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Pitfalls in the Radiologic Evaluation of Extremity Trauma: Part I. The Upper Extremity

CHRISTINE M. SHEARMAN, GEORGES Y. EL-KHOURY

The mechanism of injury, radiographic projections, plain-film signs and advanced imaging techniques for some commonly missed fractures and dislocations of the upper limb are discussed.

Managing the Patient with Hard-to-Control Hypertension

SUZANNE OPARIL, DAVID A. CALHOUN

This article provides guidance in the treatment of the patient with hard-to-control hypertension, including ways to foster compliance, avoid inadequate therapeutic regimens and recognize associated conditions that cause drug resistance.

Detecting Celiac Disease in Your Patients

HAROLD T. PRUESSNER

Celiac disease is a disorder of the small bowel that results from a malabsorption syndrome. It is underdiagnosed because of its protean manifestations. A gluten-free diet brings about complete resolution of symptoms in almost all patients.

Examination of the Placenta

JOSEPH F. YETTER, III

A one-minute examination of the placenta performed in the delivery room may be important to the care of a mother and her newborn. Developmental, infectious, neoplastic and other abnormalities of the placenta, umbilical cord and fetal or maternal membranes may affect the...

Medical Care for Immigrants and Refugees

THOMAS GAVAGAN, LISA BRODYAGA

Family physicians may encounter unique clinical presentations in patients who are immigrants and refugees, including infectious diseases, psychologic problems and effects of trauma.

Antiviral Drugs in Healthy Children

KATHERINE L. MARGO, ALLEN F. SHAUGHNESSY

Drug therapy is available to reduce the impact of infections caused by varicella virus, herpes simplex virus, respiratory syncytial virus and influenza type A virus, although not all infected children need or benefit from this therapy.

Management of Hospitalized Patients with Type 2 Diabetes Mellitus

SANDRA H. LILLEY, GARY I. LEVINE

Hospitalized patients with type 2 diabetes benefit from a rational approach to glycemic control. Insulin supplementation given in accordance with an algorithm may be a logical alternative to the traditional sliding-scale insulin regimen.

Family Practice International

Anne D. Walling

(Great Britain—The Practitioner, October 1997, p. 571.) Oral contraceptives are effective in preventing pregnancy and are associated with many health benefits, such as protection against ovarian and endometrial cancer, improvement of menstrual disorders and reduced risk of...

Inside AFP

Clinical Quiz Online

JANIS WRIGHT

AFP has always offered readers a convenient way of earning CME credit. By simply taking the “Clinical Quiz” in each issue and sending in the quiz card, readers can rack up a substantial number of credit hours each year. Now AFP is making it even easier to earn credit. Instead...

AAFP News Now: AFP Edition

Newsletter

Rosemarie Sweeney, Verna L. Rose

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

Quantum Sufficit

Just Enough

Monica A. Preboth, Rachel Richards

What do U.S. adults enjoy doing to pamper themselves? According to a Roper Starch Worldwide survey, taking a day off from work was cited by 23 percent of men and 15 percent of women. Buying clothing was cited by 19 percent of men and 36 percent of women, and eating a special...

Editorials

Nutrition and Health

BRUCE BAGLEY

Family physicians, managed care organizations and health planners are becoming increasingly aware of the value of good nutrition in the prevention and treatment of disease. Our focus as a health care system will shift from individual disease-oriented office visits to concern...

Ten Commandments for the Care of Terminally Ill Patients

JAMES R. WHITTEN

One criticism of physicians is our difficulty in responding to the emotional circumstances of patients who are terminally ill. Working as a consultation-liaison psychiatrist for many years, I have had an opportunity to assist physicians from all specialities in attending...

Diary from a Week in Practice

Diary from a Week in Practice

At the beginning of one's career as a family physician, it seems that all of the consultations are one-sided; that is, all of the consults go out and none come in. However, as time passes and our colleagues begin to know us, a shift toward a balance between in and out is...

