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Should induction of labor be considered in a woman with a macrosomic baby?
(Family Physicians Inquiries Network, 2001)
Currently, there is no evidence to support labor induction in women with suspected fetal macrosomia (grade of recommendation: B, based on 2 randomized controlled trials with small sample sizes). Cesarean delivery may be ...
What is the best approach to the evaluation and treatment of chronic cough?
(Family Physicians Inquiries Network, 2001)
Potentially cough-inducing agents, such as tobacco products and angiotensin-converting enzyme (ACE) inhibitors, should be eliminated first. Evaluation and treatment for postnasal drip syndrome (PNDS), asthma, and ...
Which treatments work best for hemorrhoids?
(Family Physicians Inquiries Network, 2009)
Excision is the most effective treatment for thrombosed external hemorrhoids (strength of recommendation [SOR]: B, retrospective studies). For prolapsed internal hemorrhoids, the best definitive treatment is traditional ...
First- or second-generation antihistamines: which are more effective at controlling pruritus?
(Family Physicians Inquiries Network, 2004)
For urticarial itch, first- and second-generation antihistamines have similar clinical benefit and are superior to placebo (strength of recommendation [SOR]: A, systematic review of randomized trials [RCT]). For itch related ...
Easing the discomfort of a speculum exam
(Family Physicians Inquiries Network, 2012)
Put lubricating gel, not water, on the speculum every time you do a pelvic exam. Stength of recommendation: B: Based on one good-quality, randomized controlled trial (RCT).
Ovary-sparing hysterectomy: Is it right for your patient?
(Family Physicians Inquiries Network, 2009)
Advise patients undergoing hysterectomy for benign conditions that there are benefits to conserving their ovaries. The risk of coronary heart disease (CHD) and death is lower in women whose ovaries are conserved, compared ...
When is it OK for children to start drinking fruit juice?
(Family Physicians Inquiries Network, 2009)
Children should be at least 6 months of age (strength of recommendation [SOR]: C, expert opinion) and parents should provide only 100% fruit juice in a cup (not a bottle). Intake should be limited to 4 to 6 oz a day until ...
Which drugs should post-MI patients routinely receive?
(Family Physicians Inquiries Network, 2010)
patients should be placed on the following medications: antiplatelet agents (strength of recommendation [SOR]: A, meta-analysis for aspirin; A, multiple randomized controlled trials [RCTs] for aspirin plus clopidogrel) a ...
What predicts a successful smoking cessation attempt?
(Family Physicians Inquiries Network, 2006)
Quit date abstinence (strength of recommendation [SOR]: B, based on low-quality randomized controlled trial [RCT] of healthy subjects) and refraining from tobacco products within the first 2 weeks after an attempt (SOR: ...
Are breast self-exams or clinical exams effective for screening breast cancer?
(Family Physicians Inquiries Network, 2005)
Breast self-examination has little or no impact on breast cancer mortality and cannot be recommended for cancer screening (strength of recommendation [SOR]: A, based on a systematic review of high-quality randomized, ...
Does early detection of suspected atherosclerotic renovascular hypertension change outcomes
(Family Physicians Inquiries Network, 2005)
We found no evidence for changed outcomes from early detection of renal artery stenosis (RAS). Treatment of RAS in refractory hypertension modestly improves blood pressure control. There was a trend toward improved clinical ...
Do antiarrhythmics prevent sudden death in patients with heart failure?
(Family Physicians Inquiries Network, 2003)
Beta-blockers (class II antiarrhythmics) reduce sudden death and total mortality in patients with heart failure (strength of recommendation [SOR]: A, based on systematic reviews of randomized controlled trials). Amiodarone ...
What are effective treatments for panic disorder?
(Family Physicians Inquiries Network, 2002)
Selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), benzodiazepines (BDZs), and cognitive behavioral therapy (CBT) are effective for panic disorder (PD) with or without agoraphobia (NNT5 for ...
What is the most effective diagnostic evaluation of streptococcal pharyngitis?
(Family Physicians Inquiries Network, 2004)
Standardized clinical decision rules, such as the Centor criteria, can identify patients with low likelihood of group A beta-hemolytic streptococ-cal (GABHS) pharyngitis who require no further evaluation or antibiotics ...
What is the diagnostic approach to a patient with leg cramps?
(Family Physicians Inquiries Network, 2005)
Leg cramps are very common (strength of recommendation [SOR]: C, case series), and most cases have no detectable cause (SOR: C, expert opinion). Arterial vascular disease and neurological diseases are more prevalent among ...
Can infants/toddlers get enough fluoride through brushing?
(Family Physicians Inquiries Network, 2007)
Yes. Brushing twice daily with topical fluoride toothpaste decreases the incidence of dental caries in infants and toddlers (strength of recommendation [SOR]: A, based on meta-analyses of randomized controlled trials ...
Which anticoagulant is safest for frail elderly patients with nonvalvular A-fib?
(Family Physicians Inquiries Network, 2022-11)
Consider apixaban, which demonstrated a lower adverse event (AE) rate than warfarin regardless of frailty status, for anticoagulation treatment of older patients with nonvalvular atrial fibrillation (AF); by comparison, ...
For knee pain, how predictive is physical examination for meniscal injury?
(Family Physicians Inquiries Network, 2004)
No single clinical examination element, or combination of such elements, reliably detects meniscal injury. The McMurray test is best for ruling in meniscal pathology. Assuming a 9% prevalence of meniscal tears among all ...
Improving tall fescue shade tolerance : identifying candidate genotypes
(2009)
to select genotypes for dry mass yield during April to September. Experiment (Exp) 1 included 30 genotypes of each of the eight families randomly assigned to each of two microenvironments: artificially shaded with fabric and unshaded. Maximum and minimum...
Exercise induced collapse: anaphylaxis
(Family Physicians Inquiries Network, 2009)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of exercise induced collapse caused by anaphylaxis.