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What is the best way to treat Morton's neuroma?
(Family Physicians Inquiries Network, 2011)
No single treatment for Morton's neuroma has been identified in the literature.A protocol of stepped care that showed good results in an uncontrolled trial seems reasonable: patient education and footwear or insole changes, ...
Does turmeric relieve inflammatory conditions?
(Family Physicians Inquiries Network, 2011)
Limited evidence suggests that turmeric and its active compound, curcumin, are effective for rheumatoid arthritis and other inflammatory conditions (strength of recommendation [SOR]: C, primarily low-quality cohort studies ...
What is the most effective treatment for acne rosacea?
(Family Physicians Inquiries Network, 2011)
Topical metronidazole and azelaic acid are equally effective for the papulopustular lesions of acne rosacea, although metronidazole is better tolerated. Oral doxycycline, tetracycline, and metronidazole are also effective, ...
What is the prognosis for patients with chronic urticaria?
(Family Physicians Inquiries Network, 2011)
The prognosis for chronic urticaria in primary care is unknown; studies in dermatology clinics in multiple countries report complete resolution in approximately one-third of patients with idiopathic chronic urticaria over ...
What's the best way to control circumcision pain in newborns?
(Family Physicians Inquiries Network, 2011)
Dorsal penile nerve block (DPNB), ring block (RB), and eutectic mixture of local anesthetics (EMLA) all control pain effectively during neonatal circumcision (strength of recommendation [SOR]: A, systematic review). An RB ...
Ureteral calculi: What should you consider before intervening?
(Family Physicians Inquiries Network, 2011)
The size of the calculi, their location, and complicating factors such as infection should all be considered. Most ureteral calculi smaller than 5 mm pass spontaneously, as do approximately half of calculi between 5 and ...
How should you evaluate a toddler for speech delay?
(Family Physicians Inquiries Network, 2011)
Use a brief screening tool to assess children for speech and language delay at every preventive visit. If a delay in speech is identified, evaluate the child for potentially treatable causes, starting with a history and ...
How best to diagnose asthma in infants and toddlers?
(Family Physicians Inquiries Network, 2011)
No reliable way exists to diagnose asthma in infants and toddlers. Recurrent wheezing, especially apart from colds, combined with physician diagnosed eczema or atopic dermatitis, eosinophilia, and a parental history of ...
Which medications benefit patients with diastolic heart failure?
(Family Physicians Inquiries Network, 2011)
Angiotensin-converting enzyme inhibitors (ACEIs), propranolol, statins, furosemide, and some angiotensin receptor blockers (ARBs) benefit patients. Medications that reduce mortality in diastolic heart failure include ACEIs ...
Childhood alopecia areata: What treatment works best?
(Family Physicians Inquiries Network, 2011)
There are no validated effective treatments for alopecia areata (AA). Topical immunotherapy (squaric acid dibutylester [SADBE] and diphenylcyclopropenone [DPCP]) induces the most significant short-term hair regrowth in ...
Is cinnamon safe and effective for treating lipid disorders?
(Family Physicians Inquiries Network, 2011)
Insufficient evidence exists to determine whether cinnamon improves outcomes in patients with lipid disorders. In healthy patients without hyperlipidemia, cinnamon doesn't change lipid levels but does cause mild gastrointestinal ...
Do NSAIDs impede fracture healing?
(Family Physicians Inquiries Network, 2011)
Nonsteroidal anti-inflammatory drugs (NSAIDs) don't appear to impair clinical fracture healing (strength of recommendation [SOR]: B, inconsistent evidence from a randomized controlled trial [RCT] and retrospective studies). ...
Hormone Therapy for Postmenopausal Women with Urinary Incontinence
(Family Physicians Inquiries Network, 2011)
Postmenopausal women should not receive oral hormone therapy for treatment of urinary incontinence. Hormone therapy is associated with worsening urinary incontinence in postmenopausal women who are incontinent at baseline ...
When is discectomy indicated for lumbar disc disease?
(Family Physicians Inquiries Network, 2011)
Emergent discectomy is indicated in the presence of cauda equina and severe, progressive neuromotor deficits (strength of recommendation [SOR]: C, expert opinion). Elective discectomy for sciatica caused by lumbar disc ...
Is it safe to vaccinate children against varicella while they're in close contact with a pregnant woman?
(Family Physicians Inquiries Network, 2011)
All healthy children without evidence of immunity to varicella who are living in a household with a susceptible pregnant woman should be vaccinated (strength of recommendation [SOR]: C, expert opinion). The risk of ...
When is the best time to clamp the umbilical cord after routine vaginal delivery?
(Family Physicians Inquiries Network, 2011)
Sometime between 30 seconds and 2 minutes after delivery appears to be the best interval. In term infants, delayed clamping (waiting 1 or 2 minutes or until the cord stops pulsating) improves hemoglobin and ferritin levels, ...
Antibiotics for Viral Upper Respiratory Tract Infections in Children
(Family Physicians Inquiries Network, 2011)
Antibiotic therapy does not benefit children with bronchiolitis, the common cold, or nonstreptococcal pharyngitis. If purulent rhinitis is present for more than 10 days, antibiotics shorten the duration of runny nose ...
What should you tell pregnant women about exposure to parvovirus?
(Family Physicians Inquiries Network, 2011)
Tell patients that parvovirus infections before 20 weeks' gestation confer a risk of fetal morbidity and mortality as high as 16%, but don't significantly increase long-term developmental sequelae (strength of recommendation ...
What's the best way to relieve mastitis in breastfeeding mothers?
(Family Physicians Inquiries Network, 2011)
Frequent breast emptying helps both infectious and noninfectious mastitis (strength of recommendation [SOR]: A, 1 randomized controlled trial [RCT]). Antibiotics may be useful for women with positive milk cultures (SOR: ...
Treatment of Hyperhidrosis
(Family Physicians Inquiries Network, 2011)
OnabotulinumtoxinA injections (Botox; formerly botulinum toxin type A) are effective for the treatment of primary axillary and palmar hyperhidrosis. (Strength of Recommendation [SOR]: A, based on a systematic review of ...