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Common Skin Rashes in Children - American Family Physician

Aug 1, 2015 - Because childhood rashes may be difficult to differentiate by appearance alone, it is important to consider the entire clinical presentation to help make the appropriate diagnosis. Considerations include the appearance and location of the rash; the clinical course; and associated ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0801/p211.html

Well-Child Visits for Infants and Young Children - American Family Physician

Sep 15, 2018 - The well-child visit allows for comprehensive assessment of a child and the opportunity for further evaluation if abnormalities are detected. A complete history during the well-child visit includes information about birth history; prior screenings; diet; sleep; dental care; and medical,...

American Family Physician : Article

https://www.aafp.org/afp/2018/0915/p347.html

Knee Pain in Adults and Adolescents: The Initial Evaluation - American Family Physician

Nov 1, 2018 - Knee pain affects approximately 25% of adults, and its prevalence has increased almost 65% over the past 20 years, accounting for nearly 4 million primary care visits annually. Initial evaluation should emphasize excluding urgent causes while considering the need for referral. Key ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p576.html

Iron Deficiency and Other Types of Anemia in Infants and Children - American Family ...

Feb 15, 2016 - Anemia, defined as a hemoglobin level two standard deviations below the mean for age, is prevalent in infants and children worldwide. The evaluation of a child with anemia should begin with a thorough history and risk assessment. Characterizing the anemia as microcytic, normocytic, or ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0215/p270.html

A Comprehensive Newborn Exam: Part I. General, Head and Neck, Cardiopulmonary - ...

Sep 1, 2014 - A comprehensive newborn examination involves a systematic inspection. A Ballard score uses physical and neurologic characteristics to assess gestational age. Craniosynostosis is caused by premature fusion of the sutures, and 20% of children with this condition have a genetic mutation or...

American Family Physician : Article

https://www.aafp.org/afp/2014/0901/p289.html

Recurrent Abdominal Pain in Children - American Family Physician

Jun 15, 2018 - Recurrent abdominal pain (RAP) in children is defined as at least three episodes of pain that occur over at least three months and affect the child’s ability to perform normal activities. RAP is most often considered functional (nonorganic) abdominal pain, but an organic cause is found ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0615/p785.html

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

Aug 15, 2019 - The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. During the visit, the physician should address patient and parent/caregiver concerns and ask about ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p213.html

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

Jul 1, 2015 - Short stature is defined as a height more than two standard deviations below the mean for age (less than the 3rd percentile). Tall stature is defined as a height more than two standard deviations above the mean for age (greater than the 97th percentile). The initial evaluation of short ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0701/p43.html

Acute Abdominal Pain in Children - American Family Physician

May 15, 2016 - Acute abdominal pain accounts for approximately 9% of childhood primary care office visits. Symptoms and signs that increase the likelihood of a surgical cause for pain include fever, bilious vomiting, bloody diarrhea, absent bowel sounds, voluntary guarding, rigidity, and rebound ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0515/p830.html

Evaluation and Management of Neck Masses in Children - American Family Physician

Mar 1, 2014 - Neck masses in children usually fall into one of three categories: developmental, inflammatory/reactive, or neoplastic. Common congenital developmental masses in the neck include thyroglossal duct cysts, branchial cleft cysts, dermoid cysts, vascular malformations, and hemangiomas. ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0301/p353.html

Developmental Delay: When and How to Screen - American Family Physician

Jul 1, 2017 - An estimated 15% of children in the United States have at least one developmental delay, yet less than one-fifth of those children receive early intervention services before three years of age. Many barriers exist to implementing initial screening and referral, but screening tools can ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0701/p36.html

Proteinuria in Children: Evaluation and Differential Diagnosis - American Family Physician

Feb 15, 2017 - Although proteinuria is usually benign in the form of transient or orthostatic proteinuria, persistent proteinuria may be associated with more serious renal diseases. Proteinuria may be an independent risk factor for the progression of chronic kidney disease in children. Mechanisms of ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0215/p248.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

Recognition and Management of Motor Delay and Muscle Weakness in Children - American ...

