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AFP Over 20 Years - Inside AFP - American Family Physician

Dec 15, 2004 - ...an appreciation for the humanity of healing as a profession. One of my high-school writing projects included exploration of my brother’s anatomy class cadaver, and that’s when I first chanced to write about medicine. So influenced as a child it’s little wonder my path led to the...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2004/1215/p2251.html

AFP's Top Articles

View the top 20 articles published in American Family Physician each year based on web views.

American Family Physician : American Family Physician

https://www.aafp.org/journals/afp/content/top-articles.html

afp20051215p2491.pdf

...An Approach to the Postpartum Office Visit CAROL E. BLENNING, M.D., and HEATHER PALADINE, M.D. Oregon Health and Science University School of Medicine, Portland, Oregon T he postpartum period is an excit-ing, dynamic time in a woman’s life, and the family physician plays an...

American Family Physician

https://www.aafp.org/afp/2005/1215/afp20051215p2491.pdf

afp20060101p91.pdf

...the quality of life of patients and their caregiv- ers (Table 38-14). Readily available and useful assessment instruments include the Child Health Questionnaire,10 the Wong-Baker FACES Pain Rating Scale,14 and the Gross Motor Function Classification System for Cerebral Palsy.12...

American Family Physician

https://www.aafp.org/afp/2006/0101/afp20060101p91.pdf

afp20060201p469.pdf

...children.2 Constipation often causes more distress to parents and other caregivers than to the affected child. Many caregivers worry that a child’s constipa- tion is the sign of a serious medical problem. As children age, normal physiologic changes occur in the intestines and...

American Family Physician

https://www.aafp.org/afp/2006/0201/afp20060201p469.pdf

afp20060501p1558.pdf

...it is neces- sary to include the child’s height percentile to determine if blood pressure is normal. The revised childhood blood pressure tables include 50th, 90th, 95th, and 99th percentiles by sex, age, and height based on the 1999- 2000 National Health and Nutrition Exami- nation...

American Family Physician

https://www.aafp.org/afp/2006/0501/afp20060501p1558.pdf

afp20060701p115.pdf

...Many rheumatic clinical entities tend to develop over weeks or months (Table 1).3 Close follow-up to determine the child’s clin- ical course therefore is recommended. Reso- lution of symptoms and continued absence of worrisome features can reassure the child and family that a...

American Family Physician

https://www.aafp.org/afp/2006/0701/afp20060701p115.pdf

afp20060815p619.pdf

...abnormalities in children with rickets, but it should not be undertaken until the biochemical derangements have resolved so that optimal healing occurs at the surgical site. C 31 Vitamin D-deficiency rickets can be treated initially with high-dose vitamin D and calcium and...

American Family Physician

https://www.aafp.org/afp/2006/0815/afp20060815p619.pdf

afp20060901p793.pdf

...GARDINER, M.D., Osher Institute, Harvard Medical School, Boston, Massachusetts LANA DVORKIN, PHARM.D., Massachusetts College of Pharmacy and Health Sciences, Boston, Massachusetts P hysicians and their colleagues have considerable difficulty in under- standing and managing poor...

American Family Physician

https://www.aafp.org/afp/2006/0901/afp20060901p793.pdf

afp20061101p1527.pdf

...in Toddlers RICHARD E. ALLEN, M.D., M.P.H., St. Mark’s Family Medicine Residency, Salt Lake City, Utah ANYA L. MYERS, R.D., M.SC., Chinook Health, Cardston, Alberta A n important change in nutritional habits occurs during the transi- tion from infancy to toddlerhood at about one...

American Family Physician

https://www.aafp.org/afp/2006/1101/afp20061101p1527.pdf

afp20061201p1864.pdf

...shift in semantics from accident pre- vention to injury prevention and control was initiated in the 1970s to focus attention on preventable health outcomes.4 Injury prevention strategies generally are classified into three types: education, engineering and environmental...

