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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

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

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

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

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

afp20080115p199.pdf

...age little tonsillar tissue remains.5 When healthy, the tonsils do not project beyond the tonsillar pillars medially.2 Each tonsil has a number of crypts on its surface and is surrounded by a capsule that provides a pathway for blood vessels and nerves. Peri- tonsillar abscesses...

American Family Physician

https://www.aafp.org/afp/2008/0115/afp20080115p199.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

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

...in utero are at increased risk of testicular cancer11; how- ever, diethylstilbestrol has been removed from the market. Although a number of studies have exam- ined the effect of maternal smoking dur- ing pregnancy, they have had conflicting results showing increased, decreased,...

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

afp20080401p995.pdf

...douGlas k. rex, md, Indiana University School of Medicine, Indianapolis, Indiana ann G. ZauBer, Phd, Memorial Sloan-Kettering Cancer Center, New York, New York Charles J. kahi, md, Indiana University School of Medicine, Indianapolis, Indiana roBert a. smith, Phd, American...

American Family Physician

https://www.aafp.org/afp/2008/0401/afp20080401p995.pdf

afp20080415p1109.pdf

...The Diagnosis of Wheezing in Children Lisa NobLe Weiss, MD, Med, Northeastern Ohio Universities Colleges of Medicine and Pharmacy, Forum Health Family Practice Center, Youngstown, Ohio W heezing in infants and chil- dren is a common problem presented to primary care offices....

American Family Physician

https://www.aafp.org/afp/2008/0415/afp20080415p1109.pdf

afp20080415p1117.pdf

...intervention, blood transfusion, or replacement therapy is a sig- nificant red flag for a bleeding disorder and, therefore, receives a high number of points. More information on the bleeding score can be found at http://www.euvwd.group.shef. ac.uk/bleed_score.htm. Table 43 indicates...

American Family Physician

https://www.aafp.org/afp/2008/0415/afp20080415p1117.pdf

afp20080415p1139.pdf

...School and Family Medicine Residency Program, Worcester, Massachusetts ALAN B. DOUGLASS, MD, Family Medicine Residency Program, Middlesex Hospital, Middletown, Connecticut JOANNA M. DOUGLASS, BDS, DDS, University of Connecticut School of Dental Medicine, Farmington,...

American Family Physician

https://www.aafp.org/afp/2008/0415/afp20080415p1139.pdf

afp20080501p1271.pdf

...1272 American Family Physician www.aafp.org/afp Volume 77, Number 9 ◆ May 1, 2008 problems following a psychological event or emotional trauma; there may be no other known etiology.4 Etiology a variety of factors may influence stuttering events, although the etiology of the...

American Family Physician

https://www.aafp.org/afp/2008/0501/afp20080501p1271.pdf

afp20080501p1279.pdf

...Managing Hypertension Using Combination Therapy Jennifer frank, MD, University of Wisconsin Department of Family Medicine, Appleton, Wisconsin C ombination therapy is treatment with two or more agents adminis- tered separately or in a fixed-dose combination pill and is required...

American Family Physician

https://www.aafp.org/afp/2008/0501/afp20080501p1279.pdf

afp20080515p1415.pdf

...Common Tinea Infections in Children Mark D. anDrews, MD, and Marianthe Burns, MD Wake Forest University School of Medicine, Winston-Salem, North Carolina t inea refers to dermatophyte infec- tions, which are generally classified by anatomic location: tinea capitis is located on the...

American Family Physician

https://www.aafp.org/afp/2008/0515/afp20080515p1415.pdf

afp20080515p1423.pdf

...Adults SreenivaSa r. Chandana, Md, Phd; Sujana Movva, Md; Madan arora, Md; and Trevor Singh, Md, Michigan State University College of Human Medicine, Lansing, Michigan P rimary malignant brain tumors are rare, accounting for approximately 2 percent of all cancers in u.S. adults....

American Family Physician

https://www.aafp.org/afp/2008/0515/afp20080515p1423.pdf

afp20080515p1431.pdf

...reports that blindness or low vision affects 3.3 million Americans 40 years and older; this number is projected to reach 5.5 million by 2020.2 As the U.S. population ages, the number of persons with major eye disease is increasing. Octogenarians cur- rently make up 8 percent of the...

