Search
Now showing items 1-20 of 1139
Angiotensin blockade for diabetes: Monitor microalbuminuria?
(Family Physicians Inquiries Network, 2007)
No studies address whether continued screening for microalbuminuria once a patient is taking an angiotensin-converting enzyme (ACE) inhibitor or angiotensin-2 receptor blocker (ARB) improves outcomes. Indirect evidence and ...
Do inhaled steroids increase the risk of osteoporosis?
(Family Physicians Inquiries Network, 2007)
The use of inhaled corticosteroids at conventional doses for asthma and chronic obstructive pulmonary disease (COPD) does not appear to be associated with significant bone loss at 2 to 3 years of follow-up (strength of ...
What is the preferred treatment for a child with mild persistent asthma?
(Family Physicians Inquiries Network, 2007)
Low-dose inhaled corticosteroids are the preferred treatment for children with mild persistent asthma because they demonstrate superior reduction in severity and frequency of asthma exacerbations compared with alternatives ...
Do topical antibiotics improve wound healing?
(Family Physicians Inquiries Network, 2007)
The use of topical triple-antibiotic ointments significantly decreases infection rates in minor contaminated wounds compared with a petrolatum control. Plain petrolatum ointment is equivalent to triple-antibiotic ointments ...
What is the best treatment for hypertension in African Americans?
(Family Physicians Inquiries Network, 2007)
In African Americans with hypertension, therapy is best initiated with the low-sodium Dietary Approaches to Stop Hypertension (DASH) diet and a thiazide-type diuretic (strength of recommendation [SOR]: A, based on randomized ...
What evaluation is best for an isolated, enlarged cervical lymph node?
(Family Physicians Inquiries Network, 2007)
The evaluation and follow-up of an isolated, enlarged cervical lymph node is determined by the presence of inflammation, duration, size, and associated symptoms. For patients with inflammatory symptoms (ie, fever, pain, ...
Is it DVT? Wells score and D-dimer may avert costly workup
(Family Physicians Inquiries Network, 2007)
Use a combination of Wells score and D-dimer test to exclude deep vein thrombosis in low- to intermediate-risk outpatients with suggestive symptoms. Stength of recommendation (SOR) A: B ased on one good meta-analysis.
Have pedometer, will travel
(Family Physicians Inquiries Network, 2008)
Advise your patients to use a pedometer, set a step goal, and keep a step diary. This simple intervention takes only a few moments and is effective in increasing patients' physical activity and decreasing both body mass ...
Kidney stones? It's time to rethink those meds
(Family Physicians Inquiries Network, 2016)
Kidney stones? It's time to rethink those meds. Despite being recommended for ureteral stone expulsion, tamsulosin or nifedipine are no more effective than placebo. Practice changer: Do not prescribe tamsulosin or nifedipine for stone expulsion...
Give vitamin C to avert lingering pain after fracture
(Family Physicians Inquiries Network, 2008)
Vitamin C 500 mg daily for 50 days reduced the risk of complex regional pain syndrome for patients with a wrist fracture. We think vitamin C 500 mg a day for 7 weeks is well worth recommending. Stength of recommendation: ...
What's the best treatment for cradle cap?
(Family Physicians Inquiries Network, 2007)
Ketoconazole (Nizoral) shampoo appears to be a safe and efficacious treatment for infants with cradle cap (strength of recommendation [SOR]: C, consensus, usual practice, opinion, disease-oriented evidence, and case series). Limit topical...
Let them eat nuts -- this snack is safe for diverticulosis patients
(Family Physicians Inquiries Network, 2009)
Tell patients with diverticular disease that they can eat nuts, corn, and popcorn without fear. There is no truth to the long-held belief that these foods increase the risk of complications. Strength of recommendatin: B: ...
Double-dose vitamin D lowers cancer risk in women over 55
(Family Physicians Inquiries Network, 2007)
Increasing the dose of vitamin D3 from the current standard of 400-600 IU per day to 1000 IU per day lowers future risk of cancer in women older than age 55 who do not get adequate vitamin D from sun exposure or diet. ...
Would this long-acting bronchodilator be better for your patient?
(Family Physicians Inquiries Network, 2012)
Consider adding tiotropium to the medication regimen of patients with moderate to very severe chronic obstructive pulmonary disease (COPD), as a multinational study found it to be more effective than salmeterol in preventing ...
Help for recurrent bacterial vaginosis
(Family Physicians Inquiries Network, 2011)
Recommend high-dose vaginal probiotic capsules to prevent recurrent bacterial vaginosis. Stength of recommendation: B: Based on a single high-quality randomized controlled trial (RCT).
Which treatments help women with reduced libido?
(Family Physicians Inquiries Network, 2013)
Several treatments produce modest, but statistically significant, clinical increases in sexual desire and function in women. The testosterone transdermal patch improves hypoactive sexual desire disorder (HSDD) in postmenopausal ...
What's the best test for HSV-2 after exposure?
(Family Physicians Inquiries Network, 2007)
Enzyme-linked immunosorbent assay (ELISA ) tests based on herpes simplex virus 2's (HSV -2) glycoprotein G have demonstrated high sensitivity and specificity in determining seropositivity for HSV-2 antibodies (strength of ...
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 ...
Do endovascular filters prevent PE as effectively as anticoagulants in patients with DVT?
(Family Physicians Inquiries Network, 2010)
Although inferior vena cava filters (IVCFs) reduced the incidence of PE in a randomized controlled trial (RCT), patients treated with IVCFs and anticoagulation with unfractionated heparin or low-molecular- weight heparin ...
Which patients undergoing noncardiac surgery benefit from perioperative beta-blockers?
(Family Physicians Inquiries Network, 2008)
Patients with moderate to high cardiac risk (a Revised Cardiac Risk Index [RCRI] score of 2 or higher [Table]) have a reduced risk of in-hospital death following perioperative beta-blocker therapy (strength of recommendation ...