• Articles

    The Generalized Rash: Part I. Differential Diagnosis

    JOHN W. ELY, MARY SEABURY STONE

    A rapid and accurate diagnosis in a patient with a generalized rash is often important, especially when mortality or significant morbidity can occur if the diagnosis is missed. When a diagnosis is not immediately apparent, an inclusive differential diagnosis must be considered.

    The Generalized Rash: Part II. Diagnostic Approach

    JOHN W. ELY, MARY SEABURY STONE

    When the diagnosis of a generalized rash is not obvious, physicians should look for clues from the patient history, physical examination, and laboratory findings.

    Vitamin D Supplementation in Infants, Children, and Adolescents

    CATHERINE F. CASEY, DAVID C. SLAWSON, LINDSEY R. NEAL

    Infants, children, and adolescents require a minimum of 400 IU of vitamin D per day to prevent adverse effects, such as growth failure and rickets. Vitamin D supplementation is recommended for infants who are breastfed, and for children and adolescents who do not drink at...

    Lead Poisoning in Children

    CRISTA WARNIMENT, KATRINA TSANG, SIM S. GALAZKA

    An estimated 310,000 U.S. children younger than five years have elevated blood lead levels. This article describes common sources of lead exposure, how to determine which children are at risk, diagnosis and management of elevated blood lead levels, and preventive strategies.

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Journal Retracts Study Linking Measles, Mumps, and Rubella Vaccine to Autism | Merck's PedvaxHIB Vaccine Available for First Time Since Its December 2007 Recall | Michelle Obama Launches Campaign to Help Overcome Childhood Obesity | California to Implement Physician Access...

    Editorials

    Vitamin D in Children: The Right Dose of Evidence

    ROBERT ALAN BONAKDAR

    In this issue of American Family Physician, Drs. Casey, Slawson, and Neal review recent recommendations on vitamin D supplementation.1 The authors focus on guidelines from the American Academy of Pediatrics (AAP) that recommend increasing the minimum daily intake of vitamin D...

    Graham Center Policy One-Pagers

    Greater NIH Investment in Family Medicine Would Help Both Achieve Their Missions

    SEAN C. LUCAN, ANDREW W. BAZEMORE, IMAM XIERALI, ROBERT L. PHILLIPS, JR., STEPHEN PETTERSON, BRIDGET TEEVAN

    Family medicine is the predominant provider of primary health care in the United States, yet it receives relatively little research funding from the National Institutes of Health (NIH). Family medicine can help the NIH speed research discovery and improve research relevance;...

    AFP Journal Club

    Beta Blockers and Noncardiac Surgery: Why the POISE Study Alone Should Not Change Your Practice

    MARK A. GRABER, ROBERT DACHS, ANDREA DARBY-STEWART

    Should we stop using beta blockers to prevent myocardial infarction in persons undergoing noncardiac surgery? The data remain inconclusive. Although the POISE study is an important contribution to the literature, it uses a protocol that is unrealistic and should not change...

    U.S. Preventive Services Task Force

    Behavioral Counseling to Prevent Sexually Transmitted Infections: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends high-intensity behavioral counseling to prevent sexually transmitted infections (STIs) for all sexually active adolescents and for adults at increased risk of STIs.

    Putting Prevention Into Practice

    Behavioral Counseling to Prevent Sexually Transmitted Infections

    KENNETH W. LIN, DORIS H. LOTZ

    Case study: A.B. is a 16-year-old girl who comes to your office for a sports physical examination. She tells you that since seeing you last year, she has become sexually active with a boy at her school.

    Clinical Evidence Handbook

    Stress Incontinence

    JOSEPH L. ONWUDE

    What are the effects of surgical and nonsurgical treatments for women with stress incontinence?

    Point-of-Care Guides

    Predicting the Risk of Bleeding in Patients Taking Warfarin

    MARK H. EBELL

    When considering anticoagulation therapy in patients with atrial fibrillation or venous thromboembolism (VTE), physicians and patients must balance the benefits of anticoagulation with the risk of bleeding, particularly major bleeding complications. For example, in patients...

    Photo Quiz

    Red and White Ulcerated Tongue Mass

    PREETHA P. KANJIRATH, PAUL C. EDWARDS

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    Tips from Other Journals

    What Is the Best Treatment for Polymyalgia Rheumatica?

    KENNETH T. MOON

    Practice Guidelines

    ASCO Updates Guideline on the Use of Pharmacologic Interventions to Reduce Breast Cancer Risk

    LISA GRAHAM

    The American Society of Clinical Oncology's (ASCO) updated guideline addresses: (1) the use of tamoxifen, raloxifene (Evista), aromatase inhibitors, and fenretinide (not available in the United States) versus no pharmacologic intervention to reduce the risk of breast cancer; ...

    Letters to the Editor

    Effectiveness and Safety of High-Dose Opioids for Chronic Pain

    SCOTT JOHNSTON

    Information from Your Family Doctor

    Vitamin D and Children

    Vitamin D helps protect your bones and helps your body use calcium. You can get vitamin D from sunlight or by eating certain foods. Fish, cheese, and eggs are natural sources of vitamin D. In the United States, cereals, milk, and many orange juices have vitamin D added to them.

    Lead Poisoning in Children

    Lead poisoning is when there are high levels of lead in your child's blood. High levels of lead in the body can cause problems with the brain, intestines, kidneys, and bone marrow.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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