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Depression in Children and Adolescents - American Family Physician

Nov 15, 2000 - Depression among children and adolescents is common but frequently unrecognized. It affects 2 percent of prepubertal children and 5 to 8 percent of adolescents. The clinical spectrum of the disease can range from simple sadness to a major depressive or bipolar disorder. Risk factors ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2297.html

Evaluating Proteinuria in Children - American Family Physician

Oct 1, 1998 - Proteinuria is a common laboratory finding in children. It can be identified as either a transient or a persistent finding and can represent a benign condition or a serious disease. A rapid but qualitative assessment of proteinuria can be made using dipstick or sulfosalicylic acid ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1145.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

PIDS and IDSA Issue Management Guidelines for Community-Acquired Pneumonia in Infants ...

Jul 15, 2012 - Previously published guidelines for the management of community-acquired pneumonia (CAP) in adults have been shown to decrease morbidity and mortality rates. The Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA) have created new ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0715/p196.html

Urinary Tract Infections in Children: Why They Occur and How to Prevent Them - American...

May 15, 1998 - Urinary tract infections (UTIs) usually occur as a consequence of colonization of the periurethral area by a virulent organism that subsequently gains access to the bladder. During the first few months of life, uncircumcised male infants are at increased risk for UTIs, but thereafter ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2440.html

AAP Reports on the Use of Antipyretics for Fever in Children - Practice Guidelines - ...

Mar 1, 2012 - In this report, the American Academy of Pediatrics (AAP) reviews the effectiveness of antipyretics for the treatment of fever in children. Fever in children often leads to unscheduled physician visits, telephone calls from parents to physicians for consultation, and the treatment of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0301/p518.html

Primary Care of Infants and Young Children with Down Syndrome - American Family Physician

Jan 15, 1999 - Down syndrome is caused by triplicate material of chromosome 21. The syndrome has a variable physical expression, but congenital cardiac defects, transient myelodysplasia of the newborn and duodenal atresia are highly specific for this chromosomal disorder. Routine health maintenance is...

American Family Physician : Article

https://www.aafp.org/afp/1999/0115/p381.html

Risperidone (Risperdal) for Management of Autistic Disorder - STEPS - American Family ...

Jun 15, 2009 - Risperidone does not alter the course of autistic disorder, but is effective for controlling irritability and other associated symptoms. Patients taking risperidone should be appropriately monitored for adverse effects, especially abnormal movements.

American Family Physician : STEPS

https://www.aafp.org/afp/2009/0615/p1104.html

Care of a Sexually Active Adolescent - Curbside Consultation - American Family Physician

Sep 1, 2012 - The American Medical Association's Principles of Medical Ethics clearly state that physicians shall safeguard patient confidences and privacy within the constraints of the law. However, the laws in American jurisdictions vary with respect to a minor's ability to consent to medical ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2012/0901/p457.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

Interventions to Prevent Childhood Obesity - Cochrane for Clinicians - American Family ...

Jul 1, 2012 - Overall, children up to 12 years of age benefited from school-based obesity prevention interventions; this effect was not demonstrated among adolescents 13 years and older. Although the overall effect size was small, interventions that promoted physical activity, alone or in combination...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0701/p30.html

Childhood Discipline: Challenges for Clinicians and Parents - American Family Physician

Oct 15, 2002 - Although childhood discipline is an important issue for parents, this topic is seldom emphasized by family physicians during well-child examinations. Behavior problems are relatively common but frequently under-recognized by physicians. Opportunities to counsel parents about safe, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1447.html

AAP Expands Recommendations on SIDS and Other Sleep-Related Deaths - Practice ...

May 1, 2012 - Sudden infant death syndrome (SIDS) is a term attributed to any infant death that cannot be explained. Sudden unexpected infant death describes any sudden and unexpected death, whether explained or unexplained, that occurs during infancy. The American Academy of Pediatrics (AAP) first ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0501/p918.html

Treatment of Otitis Media with Perforated Tympanic Membrane - FPIN's Clinical Inquiries...

Apr 15, 2009 - Acute otitis media with tympanic membrane perforation in children should be treated with an oral antibiotic.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0415/p650.html

School-Based Management of Food Allergies in Children - Editorials - American Family ...

Jul 1, 2012 - For children with potentially life-threatening food allergies, the school environment can present significant management challenges. A substantial proportion of food allergy reactions occur in school, and these reactions can be fatal.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0701/p16.html

Gastroenteritis in Children: Principles of Diagnosis and Treatment - American Family ...

