.pdf

...SHOBHA S. RAO, M.D., LAURA A. HOFMANN, M.D., and AMER SHAKIL, M.D., University of Texas Southwestern Medical School at Dallas Family Medicine Residency Program, Dallas, Texas P arkinson’s disease is a progres- sive neurodegenerative disorder with an estimated prevalence of 0.3...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2046.pdf

afp20061215p2061.pdf

...to validate this are lacking. Trials have shown that these newer agents decrease the frequency of incontinence episodes, the number of voids per day, and the number and severity of urgency episodes compared with placebo. These agents also have been shown to improve quality of life...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2061.pdf

afp20061215p2069.pdf

...Vasectomy: An Update PAUL DASSOW, M.D., M.S.P.H., and JOHN M. BENNETT, M.D., M.P.H., University of Kentucky College of Medicine, Lexington, Kentucky A lthough vasectomy is the safest and most inexpensive option for permanent sterilization,1 female sterilization is used about three...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2069.pdf

afp20061215p2079.pdf

...with Reading Difficulties S. SUTTON HAMILTON, M.D., Underwood-Memorial Hospital Family Medicine Residency, Woodbury, New Jersey FRANCES P. GLASCOE, PH.D., Vanderbilt University School of Medicine, Nashville, Tennessee A t least one in five children has significant difficulty...

American Family Physician

https://www.aafp.org/afp/2006/1215/afp20061215p2079.pdf

afp20070101p56.pdf

...January 1, 2007 ◆ Volume 75, Number 1 www.aafp.org/afp American Family Physician 57 Lung Cancer Pathology To facilitate treatment and prognostic decisions, lung cancer is categorized as small cell carcinoma or non-small cell carcinoma. Light microscopy is used to further dif-...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p56.pdf

afp20070101p65.pdf

...Mary’s Family Medicine Residency Program, Grand Junction, Colorado GARY K. LUTTERMOSER, M.D., Penn State University/Good Samaritan Hospital Family and Community Medicine Residency Program, Lebanon, Pennsylvania KEITH SCOTT DICKERSON, M.D., M.S., St. Mary’s Family Medicine Residency...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p65.pdf

afp20070101p73.pdf

...to these disorders, an atypical presentation, a lack of adequate child mental health training for health care professionals, an inadequate number of child psychiatrists, and inequali- ties in mental health care insurance. Underdiagnosis and undertreatment are greater problems in...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p73.pdf

afp20070101p85.pdf

...86 American Family Physician www.aafp.org/afp Volume 75, Number 1 ◆ January 1, 2007 Vascular surgery stenosis greater than 50 percent.4 However, patients undergoing carotid endarterectomy should be good sur- gical candidates, and surgeons should have acceptably low...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p85.pdf

afp20070115p194.pdf

...PFPS to be the most common single diagno- sis among runners and in sports medicine centers.1,2 Eleven percent of musculoskeletal complaints in the office setting are caused by anterior knee pain (which most commonly results from PFPS), and PFPS constitutes 16 to 25 percent of all...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p194.pdf

afp20070115p211.pdf

...Common Skin Conditions During Pregnancy MARC TUNZI, M.D., and GARY R. GRAY, D.O., Family Medicine Residency Program, Natividad Medical Center, Salinas, California T here are three general categories of pregnancy-associated skin condi- tions: (1) benign skin conditions from normal...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p211.pdf

afp20070115p221.pdf

...222 American Family Physician www.aafp.org/afp Volume 75, Number 2 ◆ January 15, 2007 Child Abuse children.18,19 It is defined by the Office on Child Abuse and Neglect as failure to provide for a child’s basic physical, emotional, educa- tional/cognitive, or medical needs.7...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p221.pdf

afp20070115p231.pdf

...232 American Family Physician www.aafp.org/afp Volume 75, Number 2 ◆ January 15, 2007 become sensitive to the prescribed medication, his recurrent symptoms represent morbidity related to an unnecessary prescription. In scenario 4, it is assumed that the woman with sinus pain...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p231.pdf

afp20070201p351.pdf

...Update on Helicobacter pylori Treatment ADRIENNE Z. ABLES, PHARM.D., I. SIMON, M.D., and EMILY R. MELTON, M.D. Spartanburg Family Medicine Residency Program, Spartanburg, South Carolina T he discovery of Helicobacter pylori as a causative agent of peptic ulcer dis- ease has...

American Family Physician

https://www.aafp.org/afp/2007/0201/afp20070201p351.pdf

afp20070201p373.pdf

...374 American Family Physician www.aafp.org/afp Volume 75, Number 3 ◆ February 1, 2007 Parvovirus B19 four to 10 years of age,7 although a less-pronounced rash can occur in adults. Prodromal symptoms are mild and include fever, coryza, headache, and nausea. The first stage of...

American Family Physician

https://www.aafp.org/afp/2007/0201/afp20070201p373.pdf

afp20070301p656.pdf

...M.D., Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania LEE A. FLEISHER, M.D., University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania P erioperative myocardial infarction (MI) is a major cause of morbid- ity and mortality in patients who...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p656.pdf

afp20070301p667.pdf

...668 American Family Physician www.aafp.org/afp Volume 75, Number 5 ◆ March 1, 2007 APS II Fair-skinned patients may appear to have a suntan that does not fade. Hypotension, hypoglycemia, and hyponatremia are fairly late manifestations. Ovarian failure occurs in 10 percent of...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p667.pdf

afp20070301p671.pdf

...March 1, 2007 ◆ Volume 75, Number 5 www.aafp.org/afp American Family Physician 671 Iron Deficiency Anemia SHERSTEN KILLIP, M.D., M.P.H., JOHN M. BENNETT, M.D., M.P.H., and MARA D. CHAMBERS, M.D., University of Kentucky, Lexington, Kentucky I ron deficiency anemia (IDA) is the most...

American Family Physician

https://www.aafp.org/afp/2007/0301/afp20070301p671.pdf

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

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

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

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

afp20070801p382.pdf

...PharmD, PETER J. CAREK, MD, MS, and ROBERT GLEN QUATTLEBAUM, MD, MPH Trident Medical Center/Medical University of South Carolina Family Medicine Residency Program, Charleston, South Carolina E very year in the United States, 700,000 persons have a stroke; in 200,000 of these...

American Family Physician

https://www.aafp.org/afp/2007/0801/afp20070801p382.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

afp20070815p533.pdf

...of Acute Chest Pain- Suspected Myocardial Ischemia WILLIAM STANFORD, MD, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa P ersons presenting to the emergency department with chest pain may be experiencing acute coronary syndrome, dissecting...

American Family Physician

https://www.aafp.org/afp/2007/0815/afp20070815p533.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

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

afp20070901p683.pdf

...684 American Family Physician www.aafp.org/afp Volume 76, Number 5 ◆ September 1, 2007 Foreign Bodies in the Skin Types of Foreign Bodies SPlInTerS Splinters are commonly from wood, thorns, or spines from plants but also may be plastic or glass. Wood and vegetative material...

American Family Physician

https://www.aafp.org/afp/2007/0901/afp20070901p683.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

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

afp20071015p1141.pdf

...1142 American Family Physician www.aafp.org/afp Volume 76, Number 8 ◆ October 15, 2007 Drugs for COPD Table 1. Medications Commonly Used for Treating COPD: Dosage, Cost, and Adverse Effects Medication Dosage Cost per month* Serious adverse effects† Common adverse effects†...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1141.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

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

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

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