Jan 1, 2015 - Diagnosis of neuromuscular disorders in young children is often delayed for years after symptoms emerge, resulting in missed opportunities for therapy and genetic counseling. Identification of the weak child begins with careful attention to caregiver concerns and developmental ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0101/p38.html

A Systematic Approach to the Evaluation of a Limping Child - American Family Physician

Nov 15, 2015 - A limp is defined as a deviation from a normal age-appropriate gait pattern resulting in an uneven, jerky, or laborious gait. It can be caused by pain, weakness, or deformity as a result of a variety of conditions. Transient synovitis is the most common diagnosis. Other causes of acute ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1115/p908.html

A Comprehensive Newborn Exam: Part II. Skin, Trunk, Extremities, Neurologic - American ...

Sep 1, 2014 - Skin findings are common during the newborn examination. Although these findings are often benign, it is important to visualize the entire skin surface to distinguish these findings and appropriately reassure parents. The chest should be observed for symmetric movement, pectus ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0901/p297.html

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

Expanded Newborn Screening: Information and Resources for the Family Physician - ...

Jun 1, 2017 - Each year, 4 to 5 million newborns receive state-mandated screening. Although the Advisory Committee on Heritable Disorders in Newborns and Children has identified 34 core conditions that should be incorporated into screening programs, each state manages, funds, and maintains its own ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0601/p703.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 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

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

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

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

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

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

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

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

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

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

The Abnormal Fontanel - American Family Physician

Jun 15, 2003 - The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2547.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

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

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

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

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

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

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

Acute Abdominal Pain in Children - American Family Physician

Jun 1, 2003 - Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common medical cause is gastroenteritis, and ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0601/p2321.html

Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP - Practice ...

May 15, 2019 - To address the high prevalence of bronchiolitis, the effects of chronic cough on patients' quality of life, and adverse effects from inappropriate use of medications, an expert panel from the American College of Chest Physicians performed systematic reviews to develop several ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0515/p654.html

Screening for Adolescent Idiopathic Scoliosis: Recommendation Statement - U.S. ...

May 15, 2018 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for adolescent idiopathic scoliosis in children and adolescents aged 10 to 18 years.

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

https://www.aafp.org/afp/2018/0515/od1.html

Pulse Oximetry Screening for Critical Congenital Heart Defects in Newborns - Cochrane ...

Apr 1, 2019 - Pulse oximetry is an accurate screening test for critical congenital heart defects in newborns. Pulse oximetry is simple to use, widely available, and has moderate sensitivity (76.3%) and good specificity (99.9%). However, the prevalence of critical congenital heart defects is low, and ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0401/p421.html

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

Oct 15, 2017 - The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older, and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.

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

https://www.aafp.org/afp/2017/1015/od4.html

Diagnosis of Urinary Tract Infections in Children - Point-of-Care Guides - American ...

Feb 15, 2018 - A recent observational study found that 2.2% of acutely ill children younger than five years met criteria for a UTI when their urine was cultured. However, in the same study, overall clinician impression that a UTI was present (fairly to very certain) identified only 28 out of 60 ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0215/p273.html

Young Febrile Infants: Step-by-Step Evaluation - Point-of-Care Guides - American Family...

Jan 1, 2018 - A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral syndrome.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2018/0101/p45.html

Screening for Adolescent Idiopathic Scoliosis - Putting Prevention into Practice - ...

May 15, 2018 - A 10-year-old girl with no significant medical history presents to your clinic for a school physical and well visit. She will begin fifth grade in the fall and actively participated in a summer soccer program at a local sports club. She reports no associated injuries or pain.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0515/p666.html

Screening for Lipid Disorders in Children and Adolescents - Putting Prevention into ...

Oct 15, 2017 - A healthy 12-year-old boy presents for a school physical and well visit. His family history reveals that his maternal grandfather had a heart attack at 75 years of age and that his 52-year-old father has started taking a medication for elevated cholesterol levels.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/1015/p529.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

Vision Screening in Children Aged 6 Months to 5 Years: Recommendation Statement - U.S. ...

Dec 15, 2017 - The USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors.

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

https://www.aafp.org/afp/2017/1215/od1.html

Preventive Pediatric Health Care: Updated Recommendations from the AAP - Practice ...

