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Childhood Eye Examination - American Family Physician

Aug 15, 2013 - Vision screening in children is an ongoing process, with components that should occur at each well-child visit. The purpose is to detect risk factors and visual abnormalities that necessitate treatment and to identify those patients who require referral to an ophthalmologist skilled in ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0815/p241.html

Signs and Symptoms of Childhood Cancer: A Guide for Early Recognition - American Family...

Aug 1, 2013 - Although cancer in children is rare, it is the second most common cause of childhood mortality in developed countries. It often presents with nonspecific symptoms similar to those of benign conditions, leading to delays in the diagnosis and initiation of appropriate treatment. Primary ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0801/p185.html

Evaluation of Primary Immunodeficiency Disease in Children - American Family Physician

Jun 1, 2013 - One in 2,000 children younger than 18 years is thought to have a primary immunodeficiency disease. Antibody, combined B-cell and T-cell, phagocytic, and complement disorders are the most common types. Children with these diseases tend to have bacterial or fungal infections with unusual ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0601/p773.html

Evaluation of Fever in Infants and Young Children - American Family Physician

Feb 15, 2013 - Febrile illness in children younger than 36 months is common and has potentially serious consequences. With the widespread use of immunizations against Streptococcus pneumoniae and Haemophilus influenzae type b, the epidemiology of bacterial infections causing fever has changed. ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0215/p254.html

Screening for Developmental Dysplasia of the Hip in Newborns - Cochrane for Clinicians ...

Jan 1, 2013 - Although screening increases the proportion of newborns who are treated for DDH, there is insufficient evidence that targeted or universal ultrasound screening improves long-term orthopedic outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0101/p10.html

Adolescent Health Screening and Counseling - American Family Physician

Dec 15, 2012 - Serious health problems, risky behavior, and poor health habits persist among adolescents despite access to medical care. Most adolescents do not seek advice about preventing leading causes of morbidity and mortality in their age group, and physicians often do not find ways to provide ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1215/p1109.html

Revised AAP Guideline on UTI in Febrile Infants and Young Children - American Family ...

Nov 15, 2012 - In 2011, the American Academy of Pediatrics released a revision of its 1999 clinical practice guideline on urinary tract infections in febrile infants and young children two to 24 months of age. The new clinical practice guideline has several important updates based on evidence ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p940.html

When to Suspect a Genetic Syndrome - American Family Physician

Nov 1, 2012 - Family physicians should be able to recognize findings on physical examination and history that suggest the presence of a genetic syndrome to aid in the diagnosis and treatment of potentially affected patients, as well as subspecialty referral. General themes that can alert family ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1101/p826.html

NHLBI Expert Panel Releases Guidelines for Cardiovascular Health and Risk Reduction in ...

Oct 15, 2012 - Evidence indicates that reducing risk can slow the progression of cardiovascular disease (CVD); therefore, the National Heart, Lung, and Blood Institute (NHBLI) Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents developed ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/1015/p776.html

Should Family Physicians Routinely Screen for Hypercholesterolemia in Children? Yes: ...

Oct 15, 2012 - Yes: The Evidence Supports Universal Screening. Atherosclerotic cardiovascular disease events are the culmination of a process that has clearly been shown to begin in childhood, with accumulation of abnormal lipids in the vascular intima.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od2.html

Editorials: Controversies in Family Medicine - Oct 15, 2012 - American Family Physician

Oct 15, 2012 - No: Universal Screening Has Uncertain Benefits and a High Risk of Harms. Atherosclerosis can be demonstrated in young arteries, and its development over time correlates with the presence of risk factors for the disease, including higher lipid levels. But the presence of this association...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1015/od1.html

Breast Masses in Adolescents: Clinical Pearls in the Diagnostic Evaluation - Editorials...

Aug 15, 2012 - The diagnostic evaluation of an adolescent presenting with a breast mass differs substantially from that of an adult because of marked differences in breast cancer risk and breast architecture. In the adolescent, early clinical assessment and close follow-up are most important, and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0815/p325.html

Respiratory Indications for Polysomnography in Children - Practice Guidelines - ...

