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Now showing items 41-60 of 98
Reducing ACL Injuries in Female Athletes
(Family Physicians Inquiries Network, 2011)
Neuromuscular training programs that include plyometric and strengthening exercises significantly reduce noncontact ACL injuries in female soccer and handball players older than 14 years. (Strength of Recommendation: A, ...
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 ...
Pharmacologic therapy for vitamin D deficiency
(Family Physicians Inquiries Network, 2013)
Cholecalciferol (vitamin D3) supplementation should be used for vitamin D repletion because it may be more effective in preventing nonvertebral fractures. (Strength of Recommendation [SOR]: B, based on subgroup analysis ...
Combination Therapy for Postmenopausal Osteoporosis
(Family Physicians Inquiries Network, 2010)
There is insufficient evidence to recommend combination therapy for the routine management of postmenopausal osteoporosis. (Strength of Recommendation [SOR]: C, based on expert opinion). Combination therapy with parathyroid ...
Evaluation of Ovarian Cysts
(Family Physicians Inquiries Network, 2011)
Initial evaluation of an ovarian cyst is largely determined by its characteristics on ultrasonography, in addition to the presence of symptoms, laboratory evaluation, and patient history. Women with an ovarian cyst, but ...
Which drugs should post-MI patients routinely receive?
(Family Physicians Inquiries Network, 2010)
patients should be placed on the following medications: antiplatelet agents (strength of recommendation [SOR]: A, meta-analysis for aspirin; A, multiple randomized controlled trials [RCTs] for aspirin plus clopidogrel) a ...
How should you treat the newly diagnosed hypertensive patient?
(Family Physicians Inquiries Network, 2010)
as well as overall cardiovascular risks, presence of target organ damage, and clinical cardiovascular disease, because lifestyle modification and medication can both affect quality of life (SOR: C, expert opinion)....
Should you test or treat pregnant women with a history of pregnancy-related VTE?
(Family Physicians Inquiries Network, 2013)
No high-quality evidence supports testing for thrombophilia in pregnant patients who have experienced venous thromboembolism (VTE) in a previous pregnancy. Antepartum and postpartum anticoagulation with LMWH produces lower ...
How accurate is an MRI at diagnosing injured knee ligaments?
(Family Physicians Inquiries Network, 2010)
MRI is highly accurate in diagnosing injury to the anterior cruciate ligament (ACL) (strength of recommendation [SOR]: A, prospective blinded cohort studies) and posterior cruciate ligament (PCL) (SOR: B, limited number ...
What is the best treatment for impetigo?
(Family Physicians Inquiries Network, 2014)
Q. What is the best treatment for impetigo? A. Although evidence is lacking to support a single best treatment for impetigo, topical mupirocin, fusidic acid, gentamicin, and retapamulin are all at least 20% more likely ...
Elevated troponin but no CVD: what's the prognosis?
(Family Physicians Inquiries Network, 2013)
Patients with elevated troponin levels and chronic renal disease, pulmonary hypertension, pulmonary embolism, chronic obstructive pulmonary disease, sepsis, or acute ischemic stroke have a 2- to 5-fold increased risk of ...
How should we monitor men receiving testosterone replacement therapy?
(Family Physicians Inquiries Network, 2010)
Monitor hematocrit and bone mineral density (BMD) (strength of recommendation [SOR]: B, meta-analysis of non−patient-oriented outcomes). Monitoring prostate-specific antigen (PSA), performing prostate digital rectal ...
What is the best approach to goiter in euthyroid patients?
(Family Physicians Inquiries Network, 2014)
In the absence of outcome studies, experts recommend ultrasound evaluation of nontoxic multinodular goiters (MNG) followed by fine-needle aspiration (FNA) of suspicious nodules (strength of recommendation [SOR]: C, ...
Cardiovascular risks of combined oral contraceptive use
(Family Physicians Inquiries Network, 2012)
Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia. (Strength of ...
Screening for hepatocellular carcinoma in patients with hepatitis C virus infection
(Family Physicians Inquiries Network, 2013)
There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV. (Strength of Recommendation [SOR]: C, based on a systematic review and case series studies.) Neither serum ...
What are the benfits and risks of IUDs in adolescents?
(Family Physicians Inquiries Network, 2012)
Little available evidence specifically addresses the benefits and risks of intrauterine devices (IUDs) in adolescents. Most studies have evaluated IUD use in nulliparous adults. Levonorgestrel IUDs cause less menstrual ...
What is the best way to treat Morton's neuroma?
(Family Physicians Inquiries Network, 2011)
No single treatment for Morton's neuroma has been identified in the literature.A protocol of stepped care that showed good results in an uncontrolled trial seems reasonable: patient education and footwear or insole changes, ...
Can yoga reduce symptoms of anxiety and depression?
(Family Physicians Inquiries Network, 2014)
Q. Can yoga reduce symptoms of anxiety and depression? A. Yes, yoga can reduce symptoms of anxiety and depression (strength of recommendation [SOR]: B, systematic reviews of randomized controlled trials [RCTs] with significant ...
What's best when a patient doesn't respond to the maximum dose of an antidepressant?
(Family Physicians Inquiries Network, 2010)
Consider possible causes of the inadequate response, then weigh treatment options in light of the characteristics of the individual patient and therapy. When managing a patient with nonpsychotic depression and inadequate ...
Which risk factors and signs and symptoms are associated with coccidioidomycosis?
(Family Physicians Inquiries Network, 2014)
Q: Which risk factors and signs and symptoms are associated with coccidioidomycosis? Evidence-Based Answer: Risk factors for coccidioidomycosis, or valley fever, include lower respiratory tract symptoms lasting longer than ...