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FPIN's Clinical Inquiries

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FPIN's Clinical Inquiries: Medications for Treatment of Interstitial Cystitis - ...

Jan 15, 2015 - There are no long-term clinically effective oral medications. Pentosan (Elmiron) can improve overall symptom scores for interstitial cystitis over three to six months, but it does not improve scores for any of three individual symptoms (dysuria, urgency, frequency) compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0115/p116.html

FPIN's Clinical Inquiries: Dipstick Urinalysis for the Diagnosis of Acute UTI - ...

May 15, 2013 - Approximately two-thirds of women who present with classic symptoms of acute UTI have bacterial infection of the bladder. Dipstick urinalysis moderately improves the accuracy of clinical symptoms in establishing or excluding acute UTI in women.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0515/od2.html

FPIN's Clinical Inquiries: Topical Preparations for Wound Healing - American Family ...

Jun 15, 2014 - Topical silver should not be used for treatment of nonburn wounds because it does not hasten healing. Medical-grade topical honey can be used to reduce healing time for partial-thickness burns, but it produces no effect on lacerations, surgical wounds, chronic wounds, or vascular ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0615/p978.html

FPIN's Clinical Inquiries: Testosterone Therapy and Risk Recurrence After Treatment of ...

Oct 15, 2013 - Men with symptomatic androgen deprivation who have had clinically curative treatment for organ-confined prostate cancer may have symptomatic improvement with testosterone replacement therapy. There are no studies evaluating the risk of cancer recurrence in patients receiving ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/1015/od5.html

FPIN's Clinical Inquiries: Rivaroxaban vs. Warfarin for Treatment of DVT and PE - ...

Oct 15, 2017 - Rivaroxaban, along with the other factor Xa inhibitors, is as effective as or better in the short term (three months) than warfarin (Coumadin) for preventing recurrent DVT, nonfatal PE, and fatal PE, with no differences in mortality or bleeding events.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/1015/p532.html

FPIN's Clinical Inquiries: Treatment for Calcaneal Apophysitis - American Family Physician

Jul 15, 2017 - Several treatments for calcaneal apophysitis may produce modest short-term improvements in pain scores. Heel inserts and prefabricated orthotics may initially improve pain scores and dysfunction, but patients have equal improvement by three months with or without therapy.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0715/p126.html

FPIN's Clinical Inquiries: Iron Deficiency in Heart Failure - American Family Physician

Apr 15, 2017 - Treatment of iron deficiency in patients with heart failure using intravenous iron improves function, fatigue, and quality of life, and decreases risk of hospitalizations compared with placebo.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0415/p514.html

FPIN's Clinical Inquiries: Giant Cell Arteritis: Biopsy After Corticosteroid Initiation...

Jan 15, 2017 - Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0115/p116.html

FPIN's Clinical Inquiries: ACE Inhibitors or ARBs to Prevent CKD in Patients with ...

Oct 15, 2016 - ACE inhibitors reduce the risk of progression to macroalbuminuria in normotensive patients with microalbuminuria and type 1 diabetes mellitus.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/1015/p652.html

FPIN's Clinical Inquiries: Procalcitonin-Guided Antibiotic Therapy for Acute ...

Jul 1, 2016 - A procalcitonin-guided antibiotic therapy algorithm should be used to decrease antibiotic use in adults with acute respiratory infections. The use of a procalcitonin-guided therapy algorithm reduces antibiotic use by 3.47 days without increasing morbidity or mortality in adults with ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/0701/p53.html

FPIN's Clinical Inquiries: Effective Therapies for Intermittent Claudication - American...

Sep 15, 2011 - Supervised exercise programs are recommended to produce clinically significant improvements in walking distance in patients with stable intermittent claudication.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0915/p699.html

FPIN's Clinical Inquiries: Clinical Indicators of Obstructive Sleep Apnea - American ...

May 1, 2011 - Clinical indicators (e.g., sex, snoring severity, history of apnea, age, menopausal status, waist-to-hip ratio, body habitus) can predict OSA as diagnosed using overnight polysomnography or sleep study.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0501/od1.html

FPIN's Clinical Inquiries: Angiotensin-Converting Enzyme Inhibitors vs. Angiotensin ...

Feb 1, 2015 - ACE inhibitors should be used in patients with hypertension because they reduce all-cause mortality, whereas ARBs do not.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0201/p193.html

FPIN's Clinical Inquiries: Risk of Gout with the Use of Thiazide Diuretics - American ...

