Leave a Message
Articles

Gastroesophageal Reflux Disease: Diagnosis and Management

MARK SCOTT, AIMEE R. GELHOT

Gastroesophageal reflux disease can usually be diagnosed on the basis of clinical presentation alone. Management includes lifestyle modifications, drug therapy and, rarely, surgery.

When to Consider Radiation Therapy for Your Patient

BERNARD A. TISDALE

Family physicians are often involved in the care of patients with malignant or benign conditions that may benefit from the use of radiation therapy. Awareness of the potential benefits of this therapeutic modality is essential to ensure that these patients are given all...

Congenital Adrenal Hyperplasia: Not Really a Zebra

MICHAEL A. DEATON, JOHN E. GLORIOSO, DAVID B. MCLEAN

Mild congenital hyperplasia is common, affecting from one in 100 persons to one in 1,000 persons in the United States. The hallmark of congenital adrenal hyperplasia is inadequate production of glucocorticoids. It should be considered in patients presenting with near-syncope,...

Primary Nocturnal Enuresis: Current Concepts

MARC CENDRON

Primary nocturnal enuresis is a common condition in children that warrants evaluation and treatment to prevent long-term psychologic sequelae.

Urinary Tract Infections in Adults

ROBERT ORENSTEIN, EDWARD S. WONG

Modern approaches to the diagnosis and management of urinary tract infections in adults are based on risk stratification.

Herbal Remedies: Adverse Effects and Drug Interactions

MELANIE JOHNS CUPP

Some herbal products have been associated with bleeding, cardiovascular events, seizures and even death. Herbal products are also known to react with anticoagulants, antidepressants and other medications.

Hypertension Treatment and the Prevention of Coronary Heart Disease in the Elderly

MARVIN MOSER

Isolated systolic hypertension and systolic/diastolic hypertension in the elderly should be treated with the expectation that morbidity and mortality will be reduced. Unless contraindicated, low-dose diuretic therapy should probably be used initially in most elderly patients.

Inside AFP

Spinning Golden Thread

JANIS WRIGHT

When we first started publishing patient information in AFP, we recognized our readers' need for a reliable source of patient information, but we couldn't have guessed how fast our patient information handouts would gain momentum. AFP began publishing patient information in...

AAFP News Now: AFP Edition

Newsletter

Rosemarie Sweeney, Verna L. Rose

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

Quantum Sufficit

Quantum Sufficit

Monica A. Preboth, Shyla Wright

A new kind of lollipop may ease cancer pain. The FDA recently approved a raspberry-flavored narcotic lozenge-on-a-stick, which contains oral fentanyl. For patients who have sudden severe pain despite opioid maintenance therapy, these lollipops can provide long-lasting pain...

Editorials

Does Estrogen Therapy Have a Role in Cardiovascular Prevention?

HARVEY H. NEWNHAM, JONATHAN SILBERBERG

Providing appropriate information about the cardiovascular risks and benefits of hormone replacement therapy (HRT) is a challenging task in a marketplace flush with fixes for cardiovascular disease. These treatments span the breadth of pharmaceutical, medical and “natural”...

Diary from a Week in Practice

Diary from a Week in Practice

Certainly the 90s are the decade of the informed consumer. It's expected that patients will want to know all about their treatment, their options, their prognosis, their ability to have consultations, etc., and many of us believe that this shift is good and progressive. At...

Photo Quiz

A Palmar Rash

Marc S. Berger, JEFFREY J. MEFFERT

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

Family Practice International

Family Practice International

Anne D. Walling

(Great Britain—British Journal of General Practice, October 1998, p. 1657.) A long-term study of oral contraceptive use in patients attending British general practices provides reassuring information about the health consequences of these medications. Over 23,000 women...

Curbside Consultation

Suspected Abuse in an Elderly Patient

ROSALIE S. WOLF

In many ways, this case represents a typical elder-abuse situation and the challenges that health care professionals face when trying to resolve it.