Feb 1, 2012 - Although assessment of sleep disorders in children relies on the history and physical examination, polysomnography (PSG) is sometimes used to aid in the diagnosis. The American Academy of Sleep Medicine has provided recommendations regarding the use of the test in children. This ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0201/p290.html

Screening for Developmental Delay - American Family Physician

Sep 1, 2011 - According to the literature, 12 to 16 percent of children in the United States have at least one developmental delay, yet as many as one-half of affected children will not be identified by the time they enter kindergarten. If developmental delays are detected too late, opportunities for...

American Family Physician : Article

https://www.aafp.org/afp/2011/0901/p544.html

Should All Children Be Screened for Autism Spectrum Disorders? Yes: Merging Science, ...

Aug 15, 2011 - Screening offers the potential for early treatment, which can lessen the effect of a condition. This is true for ASDs and related disorders in which randomized controlled trials have demonstrated improvements in young children with ASDs with regard to parent-child social communication, ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0815/p361.html

Should All Children Be Screened for Autism Spectrum Disorders? No: Screening Is Not ...

Aug 15, 2011 - Whether or not early detection of ASDs through screening is beneficial is best answered by an unbiased, comprehensive systematic review, before screening recommendations are proposed. Several guideline panels in other countries have conducted such a review using robust assessment ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2011/0815/p377.html

Vision Screening for Children One to Five Years of Age - Putting Prevention into ...

Jul 15, 2011 - Case study: A three-year-old girl presents for routine childhood immunizations and a routine evaluation. She does not have a history of vision screening and has no abnormal vision symptoms.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0715/p227.html

Vision Screening for Children One to Five Years of Age: Recommendation Statement - U.S....

Jul 15, 2011 - The U.S. Preventive Services Task Force (USPSTF) recommends vision screening for all children at least once between the ages of three and five years to detect the presence of amblyopia or its risk factors.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2011/0715/p221.html

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

Mar 15, 2011 - School-aged children (kindergarten through early adolescence) are establishing patterns of behavior that may last a lifetime; therefore, it is important to counsel these patients about healthy lifestyle practices during well-child examinations. Children and families should be advised to...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p689.html

Screening for Obesity in Children and Adolescents - Putting Prevention into Practice - ...

Mar 15, 2011 - Case study: 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.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2011/0315/p737.html

Screening for Obesity in Children and Adolescents: Recommendation Statement - U.S. ...

Mar 15, 2011 - 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.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2011/0315/p739.html

Proteinuria in Children - American Family Physician

Sep 15, 2010 - Proteinuria is common in children and may represent a benign condition or a serious underlying renal disease or systemic disorder. Proteinuria may occur secondary to glomerular or tubular dysfunction. Although a 24-hour urine protein excretion test is usually recommended, it may be ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p645.html

Hyperlipidemia Treatment in Children: The Younger, the Better - Editorials: ...

Sep 1, 2010 - Despite the absence of data in children demonstrating morbidity and mortality reduction by aggressive treatment of lipid disorders, the overwhelming data in adults (e.g., decreasing LDL cholesterol, improved morbidity and mortality) and evidence of atherosclerotic lesions developing in ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/0901/p460.html

Screening for Hyperlipidemia in Children: Primum Non Nocere - Editorials: Controversies...

Sep 1, 2010 - Only 40 to 55 percent of children with elevated cholesterol and low-density lipoprotein levels will continue to have elevated lipids on follow-up. A recent evidence review supporting the U.S. Preventive Services Task Force statement on lipid screening in children reached the following ...

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2010/0901/p468.html

Clinical Diagnosis of Pneumonia in Children - Point-of-Care Guides - American Family ...

Jul 15, 2010 - Pneumonia remains a common source of morbidity and mortality in children. A key question in the diagnostic evaluation of children with acute respiratory illness is whether chest radiography should be performed to rule in or rule out the diagnosis of pneumonia. Radiologically, pneumonia ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0715/p192.html

Screening and Treatment for Major Depressive Disorder in Children and Adolescents: ...