Dec 15, 2017 - The American Academy of Pediatrics (AAP) has updated its recommendations for preventive pediatric health care (Periodicity Schedule). These recommendations are intended for children receiving appropriate care from parents and with no health problems whose growth and development are ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/1215/p814.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

Expanded Newborn Screening: Information and Resources for the Family Physician - ...

Apr 1, 2008 - Family physicians treat an increasing number of children with metabolic disorders identified through newborn screening, and they are often the first line of defense in responding to an abnormal screening result. How the family physician chooses to interpret information from the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0401/p987.html

Heart Murmurs in Pediatric Patients: When Do You Refer? - American Family Physician

Aug 1, 1999 - Many normal children have heart murmurs, but most children do not have heart disease. An appropriate history and a properly conducted physical examination can identify children at increased risk for significant heart disease. Pathologic causes of systolic murmurs include atrial and ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p558.html

Peanut Allergy Prevention: Guidelines from the NIAID - Practice Guidelines - American ...

Jul 15, 2017 - The NIAID has provided addendum guidelines, which include recommendations based on new evidence for peanut allergy prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0715/p130.html

Fever in Well-Appearing Children Younger Than Two Years: A Clinical Policy from the ...

Apr 15, 2017 - The American College of Emergency Physicians (ACEP) has released a clinical policy addressing issues in children younger than two years who visit the emergency department with fever, but who appear well.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0415/p524.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

Screening for Lipid Disorders in Children and Adolescents: Recommendation Statement - ...

Dec 15, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for lipid disorders in children and adolescents 20 years or younger.

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

https://www.aafp.org/afp/2016/1215/od1.html

Universal Newborn Hearing Screening - American Family Physician

May 1, 2007 - Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1349.html

Chronic Musculoskeletal Pain in Children: Part I. Initial Evaluation - American Family ...

Jul 1, 2006 - Musculoskeletal pain can be difficult for children to characterize. Primary care physicians must determine whether the pain may be caused by a systemic disease. Change in activity, constitutional symptoms such as fevers and fatigue, or abnormal examination findings without obvious ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0701/p115.html

Evaluation of Children with Reading Difficulties - American Family Physician

Dec 15, 2006 - Reading difficulties are common and are associated with poor long-term academic achievement. Evaluation of a child's developmental, educational, and family histories in conjunction with standardized screening tests (e.g., Ages and Stages Questionnaires, Parents' Evaluation of ...

American Family Physician : Article

https://www.aafp.org/afp/2006/1215/p2079.html

Evaluating the Child for Sexual Abuse - American Family Physician

Mar 1, 2001 - Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression. Because the examination findings of most child ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0301/p883.html

Step-by-Step Approach to Ruling Out Infant Infection Is Accurate - POEMs - American ...

Dec 1, 2016 - The Step-by-Step approach, using a basic physical examination and readily available urine and blood tests (without lumbar puncture; see the Synopsis section), can successfully identify low-risk infants younger than 90 days who will not need empiric antibiotic treatment and lumbar ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1201/p933.html

AAP Updates Recommendations for Routine Preventive Pediatric Health Care - Practice ...

Aug 15, 2016 - The American Academy of Pediatrics (AAP) has updated recommendations for preventive pediatric health care services, including evidence-based screenings and assessments that should be addressed at well-child visits. The recommendations are organized by age: infancy, early childhood, ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0815/p324.html

Inborn Errors of Metabolism in Infancy and Early Childhood: An Update - American Family...

Jun 1, 2006 - Recent innovations in medical technology have changed newborn screening programs in the United States. The widespread use of tandem mass spectrometry is helping to identify more inborn errors of metabolism. Primary care physicians often are the first to be contacted by state and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1981.html

Increased Alignment in Preventive Services Recommendations for Children - Editorials - ...

Aug 15, 2016 - Increased alignment between preventive services recommendations from the two major physician specialty groups who care for children.

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0815/p272.html

Screening for Autism Spectrum Disorder in Young Children: Recommendation Statement - ...

May 1, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for autism spectrum disorder (ASD) in young children for whom no concerns of ASD have been raised by their parents or a clinician.

