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Now showing items 1-20 of 47
Combatting lice in a single treatment
(Family Physicians Inquiries Network, 2012)
Consider prescribing spinosad -- a recently approved topical pediculicide that is more effective than permethrin and eliminates the need for nit combing -- for children with head lice.
Should patients with acute DVT limit activity?
(Family Physicians Inquiries Network, 2010)
Ambulation, combined with compression of the affected extremity, appears to be safe for medically stable patients with deep venous thromboses (DVT) (strength of recommendation [SOR]: A, consistent randomized controlled ...
Helmets for positional skull deformities: A good idea, or not?
(Family Physicians Inquiries Network, 2015)
Helmets for positional skull deformities: A good idea, or not? Probably not. Helmets appear to be no more effective than waiting for natural skull growth to correct the shape of an infant's head. Practice Changer: Do not recommend helmet therapy...
Help patients prevent repeat ankle injury
(Family Physicians Inquiries Network, 2010)
Advise patients being treated for ankle sprain that reinjury -- which is especially common during the first year -- can result in chronic pain or disability, and that a home-based proprioceptive training program has been ...
What's the best way to motivate patients to exercise?
(Family Physicians Inquiries Network, 2010)
-component strategies that include school-based interventions combined with either family or community involvement increase physical activity (SOR: A, systematic review)....
Whom should you test for secondary causes of hypertension?
(Family Physicians Inquiries Network, 2014)
Evidence-based answer: It's recommended that all children and adolescents with a new diagnosis of hypertension undergo renal ultrasound and laboratory evaluation for renal pathology (strength of recommendation [SOR]: C, ...
Should you test or treat partners of patients with gonorrhea, chlamydia, or trichomoniasis?
(Family Physicians Inquiries Network, 2010)
Empiric treatment of partners of female or heterosexual male patients diagnosed with gonorrhea or chlamydia using expedited partner therapy (having the index patient deliver therapy to the partner) decreases the risk of ...
Childhood alopecia areata: What treatment works best?
(Family Physicians Inquiries Network, 2011)
There are no validated effective treatments for alopecia areata (AA). Topical immunotherapy (squaric acid dibutylester [SADBE] and diphenylcyclopropenone [DPCP]) induces the most significant short-term hair regrowth in ...
Do NSAIDs impede fracture healing?
(Family Physicians Inquiries Network, 2011)
Nonsteroidal anti-inflammatory drugs (NSAIDs) don't appear to impair clinical fracture healing (strength of recommendation [SOR]: B, inconsistent evidence from a randomized controlled trial [RCT] and retrospective studies). ...
Is cinnamon safe and effective for treating lipid disorders?
(Family Physicians Inquiries Network, 2011)
Insufficient evidence exists to determine whether cinnamon improves outcomes in patients with lipid disorders. In healthy patients without hyperlipidemia, cinnamon doesn't change lipid levels but does cause mild gastrointestinal ...
Does azithromycin have a role in cesarean sections?
(Family Physicians Inquiries Network, 2017)
Does azithromycin have a role in cesarean sections? Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it. PRACTICE CHANGER: Prescribe a one-time dose...
It's time to use an age-based approach to D-dimer
(Family Physicians Inquiries Network, 2014)
Use an age-adjusted D-dimer cutoff (patient's age in years [multiplied by] 10 mcg/L) for patients over age 50 years when evaluating for venous thromboembolism (VTE); it reduces false positives without substantially increasing ...
Which history and physical findings are most useful in identifying rotator cuff tears?
(Family Physicians Inquiries Network, 2010)
It's unknown which -- if any -- historical factors are most useful, because no studies evaluating their accuracy with rotator cuff tears have been done. As for physical findings, no single physical examination finding is ...
Counseling is a must with this smoking cessation aid
(Family Physicians Inquiries Network, 2012)
Inform patients who are interested in taking varenicline (Chantix) that there is a small cardiovascular (CV) risk associated with it, as well as neuropsychiatric risks -- and consider recommending that smokers with a history ...
How best to help kids lose weight
(Family Physicians Inquiries Network, 2010)
Screen children and adolescents for obesity and offer them multifaceted weight loss interventions, based on new evidence (and a recent US Preventive Services Task Force [USPSTF] recommendation) of their effectiveness. ...
Time to routinely screen for intimate partner violence?
(Family Physicians Inquiries Network, 2013)
Use a validated tool to screen women of childbearing age for intimate partner violence (IPV) and follow up with any woman with a positive screen. Stength of recommendation: B: Based on a systematic review of 10 randomized ...
Treating migrane : the case for aspirin
(Family Physicians Inquiries Network, 2014)
Recommend aspirin 975 mg (3 adult tablets) as a viable first-line treatment for acute migraine. Consider prescribing metoclopramide 10 mg to be taken with aspirin to markedly decrease associated nausea and help achieve ...
How best to diagnose asthma in infants and toddlers?
(Family Physicians Inquiries Network, 2011)
No reliable way exists to diagnose asthma in infants and toddlers. Recurrent wheezing, especially apart from colds, combined with physician diagnosed eczema or atopic dermatitis, eosinophilia, and a parental history of ...
Which drugs are most effective for recurrent herpes labialis?
(Family Physicians Inquiries Network, 2014)
Evidence based answer: Daily oral acyclovir or valacyclovir may help prevent herpes simplex labialis (HSL) recurrences (strength of recommendation [SOR]: B, meta-analysis of randomized controlled trials [RCTs] with ...
Does red wine reduce cardiovascular risks?
(Family Physicians Inquiries Network, 2010)
Moderate daily red wine consumption decreases cardiovascular risk compared with either abstinence or heavy and binge drinking (strength of recommendation [SOR]: B, meta-analysis of prospective cohort and case-control ...