American Family Physician

https://www.aafp.org/afp/2006/1201/afp20061201p1864.pdf

afp20070101p117-s1.pdf

...Department of Health and Human Services • Centers for Disease Control and Prevention 1. Hepatitis B vaccine (HepB). (Minimum age: birth) At birth: • Administer monovalent HepB to all newborns prior to hospital discharge. • If mother is HBsAg-positive, administer HepB and 0.5 mL of...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p117-s1.pdf

afp20070101p73.pdf

...to these disorders, an atypical presentation, a lack of adequate child mental health training for health care professionals, an inadequate number of child psychiatrists, and inequali- ties in mental health care insurance. Underdiagnosis and undertreatment are greater problems in...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p73.pdf

afp20070115p221.pdf

...or exploitation, or imminent risk of serious harm; involves a child; and is carried out by a parent or caregiver who is responsible for the child’s welfare.2 CAPTA also includes neglect within the definition; however, each state is responsi- ble for defining child abuse and...

American Family Physician

https://www.aafp.org/afp/2007/0115/afp20070115p221.pdf

afp20070501p1349.pdf

...If congenital hearing loss is not recog- nized and managed, a child’s speech, lan- guage, and cognitive development are often severely delayed.3 Etiology of Hearing Loss There are four types of hearing loss: conduc- tive, sensorineural, mixed, and central.2 Con- ductive losses...

American Family Physician

https://www.aafp.org/afp/2007/0501/afp20070501p1349.pdf

afp20070601p1679.pdf

...I n caring for patients of all ages and providing routine health maintenance and urgent care, family physicians should be prepared to encounter a range of emergencies, from stroke in older patients to meningitis in infants. Adult patients may misinterpret the urgency of their...

American Family Physician

https://www.aafp.org/afp/2007/0601/afp20070601p1679.pdf

afp20070615p1805.pdf

...possible sources of fever. The history should include questions about recent symptoms, vaccinations, exposure to sick contacts, and the child’s birth. If the child has received the appropriate vaccines, he or she has a lower risk of SBI. Any history of serious infection or...

American Family Physician

https://www.aafp.org/afp/2007/0615/afp20070615p1805.pdf

afp20071015p1185.pdf

...unable to cooper- ate, positive pressure ventilation can be delivered through the patient’s mouth. In this technique, the parent covers the child’s mouth with his or her mouth, plugs the unobstructed nostril with a finger, and gives a rapid, soft puff of air.8,9 Although the child...

American Family Physician

https://www.aafp.org/afp/2007/1015/afp20071015p1185.pdf

afp20071201p1669.pdf

...has released a guideline for backpack use. The guideline recommends that backpacks not exceed 10 to 20 percent of the child’s body weight.12 This is not an evidence-based recommendation, however.8 Population-based studies have used sur- veys of large populations of healthy chil-...

American Family Physician

https://www.aafp.org/afp/2007/1201/afp20071201p1669.pdf

afp20080101p96-s1.pdf

...Department of Health and Human Services • Centers for Disease Control and Prevention • SAFER • HEATHIER • PEOPLETM The Recommended Immunization Schedules for Persons Aged 0-18 Years are approved by the Advisory Committee on Immunization Practices (www.cdc.gov/vaccines/recs/acip), the...

American Family Physician

https://www.aafp.org/afp/2008/0101/afp20080101p96-s1.pdf

afp20080415p1109.pdf

...The Diagnosis of Wheezing in Children Lisa NobLe Weiss, MD, Med, Northeastern Ohio Universities Colleges of Medicine and Pharmacy, Forum Health Family Practice Center, Youngstown, Ohio W heezing in infants and chil- dren is a common problem presented to primary care offices....

American Family Physician

https://www.aafp.org/afp/2008/0415/afp20080415p1109.pdf

afp20080815p489.pdf

...Evaluation and Treatment of Enuresis KALYANAKRISHNAN RAMAKRISHNAN, MD, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma E nuresis is defined as repeated, spon- taneous voiding of urine during sleep in a child five years or older.1 Enure- sis may be classified...