Special Medical Reports

CDC Issues New Recommendations for the Prevention and Control of Hepatitis C Virus Infection

Verna L. Rose

The Centers for Disease Control and Prevention (CDC) has issued recommendations for the prevention and control of hepatitis C virus (HCV) infection and associated chronic disease. These recommendations, published in the October 16, 1998, issue of the recommendations and...

Clinical Briefs

Clinical Briefs

Verna L. Rose

Two relatively new medications, naltrexone (Trexan) and acamprosate, show promise in the treatment of patients with alcohol dependence, according to a study sponsored by the Agency for Health Care Policy and Research (AHCPR) under its evidence-based practice program. The...

Physician's Bookshelf

Physician's Bookshelf

WILLIAM B. SHORE, DARWIN DEEN

Book Reviews | Book Reviews | Also Received

Letters to the Editor

Lentigo Maligna Melanoma and Excisional Biopsy Techniques

Potentially Fatal Natural Remedies

ALAN T. MARTY

Tips from Other Journals

Antithrombotic Therapy for Atrial Fibrillation

RICHARD SADOVSKY

Treatment of Sore Nipples in Women Who Are Lactating

JEFFREY T. KIRCHNER

Rotavirus Vaccine as a Routine Immunization in Infants

RICHARD SADOVSKY

Use of Pergolide for Treatment of Restless Legs Syndrome

TODD OTTESON

Physical Training for Patients with Severe Osteoarthritis

KARL MILLER

Strategies for Perioperative Medical Management

RICHARD SADOVSKY

Addition of Ipratropium for Acute Asthma in Children

JEFFREY T. KIRCHNER

Does the Addition of Acarbose to Metformin Lower HbA1c?

TODD OTTESON

Obesity as a Cause of Dyspnea in Otherwise Healthy Men

JEFFREY T. KIRCHNER

Distinguishing Epileptic vs. Nonepileptic Staring in Children

RICHARD SADOVSKY

Choice of HRT Regimen and Postmenopausal Symptoms

ANNE D. WALLING

Is Sertraline Effective in the Treatment of Panic Disorder?

JEFFREY T. KIRCHNER

Can Local Anesthesia Reduce Post-laparoscopic Pain?

ANNE D. WALLING

Suppression of Genital Herpes With Famciclovir

GRACE BROOKE HUFFMAN

Prevention and Treatment of Postherpetic Neuralgia

ANNE D. WALLING

Recognition and Prevention of Carbon Monoxide Poisoning

JEFFREY T. KIRCHNER

Azithromycin for Treatment of Pneumonia in Children

RICHARD SADOVSKY

Cesarean vs. Vaginal Delivery of Infants in Breech Presentation

ANNE D. WALLING

A Cost-Effective Strategy for Diagnosing Vaginal Candidiasis

ANNE D. WALLING

Information from Your Family Doctor

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (also called GERD) is the medical term for chronic heartburn. Many people have heartburn at times. It's caused by irriration from stomach acid that backs up into the esophagus. The esophagus is the tube that carries food from your mouth to your...

Congenital Adrenal Hyperplasia: What It Is and How It's Treated

A person with congenital adrenal hyperplasia (or CAH) doesn't make enough cortisol. Cortisol is a hormone that helps your body in times of physical stress. If you have CAH, your body's adrenal gland tries to make cortisol, but it can't make enough.

Why Does My Child Wet the Bed?

Enuresis (say “en-yur-ee-sis”) is the loss of bladder control that leads to the release of urine. There are several kinds of enuresis. Nocturnal enuresis is also called “bed-wetting,” because it happens during the night while a child is sleeping. Bed-wetting is fairly common;...

Urinary Tract Infections

Urinary tract infections (also called “UTIs”) are very common. Each year, more than 7 million doctor's office visits are made because of UTIs. A woman is eight times more likely to get a UTI than a man. The main risk factors for UTIs are the following:

Herbal Health Products—What You Should Know

Don't think that herbal health products are safe just because they come from plants. Even some plants are poisonous. Although herbal products are advertised as “natural,” they aren't natural to the human body.

Corrections

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