• Articles

    Update on the Treatment of Tuberculosis

    LISA D. I NGE, JOHN W. WILSON

    Screeni ng options for latent tuberculosis infection include the tuberculin skin and interferon-gamma release assays. Nine months of isoniazid is the treatment of choice for most patients with latent tuberculosis infection; active disease requires combination therapy in two...

    Glucosamine

    STEPHEN DAHMER, ROBERT M. SCHILLER

    Glucosamine is a popular dietary supplement used to treat osteoarthritis, particularly of the knee. Although study results have been conflicting, there is no clear evidence to recommend against its use. It is reasonable to support a 60-day trial of glucosamine sulfate,...

    Atypical Presentations of Gastroesophageal Reflux Disease

    JOEL J. HEIDELBAUGH, ARVIN S. GILL, R.VAN HARRISON, TIMOTHY T. NOSTRANT

    Atypical gastroesophageal reflux disease can present with respiratory, nasopharyngeal, or noncardiac chest pain symptoms. Aggressive acid suppression with proton pump inhibitors twice daily before meals is the standard treatment.

    Evaluation and Treatment of Enuresis

    KALYANAKRISHNAN RAMAKRISHNAN

    The evaluation of nocturnal enuresis usually includes an enuresis-focused history, physical examination, and urinalysis. Treatment begins with family and patient education and reassurance and is followed by behavior therapy with or without pharmacologic therapy.

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Payment Reform Necessary for Physicians to Provide Appropriate Chronic Illness Care | CMS Offers Medicare Payment Bonus to Physicians Using E-prescribing Technology | Influenza Vaccination Rates for Patients with Asthma Fail to Meet Expectations | Physicians Receive Increase...

    Editorials

    Which Diuretic Should Be Used for the Treatment of Hypertension?

    MOHAMMAD G. SAKLAYEN

    Thiazide diuretics are underused in the treatment of hypertension, despite their proven superiority.1,2 The most common thiazide used in the United States is hydrochlorothiazide (HCTZ) at a dose of 12.5 to 25 mg per day. Chlorthalidone (Thalitone; brand available as 15-mg...

    Close-ups

    The Unexpected When Expecting

    JO MARIE REILLY

    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

    Diagnosis of Anxiety Disorders in Primary Care

    MARK H. EBELL

    Generalized anxiety disorder leads to considerable morbidity and affects approximately 3 percent of patients in primary care practices.

    Clinical Evidence Handbook

    Diarrhea in Adults (Acute)

    GUY DE BRUYN

    What are the effects of treatments for acute diarrhea in adults living in resource-rich countries? What are the effects of treatments for mild-to-moderate traveler's diarrhea in adults from resource-rich countries traveling to resource-poor countries? What are the effects of...

    Photo Quiz

    Progressive Skin Fibrosis

    MARGARET BAUMGARTEN, TODD GEHR, MAX MIROVSKI

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

    STEPS

    Zoledronic Acid (Reclast) for Osteoporosis

    JENNIFER GOLDMAN-LEVINE

    Zoledronic acid, in combination with calcium and vitamin D, will reduce the risk of vertebral fractures, and to a lesser extent, hip fractures in women with osteoporosis. It decreases subsequent fractures and mortality in high-risk patients who have had a hip fracture....

    Practice Guidelines

    ACEP Policy on Evaluating Patients with Syncope in the Emergency Department

    MARA LAMBERT

    In 2007, the American College of Emergency Physicians (ACEP) updated its 2001 clinical policy on assessing patients with syncope in the emergency department. Syncope, which involves a brief loss of consciousness followed by spontaneous recovery, accounts for 1 to 1.5 percent...

    Letters to the Editor

    Safety of Kava for Patients with Mild Anxiety Disorders

    SY ATEZAZ SAEED, RICHARD M. BLOCH, DIANA J. ANTONACCI

    Tips from Other Journals

    How Well Do Physicians Talk About Colon Cancer Screening?

    CAROLINE WELLBERY

    Endometriosis Is Associated with Increased Melanoma Risk

    KENNETH T. MOON

    Antidiabetic Use in Patients with Diabetes and Heart Failure

    ANNE D. WALLING

    Information from Your Family Doctor

    Tuberculosis: What You Should Know

    Tuberculosis (too-BERK-you-LOW-sis), or TB for short, is an infection that is caused by certain bacteria (also called germs).

    Glucosamine and Osteoarthritis

    Glucosamine (glue-CO-suh-mean) is a natural substance that is found in cartilage, which is the padding between the bones of a joint (for example, your hip or knee). When the cartilage in your joints starts to wear away, the bones begin to rub against each other. This is...

    Enuresis: What You Should Know

    Enuresis (say: EN-yur-EE-sis) is bed-wetting in a child five years or older. Most children stop wetting the bed before five years of age. More boys than girls have enuresis. It also tends to run in families.

    Corrections

    Correction

    The article “Diagnosis and Management of Diastolic Dysfunction and Heart Failure,” (March 1, 2006, page 841) contained two errors in the first paragraph of page 845. The words dihydropyridine and nondihydropyridine were misspelled. Also, there was an error in describing the...



    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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