Recent Submissions

  • What is the best treatment for Achilles tendinitis? 

    Mayo, Russell; McAlister, Brad; Pesco, Jonathan (Family Physicians Inquiries Network, 2013-12)
    What is the best treatment for Achilles tendinitis? Evidence-Based Answer: Eccentric exercises are effective and NSAIDS may be effective for short-term pain relief with Achilles tendinitis. Corticosteroid injections, ...
  • An inordinate fondness for zeros 

    Neher, Jon O. (Family Physicians Inquiries Network, 2013-12)
    This letter from the editor of Evidence-Based Practice postulates that tiny P values, which are currently always truncated to P<.001, will be changing in the future.
  • What is the appropriate management for a 1-year-old infant with anemia? 

    Pearcy, Amy; Munn, Stacia (Family Physicians Inquiries Network, 2013-12)
    What is the appropriate management for a 1-year-old infant with anemia? Evidence-based answer: Iron deficiency is the most common cause of anemia in an asymptomatic 1-year-old infant, so either further laboratory evaluation ...
  • In children diagnosed with chronic sinusitis, does giving systemic steroids improve symptoms? 

    Fudala, Monica J.; Rowland, Kate (Family Physicians Inquiries Network, 2013-12)
    In children diagnosed with chronic sinusitis, does giving systemic steroids improve symptoms? Evidence-Based Answer: Yes, in certain situations. Systemic steroids, when given with systemic antibiotics, reduce nasal ...
  • Modification of the drawer test 

    Sealy, David (Family Physicians Inquiries Network, 2013-12)
    In this Letter to the Editor, a doctor puts forth his modification to the drawer test -- the "sitting drawer" -- in which the doctor assesses big knees for anterior cruciate ligament (ACL) and posterior cruciate ligament ...
  • Do procalcitonin levels help differentiate bacterial meningitis from viral meningitis in the child with fever? 

    Gulbrandsen, Erik; Smaga, Sharon (Family Physicians Inquiries Network, 2013-12)
    Do procalcitonin levels help differentiate bacterial meningitis from viral meningitis in the child with fever? Evidence-Based Answer: Procalcitonin levels are elevated in children with bacterial meningitis and may be used ...
  • Diving for PURLs (December 2013) 

    Rogers, Nina; Rowland, Kate (Family Physicians Inquiries Network, 2013-12)
    Diving for PURLS are reviews of new research studies that could change clinical practice.
  • Does cryotherapy prevent muscle soreness after vigorous exercise? 

    Miles, Julie; Landy, Katherine; Leon, Enrique; Guirguis-Blake, Janelle (Family Physicians Inquiries Network, 2013-12)
    Does cryotherapy prevent muscle soreness after vigorous exercise? Evidence-Based Answer: One-time cryotherapy treatment after exercise significantly reduces subjective pain at 1 to 3 days’ follow-up, but does not improve ...
  • Is nitrous oxide a safe and effective analgesic for intrapartum pain management? 

    Timmer, Carri Jo; St. Anna, Leilani; Guirguis-Blake, Janelle (Family Physicians Inquiries Network, 2013-12)
    Is nitrous oxide a safe and effective analgesic for intrapartum pain management? Evidence-Based Answer: Nitrous oxide (N2O) is likely an effective analgesic for intrapartum pain management (SOR: B, inconsistent results ...
  • When should a child with an undescended testicle be referred to a urologist? 

    DuChene, Laura; Satre, Thomas (Family Physicians Inquiries Network, 2013-12)
    When should a child with an undescended testicle be referred to a urologist? Evidence-Based Answer: Urology referral for surgical intervention should occur between 6 and 12 months of age, because spontaneous descent after ...
  • What are the risks and benefits of tonsillectomy and adenoidectomy in children with sleep apnea? 

    Ehrmann, John C., III; Soley, Leah (Family Physicians Inquiries Network, 2013-10)
    What are the risks and benefits of tonsillectomy and adenoidectomy in children with sleep apnea? Evidenced-Based Answer: Adenotonsillectomy is an effective therapy for decreasing the severity of obstructive sleep apnea and ...
  • How should physicians interpret the new 2-hour oral glucose tolerance test in obstetric patients? 

    Roper, Jennifer T.; Riley, Lyrad K. (Family Physicians Inquiries Network, 2013-10)
    How should physicians interpret the new 2-hour oral glucose tolerance test in obstetric patients? Evidence-Based Answer: Screening at 24 to 28 weeks’ gestational age with a 2-hour oral glucose tolerance test (OGTT) is ...
  • Does omega-3 fatty acid supplementation provide cardiovascular benefits? 

    Narciso, Philipp (Family Physicians Inquiries Network, 2013-10)
    Does omega-3 fatty acid supplementation provide cardiovascular benefits? Evidence-Based Answer: Increasing omega-3 fatty acid intake does not provide primary or secondary mortality benefit or cardiovascular protection (SOR: ...
  • Does vitamin D deficiency affect pregnancy outcomes? 

    Valenza, Pamela; Koch-Laking, Amber (Family Physicians Inquiries Network, 2013-10)
    Does vitamin D deficiency affect pregnancy outcomes? Evidence-Based Answer: Routine vitamin D supplementation does not alter pregnancy outcomes (SOR: A, meta-analysis). However, vitamin D deficiency (serum level <20 ng/mL) ...
  • What is the best test for Lyme disease? 

    Lennox, Peter; Persons, Robert K. (Family Physicians Inquiries Network, 2013-10)
    What is the best test for Lyme disease? Evidence-Based Answer: If a patient develops erythema migrans after a tick bite in an endemic area, no testing is required. Simply treat the patient. If the diagnosis of Lyme disease ...
  • Early warning systems 

    Neher, Jon O. (Family Physicians Inquiries Network, 2013-10)
    Column from the editor about a trip to Montana and about black box warnings on medications.
  • What is the best initial therapy for narcotic-induced constipation in an adult? 

    Coleman, James “Chris”; Wheeler, Vernon L.; Baird, Drew (Family Physicians Inquiries Network, 2013-10)
    What is the best initial therapy for narcotic-induced constipation in an adult? Evidence-Based Answer: The evidence is insufficient to suggest 1 laxative over another for initial treatment of narcotic-induced constipation. ...
  • Are probiotics effective for reducing the severity of symptoms in infants with atopic dermatitis? 

    Muramoto, Matt T.; Baird, Drew (Family Physicians Inquiries Network, 2013-10)
    Are probiotics effective for reducing the severity of symptoms in infants with atopic dermatitis? Evidence-Based Answer: Giving probiotics to infants and children does not appear to be effective in reducing the severity ...
  • Are postmenopausal women taking calcium supplementation at an increased risk of myocardial infarction? 

    Onysko, Mary; Rutten, Mikal (Family Physicians Inquiries Network, 2013-10)
    Are postmenopausal women taking calcium supplementation at an increased risk of myocardial infarction? Evidence-Based Answer: Calcium supplementation (with or without concurrent vitamin D supplementation) may increase the ...
  • What treatment is most effective for tinea versicolor? 

    Saune, Dorothy; Dooley, Philip (Family Physicians Inquiries Network, 2013-10)
    What treatment is most effective for tinea versicolor? Evidence-Based Answer: Multiple topical and systemic azole antifungals are effective; evidence is insufficient to recommend a single best treatment (SOR: B, systematic ...

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