Browsing by Author/Contributor "Helmen, Jennifer"
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How should you manage a depressed patient unresponsive to an SSRI?
Triezenberg, Daniel; Vachon, Dominic; Helmen, Jennifer (Family Physicians Inquiries Network, 2006)The best approach among studied alternatives to manage a patient with treatment-resistant depression is not clear from the evidence. All of the options reviewed seem to have about a 25% to 30% success rate. Switching to ... -
Should you treat a symptomatic patient by phone when his child has confirmed strep throat?
Sheridan, Edward; Ludwig, Jennifer; Helmen, Jennifer (Family Physicians Inquiries Network, 2007)Although no studies specifically evaluate this question, treatment for Group A beta- hemolytic streptococcal (GABHS) pharyngitis without laboratory confirmation in the general population is not advisable (strength of ... -
What is the diagnostic approach to a 1-year-old with chronic cough?
Pearson, Michelle; Triezenberg, Daniel; Helmen, Jennifer (Family Physicians Inquiries Network, 2004)Very few studies examine the evaluation of chronic cough among young children. Based on expert opinion, investigation of chronic cough should begin with a detailed history, physical examination, and chest radiograph (strength ... -
When should patients with mitral valve prolapse get endocarditis prophylaxis?
Triezenberg, Daniel; Helmen, Jennifer; Pearson, Michelle (Family Physicians Inquiries Network, 2004)Patients with suspected mitral valve prolapse (MVP)should undergo echocardiography before any procedure that may place them at risk for bacteremia. Patients with MVP and documented absence of mitral regurgitation or valvular ...