American Family Physician

https://www.aafp.org/afp/2008/0815/afp20080815p489.pdf

afp20081101p1059.pdf

...visit. The physician’s role in toilet training is multifaceted. Necessary components include understanding family dynamics, assessing the child’s readiness, providing education and support, and developing short-term and follow-up goals. Because each child and family are unique,...

American Family Physician

https://www.aafp.org/afp/2008/1101/afp20081101p1059.pdf

afp20090101p56-s1.pdf

...Department of Health and Human Servic Centers for Disease Control and Prevention Department of Health and Human Servic Centers for Disease Control and Prevention The Recommended Immunization Schedules for Persons Aged 0 Through 18 Years are approved by the Advisory Committee on...

American Family Physician

https://www.aafp.org/afp/2009/0101/afp20090101p56-s1.pdf

afp20090715p139.pdf

...Childhood Concerns: Sleep Issues, Thumb Sucking, Picky Eating, and School Readiness ANN G. TSENG, MD, and FRANCES E. BIAGIOLI, MD, Oregon Health and Science University, Portland, Oregon T here are many issues during the early childhood and toddler years that parents ask about...

American Family Physician

https://www.aafp.org/afp/2009/0715/afp20090715p139.pdf

afp20100615p1462.pdf

...SARAH K. MOERSCHEL, MD, West Virginia University Robert C. Byrd Health Sciences Center Eastern Division, Harpers Ferry, West Virginia A n estimated 20 percent of American children will have anemia at some point in their childhood.1 Anemia is defined as a hemoglobin (Hgb)...

American Family Physician

https://www.aafp.org/afp/2010/0615/afp20100615p1462.pdf

afp20110201p318-s1.pdf

...Department of Health and Human Services • Centers for Disease Control and Prevention The Recommended Immunization Schedules for Persons Aged 0 Through 18 Years are approved by the Advisory Committee on Immunization Practices (http://www. cdc.gov/vaccines/recs/acip), the American...

American Family Physician

https://www.aafp.org/afp/2011/0201/afp20110201p318-s1.pdf

afp20110401p837.pdf

...examine your child. He or she may ask about how you feed your child. It may help to show the doctor how you breastfeed or how you make your child’s bottles. If your child is older, your doctor may ask you for a list of everything your child eats or drinks each day (called a food...

American Family Physician

https://www.aafp.org/afp/2011/0401/afp20110401p837.pdf

afp20120101p25.pdf

...or an absorptive occlusive dressing to help reduce pain, promote healing, and prevent wound desiccation. Topical silver sulfadiazine is the stan- dard treatment; however, newer occlusive dressings can provide faster healing and are often more cost-effective. Physicians must...

American Family Physician

https://www.aafp.org/afp/2012/0101/afp20120101p25.pdf

afp20120201p281-s4.pdf

...or by telephone (800-822-7967). Suspected cases of vaccine-preventable diseases should be reported to the state or local health department. Additional information, including precautions and contraindications for vaccination, is available from CDC online (http://www.cdc.gov/vaccines)...

American Family Physician

https://www.aafp.org/afp/2012/0201/afp20120201p281-s4.pdf

afp20130201p204-s1.pdf

...or by telephone (800-822-7967). Suspected cases of vaccine-preventable diseases should be reported to the state or local health department. Additional information, including precautions and contraindications for vaccination, is available from CDC online (http://www.cdc.gov/vaccines)...

American Family Physician

https://www.aafp.org/afp/2013/0201/afp20130201p204-s1.pdf

afp20131015p543.pdf

...vaccine is available for a child 5 to 8 years of age who has a medical condition that increases the child’s risk of influenza complications, Afluria can be used; however, health care professionals should discuss with the parents or caregivers the benefits and risks of influenza...

American Family Physician

https://www.aafp.org/afp/2013/1015/afp20131015p543.pdf

afp20131215p818.pdf

...This subanalysis of 3,781 patients (93% of the original cohort) evalu- ates whether the early introduction of specific foods affects a child’s risk of developing asthma or other atopic conditions. The study included the following foods: cow’s milk; roots (potatoes, carrots, and...

