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afp20060501p1558.pdf

...Hypertension in Children and Adolescents GREGORY B. LUMA, M.D., and ROSEANN T. SPIOTTA, M.D., Jamaica Hospital Medical Center Family Medicine Residency Program, New York, New York T he prevalence and rate of diagnosis of hypertension in children and adolescents appear to be increas-...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1558.pdf

afp20060501p1573.pdf

...Opioid Addiction with Buprenorphine PAUL A. DONAHER, M.D., Galena, Maryland CHRISTOPHER WELSH, M.D., University of Maryland School of Medicine, Baltimore, Maryland A n estimated 898,000 adults in the United States are opioid depen- dent.1 Treating opioid dependence as a chronic...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1573.pdf

afp20060501p1583.pdf

...Diagnosing Rhinitis: Allergic vs. Nonallergic DAVID M. QUILLEN, M.D., and DAVID B. FELLER, M.D. University of Florida Family Medicine Residency Program, Gainesville, Florida R hinitis is an inflammation of the nasal mucosa. Associated clini- cal symptoms include excessive mucus...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1583.pdf

afp20060501p1591.pdf

...Testosterone Treatments: Why, When, and How? KATHERINE MARGO, M.D., University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania ROBERT WINN, M.D., Jefferson Medical College, Philadelphia, Pennsylvania I n the United States, approximately 43 percent of women and 31...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1591.pdf

afp20060515p1748.pdf

...Hematuria in Adults MARY M. MCDONALD, M.D., DANIEL SWAGERTY, M.D., M.P.H., and LOUIS WETZEL, M.D. University of Kansas School of Medicine, Kansas City, Kansas T he prevalence of asymptomatic microscopic hematuria in adults ranges from 0.19 to 21 percent.1 The range is wide...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1748.pdf

afp20060515p1761.pdf

...Evaluation and Treatment of the Child with Febrile Seizure JAMES S. MILLAR, M.D., University of Oklahoma-Tulsa College of Medicine, Tulsa, Oklahoma F ebrile seizures are common, with 2 to 5 percent of children in North America experiencing at least one; the majority (65 to 90...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1761.pdf

afp20060515p1769.pdf

...May 15, 2006 ◆ Volume 73, Number 10 www.aafp.org/afp American Family Physician 1769 Downloaded from the American Family Physician Web site at www.aafp.org/afp. Copyright© 2006 American Academy of Family Physicians. For the private, noncommercial use of one individual user of the...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1769.pdf

afp20060515p1779.pdf

...Diagnosis and Treatment of Neisseria gonorrhoeae Infections KARL E. MILLER, M.D., University of Tennessee College of Medicine, Chattanooga Unit, Chattanooga, Tennessee N eisseria gonorrhoeae infections may present as a broad range of symptoms and can affect urogenital, anorectal,...

American Family Physician

https://www.aafp.org/afp/2006/0515/afp20060515p1779.pdf

afp20060701p105.pdf

...determines that women delay starting hor- monal contraceptives until the next menses, until a certain number of weeks have passed after childbirth, or until a breastfeeding infant is weaned. In addition, many physi- cians delay prescribing contraceptives for women who have not had a...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p105.pdf

afp20060701p115.pdf

...116 American Family Physician www.aafp.org/afp Volume 74, Number 1 ◆ July 1, 2006 Musculoskeletal Pain in Children sort: Key reCoMMendAtions for PrACtiCe Clinical recommendation Evidence rating References CBC and ESR tests are recommended for children with chronic joint...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p115.pdf

afp20060701p125.pdf

...Dermatitis: An Overview ROBERT A. SCHWARTZ, M.D., M.P.H., CHRISTOPHER A. JANUSZ, M.D., and CAMILA K. JANNIGER, M.D. University of Medicine and Dentistry at New Jersey-New Jersey Medical School, Newark, New Jersey S eborrheic dermatitis can affect patients from infancy to old...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p125.pdf

afp20060701p86.pdf

...July 1, 2006 ◆ Volume 74, Number 1 www.aafp.org/afp American Family Physician 87 Urinary Calculi have a mixed composition, with one type of crystal becoming a nidus for heterogeneous crystallization. Acute Episodes: Diagnosis and Treatment Most renal calculi do not cause...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p86.pdf

afp20060801p420.pdf

...Pertussis: A Disease Affecting All Ages DAVID S. GREGORY, M.D., Lynchburg Family Medicine Residency, Lynchburg, Virginia B ordetella pertussis, a highly com- municable gram-negative coccoba- cillus, causes pertussis (whooping cough). B. pertussis is an exclu- sively human...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p420.pdf

afp20060801p429.pdf

...430 American Family Physician www.aafp.org/afp Volume 74, Number 3 ◆ August 1, 2006 but also surgery for bowel obstruction or diseases of the female reproductive tract.6,7 If there are symptoms, they usually are vague, nonspecific, and organ-related, causing relatively long...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p429.pdf

afp20060801p437.pdf

...438 American Family Physician www.aafp.org/afp Volume 74, Number 3 ◆ August 1, 2006 exercise and older Patients effective balance training methods support combina- tion programs that include progressive resistance train- ing. Emphasis on muscle power (how fast the muscle...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p437.pdf

afp20060801p449.pdf

...450 American Family Physician www.aafp.org/afp Volume 74, Number 3 ◆ August 1, 2006 Antidepressant Discontinuation Syndrome serotonin with abrupt withdrawal of an SSRI.15 This deficiency is compounded by the fact that down-regulated receptors will remain in their relatively...

