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Contents
Joel J. Heidelbaugh (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 24, 2021 Category: Primary Care Source Type: research

Primary Care: Clinics in Office Practice
Office-Based Procedures: Part I (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 24, 2021 Category: Primary Care Source Type: research

Pediatric Allergy
Allergy is a broad topic encompassing common clinical allergic diseases, asthma, and complex immunodeficiencies. In this article, the authors discuss the most common allergic diseases and anaphylaxis and briefly review the current knowledge and management of food allergies, allergic rhinitis, otitis media, sinusitis, chronic cough, atopic dermatitis, urticarial and angioedema, contact dermatitis, allergic ophthalmopathy, drug allergy, latex allergy, and insect sting. Because the prevalence of allergic disorders continues to increase, it is increasingly important for physicians to stay up to date on most recent evidence-bas...
Source: Primary Care: Clinics in Office Practice - July 9, 2021 Category: Primary Care Authors: Arezoo Rajaee, Meghane E. Masquelin, Katherine M. Pohlgeers Source Type: research

Common Pediatric Gastrointestinal Disorders
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 classifi...
Source: Primary Care: Clinics in Office Practice - July 9, 2021 Category: Primary Care Authors: Jordan Hilgefort, Jonathan Newsom Source Type: research

Adverse Childhood Experiences
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. Extensive knowledge exists about the severe impact of adverse childhood experiences in adults. 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 d...
Source: Primary Care: Clinics in Office Practice - July 9, 2021 Category: Primary Care Authors: Carol Hustedde Source Type: research

Common Dental Issues in Pediatrics
This article reviews common issues in pediatric dental health, including normal development, developmental issues, infections, trauma, and preventative care. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 9, 2021 Category: Primary Care Authors: Jeffrey M. Meyer, Nicole Bichir, Sheridan Langford Source Type: research

Pediatric Hypertension
Pediatric hypertension is becoming of increasing concern as the incidence rate increases alongside pediatric obesity. Practitioners need to be aware of the screening recommendations for early recognition and management of this disorder. Lifestyle modifications should be addressed early and specialty referral considered if the child is not improving. Further work-up to rule out secondary causes of pediatric hypertension should also be considered in any child with stage 2 hypertension and in those with persistently elevated blood pressures. Early recognition and management are key to not only preventing present complications...
Source: Primary Care: Clinics in Office Practice - July 8, 2021 Category: Primary Care Authors: Christopher Fox Source Type: research

Childhood Obesity
Childhood obesity is a pathologic process with multifactorial causes. The reasons range widely. Obesity leads to chronic health conditions, increasing morbidity. The management of obesity must include the patient, family, school, community, and even government for policy changes. Lifestyle changes are the mainstay of treatment, including a healthy diet and increased physical activity. Medications and bariatric surgery may have a role in certain severe cases. Community and policy changes concerning food and physical activities may facilitate practical strategies against the increasing obesity epidemic. It will help families...
Source: Primary Care: Clinics in Office Practice - July 8, 2021 Category: Primary Care Authors: Neena Thomas-Eapen Source Type: research

Autism Spectrum Disorders
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. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 8, 2021 Category: Primary Care Authors: Ashley Iles Source Type: research

Gait Disorders
As a child matures so does the child ’s gait pattern. Gait changes in pediatric patients will be expected and sequential as developmental milestones. Gait changes may also represent normal variations along an appropriate spectrum. There are times when changes in gait are due to urgent orthopedic or medical conditions, and those shoul d not be overlooked. A good understanding of pediatric gait development and a basic understanding of gait assessment are critical for the primary care physician who cares for children. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 8, 2021 Category: Primary Care Authors: Margaret E. Gibson, Natalie Stork Source Type: research

Congenital Heart Disease
This article reviews the role of the primary care physician in detecting fetuses, infants, and children with possible CHD. Furthermore, this article discusses common primary care issues arising for patients with CHD, including growth and development, mental illness, dental care, and the transition to adult primary care. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 8, 2021 Category: Primary Care Authors: Michael Scott, Ashley E. Neal Source Type: research

Pediatric Asthma for the Primary Care Physician
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. Proper and timely diagnosis remains of utmost importance. 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. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - July 5, 2021 Category: Primary Care Authors: Kevin W. Gray Source Type: research

LGBTQ-Affirmative Behavioral Health Services in Primary Care
Behavioral health concerns related to sexual and gender minority stress impair functioning and limit quality of life. With greater interest in implementing LGBTQ-affirmative health care practices, primary care providers likely will see larger numbers of LGBTQ individuals presenting with behavioral health concerns. Behavioral health and medical providers may not feel prepared to address the biological, psychological, social, and cultural minority stress factors that have an impact on LGBTQ patients. LGBTQ-affirmative behavioral health providers in primary care can offer a unique service by conducting tailored evaluations an...
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Authors: Dagoberto Heredia, Tyson L. Pankey, Cesar A. Gonzalez Source Type: research

Lesbian, Gay, Bisexual, Transgender, and Queer Health: Translating Best Practices into Clinical Care
Within the past decade, there has been a significant increase in the education, literature, and research focusing on the lesbian, gay, bisexual, transgender, and queer (LGBTQ+) patient population. Healthy People1,2 served as the leading federal program to identify the benchmarks in medicine to improve access for the LGBTQ+ community, inform the community regarding their own health risks, and focus on prevention and measurement of patient outcomes. However, even with significant strides, the LGBTQ+ community continues to encounter stigma and discrimination in health care. (Source: Primary Care: Clinics in Office Practice)
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Authors: Jessica Lapinski, Kristine M. Diaz Tags: Preface Source Type: research

Understanding and Equality. Period.
I graduated medical school in 1996, at a time when deaths due to human immunodeficiency virus (HIV) disease were peaking in the United States. In addition to the “standard curriculum,” we were trying to learn all that we could about HIV and the resultant AIDS, similar to how we are struggling to quickly learn everything we can about the severe acute respiratory syndrome coronavirus 2 virus today. At that point in my medical education, I had learned a lot of medicine, but I had received no formal training on lesbian, gay, bisexual, and transgender, and queer (LGBTQ+) health, social determinants of health, how to address...
Source: Primary Care: Clinics in Office Practice - May 11, 2021 Category: Primary Care Authors: Joel J. Heidelbaugh Tags: Foreword Source Type: research