Search
Now showing items 61-80 of 927
Which UTI therapies are safe and effective during breastfeeding?
(Family Physicians Inquiries Network, 2007)
Trimethoprim/sulfamethoxazole (TMP/SM X) has a high success rate in eradicating bacteriuria for women with urinary tract infection and is compatible with breastfeeding (strength of recommendation: C, based on extrapolation from studies...
Does birth weight predict childhood obesity?
(Family Physicians Inquiries Network, 2008)
A birth weight greater than 4,000 g is associated with an increased risk of obesity in both childhood and adolescence (strength of recommendation [SOR]: B, systematic review and multiple cohort studies).
How should we monitor men receiving testosterone replacement therapy?
(Family Physicians Inquiries Network, 2010)
symptom response to testosterone are also recommended, although direct evidence is lacking (SOR: C, consensus opinion). Monitoring lipid levels is unnecessary (SOR: A, based on several meta-analyses), as is monitoring testosterone levels (SOR C, consensus...
Do oral decongestants have a clinically significant effect on BP in patients with hypertension?
(Family Physicians Inquiries Network, 2017)
Q: Do oral decongestants have a clinically significant effect on BP in patients with hypertension? Evidence-based answer: It is unclear. Pseudoephedrine causes an average increase of 1.2 mm Hg in systolic blood pressure (BP) in patients...
Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
(Family Physicians Inquiries Network, 2005)
In the initial management of dyspepsia for patients without "alarm" symptoms (weight loss, recurrent vomiting, dysphagia, anemia, evidence of bleeding, onset of dyspepsia after age 45 years), therapy based on the results of early endoscopy...
Can counseling prevent or treat postpartum depression?
(Family Physicians Inquiries Network, 2009)
suggest a preventive benefit when the intervention is administered postnatally, in the home, and targeted toward individual at-risk women (strength of recommendation [SOR]: A, meta-analysis of 15 randomized, controlled trials [RCTs] and 1 subsequent RCT)....
What is the best regimen for newly diagnosed hypertension?
(Family Physicians Inquiries Network, 2005)
Low-dose thiazide diuretics (eg, hydrochlorothiazide 12.5 to 25 mg/d) are the best first-line pharmacotherapy for treating uncomplicated hypertension(strength of recommendation [SOR]: A, based on randomized trials [RCTs] and 1 meta...
Is red-yeast rice a safe and effective alternative to statins?
(Family Physicians Inquiries Network, 2015)
Q: Is red-yeast rice a safe and effective alternative to statins? Evidence-based answer: Yes, but perhaps not the red yeast rice extracts available in the United States. In patients with known coronary artery disease and dyslipidemia (secondary...
Thiazolidinedione Therapy for Managing Metabolic Syndrome
(Family Physicians Inquiries Network, 2010)
There is no patient-oriented evidence supporting the use of TZD therapy in patients in the general population who have metabolic syndrome. Rosiglitazone (Avandia) use decreases cardiovascular morbidity and mortality in patients with metabolic...
What is the differential diagnosis of chronic diarrhea in immunocompetent patients?
(Family Physicians Inquiries Network, 2002)
), microscopic colitis, inflammatory bowel disease, celiac sprue, and radiation colitis. (Grade of recommendation: C, based on case series.)...
Does adjunctive oxytocin infusion during balloon cervical ripening improve labor induction?
(Family Physicians Inquiries Network, 2022-03)
Q: Does adjunctive oxytocin infusion during balloon cervical ripening improve labor induction? Evidence-based answer: YES. Compared to the use of a transcervical balloon alone, combined cervical ripening with a balloon catheter and oxytocin shortens...
Does topical diclofenac relieve osteoarthritis pain?
(Family Physicians Inquiries Network, 2015)
Q: Does topical diclofenac relieve osteoarthritis pain? Evidence-based answer: Yes, at least in the short term. Topical diclofenac, with and without dimethyl sulfoxide (DMSO), modestly improves pain and function scores (by 4%-8%) for as long as 12...
What's the best test for HSV-2 after exposure?
(Family Physicians Inquiries Network, 2007)
, based on cross-sectional studies). ELISA tests not based on glycoprotein G are also highly sensitive, but they are less specific for HSV-2 and are prone to false-positive results because of cross-reactivity with HSV -1 antibodies (SOR: C, based on cross...
How often is coughing the presenting complaint in patients with gastroesophageal reflux disease?
(Family Physicians Inquiries Network, 2002)
patients with complaints of chronic cough, GERD may be the underlying cause in 40%. (Grade of recommendation: C, based on extrapolation from cohort studies.) However, no studies directly address prevalence of coughing as a presenting complaint in patients...
Evaluation of Ovarian Cysts
(Family Physicians Inquiries Network, 2011)
or personal history of cancer (e.g., ovarian, breast, colorectal), physical or laboratory evidence suggestive of infection, pregnancy, or systemic illness, are considered at low risk of ovarian cancer and may be followed with serial ultrasonography. (Strength...
What's the best drug treatment for premature ejaculation?
(Family Physicians Inquiries Network, 2008)
]). The topical application of prilocaine-lidocaine cream (trade name EMLA) improves intravaginal ejaculatory latency time (IELT), but penile numbness and loss of erection may occur (SOR: B, based on several small RCTs)....
What's the most effective way to screen patients with a family history of colon cancer?
(Family Physicians Inquiries Network, 2010)
The best approach hinges on the number, degree, and age of relatives diagnosed with colorectal cancer (CRC) or adenomatous polyps (AP). Screening should begin at 40 years of age for patients with a family history of CRC or AP in at least 1 first...
Which postmenopausal women should be offered combined HRT?
(Family Physicians Inquiries Network, 2003)
for vascular disease and breast cancer, should be informed of the potential risks. There is inadequate evidence to determine the extent of these risks in women who have had a hysterectomy and are taking unopposed estrogen (strength of recommendation: A, based...
It's time to use an age-based approach to D-dimer
(Family Physicians Inquiries Network, 2014)
Use an age-adjusted D-dimer cutoff (patient's age in years [multiplied by] 10 mcg/L) for patients over age 50 years when evaluating for venous thromboembolism (VTE); it reduces false positives without substantially increasing ...
ID Corner : Urinary tract infections
(University of Missouri, Department of Medicine, Division of Hospital Medicine, 2012-03)
"In the Clinic" from annals on UTIs.