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Ramipril for claudication?
(Family Physicians Inquiries Network, 2013)
This ACE inhibitor can help patients with peripheral artery disease walk longer while remaining pain free.
Time to routinely screen for intimate partner violence?
(Family Physicians Inquiries Network, 2013)
Use a validated tool to screen women of childbearing age for intimate partner violence (IPV) and follow up with any woman with a positive screen. Stength of recommendation: B: Based on a systematic review of 10 randomized ...
Prescribing an antibiotic? Pair it with probiotics
(Family Physicians Inquiries Network, 2013)
Recommend that patients taking antibiotics also take probiotics, which have been found to be effective both for the prevention and treatment of antibiotic-associated diarrhea (AAD). Stength of recommendation: A: Based on ...
An obesity remedy for diabetes
(Family Physicians Inquiries Network, 2013)
Consider bariatric surgery for patients with diabetes who are obese; surgery is associated with higher remission rates than medical therapy, regardless of the amount of weight lost. Stength of recommendation: B: Based on ...
Suspect carpal tunnel? : Try this
(Family Physicians Inquiries Network, 2013)
For best results, use the modified Phalen's test (MPT) rather than the traditional Phalen's when you suspect carpal tunnel syndrome (CTS).
Consider this strategy for upper GI bleeds
(Family Physicians Inquiries Network, 2013)
Do not order transfusions of red blood cells for patients with acute upper gastrointestinal bleeding unless their hemoglobin level <7 g/dL. A: Based on a single randomized controlled trial (RCT) consistent with other RCTs ...
Is this pregnancy viable?
(Family Physicians Inquiries Network, 2013)
Measure serum progesterone levels of women with bleeding or pain and inconclusive ultrasound in early pregnancy to rule out viability, potentially eliminating the need for serial b-hormone human chorionic gonadotropin ...
This asthma treatment has a lasting side effect in children
(Family Physicians Inquiries Network, 2013)
Before prescribing inhaled corticosteroids (ICS) for a child with asthma, tell the patient -- and parents -- that their use could lead to a small but permanent effect on adult height. Stength of recommendation: B: Based ...
A spoonful of honey helps a coughing child sleep
(Family Physicians Inquiries Network, 2013)
When a parent brings in a child (ages 1-5 years) with cough, runny nose, and other symptoms of a viral upper respiratory infection (URI), recommend that honey be given at bedtime. Stength of recommendation: A: Based on a ...
Optimal timing for peripheral IV replacement?
(Family Physicians Inquiries Network, 2013)
Replace peripheral IV catheters as needed, rather than on a routine basis. Stength of recommendation: A: Based on a randomized equivalence trial.
Should you still recommend omega-3 supplements?
(Family Physicians Inquiries Network, 2013)
Stop recommending omega-3 fatty acid supplements for cardiovascular protection. They have no significant impact on all-cause mortality, acute myocardial infarction, sudden death, or stroke. Stength of recommendation: A: ...
Should you screen for postpartum depression?
(Family Physicians Inquiries Network, 2013)
Should you screen for postpartum depression? Yes. Evidence suggests that screening new moms for depression leads to better outcomes, and should be routine. Practice changer: Make depression screening a routine part of the ...
Is self-swabbing for STIs a good idea?
(Family Physicians Inquiries Network, 2013)
Ask women who are at risk for sexually transmitted infections (STIs) to self-swab for chlamydia and gonorrhea testing; self-collection of vulvovaginal swabs with nucleic acid amplification testing (NAAT) has excellent ...
Mediterranean diet: Higher fat but lower risk
(Family Physicians Inquiries Network, 2013)
Counsel patients at high risk for cardiovascular disease and stroke to follow a Mediterranean diet, which is associated with a 30% risk reduction.
Corticosteroids for a sore throat?
(Family Physicians Inquiries Network, 2013)
Consider prescribing a single dose of corticosteroids for patients with sore throat, which has been found to bring quicker pain relief and resolution of symptoms. Stength of recommendationA: Based on a meta-analysis of ...