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American Family Physician April 15, 2006 Karl E. Miller |
Diagnosis and Treatment of Chlamydia trachomatis Infection Chlamydia trachomatis infection most commonly affects the urogenital tract. In men, the infection usually is symptomatic, with dysuria and a discharge from the penis. Most women with chlamydial infection have minimal or no symptoms, but some develop pelvic inflammatory disease. |
American Family Physician March 1, 2006 Steven H. Crossman |
The Challenge of Pelvic Inflammatory Disease Pelvic inflammatory disease (PID) is an infection of the upper genital tract in women that can include endometritis, parametritis, tubo-ovarian abscess, and peritonitis. The spectrum of disease ranges from subclinical, asymptomatic infection to severe, life-threatening illness. |
American Family Physician May 15, 2006 Karl E. Miller |
Diagnosis and Treatment of Neisseria gonorrhoeae Infections If left untreated, N. gonorrhoeae infections can disseminate to other areas of the body, which commonly causes synovium and skin infections. Disseminated gonococcal infection presents as a few skin lesions that are limited to the extremities. |
American Family Physician January 15, 2002 Lorie F. Cram |
Genitourinary Infections and Their Association with Preterm Labor By adopting a rational approach to the diagnosis and treatment of genitourinary infections, family physicians can substantially decrease a patient's risk of preterm delivery... |
American Family Physician December 1, 2004 Owen & Clenney |
Management of Vaginitis Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. In almost all patients with vaginitis, it is important to perform a thorough assessment that includes speculum examination, pH testing, wet-mount and potassium hydroxide (KOH) preparations, and cultures when indicated. |
American Family Physician October 15, 2005 John G. Beauman |
Genital Herpes: A Review Genital herpes simplex virus infection is a recurrent, lifelong disease with no cure. The strongest predictor for infection is a person's number of lifetime sex partners. Counseling patients about the risk of transmission is crucial and helps prevent the spread of disease and neonatal complications. |
American Family Physician September 1, 2000 |
Diagnosis of Vaginitis Vaginitis is the most frequent gynecologic diagnosis encountered by physicians who provide primary care to women. Accurate diagnosis can be elusive, complicating treatment... |
American Family Physician May 1, 2004 Daniel Knight |
Health Care Screening for Men Who Have Sex with Men Recommendations on health care screenings for men who have sex with men, who are at increased risk for STDs such as HIV infection, anal cancer, and psychologic and behavioral disorders. |
American Family Physician April 15, 2005 Kirkham, Harris & Grzybowski |
Evidence-Based Prenatal Care: Part II. Third-Trimester Care and Prevention of Infectious Diseases Recommendations for care, disease screening, labor induction and vaccinations for patients during late pregnancy. |
American Family Physician July 15, 2004 Joel E. Gallant |
HIV Counseling, Testing, and Referral By the year 2005, the CDC seeks to achieve the following: reduce annual new HIV infections from the current estimated 40,000 cases to 20,000 cases through the use of interventions such as counseling, HIV testing, and referral |
American Family Physician July 15, 2003 Brown et al. |
Diagnosis and Management of Syphilis Syphilis is a sexually transmitted disease caused by the spirochete Treponema pallidum. Previously known as the "great imitator," this disease can have numerous and complex manifestations. Family physicians should understand it. |
American Family Physician March 15, 2002 Caroline M. Rudnick & Grant S. Hoekzema |
Neonatal Herpes Simplex Virus Infections Neonatal herpes simplex virus infections can result in serious morbidity and mortality... |
American Family Physician February 15, 2001 Paul Nyirjesy |
Chronic Vulvovaginal Candidiasis Frequently ignored by the medical community, chronic vulvovaginal symptoms are relatively common and can be frustrating for patients and physicians. Establishing a proper diagnosis will lay the foundation for an effective therapeutic plan... |
American Family Physician September 1, 2004 Ostapchuk, Roberts & Haddy |
Community-Acquired Pneumonia in Infants and Children When diagnosing community-acquired pneumonia, physicians should rely mainly on the patient's history and physical examination, supplemented by judicious use of chest radiographs and laboratory tests as needed. |
American Family Physician February 15, 2003 |
Antiviral Drugs in the Immunocompetent Host: Part I. Treatment of Hepatitis, Cytomegalovirus, and Herpes Infections |
American Family Physician December 1, 2005 Potter, Rindfleisch & Kraus |
