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Ear Pain: Diagnosing Common and Uncommon Causes - American Family Physician

Jan 1, 2018 - Otalgia (ear pain) is a common presentation in the primary care setting with many diverse causes. Pain that originates from the ear is called primary otalgia, and the most common causes are otitis media and otitis externa. Examination of the ear usually reveals abnormal findings in ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0101/p20.html

Peritonsillar Abscess - American Family Physician

Apr 15, 2017 - Peritonsillar abscess is the most common deep infection of the head and neck, occurring primarily in young adults. Diagnosis is usually made on the basis of clinical presentation and examination. Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a hot ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0415/p501.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

Salivary Gland Disorders - American Family Physician

Jun 1, 2014 - Salivary gland disorders include inflammatory, bacterial, viral, and neoplastic etiologies. The presentation can be acute, recurrent, or chronic. Acute suppurative sialadenitis presents as rapid-onset pain and swelling and is treated with antibiotics, salivary massage, hydration, and ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0601/p882.html

Chronic Cough: Evaluation and Management - American Family Physician

Nov 1, 2017 - Although chronic cough in adults (cough lasting longer than eight weeks) can be caused by many etiologies, four conditions account for most cases: upper airway cough syndrome, gastroesophageal reflux disease/laryngopharyngeal reflux disease, asthma, and nonasthmatic eosinophilic ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1101/p575.html

Common Questions About Streptococcal Pharyngitis - American Family Physician

Jul 1, 2016 - Group A beta-hemolytic streptococcal (GABHS) infection causes 15% to 30% of sore throats in children and 5% to 15% in adults, and is more common in the late winter and early spring. The strongest independent predictors of GABHS pharyngitis are patient age of five to 15 years, absence of...

American Family Physician : Article

https://www.aafp.org/afp/2016/0701/p24.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

Chronic Nonallergic Rhinitis - American Family Physician

Aug 1, 2018 - Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States, its pathophysiology is unclear...

American Family Physician : Article

https://www.aafp.org/afp/2018/0801/p171.html

Hoarseness in Adults - American Family Physician

Dec 1, 2017 - Hoarseness is a common presentation in primary care practices. Combined with other voice-related changes, it falls under the umbrella diagnosis of dysphonia. Hoarseness has a number of causes, ranging from simple inflammatory processes to less common psychiatric disorders to more ...

American Family Physician : Article

https://www.aafp.org/afp/2017/1201/p720.html

Common Questions About Infectious Mononucleosis - American Family Physician

Mar 15, 2015 - Epstein-Barr is a ubiquitous virus that infects 95% of the world population at some point in life. Although Epstein-Barr virus (EBV) infections are often asymptomatic, some patients present with the clinical syndrome of infectious mononucleosis (IM). The syndrome most commonly occurs ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0315/p372.html

Thyroiditis: An Integrated Approach - American Family Physician

Sep 15, 2014 - Thyroiditis is a general term that encompasses several clinical disorders characterized by inflammation of the thyroid gland. The most common is Hashimoto thyroiditis; patients typically present with a nontender goiter, hypothyroidism, and an elevated thyroid peroxidase antibody level. ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0915/p389.html

Diagnostic Approach to Patients with Tinnitus - American Family Physician

Jan 15, 2014 - Tinnitus, a common symptom encountered in family medicine, is defined as the perception of noise in the absence of an acoustic stimulus outside of the body. Because tinnitus is a symptom and not a disease, its underlying cause must be determined to best help patients. Although tinnitus ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0115/p106.html

Hemoptysis: Evaluation and Management - American Family Physician

Feb 15, 2015 - Hemoptysis is the expectoration of blood from the lung parenchyma or airways. The initial step in the evaluation is determining the origin of bleeding. Pseudohemoptysis is identified through the history and physical examination. In adults, acute respiratory tract infections (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0215/p243.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

Diagnosis of Ear Pain - American Family Physician

Mar 1, 2008 - Many patients in primary care present with ear pain (otalgia). When the ear is the source of the pain (primary otalgia), the ear examination is usually abnormal. When the ear is not the source of the pain (secondary otalgia), the ear examination is typically normal. The cause of primary...

American Family Physician : Article

https://www.aafp.org/afp/2008/0301/p621.html

Smell and Taste Disorders in Primary Care - American Family Physician

Dec 15, 2013 - Smell and taste disorders can be challenging to diagnose because of the large number of potential etiologies. Patients are often unable to provide a clear history of symptoms, because they frequently cannot distinguish between difficulties with smell and taste. Standardized ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1215/p852.html

Hoarseness in Adults - American Family Physician

Aug 15, 2009 - Numerous conditions can cause hoarseness, ranging from simple inflammatory processes to more serious systemic, neurologic, or cancerous conditions involving the larynx. Evaluation of a patient with hoarseness includes a careful history, physical examination, and in many cases, ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0815/p363.html

Pharyngitis - American Family Physician

Mar 15, 2004 - Sore throat is one of the most common reasons for visits to family physicians. While most patients with sore throat have an infectious cause (pharyngitis), fewer than 20 percent have a clear indication for antibiotic therapy (i.e., group A beta-hemolytic streptococcal infection). ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0315/p1465.html

The Adult Neck Mass - American Family Physician

Sep 1, 2002 - Family physicians frequently encounter neck masses in adult patients. A careful medical history should be obtained, and a thorough physical examination should be performed. The patient's age and the location, size, and duration of the mass are important pieces of information. ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0901/p831.html

Vasomotor Rhinitis - American Family Physician

Sep 15, 2005 - Vasomotor rhinitis affects millions of Americans and results in significant symptomatology. Characterized by a combination of symptoms that includes nasal obstruction and rhinorrhea, vasomotor rhinitis is a diagnosis of exclusion reached after taking a careful history, performing a ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0915/p1057.html

Diagnostic Approach to Tinnitus - American Family Physician

Jan 1, 2004 - Tinnitus is a common disorder with many possible causes. Most cases of tinnitus are subjective, but occasionally the tinnitus can be heard by an examiner. Otologic problems, especially hearing loss, are the most common causes of subjective tinnitus. Common causes of conductive hearing ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p120.html

AAO-HNSF Releases Guideline on Tympanostomy Tubes in Children - Practice Guidelines - ...

May 1, 2014 - The American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO–HNSF) has released a guideline on the indications for tube placement in children, as well as perioperative counseling.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0501/p754.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

Acute Bacterial Rhinosinusitis in Adults: Part II. Treatment - American Family Physician

Nov 1, 2004 - Although most cases of acute rhinosinusitis are caused by viruses, acute bacterial rhinosinusitis is a fairly common complication. Even though most patients with acute rhinosinusitis recover promptly without it, antibiotic therapy should be considered in patients with prolonged or more ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1101/p1697.html

IDSA Releases Guidelines for Management of Acute Bacterial Rhinosinusitis - Practice ...

Mar 15, 2013 - The Infectious Diseases Society of America (IDSA) has released a guideline for the management of acute bacterial rhinosinusitis in children and adults in the community or emergency department settings. Each recommendation includes a quality of evidence grade (i.e., strong or weak) and a...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2013/0315/p445.html

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