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What are appropriate screening tests for adolescents?
(Family Physicians Inquiries Network, 2006)
Screen all women of childbearing age, including adolescents, for rubella susceptibility (strength of recommendation [SOR]: B). Screen all sexually active adolescent females for chlamydia (SOR: A), gonorrhea (SOR: B), and ...
What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?
(Family Physicians Inquiries Network, 2006)
No evidence clearly supports the practice of increased fetal surveillance in the pregnancies of women with well-controlled (ie, fasting blood sugar <105 mg/dL) class A1 gestational diabetes (strength of recommendation [SOR]: B, consistent...
What is the best way to treat tinea cruris?
(Family Physicians Inquiries Network, 2006)
After clinical diagnosis and microscopic confirmation, tinea cruris is best treated with a topical allylamine or an azole antifungal (strength of recommendation: A, based on multiple randomized controlled trials [RCTs]). ...
How should patients with Barrett's esophagus be monitored?
(Family Physicians Inquiries Network, 2006)
Some patients who have been diagnosed with Barrett's esophagus will develop dysplasia and, in some cases, esophageal carcinoma (strength of recommendation [SOR]: A, based on consistent cohort studies). Endoscopic surveillance ...
When should COX-2 selective NSAIDs be used for osteoarthritis and rheumatoid arthritis?
(Family Physicians Inquiries Network, 2006)
Cyclo-oxygenase-2 (COX-2) selective nonsteroidal anti-inflammatory drugs (NSAIDs) are as effective as acetaminophen and nonselective NSAIDs in treating of osteoarthritis, and are equally effective in reducing pain and ...
Does psychiatric treatment help patients with intractable chronic pain?
(Family Physicians Inquiries Network, 2006)
Tricyclic antidepressants and intensive multidisciplinary programs are moderately effective for reducing chronic back pain; tricyclics are also effective for diabetic neuropathy and irritable bowel syndrome (strength of ...
What is the best way to manage GERD symptoms in the elderly?
(Family Physicians Inquiries Network, 2006)
No evidence supports one method over another in managing uncomplicated gastroesophageal reflux disease (GERD) for patients aged >65 years. For those with endoscopically documented esophagitis, proton pump inhibitors (PPIs) ...
What is the best test to detect herpes in skin lesions?
(Family Physicians Inquiries Network, 2006)
Polymerase chain reaction (PCR) techniques appear to be more sensitive and specific in detecting herpes simplex virus (HSV) in genital lesions (strength of recommendation [SOR]: A, based on 2 diagnostic cohort studies); ...
When are empiric antibiotics appropriate for urinary tract infection symptoms?
(Family Physicians Inquiries Network, 2006)
Healthy, nonpregnant women presenting with the triad of frequency, dysuria, and no vaginal symptoms have about a 96% chance of having an urinary tract infection (UTI) (positive likelihood ratio [LR+]=24.6). Since no ...
What are effective medication combinations for dyslipidemia?
(Family Physicians Inquiries Network, 2006)
Many combination drug therapies are effective in treating dyslipidemia. Compared with statin monotherapy, combinations that include ezetimibe (Zetia), a bile acid sequestrant, or niacin further lower low- density lipoprotein ...
What is the role of herpes virus serology in sexually transmitted disease screening?
(Family Physicians Inquiries Network, 2006)
Screening for herpes simplex virus type 2 (HSV-2) infection with antibody testing is not indicated for asymptomatic adults (strength of recommendation [SOR]: B, prevalence studies and predictive value of testing). Screening ...
Which tests are the most useful for diagnosing PID?
(Family Physicians Inquiries Network, 2007)
No single test has adequate sensitivity and specificity to reliably identify pelvic inflammatory disease (PID) and thus help to spare women serious sequelae, including infertility (strength of recommendation [SOR]: B, based ...
Can counseling prevent or treat postpartum depression?
(Family Physicians Inquiries Network, 2009)
In most cases, counseling does not prevent postpartum depression (PPD), though it can treat the disorder. Overall, psychosocial interventions don't offer a significantly greater benefit than standard care in preventing ...
This obscure herb works for the common cold
(Family Physicians Inquiries Network, 2008)
Offer patients Pelargonium sidoides (30 drops 3 times a day) to reduce the severity and duration of common cold symptoms and to get patients back to work sooner. Stength of recommendation: B: A single well-designed randomized ...
Does routine amniotomy have a role in normal labor?
(Family Physicians Inquiries Network, 2009)
Routine amniotomy doesn't significantly reduce the duration of first-stage labor in either primiparous or multiparous women (strength of recommendation [SOR]: A, systematic review of several randomized, controlled trials ...
What treatment works best for tennis elbow?
(Family Physicians Inquiries Network, 2009)
Topical or oral nonsteroidal anti- inflammatory medications (NSAIDs), corticosteroid injection, and acupuncture are more helpful than placebo in treating lateral epicondylitis, or tennis elbow (strength of recommendation ...
Treat depressed teens with medication and psychotherapy
(Family Physicians Inquiries Network, 2008)
Refer adolescents with moderate to severe depression for cognitive behavioral therapy (CBT) to improve their outcomes. Stength of recommendation: B: Two well-done randomized controlled trials (RCTs).
What is the best way to manage phantom limb pain?
(Family Physicians Inquiries Network, 2009)
No single best therapy for phantom limb pain (PLP) exists. Treatment requires a co- ordinated application of conservative, pharmacologic, and adjuvant therapies. Evaluative management (including prosthesis adjustment, ...
What steps can reduce morbidity and mortality caused by hip fractures?
(Family Physicians Inquiries Network, 2007)
Surgery within 24 hours of hip fracture is a critical step in reducing complications, and may decrease mortality compared with conservative care (strength of recommendation [SOR]: B, cohort studies). Give patients heparin ...
What's the most effective treatment for giardiasis?
(Family Physicians Inquiries Network, 2008)
A single 2-g dose of tinidazole is the best treatment (strength of recommendation [SOR]: A, based on meta-analysis). Other drugs, such as nitazoxanide, metronidazole, mebendazole, and albendazole, can also be used (SOR: ...