• Articles

    Gastroenteritis in Children: Part I. Diagnosis

    CATHERINE A. CHURGAY, ZAHRA AFTAB

    Gastroenteritis in children is most commonly caused by viral infection, especially from rotavirus. Other causes include bacterial and parasitic infections. The history and physical examination focus on assessing for dehydration and determining an etiology.

    Gastroenteritis in Children: Part II. Prevention and Management

    CATHERINE A. CHURGAY, ZAHRA AFTAB

    Preventing dehydration is the focus of gastroenteritis treatment in children. Oral rehydration therapy should be administered at home using an over-the-counter rehydration solution in children with mild to moderate dehydration. Children with more severe dehydration may need...

    Evaluation and Management of Galactorrhea

    WENYU HUANG, MARK E. MOLITCH

    After pathologic nipple discharge is ruled out, patients with galactorrhea should be evaluated with measurement of prolactin level. Normoprolactinemic patients with idiopathic, nonbothersome galactorrhea can be reassured and do not need treatment; however, those with...

    Diagnosis and Management of Lyme Disease

    WILLIAM F. WRIGHT, DAVID J. RIEDEL, ROHIT TALWANI, BRUCE L. GILLIAM

    Identification of an erythema migrans rash following a tick bite is the only clinical sign sufficient to make the diagnosis of Lyme disease in the absence of laboratory confirmation. Treatment is mainly determined by the clinical manifestations; doxycycline is usually the...

    Clarification

    Clarification

    Clarification

    AAFP News Now: AFP Edition

    AAFP News Now: AFP Edition

    Historic Highs of <i>C. difficile</i> Infection–Related Incidence, Deaths, and Costs | IOM Central Management Plan to Monitor Safety of All FDA-Approved Drugs | AHRQ Resource Libraries Provide Evidence-Based Outcomes Data | Quality Improvement in Health Care: Progress...

    Close-ups

    The Door to Recovery: Overcoming Drug and Alcohol Addiction

    SANAZ MAJD

    The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

    Editorials

    BPA Exposure and Health Effects: Educating Physicians and Patients

    REBECCA ROBERTS

    Bisphenol A (BPA) is a polymerization agent used in the manufacturing of polycarbonate plastics and epoxy resins. It is also an environmental endocrine disruptor with estrogen-like activity that may affect the development and health of those who are exposed.

    Point-of-Care Guides

    Risk Stratification of Patients Presenting with Syncope

    MARK H. EBELL

    A previous Point-of-Care Guide addressed risk stratification in patients with syncope and described two validated clinical decision rules. Shared variables between the two rules included abnormal findings on electrocardiography (ECG) and a history of congestive heart failure;...

    Cochrane for Clinicians

    Antiemetics for Acute Gastroenteritis–Related Vomiting in Children and Adolescents

    WILLIAM E. CAYLEY, JR.

    Ondansetron (Zofran) given orally can reduce rates of vomiting, improve short-term tolerance of oral fluids, and reduce short-term rates of hospital admission and the need for intravenous hydration. Metoclopramide (Reglan) and ondansetron can reduce episodes of vomiting when...

    Cochrane Briefs

    Could Selenium Supplementation Prevent Cancer?

    COREY D. FOGLEMAN

    Selenium deficiency is associated with a higher risk of cancer, but selenium supplementation does not decrease that risk.

    Tips from Other Journals

    Rifapentine Plus Isoniazid for the Treatment of Tuberculosis

    KENNETH T. MOON

    Colchicine Is Effective for Recurrent Pericarditis

    KENNETH T. MOON

    Intensive vs. Conventional Glycemic Control in Patients with Type 2 Diabetes

    STEPHANIE MARUCA

    Is Selenium a Beneficial Treatment for Graves Orbitopathy?

    KENNETH T. MOON

    Photo Quiz

    Cystic Lesion Near the Lateral Lower Eyelid

    CHRISTOPHER EDENS, CHRISTOPHER DOLAN

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

    Practice Guidelines

    AACAP Updates Recommendations on Diagnosis and Treatment of Obsessive-Compulsive Disorder in Children

    CARRIE ARMSTRONG

    Obsessive-compulsive disorder (OCD) is common in children, with a prevalence of approximately 1 to 2 percent in the United States, and causes significant disability. The American Academy of Child and Adolescent Psychiatry (AACAP) recently published updated recommendations on...

    Letters to the Editor

    Vitamin C for Preventing Exercise-Induced Asthma

    A Walking Stick Can Be a Good Alternative to a Cane

    Case Study: Risks Associated with Congenital Varicella Infection

    Information from Your Family Doctor

    Gastroenteritis in Children: Treating Dehydration

    Gastroenteritis (GASS-tro-EN-ter-EYE-tiss), or the stomach flu, is diarrhea (three or more watery, loose stools in one day) that is caused by germs, food poisoning, or unclean water. Your child may also have an upset stomach, vomiting, or fever.

    Galactorrhea (Milk Discharge)

    Galactorrhea (guh-LACK-toe-REE-uh) is milk discharge from the breast that is unrelated to breastfeeding or that happens at least one year after stopping breastfeeding. It usually happens in both breasts, but it can also happen in only one. Both women and men can have...

    Lyme Disease

    Lyme disease is an infection that people get when they are bitten by deer ticks that carry a certain type of bacteria. The tick is about the size of a poppy seed or sesame seed. It typically must be attached to your skin for at least 36 hours to pass the bacteria to you....

    Corrections

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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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