Children with ADHD, Mechanical Globe Injury, Vulvar Lichen Sclerosus

Thứ bảy, 31/07/2021, 04:49 GMT+7


Key Clinical Questions and Evidence-Based Answers from American Family Physician
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Welcome to the new AFP Clinical Answers monthly email. We hope you enjoy this resource, which we’ve designed to provide quick, focused, evidence-based answers to key clinical questions, drawn from AFP articles. We welcome your feedback at afpedit@aafp.org. – AFP Editors

 

What are the treatment goals for children with ADHD?

Psychosocial interventions should be the first-line treatment in preschool children four to five years of age. Children who are six years and older can be offered stimulant medications for first-line treatment, with psychosocial interventions offered as an adjunct. Read the full article.

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What initial treatment is recommended for patients with a mechanical globe injury?

Patients with a suspected mechanical globe injury should have a metal shield placed over the eye, be given antiemetics, and be referred immediately to an ophthalmologist for surgical repair. Prophylactic systemic antibiotics should be administered to prevent endophthalmitis. Read the full article.

How should patients with vulvar lichen sclerosus be treated?

Biopsy is indicated for patients with suspected lichen sclerosus because this condition is associated with an increased risk of squamous cell carcinoma. Patients should be treated with a high-potency steroid ointment to alleviate symptoms, prevent architectural damage, and reverse histologic changes. Read the full article.

 

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