American Family Physician

https://www.aafp.org/afp/2008/0515/afp20080515p1431.pdf

afp20080601p1535.pdf

...Chronic Pelvic Pain in Women david d. ortiz, md, CHRISTUS Santa Rosa Family Medicine Residency Program, San Antonio, Texas C hronic pelvic pain is defined in a variety of ways. a useful clinical definition of chronic pelvic pain is noncyclic pain that lasts six months or more; is...

American Family Physician

https://www.aafp.org/afp/2008/0601/afp20080601p1535.pdf

afp20080601p1553.pdf

...1554 American Family Physician www.aafp.org/afp Volume 77, Number 11 ◆ June 1, 2008 Cytochrome P450 2C9 (CYP2C9) The CYP2C9 enzyme is involved in the metabolism of many common drugs such as glipizide (Glucotrol), tolbutamide (ori- nase; brand not available in United States),...

American Family Physician

https://www.aafp.org/afp/2008/0601/afp20080601p1553.pdf

afp20080601p1561.pdf

...on Immunizations in Children and Adolescents Lani K. acKerman, mD, Scott and White Clinic, Texas AandM Health Science Center, College of Medicine, College Station, Texas i n a recent evaluation of clinical pre- ventive services, childhood immu- nizations ranked first in cost-...

American Family Physician

https://www.aafp.org/afp/2008/0601/afp20080601p1561.pdf

afp20080601p1573.pdf

...rd, University of California School of Medicine, San Diego, La Jolla, California kevin PatriCk, md, mS, University of California School of Medicine, San Diego, La Jolla, California tim ByerS, md, mPh, University of Colorado School of Medicine, Aurora, Colorado i n the...

American Family Physician

https://www.aafp.org/afp/2008/0601/afp20080601p1573.pdf

afp20080615p1689.pdf

...Disability Evaluation: The Role of the Family Physician OYEBODE A. TAIWO, MD, MPH, and LINDA CANTLEY, PT, MS, OCS Yale University School of Medicine, New Haven, Connecticut MARK SCHROEDER, MD, Natchaug Hospital, Mansfield, Connecticut I n the United States, roughly 49 million...

American Family Physician

https://www.aafp.org/afp/2008/0615/afp20080615p1689.pdf

afp20080615p1697.pdf

...1698 American Family Physician www.aafp.org/afp Volume 77, Number 12 ◆ June 15, 2008 EvaluatIon A technical review from the American Gastroentero- logical Association (AGA) recommends performing an initial evaluation consisting of a patient history and physical examination,...

American Family Physician

https://www.aafp.org/afp/2008/0615/afp20080615p1697.pdf

afp20080615p1709.pdf

...T. DRESANG, MD, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin PAT FONTAINE, MD, MS, University of Minnesota, Minneapolis, Minnesota LARRY LEEMAN, MD, MPH, University of New Mexico School of Medicine, Albuquerque, New Mexico VALERIE J....

American Family Physician

https://www.aafp.org/afp/2008/0615/afp20080615p1709.pdf

afp20080715p206.pdf

...a pproximately 8 percent of the world’s population was 60 years and older in 1950. by 2000, this number had increased to 10 percent; it is expected to reach 21 percent by 2050.1 delivering comprehensive clini- cal preventive services to this population is important; however,...

American Family Physician

https://www.aafp.org/afp/2008/0715/afp20080715p206.pdf

afp20080715p217.pdf

...Thomas J. hunT, mD, University of Nevada School of Medicine, Las Vegas, Nevada ole Thienhaus, mD, mBa, University of Nevada School of Medicine, Reno, Nevada amy ellwooD, msw, lCsw, University of Nevada School of Medicine, Las Vegas, Nevada i talian physician enrique...

American Family Physician

https://www.aafp.org/afp/2008/0715/afp20080715p217.pdf

afp20080715p225.pdf

...Drew Keister, MD; KisMet t. roberts, MD; and stephanie L. werner, MD Offutt Air Force Base/University of Nebraska Medical Center Family Medicine Residency, Omaha, Nebraska b reast milk is the preferred nutri- tional source for all newborns and infants through the first six...

