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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

Febrile Seizures: Risks, Evaluation, and Prognosis - American Family Physician

Jan 15, 2012 - Febrile seizures are common in the first five years of life, and many factors that increase seizure risk have been identified. Initial evaluation should determine whether features of a complex seizure are present and identify the source of fever. Routine blood tests, neuroimaging, and ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0115/p149.html

Common Tinea Infections in Children - American Family Physician

May 15, 2008 - The common dermatophyte genera Trichophyton, Microsporum, and Epidermophyton are major causes of superficial fungal infections in children. These infections (e.g., tinea corporis, pedis, cruris, and unguium) are typically acquired directly from contact with infected humans or animals or...

American Family Physician : Article

https://www.aafp.org/afp/2008/0515/p1415.html

Prevention of Unintentional Childhood Injury - American Family Physician

Apr 1, 2013 - Unintentional injury accounts for 40 percent of childhood deaths annually, most commonly from motor vehicle crashes. The proper use of child restraints is the most effective strategy to prevent injury or death. Motor vehicle restraint guidelines have recently been revised to an ...

American Family Physician : Article

https://www.aafp.org/afp/2013/0401/p502.html

Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children - ... Restricted content. Login required.

Jan 1, 2021 - This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2021/0101/od1.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

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

Mar 15, 2011 - The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0315/p683.html

Infant Formula - American Family Physician

Apr 1, 2009 - Although the American Academy of Pediatrics and the American Academy of Family Physicians recommend breast milk for optimal infant nutrition, many parents still choose formula as an acceptable alternative. The wide variety of available formulas is confusing to parents and physicians, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0401/p565.html

Autism Spectrum Disorder: Updated Guidelines from the American Academy of Pediatrics - ... Restricted content. Login required.

Nov 15, 2020 - The American Academy of Pediatrics has published updated guidelines for diagnosis and treatment of autism spectrum disorder.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/1115/p629.html

Respiratory Syncytial Virus Infection in Children - American Family Physician

Jan 15, 2011 - Respiratory syncytial virus (RSV) is an RNA virus that causes respiratory tract infections in children. In the North- ern Hemisphere, the peak infection season is November through April. By two years of age, most children will have had an RSV infection. Bronchiolitis, a lower ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p141.html

Slipped Capital Femoral Epiphysis: Diagnosis and Management - American Family Physician

Aug 1, 2010 - Slipped capital femoral epiphysis is the most common hip disorder in adolescents, and it has a prevalence of 10.8 cases per 100,000 children. It usually occurs in children eight to 15 years of age, and it is one of the most commonly missed diagnoses in children. Slipped capital femoral ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0801/p258.html

U.S. Policies and Their Effects on Immigrant Children’s Health - Editorials - American ...

Feb 15, 2020 - Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0215/p202.html

Treatment of Depression in Children and Adolescents - Implementing AHRQ Effective ... Restricted content. Login required.

Nov 1, 2020 - What are the benefits and harms of nonpharmacologic and pharmacologic treatments for depressive disorders in children and adolescents?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2020/1101/p558.html

A Specific Probiotic Decreases Crying in Infants Younger than Two Months with Colic - ... Restricted content. Login required.

Nov 15, 2020 - Is probiotic supplementation effective in decreasing crying in infants with colic?

American Family Physician : POEMs

https://www.aafp.org/afp/2020/1115/od5.html

Rebound Bilirubin Levels after Phototherapy in Neonates with Hyperbilirubinemia - ... Restricted content. Login required.

Nov 1, 2020 - Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours after ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/1101/od1.html

Attention Deficit/Hyperactivity Disorder: Screening and Evaluation - FPIN's Help Desk ...

Jun 1, 2019 - The Conners Abbreviated Symptom Questionnaire has the best combination of positive and negative likelihood ratios.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0601/p712.html

Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ... Restricted content. Login required.

Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0701/p58.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

Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, ... Restricted content. Login required.

Oct 15, 2020 - M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/1015/p493.html

Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations - Practice ... Restricted content. Login required.

