Clinical Inquiries, 2006: Recent submissions
Now showing items 41-60 of 81
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What is the appropriate management for a patient with CIN1 on colposcopy?
(Family Physicians Inquiries Network, 2006)Of the different strategies available for managing cervical intraepithelial neoplasia grade 1 (CIN1), testing for high-risk subtypes of the human papillomavirus (hr-HPV) DNA at 12 months has the highest sensitivity for ... -
What lifestyle changes should we recommend for the patient with newly diagnosed hypertension?
(Family Physicians Inquiries Network, 2006)Hypertensive patients should reduce sodium intake (strength of recommendation [SOR]: A). The Dietary Approaches to Stop Hypertension diet (DASH diet)--with salt restriction and increased fruit, vegetable, calcium, and ... -
What are hospital admission criteria for infants with bronchiolitis?
(Family Physicians Inquiries Network, 2006)Clinical judgment remains the gold standard for hospital admission of infants with bronchiolitis, and it cannot be replaced by objective criteria (strength of recommendation [SOR]: B, based on prospective and retrospective ... -
What is appropriate fetal surveillance for women with diet-controlled gestational diabetes?
(Family Physicians Inquiries Network, 2006)No evidence clearly supports the practice of increased fetal surveillance in the pregnancies of women with well-controlled (ie, fasting blood sugar <105 mg/dL) class A1 gestational diabetes (strength of recommendation ... -
What is the appropriate evaluation and treatment of children who are "toe walkers"?
(Family Physicians Inquiries Network, 2006)The evaluation of toe-walking focuses on differentiating normal children from those with mild cerebral palsy. Gait analysis may be a useful diagnostic tool, but further investigation is needed to confirm its reliability ... -
What are effective medical treatments for adults with acute migraine?
(Family Physicians Inquiries Network, 2006)Medications collectively referred to as "triptans" (eg, sumatriptan, naratriptan, etc) have been shown to be effective for acute migraine (strength of recommendation [SOR]: A). Nonsteroidal anti-inflammatory drugs ... -
What are effective treatments for oppositional defiant behaviors in adolescents?
(Family Physicians Inquiries Network, 2006)Psychological interventions for the family-- such as parenting skills training and behavioral therapy for the child, the parents, or the whole family--reduce conflict behaviors in adolescents with oppositional defiant ... -
What are effective medication combinations for dyslipidemia?
(Family Physicians Inquiries Network, 2006)Many combination drug therapies are effective in treating dyslipidemia. Compared with statin monotherapy, combinations that include ezetimibe (Zetia), a bile acid sequestrant, or niacin further lower low- density lipoprotein ... -
What is the most effective management of acute fractures of the base of the fifth metatarsal?
(Family Physicians Inquiries Network, 2006)For acute Jones' fractures in recreationally active patients, early intramedullary screw fixation results in lower failure rates and shorter times to both clinical union and return to sports than non-weightbearing short ... -
What is the most beneficial diet for patients with diverticulosis?
(Family Physicians Inquiries Network, 2006)A diet high in fiber (particularly fruit and vegetable fiber) and low in fat and red meat may help to decrease the risk of symptomatic diverticular disease (strength of recommendation [SOR]: C, case-control studies and a ... -
What behavioral interventions are safe and effective for treating obesity?
(Family Physicians Inquiries Network, 2006)Interventions that include a combination of behavioral and lifestyle modification -- including decreased caloric intake, specific aids to changing diet, increased physical activity, and treatment of binge eating disorders ... -
What are appropriate screening tests for infants and children?
(Family Physicians Inquiries Network, 2006)There is adequate evidence for screening neonates for hemoglobinopathies, congenital hypothyroidism, phenylketonuria (strength of recommendation [SOR]: A), and cystic fibrosis (SOR: B). Vision screening should be done for ... -
What are appropriate screening tests for adolescents?
(Family Physicians Inquiries Network, 2006)Screen all women of childbearing age, including adolescents, for rubella susceptibility (strength of recommendation [SOR]: B). Screen all sexually active adolescent females for chlamydia (SOR: A), gonorrhea (SOR: B), and ... -
What is appropriate management of iron deficiency for young children?
(Family Physicians Inquiries Network, 2006)Infants and toddlers with suspected irondeficiency anemia (IDA) should begin treatment with oral ferrous sulfate (3 mg/kg/d of elemental iron). A rise in hemoglobin >1 g/dL after 4 weeks supports the diagnosis of iron ... -
What is the recommended approach to asymptomatic patients who develop a reactive PPD?
(Family Physicians Inquiries Network, 2006)Clinical evaluation and chest x-ray are recommended for asymptomatic patients with a positive purified protein derivative (PPD) test result, to exclude the slight possibility of active tuberculosis (TB). Patients with ... -
What is the best duration of steroid therapy for contact dermatitis (rhus)?
(Family Physicians Inquiries Network, 2006)Scant evidence exists for the best duration of steroid therapy for contact dermatitis due to plants (rhus). Review articles recommend 10 to 21 days of treatment with topical or oral corticosteroids for moderate to severe ... -
What is the dietary treatment for low HDL cholesterol?
(Family Physicians Inquiries Network, 2006)Low-carbohydrate diets raise high-density lipoprotein (HDL) cholesterol levels by approximately 10%; soy protein with isoflavones raises HDL by 3% (strength of recommendation [SOR]: C, based on meta-analysis of physiologic ... -
What dietary modifications are indicated for migraines?
(Family Physicians Inquiries Network, 2006)Migraine frequency, duration, and severity are not increased by dietary choices (strength of recommendation [SOR]: A, individual randomized trial [RCT]); they can be decreased by a low-fat diet (SOR: B). Regular supplementation ... -
What are contraindications to IUDs?
(Family Physicians Inquiries Network, 2006)Based on limited evidence, use of intrauterine devices (IUDs) is not contraindicated for women with HIV/AIDS (strength of recommendation [SOR]: C), multiple sexual partners (SOR: C), previous actinomyces colonization (SOR: ... -
What causes a low TSH level with a normal free T4 level?
(Family Physicians Inquiries Network, 2006)Subclinical hyperthyroidism (SCH) is defined as a low thyroid-stimulating hormone (TSH) level with normal free T4 and free T3 levels in patients without specific symptoms of hyperthyroidism. There is no evidence that ...