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Children with ADHD, Mechanical Globe Injury, Vulvar Lichen Sclerosus



Key Clinical Questions and Evidence-Based Answers from American Family Physician
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AAFP
 
American Family Physician | Clinical Answers
 

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.

 

❯ ❯ AFP Clinical Answers distills evidence-based answers to clinical questions from AFP content for use at the point of care. Visit our searchable online collection for more.

 

Tip for Using AFP at the Point of Care

Looking for an algorithm? Go to the algorithm collection at https://www.aafp.org/afp/algorithms. You can search by keyword or sort by discipline or topic.

 

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Online access to content in new issues of American Family Physician is restricted to AAFP members and paid subscribers. Free full text is available for selected items. All content of each issue is made freely available about two years after publication. The bulk of the online archives is open to all. For access to all AFP content, you may want to subscribe to the journal or join the AAFP.

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