May 15, 2020 - The American College of Obstetricians and Gynecologists (ACOG) has new recommendations and conclusions about menstrual bleeding disorders in adolescents.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0515/p633.html

Effects of Inhaled Corticosteroids on Growth in Children with Persistent Asthma - ... Restricted content. Login required.

Oct 1, 2020 - Inhaled fluticasone (Flovent; 200 mcg per day) is associated with a greater linear growth velocity when compared with beclomethasone (400 mcg per day; an equivalent dose).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/1001/p404.html

Lead Poisoning in Children - American Family Physician

Mar 15, 2010 - The prevalence and severity of childhood lead poisoning have been greatly reduced since the removal of lead from paint and gasoline in the 1970s. Despite these efforts, approximately 310,000 U.S. children younger than five years have elevated blood lead levels. Health care professionals...

American Family Physician : Article

https://www.aafp.org/afp/2010/0315/p751.html

Migraines in Children: Recommendations for Acute and Preventive Treatment - Practice ... Restricted content. Login required.

May 1, 2020 - Updated recommendations for the prevention and treatment of migraines in children and adolescents were recently published by the American Academy of Neurology and the American Headache Society, and they are based on a systematic review of new evidence published between January 2003 and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0501/p569.html

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ...

Aug 15, 2020 - The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.

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

https://www.aafp.org/afp/2020/0815/p234.html

Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and ... Restricted content. Login required.

Aug 15, 2020 - J.P., a 13-year-old girl, presents to your clinic for a routine well-child visit. She has no acute concerns, is doing well in school, plays sports, and is generally healthy. J.P. reports that she has never used tobacco products, including electronic cigarettes or vaping.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0815/p241.html

Evaluation and Treatment of Constipation in Infants and Children - American Family ...

Feb 1, 2006 - Constipation in children usually is functional and the result of stool retention. However, family physicians must be alert for red flags that may indicate the presence of an uncommon but serious organic cause of constipation, such as Hirschsprung's disease (congenital aganglionic ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p469.html

Toilet Training - American Family Physician

Nov 1, 2008 - Toilet training is a developmental task that impacts families with small children. All healthy children are eventually toilet trained, and most complete the task without medical intervention. Most research on toilet training is descriptive, although some is evidence based. In the United...

American Family Physician : Article

https://www.aafp.org/afp/2008/1101/p1059.html

Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ... Restricted content. Login required.

Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0301/od2.html

Evaluation and Treatment of Enuresis - American Family Physician

Aug 15, 2008 - Enuresis is defined as repeated, spontaneous voiding of urine during sleep in a child five years or older. It affects 5 to 7 million children in the United States. Primary nocturnal enuresis is caused by a disparity between bladder capacity and nocturnal urine production and failure of ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0815/p489.html

Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ... Restricted content. Login required.

Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0315/p378.html

Interventions for Reducing Childhood Obesity - Cochrane for Clinicians - American ... Restricted content. Login required.

Apr 1, 2020 - Individual dietary interventions alone fail to change body mass index or the standardized BMI z-score across all age groups. The impact of regular physical activity or combined dietary and physical activity interventions is modest at best.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0401/p394.html

Infantile Hemangioma: AAP Releases Guideline for Management - Practice Guidelines - ...

Aug 1, 2019 - Infantile hemangiomas are the most common benign tumors of childhood, occurring in up to approximately 5% of infants. These benign vascular tumors are small, self-resolving, and do not require treatment.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0801/p186.html

Predicting the Likelihood of a Recurrent Febrile Seizure - Point-of-Care Guides - ... Restricted content. Login required.

Apr 15, 2020 - In children presenting with a simple febrile seizure, is it possible to determine the likelihood of a recurrent febrile seizure?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0415/p497.html

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

Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.

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

https://www.aafp.org/afp/2019/1015/od1.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

Autism Screening with Follow-Up Overidentifies Autism Spectrum Disorder - POEMs - ... Restricted content. Login required.

