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Now showing items 61-80 of 289
What evaluation is best for an isolated, enlarged cervical lymph node?
(Family Physicians Inquiries Network, 2007)
The evaluation and follow-up of an isolated, enlarged cervical lymph node is determined by the presence of inflammation, duration, size, and associated symptoms. For patients with inflammatory symptoms (ie, fever, pain, ...
What are the indications for meningococcal vaccination?
(Family Physicians Inquiries Network, 2007)
Routine vaccination with the meningococcal conjugate vaccine MCV4 (Menactra) is indicated for all US adolescents entering high school and for college freshmen living in dormitories (strength of recommendation [SOR]: B, ...
Which technique for removing nevi is least scarring?
(Family Physicians Inquiries Network, 2007)
A shave biopsy with a razor blade or #15 scalpel is the best approach for a facial nevus, assuming malignancy is not suspected. The resulting scar is usually flat, smaller than the lesion, has no suture lines, and -- if ...
What's the best test for HSV-2 after exposure?
(Family Physicians Inquiries Network, 2007)
Enzyme-linked immunosorbent assay (ELISA ) tests based on herpes simplex virus 2's (HSV -2) glycoprotein G have demonstrated high sensitivity and specificity in determining seropositivity for HSV-2 antibodies (strength of ...
Which diuretics are safe and effective for patients with a sulfa allergy?
(Family Physicians Inquiries Network, 2007)
Diuretics that do not contain a sulfonamide group (eg, amiloride hydrochloride, eplerenone, ethacrynic acid, spironolactone, and triamterene) are safe for patients with an allergy to sulfa. The evidence is contra-dictory ...
What is the best treatment for hypertension in African Americans?
(Family Physicians Inquiries Network, 2007)
In African Americans with hypertension, therapy is best initiated with the low-sodium Dietary Approaches to Stop Hypertension (DASH) diet and a thiazide-type diuretic (strength of recommendation [SOR]: A, based on randomized ...
How should you document a patient's refusal to undergo a necessary intervention?
(Family Physicians Inquiries Network, 2007)
Your documentation of a patient's refusal to undergo a test or intervention should include: an assessment of the patient's competence to make decisions, a statement indicating a lack of coercion; a description of your ...
Alcoholic liver disease: Is acetaminophen safe?
(Family Physicians Inquiries Network, 2007)
Yes, "acetaminophen is a safe and effective analgesic that can be appropriately used for adult patients with stable chronic alcoholic liver disease for at least a short period of time (studies have been limited to a maximum ...
Does a low-fat diet help prevent breast cancer?
(Family Physicians Inquiries Network, 2007)
No. Studies show no evidence that reducing dietary fat decreases a woman's risk of developing postmenopausal breast cancer within the subsequent 14 years (strength of recommendation [SOR]: B, based on large heterogeneous ...
Should you restrict your cardiac patient from driving?
(Family Physicians Inquiries Network, 2007)
That depends, of course, on your patient's particular condition, but your decision can be guided by various cardiovascular society consensus conferences, such as the one from the Canadian Cardiovascular Society, since no ...
Does the age you introduce food to an infant affect allergies later?
(Family Physicians Inquiries Network, 2007)
Yes. In children at high risk for atopy (those with a family history of allergy, asthma, or eczema in at least 1 first-degree relative), breastfeeding or giving hydrolyzed protein formula during the first 4 to 6 months ...
Is guaifenesin safe during pregnancy?
(Family Physicians Inquiries Network, 2007)
It's not clear; little evidence supports or refutes the safety of guaifenesin, a common expectorant, in pregnancy. A small number of observational and case-control studies suggest a weak association between guaifenesin use ...
What is the best way to evaluate secondary infertility?
(Family Physicians Inquiries Network, 2007)
The work-up for secondary infertility--the inability to conceive after 1 year of regular unprotected intercourse for a couple who have previously had a child--should include a history and physical exam for both patients, ...
What's the best treatment for cradle cap?
(Family Physicians Inquiries Network, 2007)
Ketoconazole (Nizoral) shampoo appears to be a safe and efficacious treatment for infants with cradle cap (strength of recommendation [SOR]: C, consensus, usual practice, opinion, disease-oriented evidence, and case series). ...
What is the best management for patients with evidence of asymptomatic ischemia on exercise stress testing?
(Family Physicians Inquiries Network, 2007)
Patients with intermediate- or high-risk Duke Treadmill Score (DTS) on exercise stress testing (EST) should undergo myocardial perfusion imaging or exercise echocardiography, especially if they have abnormal values of ...
What's the best treatment for sebaceous cysts?
(Family Physicians Inquiries Network, 2007)
Punch biopsy excision appears to be superior to traditional wide elliptical excision for the treatment of sebaceous cysts when intervention is necessary (strength of recommendation [SOR]: B, based on 1 small randomized ...
How effective are hypertension self-care interventions?
(Family Physicians Inquiries Network, 2007)
Simplification of the dosing regimen (eg, once-daily instead of multiple dosing) improves patients' adherence to anti- hypertensive medications (strength of recommendation [SOR]: B, based on a high- quality systematic ...
Should we use SSRIs to treat adolescents with depression?
(Family Physicians Inquiries Network, 2007)
Yes. B ased on current evidence, fluoxetine is the most effective selective serotonin reuptake inhibitor (SSRI) for treatment of major depressive disorder in adolescents. It is the only agent approved by the US Food and ...
What hormonal contraception is most effective for obese women?
(Family Physicians Inquiries Network, 2007)
Depot medroxyprogesterone acetate (DMPA; Depo-Provera) and the combination contraceptive vaginal ring (NuvaRing) are most effective for obese women because they don't appear to be affected by body weight (strength of ...
Antiepileptic Drug Level Monitoring
(Family Physicians Inquiries Network, 2008)
monitoring may be clinically useful in special populations, including patients with suspected drug toxicity or noncompliance, pregnant patients, and patients with renal failure. Monitoring dosage increases of drugs with nonlinear kinetics, such as phenytoin...