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Diagnosis and Management of Hepatitis C

June 15, 2015 Scientific

American Family Physician

https://www.aafp.org/afp/2015/0615/afp20150615p835.pdf

Tips for Balancing Parenthood and Medicine

...Physician parents are more likely to experience work-life imbal- ance because of our workloads,2 and this can potentially affect a child’s formative years. To achieve balance, physicians must develop and refine personalized practices. We have personally found the following...

Family Practice Management

https://www.aafp.org/fpm/2021/0900/fpm20210900p40.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

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

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

afp20141015p574.pdf

Date xx, xxxx Clinical Inquiries

American Family Physician

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

Proteinuria in Children

...How do I know if my child has it? Your doctor may test your child’s urine to measure how much protein is in it. He or she may also do blood tests. If there is only a little protein in the urine, your child probably has a harmless kind of proteinuria. A lot of protein may be a...

American Family Physician

https://www.aafp.org/afp/2010/0915/afp20100915p652.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

Practice Guidelines

...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.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

Evaluation and Treatment of Constipation in Children and Adolescents

...for 3% of all primary care visits for children and 10% to 25% of pediatric gastroenterology visits.2 Children with constipation cost the health care sys- tem three times as much as children with- out constipation,3 and the negative effect on quality of life often persists into...

American Family Physician

https://www.aafp.org/afp/2014/0715/afp20140715p82.pdf

ACIP Releases Updated<FEFF> Recommendations on Influenza Vaccination to Include the ...

October 15, 2014 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2014/1015/afp20141015p584.pdf

Common Questions About Cognitive Behavior Therapy for Psychiatric Disorders

...engages in behavioral exercises between therapy sessions (e.g., in vivo exposures, pleasant activities), can change the child’s environment to promote more effective behaviors, and can help the child target changes in mal- adaptive thoughts. In general, CBT for children focuses more...

American Family Physician

https://www.aafp.org/afp/2015/1101/afp20151101p807.pdf

fpm20061000p39-rt1.pdf

...physicals should not replace the annual well-child exam. The annual well-child exam allows us to discuss any health problems your child may have, including acne or chronic health conditions. It is also our opportunity to discuss with your child impor- tant topics such as peer...

Family Practice Management

https://www.aafp.org/fpm/2006/1000/fpm20061000p39-rt1.pdf

SAMPLE PATIENT HANDOUT ON SPORTS PHYSICALS

...physicals should not replace the annual well-child exam. The annual well-child exam allows us to discuss any health problems your child may have, including acne or chronic health conditions. It is also our opportunity to discuss with your child important topics such as peer...

Family Practice Management

https://www.aafp.org/fpm/2006/1000/fpm20061000p39-rt1.docx

fpm20160300p26.pdf

...besides all the health benefits, says Brull: I exercise before work so I feel accomplished. Instead of spending all day dreading it, she gets a psychological win for the day. Other potential frogs might be a difficult phone call you need to make, an electronic health record...

Family Practice Management

https://www.aafp.org/fpm/2016/0300/fpm20160300p26.pdf

Commonly Missed Diagnoses in the Childhood Eye Examination -- American Family Physician

...4. How vision is tested. In: Simon JW, Calhoun JH, eds. A child’s eyes: a guide to pediatric primary care. Gainesville, Fla.: Triad Publications, 1998:35-42. 5. Eye exam and vision screening in infants, children, and young adults. American Academy of Pediatrics Committee on...

American Family Physician

https://www.aafp.org/afp/2001/0815/afp20010815p623.pdf

Evaluation and Management of Infants and Young Children with Fever -- American Family ...

...This article is one in a series coor- dinated by the Depart- ment of Family Medi- cine at the Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine, Bethesda, Md. Guest editors of the series are Francis G. O’Connor, LTC, MC, USA, and Jeannette E....

American Family Physician

https://www.aafp.org/afp/2001/1001/afp20011001p1219.pdf

Acute Abdominal Pain in Children - American Family Physician

...timing of onset, character, severity, duration, and radia- tion of pain are all important points but must be viewed in the context of the child’s age. Recent Trauma. A history of recent trauma may indicate the cause of pain. Precipitating or Relieving Factors. Parietal pain is...

American Family Physician

https://www.aafp.org/afp/2003/0601/afp20030601p2321.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

CDC Updates Guidelines for Influenza Vaccination for 2010-2011 Season

...including children six months to 18 years of age and adults 50 years and older. These persons, their household and close contacts, and all health care professionals should be a focus of vaccination efforts. The capacity now exists to produce suf- ficient influenza vaccine to meet...

American Family Physician

https://www.aafp.org/afp/2010/1001/afp20101001p838.pdf

None

...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/2011/0215/afp20110215p416.pdf

Gastroenteritis in Children:

...Your child should breastfeed, bottle-feed, or eat normal foods after taking an ORS. Don’t limit your child’s foods to only the BRAT diet (bananas, rice, applesauce, and toast), and don’t mix extra water into formula. How much ORS should be given? Using a syringe or spoon, you can...

American Family Physician

https://www.aafp.org/afp/2012/0601/afp20120601p1066-s1.pdf

ACIP Updates Influenza Vaccination Recommendations for 2016-2017

October 15, 2016: Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2016/1015/afp20161015p668.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

Developmental Dysplasia of the Hip in Infants: A Clinical Report from the AAP on ...