American Family Physician

https://www.aafp.org/afp/2013/1215/afp20131215p818.pdf

afp20140815od1.pdf

August 15, 2014 USPSTF

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815od1.pdf

afp20140815p229-s1.pdf

...What can I expect? Impetigo usually heals without scarring. Although it normally goes away on its own in a few weeks, treatment is still recommended because it often gets worse before it gets better. Sometimes it can turn into a much more serious skin condition. Call your doctor if...

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815p229-s1.pdf

afp20141015p574.pdf

Date xx, xxxx Clinical Inquiries

American Family Physician

https://www.aafp.org/afp/2014/1015/afp20141015p574.pdf

afp20141115od1.pdf

November 15, 2014 USPSTF

American Family Physician

https://www.aafp.org/afp/2014/1115/afp20141115od1.pdf

afp20141115p723.pdf

November 15, 2014 Putting Prevention into Practice

American Family Physician

https://www.aafp.org/afp/2014/1115/afp20141115p723.pdf

afp20160815p295-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2016/0815/afp20160815p295-s1.pdf

afp20170115p94-s1.pdf

...How does it spread? RSV can be spread by contact with body fluids like saliva and mucus from a sick child’s nose or mouth, or by objects that the child has touched. Having your child wash his or her hands or using alcohol-based hand sanitizers may lower the risk of spreading the...

American Family Physician

https://www.aafp.org/afp/2017/0115/afp20170115p94-s1.pdf

afp20170615p786-s1.pdf

...to do the following when your child is ill. These steps could save your child’s life. • Visit your doctor. • Tell the medical staff your child has not received all of his or her vaccines. • Keep your child’s vaccination record with you. • Learn the early signs and symptoms of...

American Family Physician

https://www.aafp.org/afp/2017/0615/afp20170615p786-s1.pdf

afp20171115od3.pdf

...group assignment interviewed the child’s primary caregiver one, four, eight, and 12 months after enrollment to ascertain exacer- bations, unscheduled medical care, medica- tion use, and quality of life. Additionally, the researchers vacuumed the child’s bedroom floor at baseline and...

American Family Physician

https://www.aafp.org/afp/2017/1115/afp20171115od3.pdf

afp20171115od4.pdf

...group assignment interviewed the child’s primary caregiver one, four, eight, and 12 months after enrollment to ascertain exacer- bations, unscheduled medical care, medica- tion use, and quality of life. Additionally, the researchers vacuumed the child’s bedroom floor at baseline and...

American Family Physician

https://www.aafp.org/afp/2017/1115/afp20171115od4.pdf

afp20171115od5.pdf

...group assignment interviewed the child’s primary caregiver one, four, eight, and 12 months after enrollment to ascertain exacer- bations, unscheduled medical care, medica- tion use, and quality of life. Additionally, the researchers vacuumed the child’s bedroom floor at baseline and...

American Family Physician

https://www.aafp.org/afp/2017/1115/afp20171115od5.pdf

afp20171115od6.pdf

...group assignment interviewed the child’s primary caregiver one, four, eight, and 12 months after enrollment to ascertain exacer- bations, unscheduled medical care, medica- tion use, and quality of life. Additionally, the researchers vacuumed the child’s bedroom floor at baseline and...

American Family Physician

https://www.aafp.org/afp/2017/1115/afp20171115od6.pdf

afp20180201p187.pdf

...Mary M. Stephens, MD, MPH; Hazel T. Cook-Fasano, LCSW; and Katherine Sibbaluca, LCSW Christiana Care Health System, Wilmington, Delaware CME This clinical content conforms to AAFP criteria for continuing medical education (CME). See CME Quiz on page 167. Author disclosure: No...

