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Back Pain in Children and Adolescents - American Family Physician

Jul 1, 2020 - Back pain is a relatively common presenting symptom in children and adolescents. Typical causes include muscle strain or spasm, spinal deformities (e.g., Scheuermann kyphosis, adolescent idiopathic scoliosis), spondylolysis, bulging or herniated intervertebral disks, apophysitis of the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p19.html

Disorders of Puberty: An Approach to Diagnosis and Management - American Family Physician

Nov 1, 2017 - Disorders of puberty can profoundly impact physical and psychosocial well-being. Precocious puberty is pubertal onset before eight years of age in girls and before nine years of age in boys. Patients with early isolated pubertal changes, prepubertal linear growth, and no worrisome ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p590.html

Noonan Syndrome - American Family Physician

Jan 1, 2014 - Noonan syndrome is a common genetic disorder that causes multiple congenital abnormalities and a large number of potential health conditions. Most affected individuals have characteristic facial features that evolve with age; a broad, webbed neck; increased bleeding tendency; and a high...

American Family Physician : Article

https://www.aafp.org/afp/2014/0101/p37.html

Gastroenteritis in Children - American Family Physician

Feb 1, 2019 - Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p159.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

Common Questions About Oppositional Defiant Disorder - American Family Physician

Apr 1, 2016 - Oppositional defiant disorder (ODD) is a disruptive behavior disorder characterized by a pattern of angry or irritable mood, argumentative or defiant behavior, or vindictiveness lasting for at least six months. Children and adolescents with ODD may have trouble controlling their temper ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0401/p586.html

Depression in Children and Adolescents: Evaluation and Treatment - American Family ...

Nov 15, 2019 - The prevalence of major unipolar depression in children and adolescents is increasing in the United States. In 2016, approximately 5% of 12-year-olds and 17% of 17-year-olds reported experiencing a major depressive episode in the previous 12 months. Screening for depression in ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p609.html

Screening and Counseling Adolescents and Young Adults: A Framework for Comprehensive ...

Feb 1, 2020 - Healthy development is likely to occur when an adolescent’s risk factors are limited and when protective factors are fostered. Healthy development is further encouraged when youth feel valued, empowered, and form healthy social connections. Threats to the well-being of adolescents ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0201/p147.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

Croup: Diagnosis and Management - American Family Physician

May 1, 2018 - Croup is a common respiratory illness affecting 3% of children six months to three years of age. It accounts for 7% of hospitalizations annually for fever and/or acute respiratory illness in children younger than five years. Croup is a manifestation of upper airway obstruction resulting...

American Family Physician : Article

https://www.aafp.org/afp/2018/0501/p575.html

Toilet Training: Common Questions and Answers - American Family Physician

Oct 15, 2019 - Toilet training is a significant developmental milestone in early childhood. Most U.S. children achieve the physiologic, cognitive, and emotional development necessary for toilet training by 18 to 30 months of age. Markers of readiness for toilet training include being able to walk, put...

American Family Physician : Article

https://www.aafp.org/afp/2019/1015/p468.html

Diagnosis and Management of Kawasaki Disease - American Family Physician

Mar 15, 2015 - Kawasaki disease is an acute, systemic vasculitis that predominantly affects patients younger than five years. It represents the most prominent cause of acquired coronary artery disease in childhood. In the United States, 19 per 100,000 children younger than five years are hospitalized ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0315/p365.html

Lead Poisoning in Children - American Family Physician

Jul 1, 2019 - Asymptomatic lead poisoning has become more common in children. Blood lead levels of less than 5 µg per dL are associated with impairments in neurocognitive and behavioral development that are irreversible. Risk factors for lead poisoning include age younger than five years, low ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0701/p24.html

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

Jul 15, 2014 - Childhood constipation is common and almost always functional without an organic etiology. Stool retention can lead to fecal incontinence in some patients. Often, a medical history and physical examination are sufficient to diagnose functional constipation. Further evaluation for ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0715/p82.html

Hand-Foot-and-Mouth Disease: Rapid Evidence Review - American Family Physician

Oct 1, 2019 - Hand-foot-and-mouth disease is caused by human enteroviruses and coxsackieviruses. Outbreaks can occur in the spring to fall and are common in North America, and most cases occur in patients younger than 10 years. Hand-foot-and-mouth disease is transmitted by fecal-oral, oral-oral, and ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1001/p408.html