American Family Physician

https://www.aafp.org/afp/2008/0715/afp20080715p225.pdf

afp20080715p235.pdf

...Restless Legs Syndrome Max Bayard, Md; ThoMas avonda, Md; and JaMes Wadzinski, Md, East Tennessee State University, Quillen College of Medicine, Johnson City, Tennessee r estless legs syndrome (rLs) is a neurologic movement disorder that affects approximately 10 per- cent of...

American Family Physician

https://www.aafp.org/afp/2008/0715/afp20080715p235.pdf

afp20080801p336.pdf

...Spontaneous Vaginal Delivery Dale a. Patterson, MD, Family Medicine Residency Program at Memorial Hospital of South Bend, South Bend, Indiana Marguerite WinsloW, MD, and Coral D. Matus, MD, The Toledo Hospital Family Medicine Residency Program, Toledo, Ohio s pontaneous vaginal...

American Family Physician

https://www.aafp.org/afp/2008/0801/afp20080801p336.pdf

afp20080801p365.pdf

...368 American Family Physician www.aafp.org/afp Volume 78, Number 3 ◆ August 1, 2008 muscle relaxants, an understanding of the risks and benefits of this class of drugs is vital. This article presents evidence regarding the use of antispasmodic skeletal muscle relax- ants for...

American Family Physician

https://www.aafp.org/afp/2008/0801/afp20080801p365.pdf

afp20080815p457.pdf

...T here were 13,293 cases of active tuberculosis identified in the United states in 2007.1 although this number continues to decrease, the rate of decline has slowed. in the United states, foreign-born persons from endemic countries are at the greatest risk of Myco- bacterium...

American Family Physician

https://www.aafp.org/afp/2008/0815/afp20080815p457.pdf

afp20080815p471.pdf

...Glucosamine Stephen Dahmer, mD, Beth Israel Department of Family Medicine and the Beth Israel Center for Health and Healing, New York, New York rOBert m. SChILLer, mD, Beth Israel Department of Family Medicine and the Institute for Urban Family Health, New York, New York G...

American Family Physician

https://www.aafp.org/afp/2008/0815/afp20080815p471.pdf

afp20080815p483.pdf

...Classic reflux symptoms are not always present in patients with gerd. a signifi- cant number of patients with gerd present with atypical or extraesophageal symptoms (Table 1).4 These patients are the focus of this review. Atypical or Extraesophageal Symptoms of GERD gerd may...

American Family Physician

https://www.aafp.org/afp/2008/0815/afp20080815p483.pdf

afp20080815p489.pdf

...490 American Family Physician www.aafp.org/afp Volume 78, Number 4 ◆ August 15, 2008 nocturnal enuresis showed that frequency, urgency, nocturia, constipation, and daytime wetting are com- mon in both forms of enuresis.13 Constipation, which occurs in more than 50 percent of...

American Family Physician

https://www.aafp.org/afp/2008/0815/afp20080815p489.pdf

afp20080901p583.pdf

...584 American Family Physician www.aafp.org/afp Volume 78, Number 5 ◆ September 1, 2008 can be treated with topical estrogen therapy.4 Table 33 out- lines selected vaginal estrogen preparations. use of hormone therapy by menopausal women has declined since the results of the...

American Family Physician

https://www.aafp.org/afp/2008/0901/afp20080901p583.pdf

afp20080901p605.pdf

...606 American Family Physician www.aafp.org/afp Volume 78, Number 5 ◆ September 1, 2008 known cause or predisposing factor, such as major shoul- der trauma, chronic dislocations, infection, congenital malformations, or chronic rotator cuff tear (Table 16).5 Evaluation the...

American Family Physician

https://www.aafp.org/afp/2008/0901/afp20080901p605.pdf

afp20080901p615.pdf

...616 American Family Physician www.aafp.org/afp Volume 78, Number 5 ◆ September 1, 2008 groups: nodular sclerosis, mixed cellularity, lymphocyte rich, and lymphocyte depleted. Nodular lymphocyte-predominant Hodg- kin lymphoma is uncommon.6,7 The diagnosis of Hodgkin lymphoma is...