American Family Physician

https://www.aafp.org/afp/2018/0201/afp20180201p187.pdf

afp20180501p575-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to your...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p575-s1.pdf

afp20180515od1.pdf

...maturity will likely expe- rience curvature progression in adulthood. Severe spinal curvature may be associated with adverse long-term health outcomes (e.g., pulmonary disorders, disability, back pain, psychological effects, cosmetic issues, and reduced quality of life).1,3...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515od1.pdf

afp20180515p642-s2.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to your...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p642-s2.pdf

afp20180515p642.pdf

...office setting and assist parents by providing effective monitoring tools for behavior problems. Effec- tive strategies for influencing a child’s behavior include positive reinforcement to increase appropriate behavior, extinction (planned ignoring) for most low-level problematic...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p642.pdf

afp20180515p666.pdf

...l D. There is convincing evidence that reduction in spinal curvature during adolescence is associated with long-term health outcomes in adulthood. Answers appear on the following page. See related U.S. Preventive Services Task Force Recommendation Statement at https://...

American Family Physician

https://www.aafp.org/afp/2018/0515/afp20180515p666.pdf

afp20180615p785.pdf

...abdominal pain (RAP) in children is defined as at least three episodes of pain that occur over at least three months and affect the child’s ability to perform normal activities. RAP is most often considered functional (nonorganic) abdominal pain, but an organic cause is found in 5%...

American Family Physician

https://www.aafp.org/afp/2018/0615/afp20180615p785.pdf

afp20180815p227-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2018/0815/afp20180815p227-s1.pdf

afp20180915p347.pdf

...for physicians to screen for med- ical problems (including psychosocial concerns), to provide anticipatory guidance, and to promote good health. The vis- its also allow the family physician to establish a relationship with the parents or caregivers. This article reviews the U.S....

American Family Physician

https://www.aafp.org/afp/2018/0915/afp20180915p347.pdf

afp20181001p419.pdf

...Evidence-Based Answer Child feeding interventions are effective in the short term (i.e., less than 12 months) for increasing a child’s intake of fruits and vegetables, but only by less than 5% of the recommended daily allow- ance. Conversely, parental nutrition education and...

American Family Physician

https://www.aafp.org/afp/2018/1001/afp20181001p419.pdf

afp20181115p584.pdf

...in criminal activity.3,4 Additionally, children who experience harsh discipline, have parents with a cruel or rejecting attitude,4 have poor health, and who are not brought to visit other people who have children are at a higher risk for developing conduct disorder.5 Clinical...

American Family Physician

https://www.aafp.org/afp/2018/1115/afp20181115p584.pdf

afp20181215p738-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215p738-s1.pdf

afp20181215p738.pdf

...are associated with lifelong negative academic, social, and health sequelae,1,2 yet often go unnoticed and unaddressed by schools and government orga- nizations.3 School absenteeism has been called a public health issue and a hidden educational crisis.4,5 It is a complex and varied...

American Family Physician

https://www.aafp.org/afp/2018/1215/afp20181215p738.pdf

afp20190201p159.pdf

...gastroenteritis in children can be managed at home. Oral rehydration therapy, such as providing half-strength apple juice followed by the child’s preferred liquids, is the mainstay of treatment for mild dehydration and is as effective as intravenous rehydration for preventing...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p159.pdf

afp20190401p445.pdf

...Dustin K. Smith, DO, Naval Hospital Yokosuka, Branch Health Clinic Diego Garcia, Diego Garcia, British Indian Ocean Territory Kerry P. Sadler, MD, Naval Hospital Jacksonville, Jacksonville, Florida Molly Benedum, MD, University of South Carolina Greenville School of Medicine,...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p445.pdf

afp20190615p731a.pdf

...behavioral risk factors. The impact of maternal health on the health of chil- dren is well understood, so these interventions fit naturally into the context of well-child care because these risks affect the child’s health and the health of future pregnancies.1 Based on this...

American Family Physician

https://www.aafp.org/afp/2019/0615/afp20190615p731a.pdf

afp20190701p24-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p24-s1.pdf

afp20190701p24.pdf

...paint, gasoline, food, pottery, folk medicines, and herbal remedies for centuries,1,2 and its harmful effects are a clinical and pub- lic health concern because of its pervasive presence in the environment and its continued use in industry. Lead poisoning is often asymptomatic....

