• Articles

    The AAP Practice Parameter on Urinary Tract Infections in Febrile Infants and Young Children

    KENNETH B. ROBERTS

    Because of its associated morbidity, frequency, cost and variation in diagnosis and management, urinary tract infection in children was the subject of a practice parameter developed by the American Academy of Pediatrics.

    Use of Systemic Agents in the Treatment of Acne Vulgaris

    BETTY ANNE JOHNSON, JULIA R. NUNLEY

    Effective treatment of inflammatory acne vulgaris usually requires oral medication using systemic antibiotics, combined oral contraceptives or spironolactone. Severe nodulocystic acne that does not respond to these agents may be treated with isotretinoin, but physicians...

    Using Progestins in Clinical Practice

    BARBARA S. APGAR, GRANT GREENBERG

    Important clinical functions of progestational agents include regulation of the menstrual cycle, prevention of endometrial hyperplasia, treatment of abnormal uterine bleeding and contraception.

    Optimizing Beta-Blocker Use After Myocardial Infarction

    PATRICIA A. HOWARD, EDWARD F. ELLERBECK

    Underuse of beta blockers after a myocardial infarction may stem from fear of adverse effects, especially in elderly patients or those with diabetes or heart failure. However, these are the patients who derive the greatest benefit from beta-blocker therapy after infarction.

    Topical Fluoroquinolones for Eye and Ear

    NANCY E. MORDEN, ETHAN M. BERKE

    Topical fluoroquinolones are safe and effective in the treatment of certain bacterial infections of the eye and ear.

    AFP 50 Years Ago

    This feature is part of a year-long series of excerpts and special commentaries celebrating AFP's 50th year of publication. Excerpts from the two 1950 volumes of GP, AFP's predecessor, appear along with highlights of 50 years of family medicine.

    Inside AFP

    ‘Practical Therapeutics’ Series: A Welcome Back to the University of Michigan

    Janis Wright

    For the second time in the past decade, the Department of Family Medicine at the University of Michigan Medical School, Ann Arbor, is contributing to AFP's “Practical Therapeutics” series. Thomas L. Schwenk, M.D., and Barbara S. Apgar, M.D., M.S., served as guest editors for...

    AAFP News Now: AFP Edition

    Newsletter

    Rosemarie Sweeney, Toni Lapp

    Selected policy and health issues news briefs from AAFP News Now.

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    Every product warning, no matter how unnecessary it may seem, was precipitated by the unexpected actions of at least one consumer. Case in point: the British Medical Journal recently reported that an 18-year-old Briton with a prominent right ear used super glue to press his...

    Editorials

    Why Aren't We Using Beta Blockers After Acute MI?

    AMY S. WEICHEL

    In this issue of American Family Physician, Howard and Ellerbeck1 discuss the underutilization of therapy with beta blockers after acute myocardial infarction (MI). That beta blockers are useful after acute MI is certainly not a new concept in medicine; the evidence that beta...

    Family Physicians and Accutane

    DANIEL J. VAN DURME

    Do you remember the kid in high school who had the worst acne you had ever seen? The taunting or ostracizing experienced by that kid may have caused more permanent emotional scars than the physical scars that may still be visible today. Until isotretinoin (Accutane) became...

    Urinary Tract Infections: 2000 Update

    JONATHAN H. ROSS

    The American Academy of Pediatrics (AAP) Practice Parameter on Urinary Tract Infections that is presented in this issue of American Family Physician1 is a timely one. Recent studies have brought into question some of the accepted standards in managing these patients, and many...

    Diary from a Week in Practice

    Diary from a Week in Practice

    Today, JTL had the pleasure of presenting various aspects of the life of a family physician to his daughter's first grade class. JTL enjoyed the opportunity to share with these youngsters some of the “toys” of his trade; specifically, his black bag from medical school days...

    Conference Highlights

    Conference Highlights

    Matthew Neff

    (60th Annual Scientific Sessions of the American Diabetes Association) The incidence of type 2 diabetes mellitus (formerly called non–insulin-dependent diabetes mellitus) can be reduced by as much 58 percent through individualized intervention programs that encourage...

    Practice Guidelines

    Guidelines on Migraine: Part 2. General Principles of Drug Therapy

    SHARON SCOTT MOREY

    The U.S. Headache Consortium guidelines on the pharmacologic management of acute migraine emphasize the need for physicians and patients to work together to decide how to treat acute attacks.

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    The Commission on Clinical Policies and Research of the American Academy of Family Physicians (AAFP) has issued a statement recommending prioritization of influenza immunization. According to the AAFP commission, those persons who are at highest risk for influenza should be...

    Letters to the Editor

    Pneumocystis carinii Pneumonia in HIV-Infected Patients

    TODD A. MAY, CRISTINA I. GRUTA, RONALD H. GOLDSCHMIDT

    Tips from Other Journals

    Do Serial Sonograms Help Predict Birth Weight?

    ANNE D. WALLING

    Clinical Assessment of Neonatal Jaundice

    JEFFREY T. KIRCHNER

    Serum Lipid Levels and a Diet of Macadamia Nuts

    BARBARA APGAR

    Aspirin vs. Heparin Therapy in Prevention of Stroke

    ANNE D. WALLING

    Should an Episiotomy Be Routine in Childbirth?

    ANNE D. WALLING

    Comparison of Common Calcium Supplements

    BARBARA APGAR

    Warfarin Effectively Reduces New Thromboembolic Stroke

    RICHARD SADOVSKY

    Use of Radiotherapy in Graves' Orbitopathy

    ANNE D. WALLING

    Exercise Stress Test for Diagnosis of Chest Pain

    KARL E. MILLER

    Ketogenic Diets for Pediatric Epilepsy: Do They Work?

    GRACE BROOKE HUFFMAN

    Nonsedating Antihistamines: Are They Truly Nonsedating?

    ANNE D. WALLING

    Efficacy of Sertraline in the Treatment of PTSD

    GRACE BROOKE HUFFMAN

    Axillary vs. Rectal Temperatures in Children

    ANNE D. WALLING

    Colorectal Cancer Screening Recommendations

    KARL E. MILLER

    Hypertension: Doxazosin or Chlorthalidone?

    GRACE BROOKE HUFFMAN

    Is Vitamin B6 Beneficial in Treating PMS?

    RICHARD SADOVSKY

    Information from Your Family Doctor

    Using Isotretinoin the Right Way for Acne

    Isotretinoin (brand name: Accutane) is a medicine for very bad acne that did not get better after you tried other medicines. It is important for you to take isotretinoin the right way. You should know about the side effects of isotretinoin. Talk to your doctor if you have any...

    Progestin-Only Contraceptives

    A progestin-only contraceptive is one kind of birth control pill. It is often called the “mini-pill.” Regular birth control pills have two female hormones: estrogen and progesterone. The mini-pill has only progesterone in it. Because this pill doesn't contain estrogen, it may...

    Taking a Beta Blocker for Your Heart Problem

    A beta blocker is a medicine used to treat high blood pressure and heart problems. Some beta blockers are atenolol (brand name: Tenormin), metoprolol (brand name: Lopressor) and propranolol (brand name: Inderal). A beta blocker blocks the harmful effects of stress hormones on...

    Corrections

    Corrections

    Corrections

    Corrections



    Disclosure

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


    Tag Legend

    Legend

    CME Continuing Medical Education Credit
    POC Point-of-Care Resource
    FREE Free Access
    Alg Algorithm
    DDx Differential Diagnosis
    PtEd Patient Education