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Disorders of Puberty - American Family Physician

Jul 1, 1999 - Normal puberty begins between eight and 14 years of age in girls and between nine and 14 years of age in boys. Pubic hair distribution is used to stage puberty, along with breast size and contour in girls and testicular volume in boys. Some children experience constitutional sexual ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p209.html

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

Caring for Infants with Congenital Heart Disease and Their Families - American Family ...

Apr 1, 1999 - Congenital heart defects are classified into two broad categories: acyanotic and cyanotic lesions. The most common acyanotic lesions are ventricular septal defect, atrial septal defect, atrioventricular canal, pulmonary stenosis, patent ductus arteriosus, aortic stenosis and coarctation...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1857.html

Issues in Newborn Screening for Phenylketonuria - American Family Physician

Oct 1, 1999 - The blood sample for phenylketonuria (PKU) screening should be obtained at least 12 hours after the infant's birth. Newborn screening for PKU has largely eliminated mental retardation caused by this disease. If the first phenylalanine test demonstrates positive results, a repeat test ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1462.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

Common Issues in the Care of Sick Neonates - American Family Physician

Nov 1, 2002 - Newborn infants may be transferred to a special care nursery because of conditions such as prematurity (gestation less than 37 weeks), prolonged resuscitation, respiratory distress, cyanosis, and jaundice, and for evaluation of neonatal sepsis. Newborn infants' core temperature should ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1685.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

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

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

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

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

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

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

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

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

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

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

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

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

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

Aseptic Meningitis in the Newborn and Young Infant - American Family Physician

May 15, 1999 - When a toxic newborn or young infant presents with fever and lethargy or irritability, it is important to consider the diagnosis of meningitis even if the classic localizing signs and symptoms are absent. Cerebrospinal fluid should be obtained (unless lumbar puncture is clinically ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2761.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

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

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

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