American Family Physician

https://www.aafp.org/afp/2019/0701/afp20190701p24.pdf

afp20190715p110.pdf

...The USPSTF deemed the evidence inadequate because of a lack of studies on accurate methods to predict a child’s individual risk of maltreatment and the limited and incon- sistent report of outcomes from studies of preventive inter- ventions for maltreatment. HARMS OF...

American Family Physician

https://www.aafp.org/afp/2019/0715/afp20190715p110.pdf

afp20191001p443.pdf

...of abuse or neglect, and can result in adverse effects to the brain development of infants that can determine lifetime physical and mental health. Infants who grow up with a mother experiencing significant depression are at risk of toxic stress and subsequent problems with social...

American Family Physician

https://www.aafp.org/afp/2019/1001/afp20191001p443.pdf

afp20191015p468-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p468-s1.pdf

afp20191015p468.pdf

...It can bring a sense of accomplishment or frustration for the family, depending on the approach, its timing, the child’s readiness for training, and the caregiver’s and child’s responses to the approach. This article answers commonly asked questions regarding toilet training to help...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p468.pdf

afp20191015p497.pdf

...should be higher if the history provided does not explain the child’s injury or is inconsistent among guardians, there is delay in seeking treatment, or the child has multiple injuries in dif- ferent stages of healing.4 Onycholysis is the separation of the nail from the nail bed...

American Family Physician

https://www.aafp.org/afp/2019/1015/afp20191015p497.pdf

afp20191101p556-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2019/1101/afp20191101p556-s1.pdf

afp20191115p609-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p609-s1.pdf

afp20191115p628.pdf

...Specific Learning Disabilities Specific learning disabilities are a group of dis- orders that impede a child’s ability to learn and include dyscalculia, dysgraphia, and dys- lexia. The overall prevalence of specific learning disabilities for children in the general popula- tion...

American Family Physician

https://www.aafp.org/afp/2019/1115/afp20191115p628.pdf

afp20200201p147.pdf

...of critical life dimensions emphasizing strengths within a youth’s life experience instead of solely focusing on risks, which in isolation can provoke feelings of shame. Because adolescents are more likely to access health care and share sensitive information when con- fidentiality...

American Family Physician

https://www.aafp.org/afp/2020/0201/afp20200201p147.pdf

afp20200215p213.pdf

...ongoing therapy.17 In addition to focusing on motor skills, however, physicians should assist families in coping with development of their child’s com- munication, social, academic, and eventually professional skills as the child grows into adulthood.17 The treatment TABLE 1...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p213.pdf

afp20200901p278.pdf

...recurrence rate and are associated with anatomic and functional abnormalities. The decision to test for UTI is based on risk factors and the child’s age. Urinalysis is valuable to rule out UTI and to help decide when to start antibiotics; however, urine culture is needed for...

American Family Physician

https://www.aafp.org/afp/2020/0901/afp20200901p278.pdf

afp20201001p411-s1.pdf

...This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at https://familydoctor.org. This information provides a general overview and may not apply to everyone. Talk to...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p411-s1.pdf

afp20201001p411.pdf

...1 is an algorithm to guide implementation of child safety seat rec- ommendations from the American Academy of Pediatrics (AAP) based on the child’s age, height, and weight.11 Infants and toddlers should ride in a rear-facing seat for as long as the seat’s manufacturer specifies,...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p411.pdf

afp20201015p463.pdf

...learning, attention, and other academic skills. Communication between the physician and the school can help families advo- cate for their child’s needs in the school setting. https://www.aafp.org/afp/2019/1115/p628.html Do thickened formula feedings lead to better outcomes in...

