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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

afp20070315p849.pdf

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

American Family Physician

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

afp20070315p859.pdf

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

American Family Physician

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

afp20070315p869.pdf

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

American Family Physician

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

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

afp20070401p1027.pdf

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

American Family Physician

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

afp20070401p1031.pdf

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

American Family Physician

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

afp20070415p1181.pdf

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

American Family Physician

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

afp20070415p1199.pdf

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

American Family Physician

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

afp20070415p1207.pdf

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

American Family Physician

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

afp20070415p1219.pdf

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

American Family Physician

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

afp20070501p1342.pdf

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

American Family Physician

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

afp20070501p1349.pdf

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

American Family Physician

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

afp20070501p1357.pdf

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

American Family Physician

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

afp20070501p1365.pdf

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

American Family Physician

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

afp20070515p1487.pdf

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

American Family Physician

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

afp20070515p1503.pdf

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

American Family Physician

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

afp20070515p1513.pdf

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

American Family Physician

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

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

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