Nov 15, 1998 - Gastroenteritis in children is a common reason for visits to family physicians. Most cases of gastroenteritis have a viral etiology and are self-limited. However, more severe or prolonged cases of gastroenteritis can result in dehydration with significant morbidity and mortality. This ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1115/p1769.html

The Eye in Childhood - American Family Physician

Sep 1, 1999 - Normal visual development is rapid during the first six months of life and continues through the first decade. Young children are uniquely sensitive to conditions that interfere with vision and visual development. Amblyopia, or functionally defective development of the central visual ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p907.html

Therapies for Children with Autism Spectrum Disorders - Implementing AHRQ Effective ...

May 1, 2012 - What are the effectiveness, benefits, and harms of therapies used to address core and associated symptoms of autism spectrum disorders (ASDs) in children two to 12 years of age?

American Family Physician : Implementing AHRQ Effective Health Care Reviews

https://www.aafp.org/afp/2012/0501/p878.html

Autism: A Medical Primer - American Family Physician

Nov 1, 2002 - Autistic disorder, a pervasive developmental disorder resulting in social, language, or sensorimotor deficits, occurs in approximately seven of 10,000 persons. Early detection and intervention significantly improve outcome, with about one third of autistic persons achieving some degree ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1667.html

Osteochondritis Dissecans: A Diagnosis Not to Miss - American Family Physician

Jan 1, 2000 - Osteochondritis dissecans is the most common cause of a loose body in the joint space in adolescent patients. Because clinical findings are often subtle, diagnosis requires a high index of suspicion. Limited range of motion may be the only notable clinical sign. The diagnosis is made by...

American Family Physician : Article

https://www.aafp.org/afp/2000/0101/p151.html

Adolescent Idiopathic Scoliosis: Review and Current Concepts - American Family Physician

Jul 1, 2001 - Adolescent idiopathic scoliosis is present in 2 to 4 percent of children between 10 and 16 years of age. It is defined as a lateral curvature of the spine greater than 10 degrees accompanied by vertebral rotation. It is thought to be a multigene dominant condition with variable ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0701/p111.html

AAP Releases Clinical Report on the Impact of Social Media on Children, Adolescents, ...

Apr 1, 2012 - The number of children and adolescents using social media Web sites (e.g., Facebook) has significantly increased in the past five years. Research has shown that social media improves communication, social interaction, and technical abilities. Physicians are in a position to talk to ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0401/p729.html

Care of the Premature Infant: Part I. Monitoring Growth and Development - American ...

May 1, 1998 - When monitoring growth and development in the premature infant, physicians should make adjustments for the estimated due date. With minor exceptions, administration of immunizations is based on the chronologic age. Administration of hepatitis B vaccine should be delayed until the infant...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2123.html

Childhood Pancreatitis - American Family Physician

May 1, 1999 - Acute pancreatitis is a rare finding in childhood but probably more common than is generally realized. This condition should be considered in the evaluation of children with vomiting and abdominal pain, because it can cause significant morbidity and mortality. Clinical suspicion is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0501/p2507.html

Managing Intoeing in Children - FPIN's Clinical Inquiries - American Family Physician

Oct 15, 2011 - Intoeing can be accurately diagnosed using a history, physical examination, and torsional profile.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1015/p937.html

Evaluation and Treatment of Childhood Obesity - American Family Physician

Feb 15, 1999 - The prevalence of childhood obesity in the United States has risen dramatically in the past several decades. Although 25 to 30 percent of children are affected, this condition is underdiagnosed and undertreated. Hormonal and genetic factors are rarely the cause of childhood obesity; ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p861.html

Ludwig's Angina in Children - American Family Physician

Jul 1, 1999 - Ludwig's angina is a potentially life-threatening, rapidly expanding, diffuse inflammation of the submandibular and sublingual spaces that occurs most often in young adults with dental infections. However, this disorder can develop in children, in whom it can cause serious airway ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p109.html

Providing Confidential Care for Adolescents - Editorials - American Family Physician

Mar 15, 2012 - Adolescents are generally healthy, but they commonly present with high-risk behaviors that are often missed by physicians. Without confidentiality, teenagers may avoid seeking services for sensitive health care needs.

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0315/p556.html

Primary Prevention of Child Abuse - American Family Physician

Mar 15, 1999 - In 1993, the U.S. Advisory Board on Child Abuse and Neglect declared a child protection emergency. Between 1985 and 1993, there was a 50 percent increase in reported cases of child abuse. Three million cases of child abuse are reported in the United States each year. Treatment of the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0315/p1577.html

Primary Nocturnal Enuresis: Current - American Family Physician

Mar 1, 1999 - Primary nocturnal enuresis sometimes presents significant psychosocial problems for children and their parents. Causative factors may include maturational delay, genetic influence, difficulties in waking and decreased nighttime secretion of antidiuretic hormone. Anatomic abnormalities ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0301/p1205.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

Abuse of Over-the-Counter Medications Among Teenagers and Young Adults - Editorials - ...