Jul 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends screening adolescents (12 to 18 years of age) for major depressive disorder (MDD) when systems are in place to ensure accurate diagnosis, psychotherapy (i.e., cognitive behavioral or interpersonal), and follow-up.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0715/p178.html

Screening and Treatment for Major Depressive Disorder in Children and Adolescents - ...

Jul 15, 2010 - Case study: A woman brings her two children, a 14-year-old boy and a nine-year-old girl, to your office for a routine checkup. She tells you that her husband has major depression, and she wants to know whether her children should be checked for early signs of depression.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2010/0715/p185.html

Evaluation of Anemia in Children - American Family Physician

Jun 15, 2010 - Anemia is defined as a hemoglobin level of less than the 5th percentile for age. Causes vary by age. Most children with anemia are asymptomatic, and the condition is detected on screening laboratory evaluation. Screening is recommended only for high-risk children. Anemia is classified ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0615/p1462.html

Screening for Congenital Hypothyroidism: Reaffirmation Recommendation Statement - U.S. ...

Nov 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for congenital hypothyroidism in newborns.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2009/1115/od1.html

Hip Pain in Preschool-Age Children - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2009 - Evidence is lacking on the most common causes of hip pain in children because most data come from cohort studies and include referred patients. Based on these studies, transient synovitis is the most common cause of hip pain in preschool-age children, accounting for more than 80 percent...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0815/p385.html

Screening for Iron Deficiency Anemia-Including Iron Supplementation for Children and ...

May 15, 2009 - Case study: H.H., a 25-year-old woman, comes to your office with her six-month-old son during her first trimester of pregnancy. She is taking a prenatal vitamin and asks whether she should also take an iron supplement. There is a family history of anemia, and H.H. would like to be tested.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/0515/p897.html

AAP Clinical Report on Lipid Screening in Children - Practice Guidelines - American ...

Apr 15, 2009 - The American Academy of Pediatrics (AAP) released a clinical report in July 2008 that recommends lipid screening in children and adolescents with a fasting lipid profile, and focuses on improving childhood and adolescent lipid and lipoprotein concentrations to lower the lifetime risk of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2009/0415/p703.html

The Limping Child: A Systematic Approach to Diagnosis - American Family Physician

Feb 1, 2009 - Deviations from a normal age-appropriate gait pattern can be caused by a wide variety of conditions. In most children, limping is caused by a mild, self-limiting event, such as a contusion, strain, or sprain. In some cases, however, a limp can be a sign of a serious or even ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0201/p215.html

AAP Releases Guidelines on Identification of Children with Autism Spectrum Disorders - ...

Dec 1, 2008 - American Academy of Pediatrics (AAP) has released guidelines on identification of children with autism spectrum disorders (ASDs). ASDs represent three of the pervasive developmental disorders defined in the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV): ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1201/p1301.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women - Putting ...

Nov 15, 2008 - Case study: B.C., a 28-year-old white orthodontist at 32 weeks' gestation, comes to your office for a routine prenatal visit. She brings her two-year-old son, C.C., who is due for his well-child visit. B.C.'s previous pregnancy was uncomplicated, and she has been healthy during the ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2008/1115/p1201.html

Evaluating Obesity and Cardiovascular Risk Factors in Children and Adolescents - ...

Nov 1, 2008 - Obesity continues to be a growing public health problem. According to the 2003-2004 National Health and Nutrition Examination Survey, 17 percent of persons two to 19 years of age are overweight. The number of obese children and adolescents has tripled in the past 20 years. Obesity in ...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1052.html

Evaluation of Short and Tall Stature in Children - American Family Physician

Sep 1, 2008 - Children and adolescents whose heights and growth velocities deviate from the normal percentiles on standard growth charts present a special challenge to physicians. Height that is less than the 3rd percentile or greater than the 97th percentile is deemed short or tall stature, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p597.html

AAP Guidelines on Evaluating Suspected Child Physical Abuse - Practice Guidelines - ...

