Medical Practice

Magazine articles on medical practice and technical issues of treatment.

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American Family Physician October 1, 2005 Bidwell & Pachner	Hemoptysis: Diagnosis and Management Hemoptysis is the spitting of blood that originated in the lungs or bronchial tubes. The patient's history should help determine the amount of blood and differentiate between hemoptysis, pseudohemoptysis, and hematemesis.
American Family Physician October 1, 2005 Crane, Wittink & Doukas	Respecting End-of-Life Treatment Preferences Research suggests that families are the best sources of patients' values and preferences, and that patients will more likely choose a loved one to make future decisions for them than someone who might best articulate their wishes.
American Family Physician October 1, 2005 Jennifer E. Frank	Diagnosis and Management of G6PD Deficiency Glucose-6-phosphate dehydrogenase deficiency, the most common enzyme deficiency worldwide, causes a spectrum of disease including neonatal hyperbilirubinemia, acute hemolysis, and chronic hemolysis. Persons with this condition also may be asymptomatic.
American Family Physician October 1, 2005 Francine Rainone	Milk Thistle Milk thistle has been used as a cytoprotectant for the treatment of liver disease, for the treatment and prevention of cancer, and as a supportive treatment of Amanita phalloides poisoning. Clinical studies are largely heterogeneous and contradictory.
American Family Physician September 15, 2005 Rindfleisch & Muller	Diagnosis and Management of Rheumatoid Arthritis Rheumatoid arthritis is the most common inflammatory arthritis, affecting 0.8 percent of the adult population worldwide. It is a lifelong disease, although patients can go into remission. Physicians must be aware of common comorbidities.
American Family Physician September 15, 2005 Mounsey, Matthew & Slawson	Herpes Zoster and Postherpetic Neuralgia: Prevention and Management The recognizable appearance and the dermatomal distribution of herpes zoster (shingles) lesions usually enable a clinical diagnosis to be made easily. Herpes zoster and postherpetic neuralgia occur mainly in older patients.
American Family Physician September 15, 2005 Wheeler & Wheeler	Vasomotor Rhinitis Vasomotor rhinitis affects millions of Americans and results in significant symptomatology. Characterized by a combination of symptoms that includes nasal obstruction and rhinorrhea, vasomotor rhinitis is a diagnosis of exclusion reached after taking a careful history.
American Family Physician September 15, 2005 Bonakdar & Guarneri	Coenzyme Q10 This is a safe but expensive supplement with preliminary benefit in neurology, including Parkinson's disease, and inconsistent results in cardiovascular disease requiring further long-term research.
American Family Physician September 15, 2005 Cobb & Crichlow	STEPS: Duloxetine (Cymbalta) for Treatment of Major Depressive Disorder Duloxetine is safe and effective for the treatment of major depressive disorder. Because of its expense and the lack of data supporting its superiority over other antidepressants, it should be used as an alternative if other agents are ineffective or are not tolerated.
American Family Physician September 15, 2005 Mark H. Ebell	Point-of-Care Guides What is the risk of prostate cancer in a patient who is referred for biopsy?
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