Oct 1, 2015 - Thiazide diuretics may be used in most patients with hypertension who have only minimally increased risk of gout.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/1001/p622.html

FPIN's Clinical Inquiries: Treatments for Sciatica - American Family Physician

May 1, 2015 - Surgical diskectomy can be offered to patients with refractory sciatica, but there is only modest, short-term improvement in leg pain and disability scores. Epidural steroid injections may be offered to patients with sciatica of more than six months' duration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0501/p612.html

FPIN's Clinical Inquiries: Atopic Eczema and Early Introduction of Solid Foods - ...

Sep 15, 2015 - In most children, solid foods may be introduced before four to six months of age without increasing the risk of atopic eczema.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0915/p523.html

FPIN's Clinical Inquiries: Micronutrient Supplementation During Pregnancy - American ...

Aug 1, 2015 - A multimicronutrient supplement is an oral tablet containing the recommended daily allowance of several vitamins and minerals. The World Health Organization does not recommend multimicronutrient supplementation because of the potential for increased neonatal mortality in some situations.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0801/p222.html

FPIN's Clinical Inquiries: Management of Acute Achilles Tendon Rupture - American ...

Jun 1, 2015 - There are no clear evidence-based criteria to decide which patients should undergo operative vs. nonoperative management of acute Achilles tendon rupture.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0601/p794.html

FPIN's Clinical Inquiries: Exercise and Pregnancy Loss - American Family Physician

Apr 1, 2015 - Regular exercise for up to seven or more hours per week (including low-intensity and high-intensity aerobics, jogging, cycling, and swimming) is not associated with increased rates of miscarriage in the first to mid-second trimesters. Patients may continue bending and lifting at work, ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0401/p437.html

FPIN's Clinical Inquiries: Diagnosing Von Willebrand Disease - American Family Physician

Jun 15, 2010 - The diagnosis of vWD requires two clinical criteria: (1) a personal history, family history, or physical evidence of mucocutaneous bleeding and (2) a qualitative or quantitative decrease in functional activity of von Willebrand factor (vWF).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0615/p1415.html

FPIN's Clinical Inquiries Department Collection - American Family Physician

Clinical Inquiries from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=12&page=0

FPIN's Clinical Inquiries Department Collection - American Family Physician

Clinical Inquiries from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=12

FPIN's Clinical Inquiries: Obesity and Joint Injuries in Children - American Family ...

Mar 1, 2015 - Lower extremity injuries are 18% more likely in overweight children, 24% more likely in obese children, and 34% more likely in extremely obese children when compared with normal weight peers. The risk of lower extremity fractures is also increased by 17% in overweight children, 23% in ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0301/p320.html

FPIN's Clinical Inquiries: Evaluation of Newborns with Preauricular Skin Lesions - ...

May 15, 2012 - All newborns should be screened for hearing loss, whether or not they have preauricular skin lesions. Newborns with these anomalies may be at increased risk of hearing impairment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0515/p993.html

FPIN's Clinical Inquiries: Self-Administered GBS Testing in Pregnant Women - American ...

Nov 15, 2014 - There is no difference in the sensitivity of swabs for detecting GBS when collected by patients vs. physicians; therefore, either method can be used. Patients do not express a consistent preference for self-collection of samples vs. collection by a physician.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/1115/p729.html

FPIN's Clinical Inquiries: Surgical Treatment for Asymptomatic Cholelithiasis - ...

Mar 15, 2014 - Surgery should not be offered to patients with asymptomatic cholelithiasis. Cholecystectomy may be beneficial for patients who are at high risk of biliary cancer, infection, or other complications, including younger patients and those with choledocholithiasis, sickle cell disease, ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0315/p468.html

FPIN's Clinical Inquiries: Cardiovascular Effects of NSAIDs - American Family Physician

Aug 15, 2014 - Aspirin does not elevate blood pressure. Among nonselective NSAIDs, ibuprofen increases the risk of hypertension and stroke. Diclofenac does not increase the risk of hypertension, but does increase the risk of stroke. Naproxen (Naprosyn) does not increase the risk of hypertension or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0815/od2.html

FPIN's Clinical Inquiries: Prostaglandins to Induce Labor in Women with Asthma - ...

Sep 15, 2014 - There is little evidence evaluating whether prostaglandins used to induce labor increase the risk of bronchospasm in patients with asthma. The use of dinoprostone to induce labor is not associated with asthma exacerbations or reduced oxygen saturation in patients with active asthma or a...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0915/p415.html

FPIN's Clinical Inquiries: Screening for Autism Spectrum Disorders - American Family ...

Oct 15, 2014 - There are no studies directly comparing the various screening tools. The Modified Checklist for Autism in Toddlers (M-CHAT) is the tool most commonly used by physicians, followed by the Checklist for Autism in Toddlers (CHAT). All other tools account for about 3% of usage.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/1015/p574.html

FPIN's Clinical Inquiries: Intra-articular Corticosteroid Injections for Osteoarthritis...