May 15, 2008 - The American Academy of Pediatrics (AAP) has released guidelines on evaluating suspected child physical abuse. The role of the physician includes preventing child abuse and detecting and treating victims of child physical abuse when it occurs.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0515/p1461.html

The Diagnosis of Wheezing in Children - American Family Physician

Apr 15, 2008 - Wheezing in children is a common problem encountered by family physicians. Approximately 25 to 30 percent of infants will have at least one wheezing episode, and nearly one half of children have a history of wheezing by six years of age. The most common causes of wheezing in children ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1109.html

Newborn Skin: Part I. Common Rashes - American Family Physician

Jan 1, 2008 - Rashes are extremely common in newborns and can be a significant source of parental concern. Although most rashes are transient and benign, some require additional work-up. Erythema toxicum neonatorum, acne neonatorum, and transient neonatal pustular melanosis are transient ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p47.html

Newborn Skin: Part II. Birthmarks - American Family Physician

Jan 1, 2008 - Birthmarks in newborns are common sources of parental concern. Although most treatment recommendations are based on expert opinion, limited evidence exists to guide management of these conditions. Large congenital melanocytic nevi require evaluation for removal, whereas smaller nevi may...

American Family Physician : Article

https://www.aafp.org/afp/2008/0101/p56.html

Evaluation of Back Pain in Children and Adolescents - American Family Physician

Dec 1, 2007 - Back pain is fairly prevalent in healthy children and adolescents. When children or adolescents seek medical care for back pain, it is highly likely that underlying pathology will be identified. Common causes of back pain include nonspecific pain or muscle strain, herniated disk, ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1669.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...

Sep 1, 2007 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for elevated blood lead levels in children and pregnant women and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2007/0901/p691.html

Evaluation of Apparent Life-threatening Events in Infants - FPIN's Clinical Inquiries -...

Jul 1, 2007 - A comprehensive, detailed history and physical examination with pulse oximetry and nondilated funduscopy (to look for traumatic retinal hemorrhage) helps to determine the underlying etiology of an ALTE in 70 percent of infants.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0701/p124.html

Evaluating Fever of Unidentifiable Source in Young Children - American Family Physician

Jun 15, 2007 - Most children will have been evaluated for a febrile illness by 36 months of age. Although the majority will have a self-limited viral illness, studies done before the use of Haemophilus influenzae type b and Streptococcus pneumoniae vaccines showed that approximately 10 percent of ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0615/p1805.html

Ophthalmologic Examinations in Children with Juvenile Rheumatoid Arthritis - Practice ...

Jun 15, 2007 - Guidelines on the use and frequency of ophthalmologic examinations in children with juvenile rheumatoid arthritis are available from the American Academy of Pediatrics (AAP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0615/p1886.html

Managing Fever Without a Source in Young Children: The Debate Continues - Editorials - ...

Jun 15, 2007 - Advertisement << Previous article Next article >> Jun 15, 2007 Issue Editorials Managing Fever Without a Source in Young Children: The Debate Continues JO-ANN S. HARRIS, MD, University of Kansas Medical Center, Kansas City, Kansas Am Fam Physician. 2007 Jun 15;75(12):1774-1776....

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0615/p1774.html

AAN Releases Recommendations for the Diagnostic Evaluation of the Child with Status ...

May 15, 2007 - The American Academy of Neurology (AAN) and the Child Neurology Society have created recommendations for evaluation and diagnostic laboratory testing of children with status epilepticus.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0515/p1569.html

Predicting the Likelihood of Bacterial Meningitis in Children - Point-of-Care Guides - ...

Feb 15, 2007 - Although the incidence of bacterial meningitis has dropped with increased immunization against Haemophilus influenzae, meningitis remains a devastating illness. For every child with meningeal signs and symptoms who is diagnosed with bacterial meningitis after lumbar puncture, many more ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/0215/p533.html

AAP Releases Guidelines on Clinical Evaluation of the Child with Mental Retardation or ...

Feb 1, 2007 - The American Academy of Pediatrics (AAP) has published guidelines on the clinical evaluation of children with developmental delays or mental retardation. Family physicians play a major role in the early recognition and referral of children with possible developmental problems.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0201/p419.html

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