July 15, 2017: Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2017/0801/afp20170801p196.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

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

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

afp20180515p642-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/2018/0515/afp20180515p642-s1.pdf

afp20190401p462.pdf

...whether additional academic support would be beneficial. Symptoms and progress in school should be monitored by all persons involved in the child’s care, including the family and medical and school professionals, who also can determine the necessary accommo- dations to sustain...

American Family Physician

https://www.aafp.org/afp/2019/0401/afp20190401p462.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

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

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

Resource Library Guidance

...visits. There are also several links to downloadable videos from the American Cancer Society, the CDC and the Minnesota Department of Health. Those focus on HPV, as well as a video that addresses common questions about meningococcal vaccination. Recommended for: Staff meetings,...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/immunizations/vaccines-teens/hops19-v4t-resource-library.pdf

Headaches in Children and Adolescents -- American Family Physician

...Do you have any other health problems? Does anyone else in your family get headaches? What do you think might be causing your headaches? Adapted with permission from Rothner AD. The evaluation of headaches in chil- dren and adolescents. Semin Pediatr Neurol 1995;2:109-18....

American Family Physician

https://www.aafp.org/afp/2002/0215/afp20020215p625.pdf

Double-Ligature: A Treatment for Pedunculated Umbilical Granulomas in Children -- ...

...involves placing a deeper and more precise ligature at the base of the lesion (Figure 3). Before positioning this final ligature, ask the child’s mother or father to hold up the first ligature; this gives them a feeling of active participation in the thera- peutic process and...

American Family Physician

https://www.aafp.org/afp/2002/0515/afp20020515p2067.pdf

Speech Delay in Children

...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/2011/0515/afp20110515p1195.pdf

Should All Children Be Screened for Autism Spectrum Disorders?

...tests detect ASDs compared with an astute clinician who asks a few key questions about, and acts on, parental concerns regard- ing a child’s communication and interactions? • What are the potential harms of testing? (Potential harms are not even considered in the report.) •...

American Family Physician

https://www.aafp.org/afp/2011/0815/afp20110815p377.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

AACAP Updates Recommendations on Diagnosis and Treatment of Obsessive-Compulsive ...

...with these conditions, medi- cal considerations outweigh other concerns (except suicidality) and must be stabilized to permit mental health interventions. Some self-injury disorders (e.g., trichotillomania, compulsive nail biting, skin picking) share some features of OCD, but also...

American Family Physician

https://www.aafp.org/afp/2012/0601/afp20120601p1107.pdf

afp20130401p502-s1.pdf

...• Use the correct size mattress for your child’s crib. Use sheets that fit tightly. • Remove objects from beds and play areas that could strangle or trap your child, like cords and strings. • Parent resource: U.S. Consumer Product Safety Commission crib guidelines (http://...

American Family Physician

https://www.aafp.org/afp/2013/0401/afp20130401p502-s1.pdf

Developmental Dysplasia of the Hip

...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/2014/1215/afp20141215p843-s1.pdf

ACIP Releases Recommendations for Influenza Vaccination, 2015-2016

October 15, 2015 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2015/1015/afp20151015p732.pdf

Croup

September 15, 2016: Clinical Evidence Handbook

American Family Physician

https://www.aafp.org/afp/2016/0915/afp20160915p476.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

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

Practice Pearls

...the physician-patient experience doesn’t have to suffer when you use an electronic health record (EHR) in the exam room. Consider these things to do - and not to do: 1. Do not complain about the EHR to the patient. 2. Replace eye contact with voice contact when necessary....

Family Practice Management

https://www.aafp.org/fpm/2010/0700/fpm20100700p36.pdf

Practice Pearls

...When we set out to redesign our community health center, we made sure everyone on staff had input. We were completely renovating the facility from the ground up, so we asked everyone to draw up a wish list of what they wanted to see when it was done. Then we took that...

Family Practice Management

https://www.aafp.org/fpm/2020/0300/fpm20200300p32.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

Disorders of Puberty: An Approach to Diagnosis and Management

November 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/1101/afp20171101p590.pdf

afp20051215p2483.pdf

...explanation for fever), urine inspection and dipstick testing may reduce the need for urine culture. Urine culture is indicated if the child’s urine is cloudy or if the dipstick test shows positive leukocyte esterase or nitrite activity.13-16 Urine culture also is recommended for...

American Family Physician

https://www.aafp.org/afp/2005/1215/afp20051215p2483.pdf

Gastroesophageal Reflux in Infants and Children -- American Family Physician

...be excluded before considering GERD as the main cause of an infant’s or child’s symptoms of silent or visible regurgitation or vomiting (Table 3). Additional upper GI disorders that require diagnostic consideration include pyloric stenosis, hiatal hernia, pyloric and antral webs,...

American Family Physician

https://www.aafp.org/afp/2001/1201/afp20011201p1853.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

1039.pdf

...At well-child visits from birth to three years of age, parents should be asked whether they have any concerns about their child’s eyes. Physical examination in the nursery and the office also should include evaluation for a red reflex and for any ocular abnor- malities until a child...

American Family Physician

https://www.aafp.org/afp/2006/0315/afp20060315p1039.pdf

Proteinuria in Children

...When a child’s UPr/Cr is greater than 0.2 (greater than 0.5 for children six to 24 months of age) or urinalysis results are abnormal, further investigation with history, physical examination, and blood work is recommended to rule out significant renal disease. C 2 Referral to...

American Family Physician

https://www.aafp.org/afp/2010/0915/afp20100915p645.pdf

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