American Family Physician

https://www.aafp.org/afp/2020/1015/afp20201015p463.pdf

afp20201115p592.pdf

...Uniformed Services University of the Health Sciences, Bethesda, Maryland Attention-deficit/hyperactivity disorder (ADHD) is a multidimensional chronic neurodevelopmental condition that affects 8.4% of U.S. children between two and 17 years of age and may pose long-term morbidity...

American Family Physician

https://www.aafp.org/afp/2020/1115/afp20201115p592.pdf

afp20210315p371.pdf

...Symone M. Baker, MD, Preventive Medicine Resident, Uniformed Services University of the Health Sciences See related U.S. Preventive Services Task Force Recommendation Statement at https:// www.aafp.org/afp/2021/0215/od1.html. This PPIP quiz is based on the recommendations of...

American Family Physician

https://www.aafp.org/afp/2021/0315/afp20210315p371.pdf

afp20210401p437.pdf

...Acute Neck Swelling in a Child Nandhini Veeraraghavan, MD, St. Luke’s University Health Network, Phillipsburg, New Jersey Hussein Bharwani, MD, St. Luke’s Health Network, Allentown, Pennsylvania Hadra Habib, MD, Geisinger Family Medicine Residency Program, Scranton,...

American Family Physician

https://www.aafp.org/afp/2021/0401/afp20210401p437.pdf

afp20210700p58.pdf

...months of age. Some experts perform antibody testing at 12 to 18 months to document clearance of maternal anti- bodies and to confirm the child’s HIV seronega- tive status.18,24 Prophylaxis with trimethoprim/sulfamethox- azole should begin at four to six weeks of age if HIV...

American Family Physician

https://www.aafp.org/afp/2021/0700/afp20210700p58.pdf

afp20210900p244.pdf

...suspected of having KD but should not delay treatment.2,7 For risk stratification, coronary artery lumen diameter is compared with the child’s body surface area and normalized as a z score. Scores of at least 2.5 in the left anterior descending branch and proximal right coronary...

American Family Physician

https://www.aafp.org/afp/2021/0900/afp20210900p244.pdf

AHA Releases Recommendations on Preparticipation Screening in Student Athletes - ...

Nov 15, 2007 - The American Heart Association (AHA) has issued recommendations that address preparticipation screening in high school and college athletes, which may identify cardiovascular disease (CVD) that could progress or cause sudden death.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1115/p1568.html

AHRQ Data on Antibiotic Use in Children with Otitis Media - Practice Guidelines - ...

Jun 15, 2005 - As part of its Medical Expenditure Panel Survey, the Agency for Healthcare Research and Quality (AHRQ) examined the use of antibiotics to treat otitis media in children.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/0615/p2382.html

AHRQ Releases Evidence Report on Brain Injury in Children - Practice Guidelines - ...

Jun 1, 2000 - The Agency for Healthcare Research and Quality (AHRQ) has released an evidence-based report on the rehabilitation of children and adolescents with traumatic brain injury.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/0601/p3465.html

Amblyopia - American Family Physician

Feb 1, 2007 - Amblyopia, a decrease in visual acuity, is a major public health problem with a prevalence of 1 to 4 percent in the United States. It is thought to develop early in life during the critical period of visual development. Early recognition of amblyogenic risk factors such as strabismus, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0201/p361.html

Amblyopia ("Lazy Eye") in Your Child - American Family Physician

Feb 1, 2007 - ...information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education website. Information from Your Family Doctor Amblyopia ( Lazy Eye ) in Your...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2007/0201/p368.html

American Family Physician

...Etiology Although there are many theories, no single etiology for ADHD has been substantiated. A number of risk factors that affect a child’s brain development and behavior may lead to ADHD symptoms. These risk factors include genetic factors, behavioral disorders, medi- cal...

American Family Physician

https://www.aafp.org/afp/2009/0415/afp20090415p657.pdf

American Family Physician

...three milestones (joint attention, social orienting, and pretend play) can be quickly evaluated during an office visit. Joint attention is a child’s inherent desire to share experiences with others. For example, if the physician points at a toy across the room and exclaims, Look!, a...

