• Articles

    Health Maintenance in School-aged Children: Part I. History, Physical Examination, Screening, and Immunizations

    MARGARET RILEY, AMY B. LOCKE, ERIC P. SKYE

    Goals of the well-child examination in school-aged children include promoting health and detecting disease. The patient history includes screening questions and addressing any concerns from the patient or family. A full physical examination, recommended screening tests, and...

    Health Maintenance in School-aged Children: Part II. Counseling Recommendations

    MARGARET RILEY, AMY B. LOCKE, ERIC P. SKYE

    Well-child visits for school-aged children should include counseling and education to optimize health and wellness. All children in this age group should be educated about a healthy lifestyle and accident prevention. Discussions about high-risk behaviors, such as substance...

    Differentiation and Diagnosis of Tremor

    PAUL CRAWFORD, ETHAN E. ZIMMERMAN

    Evaluation of tremor is challenging, but history and physical examination can provide a great deal of certainty in diagnosis. Establishing an underlying cause is important, because prognosis and treatment plans vary considerably. Certain imaging modalities may be helpful in...

    Considerations for Safe Use of Statins: Liver Enzyme Abnormalities and Muscle Toxicity

    R. CLARK GILLETT, JR., ANGELICA NORRELL

    Statins are rarely contraindicated in patients with chronic liver disease, and liver enzyme elevations often resolve spontaneously. Statin-related myopathy is largely dose-dependent, and the risk increases when statins are taken with medications known to inhibit their metabolism.

    Transfusion of Blood and Blood Products: Indications and Complications

    SANJEEV SHARMA, POONAM SHARMA, LISA N. TYLER

    Blood transfusion recipients may be transfused with red blood cells, plasma products, platelets, or cryoprecipitate, depending on indications. Complications of transfusion are much more likely to be noninfectious than infectious.

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    AAFP Responds to Obama Administration's Proposed Budget for Fiscal Year 2012 | CMS Postpones Implementation of Medicaid RAC Program Beyond April Date | CMS Begins Processing Retroactive Medicare Payments for Physicians | Increases in Pertussis Outbreaks Lead to CDC Health...

    Editorials

    Improving the Delivery of Preventive Services to Children

    DAVID D. ORTIZ

    How should a busy family physician approach well-child visits and the delivery of preventive services to children? Although there is a lack of robust patient-oriented evidence that addresses this question, several interventions improve the delivery of preventive services to...

    Clinical Evidence Handbook

    Diabetic Nephropathy: Preventing Progression

    MICHAEL SHLIPAK

    What are the effects of treatments to prevent progression of nephropathy in persons with type 1 and type 2 diabetes and early and late nephropathy?

    Putting Prevention Into Practice

    Screening for Obesity in Children and Adolescents

    KENNETH W. LIN, CLARENCE LAM

    A seven-year-old boy presents with his mother for a routine well-child visit. He does not report any problems, his medical history is unremarkable, and he has no family history of heart disease or diabetes mellitus. During the physical examination, you note that he is obese,...

    U.S. Preventive Services Task Force

    Screening for Obesity in Children and Adolescents: Recommendation Statement

    The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen children six years and older for obesity, and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status.

    AFP Journal Club

    Donepezil to Manage Alzheimer Disease: New vs. Standard Dosing

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

    Does donepezil benefit patients with Alzheimer disease, and is the new dosage superior to the standard dosage? This study showed benefit, but the data are misleading.

    FPIN's Clinical Inquiries

    Antibiotics for Viral Upper Respiratory Tract Infections in Children

    ANITA LINDELL, GARY KELSBERG, SARAH SAFRANEK

    Antibiotic therapy does not benefit children with bronchiolitis, the common cold, or nonstreptococcal pharyngitis. If purulent rhinitis is present for more than 10 days, antibiotics shorten the duration of runny nose symptoms.

    Photo Quiz

    Treatment-Resistant Plaque on the Thigh

    MARGARET A. COLLINS, RITA LLOYD

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

    Linear Lesions in a Neonate

    BRADFORD VOLK, PAUL ALBERICO

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

    Practice Guidelines

    ICSI Releases Guideline on Diagnosis and Management of ADHD in Children

    CARRIE ARMSTRONG

    Attention-deficit/hyperactivity disorder (ADHD) is a common condition marked by inattention, hyperactivity, and impulsivity. The Institute for Clinical Systems Improvement (ICSI) has released guideline on diagnosis and management of ADHD in children.

    Letters to the Editor

    Injection Drug Users Can Be Effectively Treated for Hepatitis C

    Information from Your Family Doctor

    Tremor

    A tremor is twitching or shaking of a body part that you can't control. Most tremors affect the hand, but they can also happen in the arm, head, leg, and even voice. They are more common in middle-aged and older adults, but they can happen at any age. Some tremors are barely...

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    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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