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Now showing items 41-60 of 842
Can recombinant growth hormone effectively treat idiopathic short stature?
(Family Physicians Inquiries Network, 2008)
Yes--treatment can increase a child's final height. Injections of recombinant human growth hormone (rGH) at least 3 times a week for 4 to 6 years add 3.7 to 7.5 cm to final height in children between 8 and 16 years of age ...
How should you evaluate elevated calcium in an asymptomatic patient?
(Family Physicians Inquiries Network, 2008)
Patients with unexplained asymptomatic true hypercalcemia should be screened for primary hyperparathyroidism (PHPT) and malignancy using an intact parathyroid hormone (PTH) level by immunoradioassay (SOR: C, expert opinion). ...
What is the best test for peripheral vascular disease?
(Family Physicians Inquiries Network, 2008)
An ankle-brachial index is best for evaluating patients with symptoms of claudication (strength of recommendation [SOR]: B, multiple cohort studies). That said, duplex ultrasonography or magnetic resonance angiography may ...
What are the most effective ways you can help patients stop smoking?
(Family Physicians Inquiries Network, 2008)
Brief counseling, nicotine replacement therapy, antidepressants, and varenicline all work well. Physician intervention should begin with routine assessment of smoking status for all patients. Brief (3 minutes or less) ...
What are the causes of elevated TSH in a newborn?
(Family Physicians Inquiries Network, 2008)
Congenital hypothyroidism is a critical cause of elevated thyroid-stimulating hormone (TSH) in newborns; evaluate all neonates with an elevated TSH for congenital hypothyroidism (strength of recommendation [SOR]: A). Other ...
Myasthenia gravis
(Family Physicians Inquiries Network, 2008)
This issue of eMedRef provides information to clinicians on the pathophysiology, diagnosis, and therapeutics of myasthenia gravis.
Effects of Soy Protein-Based Formula in Full-Term Infants
(Family Physicians Inquiries Network, 2008)
There are no significant long-term detrimental effects associated with the use of currently available, commercially produced, isolated soy protein-based formula in full-term infants. (Strength of Recommendation: B, based ...
What is the best treatment for oral thrush in healthy infants?
(Family Physicians Inquiries Network, 2008)
Nystatin oral suspension is a safe first-line therapy; fluconazole is more effective (strength of recommendation [SOR ]: B, 1 small randomized controlled trial [RCT]) but has not been approved by the Food and Drug ...
Is osteopathic manipulation effective for headaches?
(Family Physicians Inquiries Network, 2008)
Spinal manipulative therapy (SMT), a component of osteopathy, has been shown to be variably effective for the treatment of headaches. For the prophylactic treatment of cervicogenic headaches and for acute tension headaches, ...
Does screening reduce lung cancer mortality?
(Family Physicians Inquiries Network, 2008)
Neither routine chest x-ray (with or without sputum cytology) nor low-dose computed tomography (CT) have been proven to reduce mortality when used for lung cancer screening, although low-dose CT screening does identify ...
Should you treat carriers of pharyngeal group A strep?
(Family Physicians Inquiries Network, 2008)
The jury is out as to whether you should treat asymptomatic carriers of group A streptococci (GAS), because no studies specifically address the issue. In addition, many patients are unlikely to care about their carrier ...
What's the best way to treat Achilles tendonopathy?
(Family Physicians Inquiries Network, 2008)
Rest and ice are considered first-line therapy for acute Achilles tendonopathy (strength of recommendation [SOR]: C, expert opinion), as is nonsteroidal anti- inflammatory drugs (NSAIDs) (SOR: B, systematic review). Chronic ...
What's the best drug treatment for premature ejaculation?
(Family Physicians Inquiries Network, 2008)
Antidepressants--specifically clomipramine, fluoxetine, paroxetine, and sertraline--are best and have been shown to improve symptoms of premature ejaculation (strength of recommendation [SOR]: A, meta-analysis of randomized ...
What is the best portable method of purifying water to prevent infectious disease?
(Family Physicians Inquiries Network, 2008)
There isn't a single best method, but there are 5 that adequately purify water according to Environmental Protection Agency (EPA) standards. These include 1) boiling for 1 minute if below 2000 m (6562 feet) and 3 minutes ...
Do any folk remedies or herbals help induce labor?
(Family Physicians Inquiries Network, 2008)
Breast stimulation and electroacupuncture help, while other common remedies that have been studied are ineffective, possibly unsafe, or both. Unilateral breast stimulation shortens the time until the onset of labor in women ...
How much does smoking cessation cut CHD risk?
(Family Physicians Inquiries Network, 2008)
Patients with coronary heart disease (CHD) who refrain from smoking over a 2-year follow-up period decrease their relative risk (RR) for morbidity and mortality by about one third (strength of recommendation [SOR]: A, ...
Hypoglycemia with insulin and sulfonylureas
(Family Physicians Inquiries Network, 2020)
Clinical Inquiries question: In patients with type 2 diabetes mellitus (T2DM), does the combination of insulin and sulfonylurea (SU) increase the risk of hypoglycemia? Evidence-based answer: The incidence of severe hypoglycemia in patients with T2DM...
What are the repercussions of disclosing a medical error?
(Family Physicians Inquiries Network, 2008)
Physicians and their staff may experience a resolution of anxiety and guilt that can improve their well-being (strength of recommendation [SOR]: C, based on survey data). Full disclosure has little effect, however, on the ...
Does antepartum perineal massage reduce intrapartum lacerations?
(Family Physicians Inquiries Network, 2008)
Yes--to a point. Antepartum perineal massage reduces both the incidence of perineal trauma requiring suturing and the likelihood of episiotomy in women who have never given birth vaginally. It reduces the incidence of ...
Sleep apnea in adults: How accurate is clinical prediction?
(Family Physicians Inquiries Network, 2009)
Questionnaires, physical examination, and clinical prediction rules estimate the pretest probability of obstructive sleep apnea hypopnea syndrome (OSAHS), but are not specific enough to make the diagnosis (strength of recommendation [SOR]: B, meta...