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Now showing items 61-80 of 427
What is the best way to evaluate and manage diarrhea in the febrile infant?
(Family Physicians Inquiries Network, 2004)
Routine infant diarrhea requires no lab work or cultures (strength of recommendation [SOR]: C); the degree of dehydration can be determined reliably by percent body weight change (SOR: B). However, bicarbonate may help ...
Is combining ACE inhibitors and ARBs helpful or harmful?
(Family Physicians Inquiries Network, 2004)
The combination of angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) has been studied for treatment of heart failure, hypertension, and proteinuric renal disease. Combination therapy ...
Antidepressant Medications in Pregnancy
(Family Physicians Inquiries Network, 2004)
Selective serotonin reuptake inhibitors (SSRIs) are considered first-line agents for the treatment of depression in pregnant women. SSRIs and tricyclic antidepressants (TCAs) are considered safe and effective in pregnant ...
Other than anticoagulation, what is the best therapy for those with atrial fibrillation?
(Family Physicians Inquiries Network, 2004)
Rate control with long-term anticoagulation is recommended for most patients with atrial fibrillation (strength of recommendation [SOR]: A, based on randomized controlled trials [RCTs]). A rhythm-control strategy provides ...
When should patients with stroke receive thrombolytics?
(Family Physicians Inquiries Network, 2004)
Thrombolytic therapy should be limited to patients with acute ischemic stroke who meet strict inclusion and exclusion criteria and who can adhere to strict treatment protocol. Patients treated under these conditions have ...
What treatments are safe and effective for mild to moderate hypertension in pregnancy?
(Family Physicians Inquiries Network, 2004)
There is considerable debate concerning the treatment of mild to moderate essential hypertension during pregnancy. Evidence suggests that because of the potential risk of fetal intrauterine growth restriction, treatment ...
Are ARBs or ACE inhibitors preferred for nephropathy in diabetes?
(Family Physicians Inquiries Network, 2004)
Angiotensin receptor blockers (ARBs) have been shown to reduce the progression of nephropathy in several consistent studies. While ACE inhibitors have not been as well studied for the endpoint of nephropathy, patients with ...
Which Antidepressant Is Best to Avoid Sexual Dysfunction?
(Family Physicians Inquiries Network, 2004)
Bupropion (Wellbutrin), nefazodone (Serzone), amitriptyline (Elavil), and moclobemide (Manerix, a reversible inhibitor of monoamine oxidase type A not available in the United States) have been shown to cause less sexual ...
Which Patients with Atrial Fibrillation Do Not Need Anticoagulation Therapy with Warfarin?
(Family Physicians Inquiries Network, 2004)
Anticoagulation therapy with warfarin is not indicated for use in patients with non- valvular atrial fibrillation who are at low risk for embolic cerebral vascular events. The classification of "low risk for embolic stroke" ...
Does acyclovir help herpes simplex virus cold sores if treatment is delayed?
(Family Physicians Inquiries Network, 2004)
When herpes simplex virus (HSV) type 1 lesions are in the papule or vesicle stage, there is no benefit to starting oral acyclovir (strength of recommendation [SOR]: C, based on expert opinion). However, topical acyclovir ...
What is the best approach for patients with ASCUS detected on Pap smear?
(Family Physicians Inquiries Network, 2004)
DNA testing for human papillomavirus (HPV), especially if the sample can be obtained at the same time as the Papanicolaou (Pap) smear, can guide the management of women whose test result shows atypical squamous cells of ...
How effective are leukotriene inhibitors for asthma in children?
(Family Physicians Inquiries Network, 2004)
Evidence on the use of leukotriene inhibitors in children is insufficient to permit conclusions regarding efficacy. Given the proven efficacy of inhaled corticosteroids in asthma management, leukotriene inhibitors should ...
When should we treat isolated high triglycerides?
(Family Physicians Inquiries Network, 2004)
No evidence exists that treating isolated high triglyceride levels in the absence of other risk factors prevents coronary events. Although elevated triglycerides in some studies correlates with coronary events, the association ...
Does lowering diastolic BP to less than 90 mm Hg decrease cardiovascular risk?
(Family Physicians Inquiries Network, 2004)
Although lowering diastolic blood pressure (DBP) is associated with reduced cardiovascular events, systolic blood pressure (SBP) is a more robust predictor of cardiovascular risk than DBP and should now be used to diagnose, ...
How effective is prophylactic therapy for gout in people with prior attacks?
(Family Physicians Inquiries Network, 2004)
Colchicine (strength of recommendation [SOR]: B, based on 1 double-blind crossover study), allopurinol (SOR: B, based on 2 cohort studies), and weight loss (SOR: B, based on 1 small cohort study) have been shown to reduce ...
Does moderate exercise prevent MI for patients with coronary heart disease?
(Family Physicians Inquiries Network, 2004)
Moderate exercise reduces mortality for patients with known coronary heart disease but does not significantly decrease the risk of recurrent nonfatal myocardial infarction (MI) (strength of recommendation [SOR]: A, based ...
Do ACE inhibitors prevent nephropathy in type 2 diabetes without proteinuria?
(Family Physicians Inquiries Network, 2004)
Angiotensin-converting enzyme (ACE) inhibitors make a significant difference for patients with diabetes as a whole. If patients both with and without microalbuminuria are included together, ACE inhibitors significantly ...
Should we screen for bacterial vaginosis in those at risk for preterm labor?
(Family Physicians Inquiries Network, 2004)
Bacterial vaginosis (BV) is associated with preterm delivery (strength of recommendation [SOR]: A, meta-analysis). However, treating asymptomatic, low-risk women with BV does not always prevent preterm delivery (SOR: A, ...
Should home apnea monitoring be recommended to prevent SIDS?
(Family Physicians Inquiries Network, 2004)
While home apnea monitoring may find an increased incidence of apnea and bradycardia in preterm infants compared with term infants, no association links these events with sudden infant death syndrome (SIDS). Apnea of ...
What is the diagnostic approach to a 1-year-old with chronic cough?
(Family Physicians Inquiries Network, 2004)
Very few studies examine the evaluation of chronic cough among young children. Based on expert opinion, investigation of chronic cough should begin with a detailed history, physical examination, and chest radiograph (strength ...