Leave a Message
Articles

Drug Dosing Adjustments in Patients with Chronic Kidney Disease

MYRNA Y. MUNAR, HARLEEN SINGH

Physicians should be aware of medications that can cause adverse reactions and failure of therapy if dosages are not adjusted properly in patients with chronic kidney disease. Initial dosages can be determined using published guidelines but should be adjusted based on patient...

Uterine Fibroid Tumors: Diagnosis and Treatment

PATRICIA EVANS, SUSAN BRUNSELL

Many uterine fibroid tumors are asymptomatic and may be diagnosed incidentally. Several imaging modalities are available to evaluate their size and position. Treatment should be individualized and may include hysterectomy, myomectomy, uterine artery embolization, myolysis,...

Acute Pancreatitis: Diagnosis, Prognosis, and Treatment

JENNIFER K. CARROLL, BRIAN HERRICK, TERESA GIPSON, SUZANNE P. LEE

Acute pancreatitis, a reversible inflammatory process of the pancreas, can be limited to pancreatic tissue or can involve peripancreatic tissues or more distant organ sites. Acute pancreatitis may occur as an isolated attack or may be recurrent and can range in severity from...

Cerumen Impaction

DANIEL F. McCARTER, A. URSULLA COURTNEY, SUSAN M. POLLART

Impacted cerumen can cause complications such as hearing loss, pain, and dizziness, and it also can interfere with tympanic membrane examination. The overall quality of evidence on treatments is limited, but watchful waiting, manual removal, use of ceruminolytics, and...

Inside AFP

Professional Editors Medical Editors' Contributions to AFP

MATTHEW J. NEFF

The challenge of editing articles for American Family Physician is to combine a thorough knowledge of medicine with skillful wordsmithing. To meet this challenge, medical and professional editors work collaboratively to guide articles from submission to print, while ensuring...

Newsletter

Newsletter

GAO Report Demonstrates Potential Cost Benefits of Physician Profiling | Congress Requests Study of Resident Duty Hours and Patient Safety | AAFP Calls for Federal Funding Increases for Key Programs in 2008 | Universal Credentialing Form Adopted in Seven States | Study Finds...

Quantum Sufficit

Quantum Sufficit

SHERRI DAMLO

According to study results published in the Archives of Disease in Childhood, children consume nearly one third more snack food when they eat in large groups. Researchers analyzed the dietary patterns of 54 children 2.5 to 6.5 years of age. They found that those who ate in...

Editorials

Management Options for Uterine Fibroid Tumors

JOHN BUEK

The management options for uterine fibroid tumors have expanded greatly in the past 20 years. As Dr. Evans discusses in this issue of American Family Physician,1 there are few randomized trials to help generate level A evidence for appropriate counseling. Because of this lack...

U.S. Statin Guidelines: Expensive but Not Necessarily Effective

HENRY C. BARRY, JEROME R. HOFFMAN

In 2000, the World Health Organization (WHO) ranked the overall performance of health care systems of its member nations.1 It considered responsiveness of the system, fairness of financial contribution, overall health goal attainment, per capita health care expenditure, and...

Close-ups

The Importance of Touch

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 Postoperative Nausea and Vomiting

MARK H. EBELL

Postoperative nausea and vomiting are uncomfortable for patients, can prolong hospitalization, and can lead to more serious complications, including aspiration pneumonia.

Photo Quiz

Pain in the Right Lower Quadrant

JIANN-SHANG CHOU, CHEN-RONG CHUNG, WEI-MING HU

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

STEPS

Insulin Inhalation Powder (Exubera) for Diabetes Mellitus

NANCY BORJA, KAREN DANIEL, JOHN B. TOURTELOT

Inhaled insulin provides an alternative route of administration for rapid-acting insulin but offers no other benefit over available insulin therapy. It may reduce, but not eliminate, the need for self-injection in patients with type 1 diabetes. In patients with type 2...

Practice Guidelines

Joint Guideline Released for Atrial Fibrillation

AMBER HUNTZINGER

A joint guideline for atrial fibrillation has been released by the American College of Cardiology (ACC), American Heart Association (AHA), and European Society of Cardiology (ESC). This guideline assists physicians by describing diagnosis and management options.

AAN Releases Recommendations for the Diagnostic Evaluation of the Child with Status Epilepticus

LISA GRAHAM

The American Academy of Neurology (AAN) and the Child Neurology Society have created recommendations for evaluation and diagnostic laboratory testing of children with status epilepticus.

Practice Guideline Briefs

AHA Diet and Lifestyle Recommendations

LAURA COUGHLIN

Improving dietary and lifestyle habits is a critical part of any strategy for cardiovascular risk reduction. The American Heart Association (AHA) recently revised its diet and lifestyle recommendations to reflect new evidence.

Letters to the Editor

Medicine and the Pharmaceutical Industry: A Call to Action

Tips from Other Journals

Does Stenting Produce Better Results Than Endarterectomy?

ANNE D. WALLING

Depressive and Anxiety Disorders Can Affect Asthma Control

KARL E. MILLER

Preparticipation Sports Exam Can Prevent Sudden Death

CAROLINE WELLBERY

No Clinical Signs of Rhinosinusitis Predict Benefit from Antibiotics

KENNETH W. LIN

Fruit Juice Related to Obesity in High-Risk Children

CAROLINE WELLBERY

Unrecognized Malignancy in Patients with DVT

ANNE D. WALLING

Breast Cancer Risk with Estrogen Therapy

ANNE D. WALLING

Information from Your Family Doctor

Earwax: What You Should Know

Earwax, or cerumen (suh-ROO-mun), is a wax made in your ear. It protects the skin inside your ear canal.



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