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Now showing items 121-140 of 435
For knee pain, how predictive is physical examination for meniscal injury?
(Family Physicians Inquiries Network, 2004)
No single clinical examination element, or combination of such elements, reliably detects meniscal injury. The McMurray test is best for ruling in meniscal pathology. Assuming a 9% prevalence of meniscal tears among all knee injuries (a rate...
Can you differentiate bacterial from viral pediatric infections based on the CBC?
(Family Physicians Inquiries Network, 2007)
No--the complete blood count (CBC) alone does not have adequate sensitivity or specificity to tell bacterial from viral infections (strength of recommendation [SOR]: B, cohort studies). When used in conjunction with other clinical parameters...
Are beta-2-agonists or anticholinergics more effective for treating COPD?
(Family Physicians Inquiries Network, 2004)
to greater improvements in forced expiratory volume in 1 second (FEV1) than either drug alone (SOR: A). However, until recently there were no convincing direct head-to-head comparisons of the 2 classes, and it is unclear whether this difference is clinically...
What are the indications for bariatric surgery?
(Family Physicians Inquiries Network, 2005)
No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m2 or with ...
Psychosocial Interventions Delivered by Primary Care Physicians to Patients with Depression
(Family Physicians Inquiries Network, 2006)
Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a...
When should you treat scabies empirically?
(Family Physicians Inquiries Network, 2007)
Empirically treat patients when they have pruritus and lesions typical of scabies in at least 2 places--even if there is no known household contact diagnosed with scabies, and even if the diagnosis cannot be confirmed by ...
Do statins cause myopathy?
(Family Physicians Inquiries Network, 2003)
If statins (HMG-CoA reductase inhibitors) cause myopathy, the risk is very low (strength of recommendation [SOR]: A). There is no direct evidence to answer this question. A pooled analysis of randomized controlled trials ...
Do nasal decongestants relieve symptoms?
(Family Physicians Inquiries Network, 2003)
Oral and topical nasal decongestants result in a statistically significant improvement in subjective symptoms of nasal congestion and objective nasal airway resistance in adults' common colds (strength of recommendation ...
Does anticoagulation prevent thrombosis for persons with fractures distal to the hip?
(Family Physicians Inquiries Network, 2005)
]: A, based on multiple randomized controlled studies [RCTs]). Evidence is insufficient to show whether LMWH specifically reduces the risk of clinically significant DVTs, and recommendations on its use are conflicting (SOR: C, based on expert opinion...
Is megestrol acetate safe and effective for malnourished nursing home residents?
(Family Physicians Inquiries Network, 2018)
Q: Is megestrol acetate safe and effective for malnourished nursing home residents? A: no. Megestrol acetate (MA) is neither safe nor effective for stimulating appetite in malnourished nursing home residents. It increases ...
What regimens eradicate Heliobacter pylori?
(Family Physicians Inquiries Network, 2003)
Fourteen-day triple therapy with a proton pump inhibitor (PPI) plus clarithromycin and either amoxicillin or metronidazole is superior to 7-day therapy in eradicating Heliobacter pylori (strength of recommendation [SOR]: ...
Medical Treatment of Benign Prostatic Hyperplasia
(Family Physicians Inquiries Network, 2008)
Although alpha blockers and 5-alpha reductase inhibitors each reduce BPH symptoms more than placebo (Strength of Recommendation [SOR]: A), alpha blockers are more effective than 5-alpha reductase inhibitors. (SOR: B). ...
What is the best treatment for plantar fasciitis?
(Family Physicians Inquiries Network, 2003)
Mechanical therapies -- such as taping, tension night splinting, and rigid arch support -- are the most effective treatment for plantar fasciitis (strength of recommendation: A, based on randomized controlled trials). If ...
Treatment of Early Parkinson's Disease
(Family Physicians Inquiries Network, 2005)
Treatment of early Parkinson's disease with either selegiline (Eldepryl), a dopamine agonist (pramipexole [Mirapex], ropinirole [Requip], or bromocriptine [Parlodel]), or the combination of levodopa and carbidopa (Sinemet) ...
Do antibiotics prevent recurrent UTI in children with anatomic abnormalities?
(Family Physicians Inquiries Network, 2004)
Evidence is insufficient to recommend for or against antibiotic prophylaxis to prevent recurrent urinary tract infections (UTI) in children with anatomic abnormalities. Guidelines acknowledge this lack of evidence, but ...
When are empiric antibiotics appropriate for urinary tract infection symptoms?
(Family Physicians Inquiries Network, 2006)
Healthy, nonpregnant women presenting with the triad of frequency, dysuria, and no vaginal symptoms have about a 96% chance of having an urinary tract infection (UTI) (positive likelihood ratio [LR+]=24.6). Since no ...
What other STI testing should we do for a patient with chlamydia?
(Family Physicians Inquiries Network, 2007)
Testing for gonorrhea is recommended for a patient with genital chlamydia; also test for gonorrhea and chlamydia in their sexual partner because of the high prevalence of coinfection, particularly among younger patients ...
What treatment works best for tennis elbow?
(Family Physicians Inquiries Network, 2009)
Topical or oral nonsteroidal anti- inflammatory medications (NSAIDs), corticosteroid injection, and acupuncture are more helpful than placebo in treating lateral epicondylitis, or tennis elbow (strength of recommendation ...
Is DEET safe for children?
(Family Physicians Inquiries Network, 2005)
Reported evidence suggests that DEET use is safe for children older than 2 months, with only very rare incidence of major adverse effects (strength of recommendation [SOR]: C). Typically, a topical concentration between ...
Should the varicella vaccine be given to all children to prevent chickenpox?
(Family Physicians Inquiries Network, 2004)
Healthy, unimmunized children who have not had varicella infection should be vaccinated (strength of recommendation: A, based on randomized controlled trials). Use of the vaccine in immunocompromised children is still being ...