Management of Active Tuberculosis Although the overall incidence of tuberculosis has been declining in the United States, it remains an important public health concern. Patients who present with symptoms of active tuberculosis (e.g., cough, weight loss, or malaise with known exposure to the disease) should be evaluated. |
American Journal of Nursing March 2010 Bradley-Springer et al. |
Every Nurse Is an HIV Nurse The evolution of HIV infection into a chronic disease has implications across all clinical care settings. Every nurse should be knowledgeable about the disease in order to provide high-quality care to people with or at risk for HIV. |
American Family Physician January 15, 2006 Ann M. Khalsa |
Preventive Counseling, Screening, and Therapy for the Patient with Newly Diagnosed HIV Infection The epidemic of HIV continues, and the infection is converting into a treatable chronic disease; therefore, it is increasingly important for family physicians to be current with and comfortable in providing basic care to patients infected with HIV. |
American Family Physician February 1, 2006 Lutfiyya et al. |
Diagnosis and Treatment of Community-Acquired Pneumonia When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality prediction tool, such as the Pneumonia Severity Index, combined with clinical judgment. |
American Family Physician January 15, 2001 Charles P. Mouton |
Common Infections in Older Adults Despite advances in antibiotic therapy, infectious diseases continue to be a major cause of mortality in older adults. The diagnostic and therapeutic nuances of managing infections in older adults create special challenges for physicians... |
American Family Physician November 1, 2002 Nusbaum & Hamilton |
The Proactive Sexual Health History Physicians consistently underestimate the prevalence of sexual concerns in their patients. By allocating time to discuss sexual health during office visits, high-risk sexual behaviors that can cause STDs, unintended pregnancies, and unhealthy sexual decisions may be reduced. |
American Family Physician February 1, 2002 Catherine M. Oliphant |
Quinolones: A Comprehensive Review With the recent introduction of agents such as gatifloxacin and moxifloxacin, the traditional gram-negative coverage of fluoroquinolones has been expanded to include specific gram-positive organisms... |
American Family Physician May 1, 2003 O'Brien & Halverson |
Recognition and Management of Bioterrorism Infections Familiarity with the infectious agents of highest priority can expedite diagnosis and initial management, and lead to a successful public health response to such an attack. |
American Family Physician May 15, 2002 Alex H. Krist & Amy Crawford-Faucher |
Management of Newborns Exposed to Maternal HIV Infection The management of infants whose mothers are infected with the human immunodeficiency virus involves minimizing the risk of vertical transmission of HIV, recognizing neonatal HIV infection early, preventing opportunistic infections, and addressing psychosocial issues... |
American Family Physician March 1, 2001 Sheela L. Lahoti |
Evaluating the Child for Sexual Abuse Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important... |
American Family Physician August 1, 2005 Susan A. Mehnert-Kay |
Diagnosis and Management of Uncomplicated Urinary Tract Infections Although the incidence of urinary tract infection has not changed substantially over the last 10 years, the diagnostic criteria, bacterial resistance patterns, and recommended treatment have changed. |
American Family Physician October 15, 2004 As-Sanie, Gantt & Rosenthal |
Pregnancy Prevention in Adolescents The family physician plays a key role by engaging adolescent patients in confidential, open, and nonthreatening discussions of reproductive health, responsible sexual behavior, and contraceptive use. |
American Family Physician April 15, 2002 Judy D. Bremnor |
Evaluation of Dysuria in Adults Dysuria is the sensation of pain, burning, or discomfort on urination. Although many physicians equate dysuria with urinary tract infection , it is actually a symptom that has many potential causes. Empiric treatment with antibiotics may be inappropriate, except in carefully selected patients... |
Nursing January 2011 Carl A. Kirton |
HIV: The Changing Epidemic Since its emergence in the early 1980s, HIV infection in the United States has evolved from an acute debilitating condition to a chronic, treatable illness. |
American Family Physician September 15, 2006 Wong et al. |
Guidelines for the Use of Antibiotics in Acute Upper Respiratory Tract Infections To help physicians with the appropriate use of antibiotics in children and adults with upper respiratory tract infection, a multidisciplinary team evaluated existing guidelines and summarized key practice points. |
American Family Physician June 15, 2006 Brundage & Fitzpatrick |
