Articles

47 Newborn Skin: Part I. Common Rashes

NINA R. O’CONNOR, MD; MAURA R. McLAUGHLIN, MD; and PETER HAM, MD

Rashes are extremely common in newborns and can be a significant source of parental concern. Most rashes are benign and self-limited, but others require fur-ther work-up for infectious etiologies or underlying systemic disorders.

56 Newborn Skin: Part II. Birthmarks

MAURA R. McLAUGHLIN, MD; NINA R. O’CONNOR, MD; and PETER HAM, MD

Nearly all birthmarks are of concern to parents, but there is limited evidence to guide management. Most benign birthmarks do not require treatment, but effec-tive cosmetic laser treatments exist. Some birthmarks may require further work-up for underlying defects or potential for malignancy.

65 Clavicle Fractures

MATTHEW PECCI, MD, and JEFFREY B. KREHER, MD

The clavicle is a common site for injury because of its superficial location, its thin midshaft, and the forces transmitted across it. Most clavicle fractures occur in the midshaft and can be treated nonoperatively; surgery is an option for those that have high potential for nonunion. Distal fractures can also be treated nonopera-tively, although certain factors must be considered in children.

Patient information: “Clavicle Fractures: What You Should Know,” p. 71

73 Herbal and Dietary Supplement—Drug Interactions in Patients with Chronic Illnesses

PAULA GARDINER, MD, MPH; RUSSELL PHILLIPS, MD; and ALLEN F. SHAUGHNESSY, PharmD

Herbs and other dietary supplements may alter the actions of prescription and nonprescription drugs. Harmful effects are most pronounced with anticoagulants, cardiovascular medications, oral hypoglycemics, and antiretrovirals. Physicians should routinely ask patients about their use of dietary supplements and provide information about the safety and effectiveness of these products. .

Departments

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Keeping Up to Date

82 Clinical Evidence Concise

• Premenstrual Syndrome

94 Tips from Other Journals

96 Practice Guidelines

• ACIP Releases 2008 Child and Adolescent Immunization Schedules

• AAP Recommendations on Munchausen by Proxy

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Answering Clinical Questions

27 CME Quiz

87 FPIN’s Clinical Inquiries

• Effects of Soy Protein-Based Formula in Full-Term Infants

89 Photo Quiz

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Commentary

15 Inside AFP

16 AFP Journal Club

30 Letters to the Editor

• Economic Influence on the Drafting of Practice Guidelines

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Medicine and Society

23 AAFP News Now: AFP Edition

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Patient Information

71 Clavicle Fractures

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Reader Services

CME Center

• Search Available CME Courses

81 Evidence-Based Medicine Glossary

93 Change-of-Address Form

98 Classified Information

This article exemplifies the AAFP 2008 Annual Clinical Focus on infectious diseases: prevention, diagnosis, and management.

This article is included as part of this issue’s continuing medical education (CME) activity. See CME Quiz, p. 27..

This logo designates clinical content that conforms to AAFP criteria for evidence-based continuing medical education (EB CME). EB CME is clinical content presented with practice recommendations supported by evidence that has been reviewed systematically by an AAFP-approved source.

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