Jul 15, 2014 - Intra-articular corticosteroid injections can be used to reduce pain by about 20% in the short term (one to three weeks) in patients with osteoarthritis of the knee.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0715/p115.html

FPIN's Clinical Inquiries: Treatments for Symptoms of the Common Cold - American Family...

Dec 15, 2013 - There is no single treatment that produces significant improvements in symptoms of the common cold. Intranasal ipratropium (Atrovent) can be given to reduce rhinorrhea. Oral zinc can be given therapeutically to shorten cold duration and severity, and can be taken prophylactically to ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/1215/od3.html

FPIN's Clinical Inquiries: Treatment of Jellyfish Envenomation - American Family Physician

May 15, 2014 - There is limited patient-oriented evidence upon which to base recommendations for treatment of jellyfish envenomation. Patients should be removed from the water, and an attempt should be made to prevent the discharge of adherent nematocysts (i.e., microscopic stinging cells), remove ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0515/od1.html

FPIN's Clinical Inquiries: Apolipoproteins for Cardiovascular Risk Assessment - ...

Apr 15, 2014 - Measurement of apolipoprotein B and apolipoprotein A-I is no better than traditional lipid measurements and should not be used to predict cardiovascular risk.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0415/od2.html

FPIN's Clinical Inquiries: Fish Oil for Treatment of Dyslipidemia - American Family ...

Feb 15, 2014 - Supplementation with omega-3 fatty acids decreases triglyceride and very low-density lipoprotein cholesterol levels. However, it can also increase low-density lipoprotein (LDL) cholesterol levels. Treatment with omega-3 fatty acids does not decrease total mortality, cardiovascular ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0215/p288.html

FPIN's Clinical Inquiries: Methylphenidate for Management of Fatigue in the Palliative ...

Jan 15, 2014 - No recent evidence demonstrates that methylphenidate improves fatigue in patients receiving palliative care. Methylphenidate can be used to minimally improve fatigue symptom scores in patients with cancer-related fatigue.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0115/p124.html

FPIN's Clinical Inquiries: Treatment of Otitis Media with Perforated Tympanic Membrane ...

Apr 15, 2009 - Acute otitis media with tympanic membrane perforation in children should be treated with an oral antibiotic.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0415/p650.html

FPIN's Clinical Inquiries: Risks of Bisphosphonate Use - American Family Physician

Nov 15, 2013 - Bisphosphonates are associated with a small risk of atypical femoral shaft fractures, which increases with duration of use. Bisphosphonates are associated with a small risk of osteonecrosis of the jaw, which is more common in patients who are older, female, or have poor dental hygiene ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/1115/p697.html

FPIN's Clinical Inquiries: Treatment of Motion Sickness - American Family Physician

Jul 15, 2012 - Scopolamine should be used to reduce nausea associated with motion sickness, but it does not reduce vomiting.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0715/p192.html

FPIN's Clinical Inquiries: Management of ADHD in Preschool-Aged Children - American ...

Sep 15, 2013 - Behavior therapy interventions, such as parent training, are first-line treatment for ADHD in preschool-aged children (three to five years of age). Medication is an option for children with moderate to severe ADHD if behavior therapy has not been effective and if the benefits outweigh ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0915/p398.html

FPIN's Clinical Inquiries: Pharmacologic Therapy for Eustachian Tube Dysfunction - ...

Jun 15, 2013 - There are no medications that improve patient-oriented outcomes in children or adults with eustachian tube dysfunction. Oral corticosteroids, with or without antibiotics, improve pneumatic otoscopy and tympanometry findings in the short term, but these agents have no long-term benefit.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0615/p883.html

FPIN's Clinical Inquiries: Interventions for Lower-Extremity Lymphedema - American ...

Aug 15, 2013 - Complete decongestive physiotherapy (i.e., a noninvasive protocol consisting of skin care, lymph drainage massage, exercises, and compression bandaging1) effectively improves edema, rates of infection, and quality of life in patients with lower-extremity lymphedema.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0815/od1.html

FPIN's Clinical Inquiries: FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2012 - The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0815/od1.html

FPIN's Clinical Inquiries: Corticosteroids for Presumed Pneumocystis Pneumonia in ...

Jul 15, 2013 - Adjunctive corticosteroids decrease mortality in patients with HIV infection who have moderate to severe hypoxemia and suspected or confirmed pneumocystis pneumonia. Corticosteroids lead to a higher incidence of herpetic lesions, but not other opportunistic conditions.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0715/od1.html

FPIN's Clinical Inquiries: Pharmacologic Therapy for Vitamin D Deficiency - American ...