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

https://www.aafp.org/afp/2016/0501/p774.html

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

Mar 15, 2016 - The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

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

https://www.aafp.org/afp/2016/0315/p506.html

Screening for Iron Deficiency Anemia in Young Children - Putting Prevention into ...

Dec 15, 2015 - C.C., a 32-year-old white woman, presents to your office with her nine-month-old son for a routine well-child visit. She is preparing to switch him from breast milk to formula and had noted that most formulas contain iron. She wonders if her son should be screened for iron deficiency ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/1215/p1103.html

Screening for Iron Deficiency Anemia in Young Children: Recommendation Statement - U.S....

Dec 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in children ages 6 to 24 months.

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

https://www.aafp.org/afp/2015/1215/od1.html

Screening for Speech and Language Delay and Disorders in Children Five Years and ...

Nov 15, 2015 - A two-year-old girl presents to your office for a routine well-child visit. She has had one ear infection in the past year but is otherwise healthy. Her mother has no specific concerns about her speech and language development. There is no family history of congenital disorders or ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/1115/p923.html

Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or ...

Aug 15, 2015 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children aged 5 years or younger.

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

https://www.aafp.org/afp/2015/0815/od1.html

Diagnosis of Stridor in Children - American Family Physician

Nov 15, 1999 - Stridor is a sign of upper airway obstruction. In children, laryngomalacia is the most common cause of chronic stridor, while croup is the most common cause of acute stridor. Generally, an inspiratory stridor suggests airway obstruction above the glottis while an expiratory stridor is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1115/p2289.html

Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults - ...

Aug 15, 2015 - P.N. is a 35-year-old man whose parents were born in southeast Asia. Although he was born in the United States, P.N. does not have any vaccination records from his childhood. During an office visit, he mentions that a relative was recently diagnosed with hepatitis B virus (HBV) ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0815/p301.html

Bilious Vomiting in the Newborn: Rapid Diagnosis of Intestinal Obstruction - American ...

May 1, 2000 - Bilious vomiting in newborns is an urgent condition that requires the immediate involvement of a team of pediatric surgeons and neonatologists for perioperative management. However, initial detection, evaluation and treatment are often performed by nurses, family physicians and general ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2791.html

What to Do at Well-Child Visits: The AAFP’s Perspective - Editorials - American Family ...

Mar 15, 2015 - Well-child visits provide the best opportunities to deliver evidence-based preventive services. Family physicians have limited time at these visits and therefore should prioritize preventive services that have strong evidence of net benefit.

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0315/p362.html

Diagnosis and Nonsurgical Treatment of DDH in Infants Up to Six Months of Age: ...

Jun 15, 2015 - The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance, based on limited and moderate evidence, on diagnosing and nonsurgical treatments for developmental dysplasia of the hip in infants up to six months of age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0615/p882.html

Failure to Pass Meconium: Diagnosing Neonatal Intestinal Obstruction - American Family ...

Nov 1, 1999 - Timely passage of the first stool is a hallmark of the well-being of the newborn infant. Failure of a full-term newborn to pass meconium in the first 24 hours may signal intestinal obstruction. Lower intestinal obstruction may be associated with disorders such as Hirschsprung's disease,...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2043.html

Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults: ...

Apr 15, 2015 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in persons at high risk for infection.

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

https://www.aafp.org/afp/2015/0415/od2.html

Screening for Primary Hypertension in Children and Adolescents: Recommendation ...

Feb 15, 2015 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for primary hypertension in asymptomatic children and adolescents to prevent subsequent cardiovascular disease in childhood or ...

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

https://www.aafp.org/afp/2015/0215/od1.html

Screening for Primary Hypertension in Children and Adolescents - Putting Prevention ...

Feb 15, 2015 - L.S. is a 14-year-old black adolescent who presents for a routine school physical examination. Her mother tells you that she and her husband have hypertension, and they worry about their daughter's blood pressure. She asks you whether L.S. should be periodically checked for high blood ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2015/0215/p257.html

Evaluation of Newborns with Preauricular Skin Lesions - FPIN's Clinical Inquiries - ...