American Family Physician

https://www.aafp.org/afp/2010/0215/afp20100215p453.pdf

An Approach to the Postpartum Office Visit - American Family Physician

Dec 15, 2005 - The postpartum period (typically the first six weeks after delivery) may underscore physical and emotional health issues in new mothers. A structured approach to the postpartum office visit ensures that relevant conditions and concerns are discussed and appropriately addressed. Common ...

American Family Physician : Article

https://www.aafp.org/afp/2005/1215/p2491.html

Anaphylaxis: Recognition and Management - American Family Physician Restricted content. Login required.

Sep 15, 2020 - Anaphylaxis is a life-threatening systemic reaction, normally occurring within one to two hours of exposure to an allergen. The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. Most anaphylactic reactions occur outside the hospital setting. Urticaria, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0915/p355.html

Antibiotics for Acute Otitis Media in Young Children: The Case of the Shifting End Points

...those who did not. This end point is what we are most concerned with-when does the child finally stop crying or fussing, or when does the child’s fever go away? The second outcome (sustained resolution of symptoms) documents a slightly greater likelihood of two consecutive days of...

American Family Physician

https://www.aafp.org/afp/2012/0115/afp20120115p104.pdf

Antibiotics for Acute Otitis Media in Young Children: The Case of the Shifting End ...

Jan 15, 2012 - A discussion of why the conclusion of a high-profile study, which suggests that antibiotics are beneficial in children six to 23 months of age with acute otitis media, is incorrect.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2012/0115/p104.html

Antibiotics for Otitis Media

View the AAFP Choosing Wisely recommendation on prescription of antibiotics for otitis media in children with non-severe symptoms.

Family Physician |AAFP Policies and Recommendations : Patient Care

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/cw-otitis-media.html

Anticipatory Guidance in Infant Oral Health: Rationale and Recommendations - American ...

Jan 1, 2000 - If appropriate measures are applied early enough, it may be possible to totally prevent oral disease. The American Academy of Pediatric Dentistry recommends that infants be scheduled for an initial oral evaluation within six months of the eruption of the first primary tooth but by no ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p115.html

Appropriate Use of Antibiotics for URIs in Children: Part II. Cough, Pharyngitis and ...

Oct 15, 1998 - This article summarizes the principles of judicious antimicrobial therapy for three of the five conditions--cough, pharyngitis, the common cold--that account for most of the outpatient use of these drugs in the United States. The principles governing the other two conditions, otitis ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1335.html

Ask FPM - Jan 2005 -- FPM

Jan 1, 2005 - ...our privacy policies and procedures as required by the Health Insurance Portability and Accountability Act (HIPAA). Do we need to be able to definitively identify a patient over the phone before discussing protected health information (PHI)? If so, can you recommend a reasonable...

Family Practice Management : Q&As

https://www.aafp.org/fpm/2005/0100/p58.html

Assessment of Abnormal Growth Curves - American Family Physician

Jul 1, 1998 - An important part of well-child care is the assessment of a child's growth. While growth in the vast majority of children falls within normal percentile ranges on standard growth curves, an occasional child demonstrates worrisome deviations in weight, height or head size. A single ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0701/p153.html

Atopic Dermatitis: A Review of Diagnosis and Treatment - American Family Physician

Sep 15, 1999 - Atopic dermatitis is a common, potentially debilitating condition that can compromise quality of life. Its most frequent symptom is pruritus. Attempts to relieve the itch by scratching simply worsen the rash, creating a vicious circle. Treatment should be directed at limiting itching, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1191.html

Attention-Deficit/Hyperactivity Disorder: Management - American Family Physician

Oct 15, 2001 - Attention-deficit/hyperactivity disorder (ADHD) is the most common psychiatric disorder of childhood and often persists into adulthood. ADHD is a neurophysiologic disorder defined in behavioral terms and associated with significant morbidity in the realms of social and academic success,...

American Family Physician : Article

https://www.aafp.org/afp/2001/1015/p1355.html

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