May 15, 2020 - Screening for ASD with the Modified Checklist for Autism in Toddlers with Follow-Up is effective in ruling out ASD in children who screen positive (negative predictive value of 98.6% at 2.2% prevalence).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0515/p630.html

Oppositional Defiant Disorder - American Family Physician

Oct 1, 2008 - Oppositional defiant disorder is defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th ed., as a recurrent pattern of developmentally inappropriate, negativistic, defiant, and disobedient behavior toward authority figures. This behavior often appears in the preschool...

American Family Physician : Article

https://www.aafp.org/afp/2008/1001/p861.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

Maintenance Intravenous Fluids in Children: AAP Provides Recommendations - Practice ...

Aug 15, 2019 - The American Academy of Pediatrics has created an evidence-based guideline recommending the use of isotonic fluids for patients 28 days to 18 years of age to reduce the risk of developing hyponatremia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0815/p251.html

Primary Care for Children with Autism - American Family Physician

Feb 15, 2010 - The earliest sign of autism in children is the delayed attainment of social skill milestones, including joint attention, social orienting, and pretend play. Language impairment is a common, but less specific, sign of autism. Repetitive behaviors and restricted interests may not be noted...

American Family Physician : Article

https://www.aafp.org/afp/2010/0215/p453.html

Thickened Feedings for Infants with Gastroesophageal Reflux - FPIN's Help Desk Answers ...

Oct 1, 2019 - Bottle-fed infants with gastroesophageal reflux should be given thickened formula feedings.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/1001/p437.html

Stuttering: An Overview - American Family Physician

May 1, 2008 - Speech dysfluency (stuttering) is common in children. Although stuttering often resolves before adulthood, it can cause significant anxiety for children and their families. Stuttering speech patterns are often easily identifiable; when a child is learning to talk, repetition of sounds ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0501/p1271.html

Identification and Evaluation of Mental Retardation - American Family Physician

Feb 15, 2000 - Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1059.html

Hirschsprung's Disease: Diagnosis and Management - American Family Physician

Oct 15, 2006 - Hirschsprung's disease (congenital megacolon) is caused by the failed migration of colonic ganglion cells during gestation. Varying lengths of the distal colon are unable to relax, causing functional colonic obstruction. Hirschsprung's disease most commonly involves the rectosigmoid ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1015/p1319.html

Evaluation and Management of Common Childhood Poisonings - American Family Physician

Mar 1, 2009 - Family physicians often manage substance ingestions in children, most of which are nontoxic in nature. Physicians should know the phone number of the poison control center, understand the appropriate initial assessment of suspected toxin ingestion, and recognize important toxidromes. ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0301/p397.html

Laboratory-Based Prediction Model Can Rule Out Serious Bacterial Infections in Febrile ...

Oct 1, 2019 - In febrile infants up to 60 days of age, the combination of a normal urinalysis result, an absolute neutrophil count of less than 4,090 per mL (4.1 × 109 per L), and a serum procalcitonin level of less than 1.71 ng per mL is accurate at ruling out serious bacterial infections.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/1001/p440.html

Skin-to-Skin Contact for Improved Duration of Breastfeeding - FPIN's Help Desk Answers ...

Aug 1, 2019 - Skin-to-skin-contact in the immediate postnatal period should be recommended to all mothers because it is associated with a higher likelihood of exclusive breastfeeding at hospital discharge and for up to six months afterward (number needed to treat [NNT] = 5 to 8).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0801/od2.html

Child Passenger Safety: AAP Updates Best Practice Recommendations - Practice Guidelines...

Apr 15, 2019 - There has been an increase in scientific evidence supporting the use of child safety and booster seats. The American Academy of Pediatrics (AAP) has updated best practice recommendations on child passenger safety based on this evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0415/p525.html

Pregnancy Prevention in Adolescents - American Family Physician

Oct 15, 2004 - Although the pregnancy rate in adolescents has declined steadily in the past 10 years, it remains a major public health problem with lasting repercussions for the teenage mothers, their infants and families, and society as a whole. Successful strategies to prevent adolescent pregnancy ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1015/p1517.html

Interventions to Prevent Child Maltreatment: Recommendation Statement - U.S. Preventive...

Jul 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment.

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

https://www.aafp.org/afp/2019/0715/p110.html

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