LISA NOBLE WEISS
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,...
MICHAEL BALLAS, ERIC H. KRAUT
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...
REBECCA A. MERIWETHER, JEFFREY A. LEE, AUGUSTA SCHROEDER LAFLEUR, PAMELA WISEMAN
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 supportivematerials, and followup is most effective.
HUGH SILK, ALAN B. DOUGLASS, JOANNA M. DOUGLASS, LAURA SILK
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...
JOYCE A. MERRIMAN
The medical editors associated with American Family Physician play a crucial role in maintaining the high quality of this publication. They review manuscripts and coordinate various sections of the journal to ensure that AFP provides the most up-to-date and accurate...
Recently Introduced Legislation Provides for 18-Month Physician Payment Update | Candidate Health Care Proposals Focus on Insurance Coverage, Not Systematic Change | AHRQ Provides State-by-State Snapshots of Health Care Quality Performance | MedPAC Considers Recommendations,...
ALAN M. ADELMAN, DAVID R. MEHR
Despite a highly variable course, Alzheimer's disease and other dementias have a devastating impact on patients and their families. Throughout the inevitable progression of these diseases, family physicians can help patients and their caregivers by offering emotional support...
I had pain for years before my condition was diagnosed. My gynecologist of 20 years kept telling me I was fine. He did not think I had a disease, but he was wrong and should have done the appropriate tests and procedures beyond an ultrasound. I was constantly shuffled between...
DAVID SCOTT, ANNA KOWALCZYK
Osteoarthritis of the knee affects about 10 percent of adults older than 60 years, with an increased risk in those who are obese and have joint damage or abnormalities.
NIRAV SHASTRI, LISA GILMER
A six-month-old girl presented for a well-child visit. On abdominal examination, a periumbilical mass, 1 cm in diameter, was noted (see accompanying figure). The mass was soft and reduced completely on palpation with no apparent pain. A circular defect, 0.5 cm in diameter,...
MARK H. EBELL
How should laboratory and imaging tests be used in the diagnosis of appendicitis?
ANNE D. WALLING
ANNE D. WALLING
ANNE D. WALLING
Guideline source: American Academy of Family Physicians and American College of Physicians
Guideline source: Centers for Disease Control and Prevention
GEORGE LARIOS, ALEVIZOS ALEVIZOS, DIMITRIS RIGOPOULOS
Getting regular physical activity can help keep your heart healthy, prevent some diseases, and make depression better. It also can help you stay at a healthy weight and give you more energy.
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