BARRY L. HAINER, ERIC MATHESON, R. TRAVIS WILKES
Gout is typically diagnosed using clinical criteria from the American College of Rheumatology. Diagnosis may be confirmed by identification of monosodium urate crystals in synovial fluid of the affected joint. Acute gout may be treated with nonsteroidal anti-inflammatory...
JONATHAN C. JACKSON, MELISSA M. RUNGE, NATHANIEL S. NYE
Infants with developmental dysplasia of the hip, whether treated or untreated, have a higher incidence of early-onset hip osteoarthritis in adulthood. However, evidence to support universal screening by physical examination or ultrasonography is limited and often conflicting....
CHRISTOPHER W. BUNT, STEPHANIE K. BUNT
Family physicians play an important role in providing health supervision to children with Down syndrome. Initial management in newborns includes echocardiography to detect congenital heart defects, as well as evaluation for oxygen desaturation, gastroesophageal reflux, and...
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JERRY FRIEMOTH
Addressing adverse childhood experiences has been called the ultimate health promotion and preventive medicine intervention. Family physicians have an opportunity to prevent and intervene in children's exposure to these experiences by focusing on safe, stable, and nurturing...
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 peripheral artery disease (PAD) and cardiovascular disease (CVD) risk assessment with the ankle-brachial index ...
TINA FAN, TRACY WOLFF, KASI CHU
J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for...
STEFAN M. GROETSCH, MATTHEW NEEDLEMAN
A 27-year-old man with normal personal and family histories presented for an occupational physical examination. On cardiac examination, he had a grade II/VI systolic ejection murmur that was softer during inspiration. An electrocardiogram was obtained.
GABRIELLE JOHNSON, M. NORMAN OLIVER
Lorcaserin, combined with diet and exercise, can be used to produce additional weight loss, although the effect on morbidity and mortality is not known. It should be discontinued in patients who do not lose at least 5% of their body weight in the first 12 weeks because they...
MARA LAMBERT
The American Academy of Pediatrics (AAP) Committee on Infectious Diseases has updated its guidance on the use of palivizumab (Synagis) prophylaxis in infants and children at increased risk of respiratory syncytial virus (RSV) infection. Because the palivizumab package...
MICHAEL ARNOLD
Developmental dysplasia (dis-PLAY-zhah) of the hip (DDH) happens in newborns. It is when the ball of the hip joint is not in its socket.
It is a genetic condition that causes children to have more health problems and learning difficulties than other children. Finding out that your baby has Down syndrome can be stressful and confusing. Talk with your baby's doctor to find out more about Down syndrome and what...
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