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Articles

Evaluation and Treatment of Acute Low Back Pain

SCOTT KINKADE

Most cases of low back pain have no serious underlying pathology and can be managed with reassurance, pain medications, and advice to stay active. Selected patients with “red flag” findings need a more thorough evaluation and may require urgent referral to a surgeon.

Late Pregnancy Bleeding

ELLEN SAKORNBUT, LAWRENCE LEEMAN, PATRICIA FONTAINE

Potentially serious causes of late pregnancy bleeding include placenta previa, placental abruption, and vasa previa. Management involves rapid assessment of maternal and fetal status, fluid resuscitation, replacement of blood products if necessary, and an appropriately timed...

Primary Care of the Patient with Cancer

GEORGE F. SMITH, TIMOTHY R. TOONEN

Continued involvement by a family physician is often a welcome and comforting addition to the care of a patient with cancer. Family physicians can have a role in treatment decisions, psychological support, treating intercurrent disease, preventive care, and recognizing and...

Noninvasive Cardiac Imaging

JENNIFER H. MIERES, AMGAD N. MAKARYUS, RITA F. REDBERG, LESLEE J. SHAW

Noninvasive cardiac imaging tests play an important role in diagnosing and treating patients with coronary artery disease, myocardial infarction, and acute coronary syndromes. Establishing the diagnosis, extent, and severity of coronary artery disease, as well as the...

Inside AFP

New Feature Focuses on Patient-Physician Relationships

JOYCE A. MERRIMAN

In this issue of AFP, we present a new feature—Close-ups: A Patient's Perspective (see page 1177). This department will focus on the human side of medicine. A patient's story, told in his or her own words, is accompanied by commentary from the patient's physician and...

Newsletter

Newsletter

States Prepare for SCHIP Reductions As Congress Moves to Fill Shortfalls | California Chapters Help Refine Health Reform Proposal | Federal Legislation on Health Care Information Technology Introduced | Primary Care Physician Shortage Increases Medically Disenfranchised |...

Quantum Sufficit

Quantum Sufficit

SHERRI DAMLO

A study published in Pediatrics suggests that unmarried parents with human immunodeficiency virus (HIV) infection may be unlikely to legally identify a future guardian for their children. Researchers interviewed 100 married and 222 unmarried parents with HIV infection. When...

Editorials

Is There Benefit to Coronary Calcium Screening?

JANELLE GUIRGUIS-BLAKE, KENNETH W. LIN, MARY B. BARTON

Risk assessment and targeted risk factor modification are critical to the disease prevention paradigm in family medicine. Because coronary artery disease (CAD) represents the leading cause of death in the United States, prevention efforts have tremendous potential to reduce...

Close-ups: Introducing a New Feature

CAROLINE WELLBERY

In this issue we introduce “Close-ups: A Patient's Perspective,” a feature that focuses on the personal side of medicine. The major component of this feature is a patient's story, told in his or her own words. In these stories, patients speak about the challenges they face in...

Close-ups

A Fall in the Dark

CAROLINE WELLBERY

The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

Point-of-Care Guides

Predicting Mortality Risk in Patients with Acute Exacerbations of Heart Failure

MARK H. EBELL

Accurate risk stratification in patients with heart failure can help physicians choose the most appropriate place for hospitalization (general hospital ward or intensive care unit) and the intensity of care needed.

Photo Quiz

Large, Silvery Plaques

SABRINA GUILLEN, AMOR KHACHEMOUNE

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

STEPS

Pramipexole (Mirapex) for Restless Legs Syndrome

COURTNEY I. JARVIS, JEREMY GOLDING

Although many patients with RLS do not need pharmacologic therapy, pramipexole is one option for treating moderate to severe symptoms. As with other agents used to manage RLS, potentially serious adverse reactions are possible.

Practice Guidelines

ACOG Releases Guidelines on Hormonal Contraceptives in Women with Coexisting Medical Conditions

CARRIE ARMSTRONG

Guidelines on the use of hormonal contraceptives in women with underlying medical conditions are available from the American College of Obstetricians and Gynecologists (ACOG). In some women, drugs taken for certain chronic conditions may alter the effectiveness of hormonal...

Practice Guideline Briefs

Practice Guideline Briefs

LAURA COUGHLIN

Indications for Renal Arteriography at the Time of Coronary Arteriography

Practice Guideline Briefs

LAURA COUGHLIN

ACOG Guidelines on Vulvodynia

Letters to the Editor

Clarification About Smoking Cessation Interventions

Tips from Other Journals

Alcohol Increases Bone Mineral Density in Older Men

CAROLINE WELLBERY

What Is the Best Treatment for Tennis Elbow?

ANNE D. WALLING

Treatment of IBS with Nonabsorbable Antibiotics

RICHARD B. SISSON

Extended Oral Contraceptives Decrease Premenstrual Symptoms

KARL E. MILLER

Information from Your Family Doctor

Low Back Pain

Low back pain is when you feel sore or uncomfortable in your lower back or buttocks.



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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