American Family Physician

https://www.aafp.org/afp/2008/0901/afp20080901p615.pdf

afp20080915p717.pdf

...718 American Family Physician www.aafp.org/afp Volume 78, Number 6 ◆ September 15, 2008 SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References Echocardiography is recommended in patients with classic symptoms of aortic stenosis accompanied...

American Family Physician

https://www.aafp.org/afp/2008/0915/afp20080915p717.pdf

afp20080915p727.pdf

...September 15, 2008 ◆ Volume 78, Number 6 www.aafp.org/afp American Family Physician 727 Management of Mastitis in Breastfeeding Women JEANNE P. SPENCER, MD, Conemaugh Memorial Medical Center, Johnstown, Pennsylvania M astitis is defined as inflamma- tion of the breast. Although...

American Family Physician

https://www.aafp.org/afp/2008/0915/afp20080915p727.pdf

afp20080915p735.pdf

...Atypical Moles Peggy R. CyR, MD, Maine Medical Center Family Medicine Residency Program, Portland, Maine A typical moles were first described in 1978 as distinctive pigmented skin lesions present in 37 of 58 members of six families with melanoma.1 The term B-K mole syndrome was...

American Family Physician

https://www.aafp.org/afp/2008/0915/afp20080915p735.pdf

afp20081001p835.pdf

...Lynchburg Family Medicine Residency, Lynchburg, Virginia, and University of Virginia, Charlottesville, Virginia L ow back pain is one of the most com- mon reasons patients present to pri- mary care practices, and is a leading cause of job-related disability in the United...

American Family Physician

https://www.aafp.org/afp/2008/1001/afp20081001p835.pdf

afp20081001p845.pdf

...a. stevens WriGhtson, Md, University of Kentucky College of Medicine, Lexington, Kentucky robert G. henry, dMd, MPh, Veterans Affairs Medical Center and University of Kentucky College of Dentistry, Lexington, Kentucky i t is estimated that 71 million ameri- cans,...

American Family Physician

https://www.aafp.org/afp/2008/1001/afp20081001p845.pdf

afp20081001p853.pdf

...Multiple Myeloma: Diagnosis and Treatment Konrad C. nau, Md, and WilliaM d. leWis, Md, West Virginia University Department of Family Medicine Eastern Division, Harpers Ferry, West Virginia M ultiple myeloma is the most common primary bone malignancy. More than 50,000 persons in the...

American Family Physician

https://www.aafp.org/afp/2008/1001/afp20081001p853.pdf

afp20081015p945.pdf

...Essentials of Skin Laceration Repair RANDALL T. FORSCH, MD, MPH, Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan A lthough the emergency department routinely treats acute trauma, family physicians should be prepared to manage acute...

American Family Physician

https://www.aafp.org/afp/2008/1015/afp20081015p945.pdf

afp20081015p953.pdf

...Vacuum-Assisted Vaginal Delivery Christina D. hook, MD, and JaMes r. DaMos, MD, University of Wisconsin Department of Family Medicine Baraboo Rural Training Track Program, Baraboo, Wisconsin t he second stage of labor is a dynamic event that may require assistance when maternal...

American Family Physician

https://www.aafp.org/afp/2008/1015/afp20081015p953.pdf

afp20081015p961.pdf

...Northwestern University, Feinberg School of Medicine, Chicago, Illinois S ystemic sclerosis (systemic sclero- derma) is a connective tissue disease associated with autoimmunity, vas- culopathy, and fibrosis. The annual incidence is estimated to be 10 to 20 cases per 1 million...

American Family Physician

https://www.aafp.org/afp/2008/1015/afp20081015p961.pdf

afp20081015p971.pdf

...after a single injection. a retrospective cohort study comparing treatments for trochanteric bursitis showed a 2.7-fold increase in the number of patients who were pain free five years after a single corticosteroid injection compared with those who did not receive an injection.6...

American Family Physician

https://www.aafp.org/afp/2008/1015/afp20081015p971.pdf

afp20081101p1052.pdf

...Risk Factors in Children and Adolescents Roseann T. spioTTa, MD, and GReGoRy B. LuMa, MD, Mount Sinai School of Medicine at Jamaica Hospital Medical Center Family Medicine Residency Program, Jamaica, New York a ccording to the Centers for Disease Control and prevention (CDC),...

