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Articles

Transient Ischemic Attacks: Part I. Diagnosis and Evaluation

NINA J. SOLENSKI

Transient ischemic attack is considered to be a critical harbinger of impending stroke. Rapidevaluation and treatment are essential to prevent permanent disability or death.

Transient Ischemic Attacks: Part II. Treatment

NINA J. SOLENSKI

Risk-factor management includes aggressive control of blood pressure, cholesterol levels, and diabetes mellitus, along with smoking cessation and weight loss as indicated. Aspirin is the preferred agent for stroke prevention in patients who do not require anticoagulation.

Evaluation and Management of Suspected Retinal Detachment

RAY F. GARIANO, CHANG-HEE KIM

Retinal detachment is a relatively uncommon disorder. Early intervention may prevent permanentvision loss.

Atypical Pathogens and Challenges in Community-Acquired Pneumonia

KRISTOPHER P. THIBODEAU, ANTHONY J. VIERA

Empiric treatment of community-acquired pneumonia must include antibiotics that are effective against atypical pathogens, which are implicated in up to 40 percent of cases. Challenges, in addition to misdiagnosis, include failure of outpatient management and missed...

Shoulder Dystocia

ELIZABETH G. BAXLEY, ROBERT W. GOBBO

Although shoulder dystocia often occurs without warning, calm and effective management of theemergency, including the use of the HELPERR mnemonic, usually leads to successful delivery.

Inside AFP

AFP Adds Henry Barry, M.D., M.S., as Editorial Contributor

Janis Wright

AFP recently reinforced its efforts in evidence-based medicine (EBM) with the addition of a new contributing editor, Henry C. Barry, M.D., M.S., who will help evaluate and apply the SOR (strength of recommendation) labeling taxonomy to review articles. The SOR taxonomy was...

Newsletter

Newsletter

Genevieve Ressel

FDA Releases Report on Counterfeit Drug Alert Network | AAFP Supports Racial Disparities Bill | AAFP Makes EHR Presentation at Congressional Staff Briefing | AAFP Presents Testimony on ‘Care Management Fee’ Concept | HHS Awards $595 Million for AIDS Care in Major Urban Areas ...

Quantum Sufficit

Quantum Sufficit

Sarah Evans, Heather McNeill

Your patients with allergies may not be thrilled that prescription-strength allergy medication is now over-the-counter (OTC), according to survey findings cited in American Medical News. Of 239 adults surveyed, more than one half said they spent more money on allergy...

Editorials

The ALSO Article Series

MARK DEUTCHMAN, CHARLES J. CARTER, BARBARA APGAR

In this issue of American Family Physician, we begin an article series based on the Advanced Life Support in Obstetrics (ALSO®) course with an article on shoulder dystocia by Baxley and Gobbo.1 The ALSO program was developed initially at the University of Wisconsin by two...

Health Effects from Pesticide Exposure

GEOFFREY M. CALVERT

All Americans are exposed to pesticides. Among approximately 1,900 subjects selected in 1999 and 2000 from the National Health and Nutrition Examination Survey (NHANES) to represent the United States population six to 59 years of age, at least 90 percent of these persons had...

Diary from a Week in Practice

Diary from a Week in Practice

Afterthoughts can often make the difference in arriving at the proper diagnosis. Sarah, a patient with diabetes, was having low back pain and diarrhea. Her pain increased during each bowel movement, and never went away entirely. She had no nausea, and no dysuria or increased...

Cochrane for Clinicians

What Is the Best Collection Device for Screening Cervical Smears?

MICHAEL SCHOOFF, ANDREA LAWLOR

The combination of an extended-tip spatula with an endocervical brush (Cytobrush) is the most effective method for obtaining cervical cells. Detection of endocervical cells is a good indication of adequate smears and detection of disease.

Clinical Evidence Handbook

Bipolar Disorder

JOHN R. GEDDES

What are the effects of treatments in mania and bipolar depression? What are the effects of interventions to prevent relapse?

Putting Prevention Into Practice

Screening for Prostate Cancer

KENNETH FINK, BARBARA CLARK

Case study: DS, a 55-year-old African-American man, comes into your office for a physical examination. While talking about his family history, you learn that his father had prostate cancer. DS asks if he should be tested for prostate cancer.

