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Articles

Nongenital Herpes Simplex Virus

RICHARD P. USATINE, ROCHELLE TINITIGAN

Nongenital infections caused by herpes simplex virus often can be diagnosed by patient history and clinical presentation of lesions. Oral treatment with acyclovir, valacyclovir, or famciclovir is more effective than topical treatments.

Management of Influenza

IRINA V. ERLIKH, SHERLY ABRAHAM, VASANTHA K. KONDAMUDI

The 2009 pandemic influenza A (H1N1) virus is expected to continue to circulate during the 2010–2011 season. The diagnosis of influenza should be made clinically, and the decision to begin antiviral therapy should not be delayed for laboratory confirmation of influenza....

Altitude Illness: Risk Factors, Prevention, Presentation, and Treatment

DAVID C. FIORE, SCOTT HALL, PANTEA SHOJA

Acute mountain sickness is the most common presentation of altitude illness. It will usually resolve within three days but may progress to high-altitude cerebral edema. Descent is mandatory for all persons with high-altitude cerebral or pulmonary edema.

Evaluation of Microcytosis

MICHELE VAN VRANKEN

Microcytosis is often discovered incidentally with a complete blood count performed for other reasons. The cause of microcytosis can usually be determined with appropriate history and laboratory testing. Because the condition is usually asymptomatic, physical examination...

AAFP News Now: AFP Edition

AAFP News Now: AFP Edition

Most Toddler Vaccination Rates are Close to HHS' Healthy People 2010 Goals | <i>MedWatch</i>: FDA Restricts Rosiglitazone Use, Requests Withdrawal of Sibutramine | Cholesterol Levels in Women Vary with Menstrual Cycle Phase, Study Says | HHS Proposed Rule Imposes Medicare...

Editorials

Influenza Management Guide 2010–2011

MINA MATIN, RONALD H. GOLDSCHMIDT

Last year, the new strain of influenza we now know as 2009 pandemic influenza A (H1N1) hit the United States and worldwide. Vaccine makers scrambled to manufacture adequate supplies; however, a temporary lack of sufficient vaccines required prioritization among patient groups...

Editorials: Controversies in Family Medicine

The Role of Nonstatin Therapy in Managing Hyperlipidemia

JONATHAN R. MURROW

When treating hyperlipidemia, physicians often face the question of the clinical value of nonstatin drugs, including bile acid sequestrants, fibrates (fibric acid derivatives), niacin, and cholesterol-absorption inhibitors. This editorial highlights the most prominent trial...

For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else

DANIEL L. SONTHEIMER

Only statins have patient-oriented evidence supporting their role in reducing all-cause mortality. The NCEP–ATP III guidelines offer a nine-step approach for reaching target lipid levels, but the application to everyday practice is far simpler: If a patient with...

Cochrane for Clinicians

Does Metformin Increase the Risk of Fatal or Nonfatal Lactic Acidosis?

WILLIAM E. CAYLEY, JR.

In patients without standard contraindications to metformin therapy, metformin does not increase the risk of lactic acidosis.

Usefulness of Measuring Antiepileptic Medication Blood Levels in Patients with Epilepsy

DEB DREYFUS

When treating a patient for epilepsy, there is not enough evidence to indicate if optimal seizure control is best obtained by routinely measuring medication levels compared with making adjustments based on the clinical picture.

Curbside Consultation

Spending Time with Patients in Labor

MARTHA C. CARLOUGH, AMI GOLDSTEIN

This scenario raises several key questions that are important not only to patient care, but also to physicians' quality of life and satisfaction with practice. First, what are the critical roles for the family physician during prenatal care, labor, and birth?

Photo Quiz

Pigmented Nodule Below the Eye

ADAM B. WOLDOW, FARAMARZ H. SAMIE

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Practice Guidelines

AAN Updates Guidelines on Evaluating Driving Risk in Patients with Dementia

LINDSEY HOOVER

Quality Standards Subcommittee of the American Academy of Neurology (AAN) updated guidelines for the evaluation and management of driving risk in persons with dementia. The new evidence-based guidelines offer characteristics that can help to identify persons that are at risk...

Letters to the Editor

Quality of Life After LASIK: The Picture Remains Hazy

Case Report: Sebaceous Cell Carcinoma of the Upper Eyelid in an Older Patient

JIYO SHIN, DIAMONDIS J. PAPADOPOULOS, FASDS WAYNE BLOUNT

Provocative Diagnostic Testing for Cervical Radiculopathy

DARRELL R. OVER

Tips from Other Journals

Oseltamivir Effective for Reducing Influenza Duration in Children

DANIEL GIBBS, III

Preventing Psychotic Disorders in High-Risk Patients

KENNETH T. MOON

Internal vs. External Monitoring of Uterine Contractions

KENNETH T. MOON

Can HSV-2 Suppression Reduce HIV-1 Transmission?

KENNETH T. MOON

Information from Your Family Doctor

Herpes Virus: Cold Sores

Cold sores usually show up on the lips or mouth as a cluster of blisters with a red base. They are also called “fever blisters.” They may be painful and feel itchy, dry, and crusty. If the blisters come back another time, they may cause a tingling feeling before they appear...

Influenza

Influenza, also called the flu, is a viral infection of the nose, throat, and lungs. It is often confused with other illnesses, especially the common cold. The flu is more severe than a cold, usually comes on suddenly, and is caused by a different virus. In 2009, a new strain...



Disclosure

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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