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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

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

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