Oct 1, 2011 - In recent years, recognition of over-the-counter (OTC) medication abuse by patients—especially teenagers and young adults—has increased.1 Abuse is defined as the use of a drug to experience psychoactive effects instead of for its medical indication. OTC medications are easily abused ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/1001/p745.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

Impact of Anorexia, Bulimia, and Obesity on the Gynecologic Health of Adolescents - ...

Aug 1, 2001 - Dieting behaviors and nutrition can have an enormous impact on the gynecologic health of adolescents. Teenaged patients with anorexia nervosa can have hypothalamic suppression and amenorrhea. In addition, these adolescents are at high risk of osteoporosis and fractures. Unfortunately, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p445.html

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

Aug 15, 2001 - Early and accurate detection of eye disorders in children can present a challenge for family physicians. Visual acuity screening, preferably performed before four years of age, is essential for diagnosing amblyopia. Cover testing may disclose small-angle or intermittent strabismus. ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0815/p623.html

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

Pediatric Advanced Life Support: A Review of the AHA Recommendations - American Family ...

Oct 15, 1999 - The etiologies of respiratory failure, shock, cardiopulmonary arrest and dysrhythmias in children differ from those in adults. In 1988, the American Heart Association implemented the pediatric advanced life support (PALS) program. Major revisions to the program were made in 1994, with ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1743.html

Proper Use of Child Safety Seats - American Family Physician

May 15, 2002 - Motor vehicle crashes continue to be the leading cause of death in children one to 14 years of age. Used correctly, child safety seats significantly reduce child morbidity and mortality. Although many parents know child safety seats are important, more than 80 percent of seats are ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2085.html

Evaluation and Treatment of Urinary Tract Infections in Children - American Family ...

Apr 1, 1998 - Urinary tract infections (UTIs) are among the most common bacterial infections encountered by primary care physicians. Although UTIs do not occur with as great a frequency in children as in adults, they can be a source of significant morbidity in children. For reasons that are not yet ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0401/p1573.html

Kawasaki Disease - American Family Physician

Jun 1, 1999 - Kawasaki disease is a leading cause of acquired heart disease among children in the United States and other developed countries. Most children who contract this illness are less than two years old, and 80 percent of affected children are younger than five years of age. A generalized ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0601/p3093.html

Implementing the Guidelines for Adolescent Preventive Services - American Family Physician

May 1, 1998 - The Guidelines for Adolescent Preventive Services (GAPS) include recommendations developed and promoted by the American Medical Association's Department of Adolescent Health and are intended to organize, restructure and redefine health care delivery for 11- to 21-year-old patients. Data...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2181.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

Recognition of Common Childhood Malignancies - American Family Physician

Apr 1, 2000 - Although cancer has an annual incidence of only about 150 new cases per 1 million U.S. children, it is the second leading cause of childhood deaths. Early detection and prompt therapy have the potential to reduce mortality. Leukemias, lymphomas and central nervous system tumors account ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2144.html

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

Oct 1, 2001 - A practice guideline for the management of febrile infants and children younger than three years of age sparked controversy when it was published in 1993. Surveys indicate that many office-based physicians do not agree with recommendations for venipuncture and bladder catheterization in...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1219.html

Antibiotics for Acute Otitis Media in Young Children - AFP Journal Club - American ...

Nov 15, 2011 - Two studies aim to clarify the appropriate use of antibiotic treatment in young children with acute otitis media.

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/1115/p1095.html

Sickle Cell Disease in Childhood: Part I. Laboratory Diagnosis, Pathophysiology and ...

Sep 1, 2000 - Over the past 25 years, morbidity and mortality have decreased significantly in children with sickle cell disease, and screening tests are now available to diagnose the disease in newborns. The incidence of sepsis caused by pneumococcal and Haemophilus influenzae infections has declined...

American Family Physician : Article

https://www.aafp.org/afp/2000/0901/p1013.html

AAP Updates Guidelines for Evaluating Simple Febrile Seizures in Children - Practice ...

Jun 1, 2011 - The American Academy of Pediatrics (AAP) recently updated its guidelines on the neurodiagnostic evaluation of simple febrile seizures in neurologically healthy children six to 60 months of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0601/p1348.html

Protecting the Health and Safety of Working Teenagers - American Family Physician

Aug 1, 1999 - More than one third of high school students work during the school year, and many more are employed during the summer months. Teenage workers face a variety of health and safety hazards. Occupational injury and illness are largely preventable, and family physicians can play a crucial ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p575.html

New Recommendations on Motor Vehicle Safety for Child Passengers - Editorials - ...

Apr 1, 2013 - Advertisement << Previous article Next article >> Apr 1, 2013 Issue Editorials New Recommendations on Motor Vehicle Safety for Child Passengers DENNIS R. DURBIN, MD, MSCE, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Am Fam Physician. 2013 Apr 1;87(7):472-474....

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0401/p472.html

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