American Family Physician

https://www.aafp.org/afp/2006/0801/afp20060801p449.pdf

afp20060815p594.pdf

...L. MOUNSEY, M.D., University of Virginia School of Medicine, Charlottesville, Virginia ALEX WILGUS, M.D., Lynchburg Family Medicine Residency Program, Lynchburg, Virginia DAVID C. SLAWSON, M.D., University of Virginia School of Medicine, Charlottesville, Virginia E ndometriosis...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p594.pdf

afp20060815p605.pdf

...AMY L. STUMP, PHARM.D., University of Alabama School of Medicine, Tuscaloosa, Alabama TERRI MAYO, PHARM.D., DCH Regional Medical Center, Tuscaloosa, Alabama ALAN BLUM, M.D., University of Alabama School of Medicine, Tuscaloosa, Alabama G rapefruit is a citrus fruit that is...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p605.pdf

afp20060815p613.pdf

...614 American Family Physician www.aafp.org/afp Volume 74, Number 4 ◆ August 15, 2006 Digoxin An ancillary trial included 988 patients with preserved ventricular function (i.e., ejec- tion fraction greater than 45 percent).9 The DIG investigators concluded that adding digoxin...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p613.pdf

afp20060815p619.pdf

...School of Medicine, Morgantown, West Virginia PRASHANT MAHAJAN, M.D., M.P.H., Wayne State University School of Medicine, Detroit, Michigan APARNA JOSHI, M.D., Children’s Hospital of Michigan, Detroit, Michigan DEEPAK KAMAT, M.D., PH.D., Wayne State University School of Medicine,...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p619.pdf

afp20060901p756.pdf

...September 1, 2006 ◆ Volume 74, Number 5 www.aafp.org/afp American Family Physician 757 SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References Although no laboratory test can diagnose cirrhosis accurately, liver function tests, a complete...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p756.pdf

afp20060901p767.pdf

...768 American Family Physician www.aafp.org/afp Volume 74, Number 5 ◆ September 1, 2006 Cirrhosis and Chronic Liver Failure-Part II than high ascitic fluid total protein level, and many fluid samples from patients with portal hypertension second- ary to heart failure have a...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p767.pdf

afp20060901p783.pdf

...Avian Influenza: Preparing for a Pandemic GREGORY JUCKETT, M.D., M.P.H., West Virginia University School of Medicine, Morgantown, West Virginia A vian influenza has emerged as the primary public health concern of the 21st century. Although vari- ous strains of avian influenza have...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p783.pdf

afp20060901p793.pdf

...success. Strategies to improve adherence in children include using simplified drug regimens (e.g., once-daily dosing), pleasant-tasting medicines, liquid or other nonpill formulations, regular phone contact between parents and physicians, reminders, infor- mation counseling,...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p793.pdf

afp20060915p956.pdf

...September 15, 2006 ◆ Volume 74, Number 6 www.aafp.org/afp American Family Physician 957 Medical Association Foundation. This project began in January 2000. More than 80 organizations are partners in the AWARE Project (http://www.aware.md). The work group is composed of practicing...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p956.pdf

afp20060915p971.pdf

...STEPHEN HAVAS, M.D., M.P.H., M.S., American Medical Association, Chicago, Illinois THOMAS DONNER, M.D., University of Maryland School of Medicine, Baltimore, Maryland R andomized clinical trials1-5 have demonstrated that tight control of blood glucose levels reduces the risk of...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p971.pdf

afp20060915p985.pdf

...School of Medicine, Baltimore, Maryland LINDSAY E. NICOLLE, M.D., University of Manitoba, Winnipeg, Canada ANDREW MCGLONE, M.D., University of Maryland School of Medicine, Baltimore, Maryland THOMAS M. HOOTON, M.D., University of Washington School of Medicine, Seattle,...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p985.pdf

afp20060915p991.pdf

...Hemolytic Uremic Syndrome: An Emerging Health Risk SAMIYA RAZZAQ, M.D., University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas H emolytic uremic syndrome is the most common cause of acute renal failure in children, and the incidence of this syndrome...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p991.pdf

afp20061001p1132.pdf

...The Homeless in America: Adapting Your Practice SUSAN LOUISA MONTAUK, M.D., University of Cincinnati College of Medicine, Cincinnati, Ohio E ach day in the United States, at least 800,000 persons are homeless. This includes 200,000 children in home- less families.1 As of the...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1132.pdf

afp20061001p1141.pdf

...of Health, Bethesda, Maryland STANFORD T. SHULMAN, M.D., Children’s Memorial Hospital, Northwestern University Feinberg School of Medicine, Chicago, Illinois K awasaki disease was first described in 1967 by Tomisaku Kawasaki and has replaced acute rheu- matic fever as the...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1141.pdf

afp20061001p1151.pdf

...1152 American Family Physician www.aafp.org/afp Volume 74, Number 7 ◆ October 1, 2006 Counseling Adolescents adolescents.8 Evidence regarding the effects of specific counseling on adolescent health outcomes is limited. However, some studies suggest that implementing pro-...

American Family Physician

https://www.aafp.org/afp/2006/1001/afp20061001p1151.pdf

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

afp20070315p875.pdf

...JANICE M. ANDERSON, M.D., Forbes Family Medicine Residency Program, Western Pennsylvania Hospital Forbes Regional Campus, Monroeville, Pennsylvania DUNCAN ETCHES, M.D., M.CL.SC., University of British Columbia Faculty of Medicine, Vancouver, British Columbia P ostpartum...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p875.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

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

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

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