Primary care
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This article describes the current understanding of the identification, classification, and diagnosis of autism spectrum disorder (ASD) as it relates to the practice of primary care providers. In addition, the most updated information regarding risk factors, as well as effective treatment strategies are provided. Although primary care providers are not typically the experts in ASD treatment, they constitute a critical component of the care team responsible for early identification and intervention initiation for patients with ASD.
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There is arguably no group of conditions more common and expansive in children than gastrointestinal disorders. Moreover, successful recognition, diagnosis, and management of these ailments is particularly challenging provided the breadth of potential dysfunction, as well as a general paucity of specific physical examination findings to pinpoint diagnoses. Elucidation of these conditions is made further challenging by frequent difficulty of pediatric patients to provide a detailed articulation of their symptoms. Nonetheless, a thorough history can aid in distinguishing these various diagnoses, which can be further classified into 3 categories: infectious, inflammatory, and immunologic pathology; motility disorders; and functional gastrointestinal disorders.
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Adverse childhood experiences are found in adults regardless of race, socioeconomic level, or education. They can be identified in a clinical environment by answering a retrospective questionnaire. Adverse childhood experiences are clearly linked to high-risk health behaviors and multiple chronic diseases. ⋯ Identification efforts have begun for children showing the prevalence and categories of abuse. National surveillance surveys capture prevalence data for children at the state level. The for Disease Control and Prevention has distributed prevention strategies to decrease the likelihood of adverse childhood experiences in children.
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In the pediatric population, asthma is the most common chronic disease. Asthma is a chronic inflammatory disease consisting of variable respiratory symptoms and airflow limitation. ⋯ Early diagnosis allows for earlier treatment and subsequent reduction of morbidity and mortality. Newer research and medications have changed the treatment paradigm, including the addition of biologic agents for more severe cases and use of inhaled corticosteroid-formoterol inhaler as a rescue treatment.
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The treatment of attention-deficit/hyperactivity disorder can be a very rewarding and challenging task. The management of this condition has impact on a child's performance in school in both academics and extracurriculars, and therefore, can be a determinant of what they are able to achieve and become. Treatment can also impact the child's self-image and ability to successfully interact with their peers. Adequate control of the disorder can break down barriers to successful development of a child's potential and ability to play a role in the work force someday.