Hepatitis A The introduction of hepatitis A vaccines in 1995 led to a drop in the number of reported cases of hepatitis A and a shift to a higher percentage of cases occurring in older age groups. The hepatitis A virus survives for extended periods in the environment. |
American Family Physician January 1, 2001 Alex H. Krist |
Obstetric Care in Patients with HIV Disease Appropriate management of pregnant patients who have human immunodeficiency virus (HIV) disease can have a major impact on maternal and infant health... |
American Family Physician March 1, 2005 Michael S. Schroeder |
Clostridium Difficile-Associated Diarrhea Early diagnosis and prompt aggressive treatment are critical in managing C. difficile-associated diarrhea. |
American Family Physician August 1, 2003 Lo Re & Gluckman |
Prevention of Malaria in Travelers As travel to tropical locations increases, U.S. physicians are being asked more frequently to provide recommendations for malaria prevention. An organized approach to reducing the risk of acquiring this disease is necessary. |
American Family Physician March 15, 2002 |
Herpes During Pregnancy--What It Means, What to Expect What is a genital herpes infection?... What if I have herpes and become pregnant?... What if I get herpes during pregnancy?... Where can I find more information on genital herpes infections?... |
AskMen.com |
STDs On The Rise Sexually spread diseases continue to rise, government health officials said. Better screening may be the reason. |
American Family Physician October 1, 2006 Mark B. Stephens |
Preventive Health Counseling for Adolescents The key to providing relevant and useful preventive counseling for adolescent patients is developing the trust necessary to discuss the specific issues that impact this age group. |
American Family Physician July 15, 2006 Sally A. Mravcak |
Primary Care for Lesbians and Bisexual Women Physicians can improve care for lesbians and bisexual women by acknowledging the potential barriers to care (e.g., hesitancy of physicians to inquire about sexual orientation and of patients to disclose their sexual behavior) and working to create a therapeutic physician-patient relationship. |
American Family Physician November 1, 2004 Scheid & Hamm |
Acute Bacterial Rhinosinusitis in Adults: Part II. Treatment Even though most patients with acute rhinosinusitis recover promptly without it, antibiotic therapy should be considered in patients with prolonged or more severe symptoms. |
American Family Physician February 1, 2001 Malcolm L. Brigden |
Detection, Education and Management of the Asplenic or Hyposplenic Patient Management of patients with these conditions includes a combination of immunization, antibiotic prophylaxis and patient education... |
Nursing February 2009 Daniel A. Hussar |
New Drugs 09: Part 1 Learn about 10 new drugs, including nebivolol HCl, the newest beta-adrenergic blocking agent for hypertension. |
American Family Physician December 1, 2004 |
Vaginitis A patient bulletin on the disease, how to recognize its symptoms and how to manage it. |
AskMen.com Jacob Franek |
STDs That Show On Your Face There's no greater embarrassment than STDs that show on your face. So, save yourself the embarrassment and protect your health by learning how to spot an STD before it gets to you. |
American Family Physician February 15, 2004 |
New Contraceptive Options A study of different forms and methods of contraception. |
American Family Physician March 1, 2004 Kucik et al. |
Common Intestinal Parasites Intestinal parasites cause significant morbidity and mortality. Diseases caused by Enterobius vermicularis, Giardia lamblia, Ancylostoma duodenale, Necator americanus, and Entamoeba histolytica occur in the United States. E. vermicularis, or pinworm, causes irritation and sleep disturbances. |
Nursing June 2011 Daniel A. Hussar |
New Drugs 2011: Part 2 In this article, you'll learn about seven recently approved drugs, including: fingolimod hydrochloride, an oral drug indicated to treat patients with relapsing forms of multiple sclerosis. |
American Family Physician May 1, 2004 |
Vaginal Discharge A general overview on vaginal discharge. |
American Family Physician July 1, 2003 Quinlan & Hill |
Nausea and Vomiting of Pregnancy Nausea and vomiting of pregnancy, commonly known as "morning sickness," affects approximately 80 percent of pregnant women. Physicians should carefully evaluate patients with nonresolving or worsening symptoms to rule out the most common causes of severe vomiting. |
Nurse Practitioner February 2011 Jennifer M. Belavic |
Annual Drug Update: 2010 in Review In 2010, the FDA approved several new drugs and new indications for use in primary care. From new therapies for adults with rheumatoid arthritis to a combination drug for benign prostatic hyperplasia, NPs need to be aware of the latest medications now available. |
Nursing February 2010 Daniel A. Hussar |
New Drugs 2010, PART 1 In this article, you'll learn about 16 new drugs. |