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

Aug 15, 2019 - School-aged children (five to 12 years) are establishing patterns of behavior that may last a lifetime; therefore, during health maintenance visits, it is important to counsel families on healthy lifestyle practices. Children should eat a diet high in fruits, vegetables, whole grains, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0815/p219.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

Specific Learning Disabilities: The Family Physician's Role - American Family Physician

Nov 15, 2019 - Academic underachievement, such as failing a class and the threat of being held back because of academic issues, is common. Family physicians can provide support and guidance for families as they approach their child’s unique academic challenges. Specific learning disabilities are a ...

American Family Physician : Article

https://www.aafp.org/afp/2019/1115/p628.html

Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders - American Family Physician

Oct 15, 2017 - Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorders (FASD) result from intrauterine exposure to alcohol and are the most common nonheritable causes of intellectual disability. The percentage of women who drink or binge drink during pregnancy has increased since 2012. FAS ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1015/p515.html

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

Feb 15, 2011 - Acute urinary tract infections are relatively common in children, with 8 percent of girls and 2 percent of boys having at least one episode by seven years of age. The most common pathogen is Escherichia coli, accounting for approximately 85 percent of urinary tract infections in ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0215/p409.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

Diagnosis and Treatment of Gastroesophageal Reflux in Infants and Children - American ...

Oct 15, 2015 - Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation (spitting up) and vomiting. It is a normal physiologic process that occurs throughout the day in infants and less often in children and adolescents. ...

American Family Physician : Article

https://www.aafp.org/afp/2015/1015/p705.html

Conduct Disorder: Recognition and Management - American Family Physician

Nov 15, 2018 - Conduct disorder is a psychiatric syndrome that most commonly occurs in childhood and adolescence. It is characterized by symptoms of aggression toward people or animals, destruction of property, deceitfulness or theft, and serious violations of rules. Risk factors include male sex, ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1115/p584.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

Nutrition in Toddlers - American Family Physician

Aug 15, 2018 - The establishment of eating practices that contribute to lifelong nutritional habits and overall health begins in toddlerhood. During this time, children acquire the motor skills needed to feed themselves and develop preferences that affect their food selections. Classifications for ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0815/p227.html

School Absenteeism in Children and Adolescents - American Family Physician

Dec 15, 2018 - Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Previous research focused on distinguishing between truancy and anxiety-driven ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1215/p738.html

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

Jun 15, 2017 - Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children. SCFE is classified as stable or unstable ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0615/p779.html

Respiratory Syncytial Virus Bronchiolitis in Children - American Family Physician

Jan 15, 2017 - Bronchiolitis is a common lower respiratory tract infection in infants and young children, and respiratory syncytial virus (RSV) is the most common cause of this infection. RSV is transmitted through contact with respiratory droplets either directly from an infected person or ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0115/p94.html

General Parenting Strategies: Practical Suggestions for Common Child Behavior Issues - ...

May 15, 2018 - Parents often seek guidance from physicians on child behavior problems. Questions may range from general parenting strategies to managing specific child behaviors. Physicians and their staff can identify problematic parent-child interactions or behaviors within the office setting and ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0515/p642.html

Autism Spectrum Disorder: Primary Care Principles - American Family Physician

Dec 15, 2016 - Autism spectrum disorder is characterized by difficulty with social communication and restricted, repetitive patterns of behavior, interest, or activities. The Diagnostic and Statistical Manual of Mental Disorders, 5th ed., created an umbrella diagnosis that includes several previously ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1215/p972.html

Sexual Behaviors in Children: Evaluation and Management - American Family Physician

Nov 15, 2010 - Sexual behaviors in children are common, occurring in 42 to 73 percent of children by the time they reach 13 years of age. Developmentally appropriate behavior that is common and frequently observed in children includes trying to view another person’s genitals or breasts, standing too ...