American Family Physician

https://www.aafp.org/afp/2008/1101/afp20081101p1052.pdf

afp20081101p1059.pdf

...1060 American Family Physician www.aafp.org/afp Volume 78, Number 9 ◆ November 1, 2008 counseled at the 18- or 24-month well-child visit. The physician’s role in toilet training is multifaceted. Necessary components include understanding family dynamics, assessing the child’s...

American Family Physician

https://www.aafp.org/afp/2008/1101/afp20081101p1059.pdf

afp20081101p1073.pdf

...of Medicine of Yeshiva University, New York, New York anDreas CoHrssen, mD, Beth Israel Residency Program in Urban Family Practice, New York, New York P robiotics are live microorganisms that benefit the health of the host when administered in adequate amounts.1 a large...

American Family Physician

https://www.aafp.org/afp/2008/1101/afp20081101p1073.pdf

afp20081115p1155.pdf

...Chronic Nonmalignant Pain in Primary Care ROBERT P. JACKMAN, MD, and JANEY M. PURVIS, MD, Cascades East Family Medicine Residency Program, Oregon Health and Science University, Klamath Falls, Oregon BARBARA S. MALLETT, MD, Spinal Diagnostics, Tualatin, Oregon P ain is an...

American Family Physician

https://www.aafp.org/afp/2008/1115/afp20081115p1155.pdf

afp20081115p1165.pdf

...Department of Family Medicine, University of Illinois at Chicago College of Medicine, Chicago, Illinois Scrotal masses can represent a wide range of medical issues, from benign congenital conditions to life-threatening malignancies and acute surgical emergencies. Having a clear...

American Family Physician

https://www.aafp.org/afp/2008/1115/afp20081115p1165.pdf

afp20081115p1173.pdf

...BaRBaRa a. majeRoni, mD; RiChaRD PReToRius, mD, mPh, and KhaliD maliK, mD, mBa, Department of Family Medicine, University at Buffalo, Buffalo, New York o ne fifth of family medicine patients present with fatigue, and one third of adolescents report having fatigue at least...

American Family Physician

https://www.aafp.org/afp/2008/1115/afp20081115p1173.pdf

afp20081115p1186.pdf

...ashkan Javaheri, MD, Stanford University School of Medicine, Stanford, California, and Veterans Affairs Palo Alto Health Care System, Palo Alto, California P ressure ulcers, also called decubitus ulcers, bedsores, or pressure sores, range in severity from reddening of the skin...

American Family Physician

https://www.aafp.org/afp/2008/1115/afp20081115p1186.pdf

afp20081201p1254.pdf

...December 1, 2008 ◆ Volume 78, Number 11 www.aafp.org/afp American Family Physician 1255 able to repair this damage to DNA than are cancer cells. Administering relatively small daily doses of radia- tion over several weeks permits healthy cells to recover between sessions, while...

American Family Physician

https://www.aafp.org/afp/2008/1201/afp20081201p1254.pdf

afp20081201p1265.pdf

...Management of Delirium in Hospitalized Older Patients Marcia O. Miller, MD, Department of Community Health and Family Medicine, University of Florida College of Medicine, Gainesville, Florida D elirium is characterized by an acute change in cognition and attention. it develops...

American Family Physician

https://www.aafp.org/afp/2008/1201/afp20081201p1265.pdf

afp20081201p1289.pdf

...1290 American Family Physician www.aafp.org/afp Volume 78, Number 11 ◆ December 1, 2008 female sex, obesity, occupations associated with orthostasis, older age, pregnancy, and prolonged standing.9 although varicose veins may cause vary- ing degrees of discomfort or cosmetic...

American Family Physician

https://www.aafp.org/afp/2008/1201/afp20081201p1289.pdf

afp20090201p193.pdf

...Mary Gayle Sweet, MD, Carilion Clinic Family Medicine Residency Program, Roanoke, Virginia Jon M. Sweet, MD, Carilion Clinic Internal Medicine Residency Program, Roanoke, Virginia Michael P. JereMiah, MD, Carilion Clinic Family Medicine Residency Program, Roanoke, Virginia...

American Family Physician

https://www.aafp.org/afp/2009/0201/afp20090201p193.pdf

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