Articles

1109 The Diagnosis of Wheezing in Children

LISA NOBLE WEISS, MD, MEd

The most common causes of wheezing in children are asthma, allergies, infections, gastroesophageal reflux disease, and obstructive sleep apnea. A detailed history, including family history; age at onset; pattern of wheezing; seasonality; and associations with feeding, cough, respiratory illnesses, and positional changes, can help determine the diagnosis.

1117 Bleeding and Bruising: A Diagnostic Work-up

MICHAEL BALLAS, MD, and ERIC H. KRAUT, MD

A thorough history, physical examination, and a standardized bleeding score system can help physicians diagnose bleeding and bruising disorders. Initial evaluation should include complete blood count with platelet count, peripheral blood smear, prothrombin time, and partial thromboplastin time. Other tests, including the Platelet Function Analyzer-100, mixing studies, and inhibitor assays may also be helpful.

1129 Physical Activity Counseling

REBECCA A. MERIWETHER, MD, MPH; JEFFREY A. LEE, MD, MPH; AUGUSTA SCHROEDER LAFLEUR, MD, MPH; and PAMELA WISEMAN, MD

Even brief physician counseling that leads to modest physical activity changes could affect the population's health. Tailored counseling that incorporates shared decision making, a written prescription, printed supportive materials, and follow-up is most effective.

Patient information: "Physical Activity: What You Should Know," p. 1138

1139 Oral Health During Pregnancy

HUGH SILK, MD; ALAN B. DOUGLASS, MD; JOANNA M. DOUGLASS, BDS, DDS; and LAURA SILK, MD

Oral health is an important, but often neglected, part of prenatal health care. Because some oral health problems in pregnant women may cause adverse effects, such as preterm birth or low birth weight, ensuring that women of childbearing age practice proper oral hygiene and have regular oral health assessments is vital.

Departments

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Keeping Up to Date

1149 Clinical Evidence Concise

• Osteoarthritis of the Knee

1157 Tips from Other Journals

1173 Practice Guidelines

• AAFP and ACP Release Guideline on Dementia Treatment

Editorial: "New Guideline for the Treatment of Dementia: Is There Really Anything New?" p. 1080

• CDC Recommendations on Prevention and Management of High Blood Lead Levels in Children

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Answering Clinical Questions

1075 CME Quiz

1151 Photo Quiz

1153 Point-of-Care Guides

• Diagnosis of Appendicitis: Part II. Laboratory and Imaging Tests

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Commentary

1060 Inside AFP

1078 Letters to the Editor

• Recognition and Treatment of Actinic Cheilitis

1080 Editorials

• New Guideline for the Treatment of Dementia: Is There Really Anything New?

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Medicine and Society

1067 AAFP News Now: AFP Edition

1106 Close-ups

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Patient Information

1138 Physical Activity

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Reader Services

1063 Strength-of-Recommendation Taxonomy in AFP

1070 Evidence-Based Medicine Glossary

1071 Change-of-Address Form

1079 Corrections

1176 Classified Information

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 1075.

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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