Photo Quiz

Common Lesions on the Floor of the Mouth

Marc S. Berger, MARC S. BERGER

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

Special Medical Reports

ACOG Issues Report on Sexual Assault

Verna L. Rose

The American College of Obstetricians and Gynecologists (ACOG), under the auspices of the ACOG Committee on Educational Bulletins, has issued a report (ACOG Educational Bulletin No. 242) on the management of women who are victims of sexual assault. The report includes...

IOM Recommends Increased Calcium Intakes

Verna L. Rose

The first in a series of reports on Dietary Reference Intakes (DRIs) by the Institute of Medicine (IOM) covers the nutrients associated with bone growth and osteoporosis. The report, “Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride,”...

Clinical Briefs

Clinical Briefs

Verna L. Rose

The Alzheimer's Disease Education and Referral (ADEAR) Center of the National Institute on Aging (NIA) has published a document titled “Progress Report on Alzheimer's Disease, 1997.” The 46-page report describes recent research focusing on changes in the brain in patients...

Physician's Bookshelf

Physician's Bookshelf

SCOTT H. GRINDEL, CHARLES CEFALU, LINDA S. GROSSMAN

Book Reviews | Book Reviews | Book Reviews | Also Received

Letters to the Editor

Stable Coronary Artery Disease

Primary Mediastinal Germ Cell Tumor in HIV Infection

MONJUR AHMED, BIPINCHANDRA BHAGAT, JOSEPH ANIGBOGU, MICHAEL KHINE

Famciclovir and Valacyclovir

LINDA J. DAWSON, DONNA K. MORGAN

Benefits of Screening for Colorectal Cancer

SSRIs and St. John's Wort: Possible Toxicity?

JEOFFRY B. GORDON

Tips from Other Journals

Diagnostic Accuracy of Tests for Eradication of H. pylori

KARL MILLER

Cervicography as Adjunct to Pap Smear Diagnosis

JEFFREY T. KIRCHNER

Prevalence and Recognition of Depression in Elderly Patients

RICHARD SADOVSKY

Efficacy of Pramipexole in Early Parkinson's Disease

GRACE BROOKE HUFFMAN

Clinical Detection of Left-Sided Heart Failure

GRACE BROOKE HUFFMAN

Accuracy of the Electronic Pacifier Thermometer

JEFFREY T. KIRCHNER

Family Opinions About End-of-Life Medical Care

GRACE BROOKE HUFFMAN

Ardeparin and Danaparoid for Prevention of DVT

BARBARA APGAR

Effect of Aspirin on Preventing Stroke in Atrial Fibrillation

BARBARA APGAR

Role of Hepatitis G Virus in Acute and Chronic Liver Disease

RICHARD SADOVSKY

Changes in the Incidence of Bacterial Meningitis

JEFFREY T. KIRCHNER

AIDS, Unexplained Fever and Value of Bone Marrow Biopsy

BARBARA APGAR

Use of Prednisone and Aspirin for Recurrent Fetal Loss

JEFFREY T. KIRCHNER

Psychiatric Disorders and Teenage Parenthood

BARBARA APGAR

Chronic Fatigue Syndrome: Not a Diagnosis in Children

GRACE BROOKE HUFFMAN

Abciximab and Long-Term Protection from Restenosis

GRACE BROOKE HUFFMAN

Use of Antibiotics for Acute Otitis Media in Children

ANNE D. WALLING

Relationship Between Estrogen Therapy and Cervical Cancer

ANNE D. WALLING

Nizatidine for Prevention of Postprandial Heartburn

BARBARA APGAR

An Otic Solution for the Treatment of Acute Ear Pain

JEFFREY T. KIRCHNER

Physicians' Efforts to Help Patients Stop Smoking

BARBARA APGAR

Information from Your Family Doctor

Living with Hypertension

Hypertension, or high blood pressure, is a condition that raises the pressure inside the blood vessels (veins and arteries). High blood pressure damages the blood vessels. It can lead to serious health problems, including stroke, heart attack, heart failure and kidney failure.

Celiac Disease

Your doctor says you have celiac disease. What does that mean to you? It means some good things and some not-so-good things:

Corrections

Correction



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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