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Now showing items 21-40 of 282
What are the indications for bariatric surgery?
(Family Physicians Inquiries Network, 2005)
No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m2 or with ...
Which imaging modality is best for suspected stroke?
(Family Physicians Inquiries Network, 2005)
Patients exhibiting stroke symptoms should have brain imaging immediately within 3 hours of symptom onset (strength of recommendation [SOR]: A, based on systematic review). In the first 3 hours after a suspected cerebrovascular ...
When should a chest x-ray be used to evaluate acute-onset productive cough for adults?
(Family Physicians Inquiries Network, 2005)
-ray (strength of recommendation: A, based on a clinical decision rule validated in 2 high-quality cohort studies)....
How should we follow up a positive screen for anemia in a 1-year old?
(Family Physicians Inquiries Network, 2005)
Healthy infants who test positive for anemia on routine screening at 1 year of age are most likely iron-deficient and may be treated empirically with a trial of iron therapy (3-6 mg of elemental iron/kg/d). Documentation ...
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 outcomes but studies were...
Raloxifene for Prevention of Osteoporotic Fractures
(Family Physicians Inquiries Network, 2005)
Raloxifene (60 mg daily for three years) will prevent one vertebral fracture, including asymptomatic fractures, for every 46 postmenopausal women with osteoporosis or presence of previous vertebral fractures. Raloxifene ...
What are the causes of hypomagnesemia?
(Family Physicians Inquiries Network, 2005)
, and malnutrition (strength of recommendation: C, based on expert opinion, physiology, and case series). Evidence suggests that magnesium deficiency is both more common and more clinically significant than generally appreciated....
Statin Therapy in Patients with Type 2 Diabetes
(Family Physicians Inquiries Network, 2005)
Based on current evidence, statin therapy should be offered to all patients with type 2 diabetes who are known to have coronary artery disease. [Strength of recommendation: A] For patients older than 40 years with type 2 ...
Do TZDs increase the risk of heart failure for patients with diabetes?
(Family Physicians Inquiries Network, 2005)
Patients with diabetes who take thiazolidinediones (TZDs) have a higher incidence of congestive heart failure (CHF) than those who do not; the incidence of CHF is similar with the use of pioglitazone (Actos), troglitazone ...
Does anticoagulation prevent thrombosis for persons with fractures distal to the hip?
(Family Physicians Inquiries Network, 2005)
]: A, based on multiple randomized controlled studies [RCTs]). Evidence is insufficient to show whether LMWH specifically reduces the risk of clinically significant DVTs, and recommendations on its use are conflicting (SOR: C, based on expert opinion...
Is DEET safe for children?
(Family Physicians Inquiries Network, 2005)
Reported evidence suggests that DEET use is safe for children older than 2 months, with only very rare incidence of major adverse effects (strength of recommendation [SOR]: C). Typically, a topical concentration between ...
What is the best way to diagnose menopause?
(Family Physicians Inquiries Network, 2005)
(strength of recommendation [SOR]: B; based on multiple prospective cohort studies). For diagnosing perimenopause, the level of follicle-stimulating hormone (FSH) is most useful for clinical situations in which the pretest probability, as based on history...
Do beta-blockers worsen respiratory status for patients with COPD?
(Family Physicians Inquiries Network, 2005)
second (FEV1), or by changes in patients' self-reported symptoms. If such harmful effects do exist, they are likely to be less clinically important than the substantial proven benefits of beta-blockade for patients with concomitant cardiovascular disease...
What is the best approach to the evaluation of hirsutism?
(Family Physicians Inquiries Network, 2005)
The evaluation of hirsutism should begin with a history and physical examination to identify signs and symptoms suggestive of diseases such as polycystic ovarian syndrome (PCOS), hypothyroidism, hyperprolactinemia, ...
Management of Subclinical Hypothyroidism
(Family Physicians Inquiries Network, 2005)
Treatment of subclinical hypothyroidism with levothyroxine may be of most benefit to patients with symptoms suggestive of hypothyroidism and those patients with thyroid-stimulating hormone (TSH) levels higher than 10 μIU ...
What is the best way to identify patients with white-coat hypertension?
(Family Physicians Inquiries Network, 2005)
Ambulatory blood pressure monitoring is currently the gold standard for detecting patients with white-coat hypertension. Women and all patients with lower office systolic blood pressures, stage I hypertension, and no target ...
What is the most effective treatment for ADHD in children?
(Family Physicians Inquiries Network, 2005)
Stimulant medication therapy is the most effective treatment for attention deficit/ hyperactivity disorder (ADHD) in children, producing significant improvements in symptoms and modest improvements in academic achievement ...
St. John's Wort for Depression
(Family Physicians Inquiries Network, 2005)
St. John's wort is safe and effective for short-term (six to eight weeks) relief of mild to moderate depression in adults. [Strength of recommendation: A, based on consistent evidence from high-quality systematic reviews]
Treatment of Early Parkinson's Disease
(Family Physicians Inquiries Network, 2005)
Treatment of early Parkinson's disease with either selegiline (Eldepryl), a dopamine agonist (pramipexole [Mirapex], ropinirole [Requip], or bromocriptine [Parlodel]), or the combination of levodopa and carbidopa (Sinemet) ...
When should you order a Lyme titer?
(Family Physicians Inquiries Network, 2005)
Lyme titers should be ordered for patients with signs or symptoms of disseminated Lyme disease, but who do not have the pathognomonic erythema migrans rash (strength of recommendation [SOR]: C, based on expert opinion). ...