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Now showing items 1-20 of 1978
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) ...
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's the most effective way to screen patients with a family history of colon cancer?
(Family Physicians Inquiries Network, 2010)
The best approach hinges on the number, degree, and age of relatives diagnosed with colorectal cancer (CRC) or adenomatous polyps (AP). Screening should begin at 40 years of age for patients with a family history of CRC or AP in at least 1 first...
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 ...
Is there a primary care tool to detect aberrant drug-related behaviors in patients on opioids?
(Family Physicians Inquiries Network, 2014)
Of the several screening instruments developed and originally validated in patients in a pain center population (TABLE), one also has been validated in primary care. The Current Opioid Misuse Measure (COMM) predicts aberrant ...
Is high-dose oral B12 a safe and effective alternative to a B12 injection?
(Family Physicians Inquiries Network, 2012)
Both high-dose oral B12 and injected B12 raised low vitamin B12 levels and improved hematologic parameters and neurologic symptoms in short-term studies (3-4 months) predominantly involving patients with conditions associated ...
Arthroscopic surgery for knee osteoarthritis? Just say no
(Family Physicians Inquiries Network, 2009)
Do not recommend arthroscopic surgery to adults with osteoarthritis of the knee. Treat knee pain with medical and physical therapy instead. Stength of recommendation: A: Based on 2 high-quality randomized controlled trials.
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 ...
Confidently rule out CAP in the outpatient setting
(Family Physicians Inquiries Network, 2021)
Confidently rule out CAP in the outpatient setting. A focus on specific signs and symptoms -- without imaging -- may rule out community-acquired pneumonia in outpatients. PRACTICE CHANGER: You can safely rule out community-acquired pneumonia (CAP...
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, ...
Steroids for acute COPD - but for how long?
(Family Physicians Inquiries Network, 2014)
Prescribe a 5-day regimen of glucocorticoid therapy for acute chronic obstructive pulmonary disease (COPD) exacerbations; the shorter course of treatment appears to be as effective as a 14-day regimen.