May 15, 2012 - All newborns should be screened for hearing loss, whether or not they have preauricular skin lesions. Newborns with these anomalies may be at increased risk of hearing impairment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0515/p993.html

Evaluation and Management of Apparent Life-Threatening Events in Children - American ...

Jun 15, 2005 - Apparent life-threatening event syndrome predominantly affects children younger than one year. This syndrome is characterized by a frightening constellation of symptoms in which the child exhibits some combination of apnea, change in color, change in muscle tone, coughing, or gagging. ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0615/p2301.html

Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism -...

Aug 1, 2007 - Guidelines on newborn screening and therapy for congenital hypothyroidism have been released by the American Academy of Pediatrics (AAP). Congenital hypothyroidism can cause mental retardation unless thyroid therapy is initiated within two weeks of birth.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p439.html

AAP Releases Report on the Evaluation of Children When Sexual Abuse Is Suspected - ...

May 15, 2014 - Childhood sexual abuse is common and can lead to lifelong physical and psychological problems. The American Academy of Pediatrics (AAP) has released a report to assist physicians in evaluating children who may have been sexually abused, determining when to report the case, and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0515/p830.html

A Simple Cough Algorithm for Children with Chronic Cough - POEMs - American Family ...

Nov 15, 2013 - In children with chronic cough, a simple approach of ruling out specific indicators of cause, followed by treating a wet cough with antibiotics, results in a significant decrease in the duration of cough. Some of the causes of chronic cough were reactive airway disease, bronchiectasis, ...

American Family Physician : POEMs

https://www.aafp.org/afp/2013/1115/od1.html

The Newborn Examination: Part I. Emergencies and Common Abnormalities Involving the ...

Jan 1, 2002 - The routine newborn assessment should include an examination for size, macrocephaly or microcephaly, changes in skin color, signs of birth trauma, malformations, evidence of respiratory distress, level of arousal, posture, tone, presence of spontaneous movements, and symmetry of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0101/p61.html

Pediatric Vision Screening for the Family Physician - American Family Physician

Sep 1, 1998 - Advertisement << Previous article Next article >> Sep 1, 1998 Issue Pediatric Vision Screening for the Family Physician PETER BRODERICK, M.D., Stanislaus County Family Practice Residency, Modesto, California Am Fam Physician. 1998 Sep 1;58(3):691-700. See related patient information...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p691.html

Evaluation of Clumsiness in Children - American Family Physician

Oct 15, 2002 - Parents and physicians often dismiss seemingly minor motor difficulties in children. Approximately 6 percent of school-aged children have coordination problems serious enough to interfere with academic performance and social integration. These problems often arise during the early ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1015/p1435.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

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

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

The Newborn Examination: Part II. Emergencies and Common Abnormalities Involving the ...

Jan 15, 2002 - Careful examination of the neonate at delivery can detect anomalies, birth injuries, and disorders that may compromise successful adaptation to extrauterine life. A newborn with one anatomic malformation should be evaluated for associated anomalies. If a newborn is found to have an ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p265.html

Evaluating the Child with Purpura - American Family Physician

Aug 1, 2001 - Purpura is the result of hemorrhage into the skin or mucosal membrane. It may represent a relatively benign condition or herald the presence of a serious underlying disorder. Purpura may be secondary to thrombocytopenia, platelet dysfunction, coagulation factor deficiency or vascular ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p419.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

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

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

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

Evaluation of Physical Abuse in Children - American Family Physician

May 15, 2000 - Family physicians who are involved in the care of children are likely to encounter child abuse and should be able to recognize its common presentations. A history that is inconsistent with the patient's injuries is the hallmark of physical abuse. A pattern of physical findings, ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3057.html

Usefulness of Procalcitonin Measurement in Reducing Antibiotic Use and Identifying ...

Jul 15, 2011 - Measurement of procalcitonin is being pushed as a way to determine the presence or absence of bacterial infection and, therefore, as a way to reduce antibiotic use. But, how well does it work in the patients family physicians see? Why are the results of this study not as convincingly ...

American Family Physician : AFP Journal Club

https://www.aafp.org/afp/2011/0715/p177.html

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