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Now showing items 41-60 of 1097
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). ...
How useful is high-sensitivity CRP as a risk factor for coronary artery disease?
(Family Physicians Inquiries Network, 2005)
Little evidence supports the use of the high-sensitivity C-reactive protein assay (hs-CRP) as a screening test for cardiovascular disease (CVD) in the healthy adult population. There is significant debate about its use in ...
Treatment of Calf Deep Venous Thrombosis
(Family Physicians Inquiries Network, 2005)
Patients with a first episode of calf DVT with a transient risk factor should receive heparin therapy followed by oral anti- coagulation for six to 12 weeks. [Strength of recommendation: A, based on systematic review of ...
What are the indications for evaluating a patient with cough for pertussis?
(Family Physicians Inquiries Network, 2005)
Pertussis should be considered in infants with apnea or severe coughing illnesses of any duration, and in older children or adults with prolonged cough (eg, longer than 2 weeks), especially if accompanied by inspiratory ...
What is the evaluation and treatment strategy for Raynaud's phenomenon?
(Family Physicians Inquiries Network, 2005)
Raynaud's phenomenon is diagnosed by history,
which also plays a key role in distinguishing
primary from secondary Raynaud's phenomenon
(strength of recommendation [SOR]: C, based
on expert opinion). The initial treatment ...
What are effective treatments for oppositional and defiant behaviors in preadolescents?
(Family Physicians Inquiries Network, 2005)
strategies--including positive attending, ignoring, the effective use of rewards and punishments, token economies, and time out --to address clinically significant behavior problems. In addition to parent training, other psychosocial interventions...
What are effective therapies for Clostridium difficile- associated diarrhea?
(Family Physicians Inquiries Network, 2005)
Oral metronidazole and oral vancomycin are
equally effective treatments for Clostridium difficile- associated diarrhea (CDAD) (strength of recommendation [SOR]: A, based on randomized trials). Oral vancomycin is considerably ...
What vitamins and minerals should be given to breastfed and bottle-fed infants?
(Family Physicians Inquiries Network, 2005)
Breastfed and formula-fed infants should receive intramuscular vitamin K soon after birth to prevent classic hemorrhagic disease of the newborn (strength of recommendation [SOR]: A, systematic review of controlled trials). ...
What is the role of tacrolimus and pimecrolimus in atopic dermatitis?
(Family Physicians Inquiries Network, 2005)
When the standard therapies -- mild topical
corticosteroids and moisturizers -- fail in the
treatment of atopic dermatitis, patients are left with few proven remedies. The recently introduced topical immunosuppressive ...
Does furosemide decrease morbidity or mortality for patients with diastolic or systolic dysfunction?
(Family Physicians Inquiries Network, 2005)
No large-scale randomized, placebo-controlled trials evaluate furosemide's effect on mortality and long-term morbidity in diastolic or systolic dysfunction. In short-term studies, furosemide reduces edema, reduces ...
Combined Oral Contraceptives for Mothers Who Are Breastfeeding
(Family Physicians Inquiries Network, 2005)
There is currently no evidence of harm; however, few patients have been studied and existing studies have many limitations. Therefore, it is not possible to definitively answer this question at this time. The existing ...
What is the best treatment for pertussis?
(Family Physicians Inquiries Network, 2005)
A short-term course of erythromycin, azithromycin, or clarithromycin is as effective as a long-term (2-week) erythromycin therapy in eradicating Bordetella pertussis from the nasopharynx (strength of recommendation [SOR]: ...
Which treatments for persistent otitis media with effusion are beneficial?
(Family Physicians Inquiries Network, 2005)
Treatments such as antibiotics, steroids, antihistamines/decongestants, and mucolytics afford no long-term benefit in the treatment of patients with otitis media with effusion (OME). [Strength of recommendation: A] Surgical ...
What is the diagnostic approach to a patient with leg cramps?
(Family Physicians Inquiries Network, 2005)
Leg cramps are very common (strength of recommendation [SOR]: C, case series), and most cases have no detectable cause (SOR: C, expert opinion). Arterial vascular disease and neurological diseases are more prevalent among ...
What is the best strategy for impaired glucose tolerance in nonpregnant adults?
(Family Physicians Inquiries Network, 2005)
The best treatment strategy for impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) is lifestyle intervention with a structured weight loss program of diet and exercise (strength of recommendation [SOR]: ...
Is yearly chest x-ray screening helpful in reducing mortality for smokers?
(Family Physicians Inquiries Network, 2005)
For current and former smokers, the evidence does not support yearly chest x-rays to decrease lung cancer mortality (strength of recommendation [SOR]: A, based on multiple randomized controlled trials). Even with the ...
Does quinine reduce leg cramps for young athletes?
(Family Physicians Inquiries Network, 2005)
Very little evidence exists regarding the use of quinine for cramps in young adult athletes. Quinine may be an effective treatment for heat cramps in athletes (strength of recommendation [SOR]: C, 1 case series involving ...
Is sputum evaluation useful for patients with community-acquired pneumonia?
(Family Physicians Inquiries Network, 2005)
No high-quality studies specifically address the utility of sputum Gram stain or culture in the assessment or treatment of community-acquired pneumonia (CAP) or nursing home- acquired pneumonia (NHAP). The available evidence ...
What physical exam techniques are useful to detect malingering?
(Family Physicians Inquiries Network, 2005)
No examination technique objectively proves malingering (strength of recommendation [SOR]: C, expert opinion). Waddell's signs are associated with poor treatment outcomes but cannot discriminate organic from nonorganic ...
Colorectal Cancer Screening
(Family Physicians Inquiries Network, 2005)
Both fecal occult blood testing (FOBT) and flexible sigmoidoscopy are effective in screening for colorectal cancer. FOBT can reduce mortality from colorectal cancer. [Strength of recommendation: A, based on high-quality ...