FPIN's Clinical Inquiries

Do Vitamin C Supplements Reduce Cardiovascular Disease Mortality?

DOUG AUKERMAN

Vitamin C, when taken as a dietary supplement, does not appear to reduce mortality in patients with cardiovascular disease.

Photo Quiz

Sinusitis and Renal Failure in an Elderly Patient

DINKAR KAW, DOUGLAS WASHING, KULWANT SINGH MODI, PANDURANGA S. RAO

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

Patient Information Collection

Anorexia Nervosa

Eating Disorders

Sports and Women Athletes: The Female Athlete Triad

POEMs

Intra-articular Hyaluronic Acid for Knee Osteoarthritis

DAVID SLAWSON

Does Adding Liothyronine to Levothyroxine Help Patients?

DAVID SLAWSON

Follow-up Culture in Children with UTI Yields Nothing

HENRY BARRY

Are Antidepressants Effective for Chronic Low Back Pain?

HENRY BARRY

Practice Guidelines

ACS Releases Guidelines on Nutrition and Physical Activity During and After Cancer Treatment

Matthew J. Neff

The American Cancer Society (ACS) issued a report discussing optimal nutrition and physical activity issues during the phases of cancer treatment and recovery, living after recovery from treatment, and living with advanced cancer.

Clinical Briefs

Clinical Briefs

Carrie Morantz, Brian Torrey

Update on Pneumococcal Conjugate Vaccine Shortage | Strength Training Among Older Adults | Pneumonia Calculator for PDAs | Strength Training Recommendations for Older Adults

Curbside Consultation

Conflict with a Consultant

RICHARD W. LORD

This scenario presents two main issues. The first issue involves the evidence for or against the use of cerclage to prevent second-trimester pregnancy loss. The second issue is the way family physicians should interact with consultants.

Letters to the Editor

Tolerance and Dependence Risk with the Use of Carisoprodol

CRAIG HEACOCK, MARK S. BAUER

Atypical Laryngeal Dystonia Caused by an Antiemetic

OLIVER FREUDENREICH

Tips from Other Journals

Long-Term Sequelae of Breast Cancer Treatment

BILL ZEPF

Exercise Testing as a Predictor of Mortality in Women

CAROLINE WELLBERY

Using Guggulipid to Lower High Cholesterol Levels

CAROLINE WELLBERY

Update: Giant Cell Arteritis and Polymyalgia Rheumatica

RICHARD SADOVSKY

Managing Ovarian Cysts in Postmenopausal Women

ANNE D. WALLING

Risk Classification for Stroke, Death, and Atrial Fibrillation

CAROLINE WELLBERY

Inhaled Flunisolide for Management of Acute Asthma

KARL E. MILLER

Improving Osteoporosis Care Following Hip Fracture

Richard Sadovsky

Local Anesthesia Preferred for Groin Hernia Repair

ANNE D. WALLING

Long-Term Effect of Intensive Treatment on Nephropathy

CAROLINE WELLBERY

Role of Pneumatic Otoscopy in Diagnosing Ear Infections

CAROLINE WELLBERY

Dyslipidemia in Patients on HIV Drug Therapy

BILL ZEPF

Good News and Bad News on Screening for Alcohol Abuse

ANNE D. WALLING

No Role for Influenza Vaccine in Preventing Otitis Media

CAROLINE WELLBERY

Preventing Running Injuries

ANNE D. WALLING

Low-Dosage Oral Morphine Relieves Refractory Dyspnea

ANNE D. WALLING

Candesartan Improves Outcomes in Chronic Heart Failure

ANNE D. WALLING

A Watchful Waiting Prescription for Otitis Media

CAROLINE WELLBERY

Erythropoietin Improves Anemia but Not Cancer Control

ANNE D. WALLING

Anticoagulation Risks in Atrial Fibrillation

BILL ZEPF

HAART and Patients with HIV Infection

ANNE D. WALLING

Effect of Cannabinoid on Chronic Neuropathic Pain

CAROLINE WELLBERY

Information from Your Family Doctor

Strokes and TIAs

A stroke happens when too little blood flows to the brain. With too little blood flow, the brain does not get enough oxygen and important nutrients.



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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