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Articles from American Family Physician, Latest issues
7 August, 2007
July 1, 2007 Vol. 76 No. 1
Evaluation of Nausea and VomitingKEITH SCORZA, MD, AARON WILLIAMS, DO, J. DANIEL PHILLIPS, MD, and JOEL SHAW, MD.Dewitt Army Community Hospital Family Medicine Residency, Fort Belvoir, Virginia
A comprehensive history and physical examination can often reveal the cause of nausea and vomiting, making further evaluation unnecessary. Acute symptoms generally are the result of infectious, inflammatory, or iatrogenic causes. [ See ] [pdf ]
August 1, 2007 Vol. 76 No. 3
The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse EffectsTOM LYNCH, PharmD, and AMY PRICE, MD, Eastern Virginia Medical School, Norfolk, VirginiaCytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may influence a patient’s response to commonly prescribed drug classes, including beta blockers and antidepressants. [ See ][pdf ]
Evaluation of Nausea and VomitingKEITH SCORZA, MD, AARON WILLIAMS, DO, J. DANIEL PHILLIPS, MD, and JOEL SHAW, MD.Dewitt Army Community Hospital Family Medicine Residency, Fort Belvoir, Virginia
A comprehensive history and physical examination can often reveal the cause of nausea and vomiting, making further evaluation unnecessary. Acute symptoms generally are the result of infectious, inflammatory, or iatrogenic causes. [ See ] [pdf ]
August 1, 2007 Vol. 76 No. 3
The Effect of Cytochrome P450 Metabolism on Drug Response, Interactions, and Adverse EffectsTOM LYNCH, PharmD, and AMY PRICE, MD, Eastern Virginia Medical School, Norfolk, VirginiaCytochrome P450 enzymes are essential for the metabolism of many medications. Although this class has more than 50 enzymes, six of them metabolize 90 percent of drugs, with the two most significant enzymes being CYP3A4 and CYP2D6. Genetic variability (polymorphism) in these enzymes may influence a patient’s response to commonly prescribed drug classes, including beta blockers and antidepressants. [ See ][pdf ]
Photo Quiz
Red-Blue, Umbilicated Nodules on the Fingers
Oguz Karabay, MD, and Nadir Goksugur, MD, Izzet Baysal University, Bolu, Turkey
See photo and article
Based on the patient’s history and physical examination, which one of the following is the most likely diagnosis?
A. Cutaneous anthrax.
B. Contagious ecthyma.
C. Ecthyma gangrenosum.
D. Fixed drug eruption.
E. Necrotic spider bite (necrotic arachnidism).
See also: Pruritic Rash After an Ocean Swim
Red-Blue, Umbilicated Nodules on the Fingers
Oguz Karabay, MD, and Nadir Goksugur, MD, Izzet Baysal University, Bolu, Turkey
See photo and article
Based on the patient’s history and physical examination, which one of the following is the most likely diagnosis?
A. Cutaneous anthrax.
B. Contagious ecthyma.
C. Ecthyma gangrenosum.
D. Fixed drug eruption.
E. Necrotic spider bite (necrotic arachnidism).
See also: Pruritic Rash After an Ocean Swim