American Family Physician : Article

https://www.aafp.org/afp/2010/1115/p1233.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

Enuresis in Children: A Case Based Approach - American Family Physician

Oct 15, 2014 - Enuresis is defined as intermittent urinary incontinence during sleep in a child at least five years of age. Approximately 5% to 10% of all seven-year-olds have enuresis, and an estimated 5 to 7 million children in the United States have enuresis. The pathophysiology of primary ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1015/p560.html

VItamin D Supplementation in Infants, Children, and Adolescents - American Family ...

Mar 15, 2010 - Advertisement << Previous article Next article >> Mar 15, 2010 Issue Vitamin D Supplementation in Infants, Children, and Adolescents CATHERINE F. CASEY, MD; DAVID C. SLAWSON, MD; and LINDSEY R. NEAL, MD, University of Virginia Medical Center, Charlottesville, Virginia Am Fam...

American Family Physician : Article

https://www.aafp.org/afp/2010/0315/p745.html

Treatment of Childhood and Adolescent Depression - American Family Physician

Sep 1, 2012 - Major depressive disorder in children and adolescents is a common condition that affects physical, emotional, and social development. Risk factors include a family history of depression, parental conflict, poor peer relationships, deficits in coping skills, and negative thinking. ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0901/p442.html

Failure to Thrive: An Update - American Family Physician

Apr 1, 2011 - Failure to thrive in childhood is a state of undernutrition due to inadequate caloric intake, inadequate caloric absorption, or excessive caloric expenditure. In the United States, it is seen in 5 to 10 percent of children in primary care settings. Although failure to thrive is often ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0401/p829.html

Speech and Language Delay in Children - American Family Physician

May 15, 2011 - Speech and language delay in children is associated with increased difficulty with reading, writing, attention, and socialization. Although physicians should be alert to parental concerns and to whether children are meeting expected developmental milestones, there currently is ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0515/p1183.html

Common Questions About Developmental Dysplasia of the Hip - American Family Physician

Dec 15, 2014 - Developmental dysplasia of the hip is a common musculoskeletal condition in newborns. Infants with developmental dysplasia of the hip, whether treated or untreated, have a higher incidence of early-onset hip osteoarthritis in adulthood. Evidence to support universal screening by ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1215/p843.html

High Blood Pressure in Children and Adolescents - American Family Physician

Apr 1, 2012 - High blood pressure in children and adolescents is a growing health problem that is often overlooked by physicians. Normal blood pressure values for children and adolescents are based on age, sex, and height, and are available in standardized tables. Prehypertension is defined as a ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0401/p693.html

Sudden Infant Death Syndrome - American Family Physician

Jun 1, 2015 - Sudden infant death syndrome (SIDS) is the sudden unexpected death of a child younger than one year during sleep that cannot be explained after a postmortem evaluation including autopsy, a thorough history, and scene evaluation. The incidence of SIDS has decreased more than 50% in the ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0601/p778.html

Diagnosis and Treatment of Otitis Media - American Family Physician

Dec 1, 2007 - Diagnostic criteria for acute otitis media include rapid onset of symptoms, middle ear effusion, and signs and symptoms of middle ear inflammation. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis are the most common bacterial isolates from the middle ear ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1201/p1650.html

Role of the Family Physician in the Care of Children with Down Syndrome - American ...

Dec 15, 2014 - Down syndrome is the most common chromosomal abnormality, occurring in one in 691 live births in the United States each year. Prenatally, the sequential contingent test for aneuploidy screening is highly sensitive for Down syndrome and has a low false-positive rate. The diagnosis should...

American Family Physician : Article

https://www.aafp.org/afp/2014/1215/p851.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

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

Croup: An Overview - American Family Physician

May 1, 2011 - Croup is a common illness responsible for up to 15 percent of emergency department visits due to respiratory disease in children in the United States. Croup symptoms usually start like an upper respiratory tract infection, with low-grade fever and coryza followed by a barking cough and ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0501/p1067.html

Risks and Benefits of Pacifiers - American Family Physician

Apr 15, 2009 - Physicians are often asked for guidance about pacifier use in children, especially regarding the benefits and risks, and when to appropriately wean a child. The benefits of pacifier use include analgesic effects, shorter hospital stays for preterm infants, and a reduction in the risk of...

American Family Physician : Article

https://www.aafp.org/afp/2009/0415/p681.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

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

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

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