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Now showing items 1-20 of 53
Do imaging studies aid diagnosis of acute sinusitis?
(Family Physicians Inquiries Network, 2003)
Accurate diagnosis of acute sinusitis in both children and adults depends on the history and clinical examination of the patient. While the clinical signs and symptoms of acute sinusitis are often difficult to distinguish ...
Is screening for lead poisoning justified?
(Family Physicians Inquiries Network, 2003)
Evidence is insufficient to recommend for or against universal screening of young children for lead poisoning in high- prevalence communities (strength of recommendation [SOR]: C). In low-prevalence communities, evidence ...
What is the best hypnotic for use in the elderly?
(Family Physicians Inquiries Network, 2003)
Short-acting hypnotics such as zolpidem (Ambien) or zaleplon (Sonata) are the preferred hypnotics in the elderly because of an improved side-effect profile compared with traditional hypnotics such as benzodiazepines (strength ...
Should we screen for ovarian cancer?
(Family Physicians Inquiries Network, 2003)
Ovarian cancer screening using pelvic examination, CA-125 serum tumor marker, transvaginal ultrasound (TVU), or any combination of tests is not recommended in average-risk women, or in women with only 1 first-degree relative ...
Should jaundiced infants be breastfed?
(Family Physicians Inquiries Network, 2003)
No studies have demonstrated that cessation of breastfeeding in jaundiced infants improves clinical outcomes, although this has only been studied in term infants. Temporarily disrupting or supplementing breastfeeding in ...
Is pneumococcal vaccine effective in nursing home patients?
(Family Physicians Inquiries Network, 2003)
Evidence from clinical trials supports the use of pneumococcal polysaccharide vaccine for prevention of pneumonia in nursing home patients (strength of recommendation: B, based on randomized, nonblinded clinical trials). ...
Is screening urinalysis in children worthwhile?
(Family Physicians Inquiries Network, 2003)
Screening urinalysis in asymptomatic children has not been shown to be beneficial (strength of recommendation: B; based on extrapolation from 1 meta-analysis). It is unlikely to be cost-effective and should be discontinued. ...
Is osteoporosis screening in postmenopausal women effective?
(Family Physicians Inquiries Network, 2003)
No single study evaluates the effectiveness of osteoporosis screening. However, screening women over the age of 65 years -- or those between 60-64 years with certain risk factors -- is recommended based on available evidence. ...
Does stimulant therapy help adult ADHD?
(Family Physicians Inquiries Network, 2003)
Central nervous system stimulants improve symptoms of attention deficit-hyperactivity disorder (ADHD) in adults (strength of recommendation: B, based on an older, inconclusive systematic review, a lesser-quality systematic ...
How should we manage infants at risk for group B streptococcal disease?
(Family Physicians Inquiries Network, 2003)
Asymptomatic term infants whose mothers received adequate intrapartum antibiotic prophylaxis (defined as intravenous penicillin or ampicillin at least 4 hours before delivery) for group B streptococcal disease do not need ...
How effective is desmopressin for primary nocturnal enuresis?
(Family Physicians Inquiries Network, 2003)
Desmopressin reduces the number of nights of primary noctural enuresis by at least 1 per week, and increases the likelihood of "cure" (defined as 14 consecutive dry nights) while treatment is continued (number needed to ...
How should patients with mitral regurgitation be followed?
(Family Physicians Inquiries Network, 2003)
Patients with mild to moderate mitral regurgitation should be assessed periodically for a worsening condition; those with severe mitral regurgitation should be monitored for development of congestive heart failure, atrial ...
Do glucosamine or chondroitin cause regeneration of cartilage in osteoarthritis?
(Family Physicians Inquiries Network, 2003)
No direct evidence suggests glucosamine or chrondroitin cause regeneration of cartilage in osteoarthritis. Use of glucosamine sulfate in knee osteoarthritis prevents joint space narrowing on radiographs (strength of ...
Heat or ice for acute ankle sprain?
(Family Physicians Inquiries Network, 2003)
For grade 3 and 4 ankle sprains, ice works better than heat to speed recovery (return to play) (strength of recommendation [SOR]: B, based on a single retrospective cohort study). No studies support faster return to play ...
Does surgery for carpal tunnel syndrome improve outcomes?
(Family Physicians Inquiries Network, 2003)
Good evidence supports the use of surgery for carpal tunnel syndrome over nonsurgical therapies such as wrist splints, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, occupational therapy, local steroid ...
How accurate is the clinical diagnosis of pneumonia?
(Family Physicians Inquiries Network, 2003)
No element or combination of elements from the clinical history and physical examination are sufficiently sensitive or specific to confirm or exclude acute community-acquired pneumonia (CAP). A chest x-ray is recommended ...
Is MRI useful for evaluation of acute low back pain?
(Family Physicians Inquiries Network, 2003)
Magnetic resonance imaging (MRI) is rarely helpful in the evaluation of acute low back pain. Limited evidence suggests that MRI may be useful in further assessing "red flag" in the history or physical exam. MRI has a high ...
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 physical therapy improve symptoms of fibromyalgia?
(Family Physicians Inquiries Network, 2003)
Physical therapy is minimally effective in the treatment of fibromyalgia, with immediate post-treatment improvement in pain and tender points, and both short- and longer-term improved self-efficacy (confidence in performing ...
Is neurosurgery referral warranted for small brain aneurysms?
(Family Physicians Inquiries Network, 2003)
The risk of rupture of a small cerebral aneurysm (<10 mm) is very low in asymptomatic patients who have never had a subarachnoid hemorrhage. Because the risk of morbidity and mortality from surgical intervention significantly ...