Feb 15, 2013 - Cholecalciferol (vitamin D3) supplementation should be used for vitamin D repletion because it may be more effective in preventing nonvertebral fractures.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0215/od2.html

FPIN's Clinical Inquiries: Metformin Use in Adolescents - American Family Physician

Apr 15, 2013 - There are no studies evaluating whether metformin prevents or delays the onset of diabetes in adolescents who are obese. In adults, metformin is as effective as lifestyle interventions in preventing increases in A1C and fasting glucose levels, but it is less effective in preventing or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0415/od4.html

FPIN's Clinical Inquiries: Evaluation of Elevated Serum Transaminase Levels - American ...

Oct 15, 2012 - The evaluation of patients with elevated transaminase levels should be individualized based on the presence of symptoms or physical examination findings that suggest serious disease or hepatic decompensation.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1015/od4.html

FPIN's Clinical Inquiries: Screening for Hepatocellular Carcinoma in Patients with ...

Mar 15, 2013 - There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0315/od2.html

FPIN's Clinical Inquiries: Antidepressants for the Treatment of Insomnia in Patients ...

Nov 1, 2011 - There is no single antidepressant or class of antidepressants that is most effective for the treatment of insomnia in patients with depression. The use of antidepressant medications can have a positive impact on sleep physiology, but does not seem to improve subjective ratings of sleep ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1101/od1.html

FPIN's Clinical Inquiries: Cardiovascular Risk of Combined Oral Contraceptive Use - ...

Dec 15, 2012 - Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1215/od4.html

FPIN's Clinical Inquiries: Infectious Etiologies of Acute Otitis Media - American ...

Nov 15, 2012 - There is no preferred method for establishing the infectious etiology of acute otitis media (AOM). Bacterial or viral pathogens are found in most cases. Bacterial pathogens are more common than viruses in middle ear fluid samples collected from children with AOM and intact tympanic ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1115/od4.html

FPIN's Clinical Inquiries: Evaluation of Asymptomatic Atrial Fibrillation - American ...

Sep 15, 2012 - In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0915/od1.html

FPIN's Clinical Inquiries: Evaluation of Ovarian Cysts - American Family Physician

Aug 1, 2011 - Initial evaluation of an ovarian cyst is largely determined by its characteristics on ultrasonography, in addition to the presence of symptoms, laboratory evaluation, and patient history. Women with an ovarian cyst, but with no symptoms, family or personal history of cancer (e.g., ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0801/od1.html

FPIN's Clinical Inquiries: Group Medical Visits for the Management of Chronic Pain - ...

Dec 1, 2007 - Improvements of possible practical significance were seen for various clinical measures in studies of group treatment sessions for patients with back pain, arthritis, and rheumatic disease. However, studies on group treatment for patients with nonspecific pain are lacking, especially in...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/1201/p1704.html

FPIN's Clinical Inquiries: Advantages of the No-Scalpel Vasectomy Technique - American ...

Jun 15, 2012 - NSV should be used instead of the standard incisional method.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0615/od1.html

FPIN's Clinical Inquiries: Complementary and Alternative Therapies for Atopic ...

Apr 15, 2012 - Evening primrose oil may be effective for the treatment of atopic dermatitis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0415/p817.html

FPIN's Clinical Inquiries: Treatment of HSV Infection in Late Pregnancy - American ...

Feb 15, 2012 - Pregnant women with a primary or recurrent episode of genital HSV infection who are later than 36 weeks of gestation should be treated with acyclovir (Zovirax) or valacyclovir (Valtrex) for viral suppression.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0215/p390.html

FPIN's Clinical Inquiries: Antibody Testing for Systemic Lupus Erythematosus - American...

Dec 15, 2011 - Antibody testing plays an important role when assessing patients, but should not be used alone to diagnose SLE.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1215/p1407.html

FPIN's Clinical Inquiries: Medications for Weight Loss in Patients with Type 2 Diabetes...

Mar 15, 2012 - Fluoxetine (Prozac) and orlistat (Xenical) produce modest short-term weight loss, but their long-term benefits are unclear and their safety is uncertain.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0315/p633.html

FPIN's Clinical Inquiries: Human Parathyroid Hormone for Treating Osteoporosis - ...

Feb 1, 2012 - Human parathyroid hormone should be used in patients with severe osteoporosis to decrease the rate of vertebral and nonvertebral fractures.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0201/od1.html

FPIN's Clinical Inquiries: Screening Mammography for Reducing Breast Cancer Mortality -...

Jan 15, 2012 - Screening mammography reduces breast cancer mortality in women 40 to 49 years of age who have an average risk of breast cancer.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0115/p176.html

FPIN's Clinical Inquiries: Managing Intoeing in Children - American Family Physician

Oct 15, 2011 - Intoeing can be accurately diagnosed using a history, physical examination, and torsional profile.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1015/p937.html

FPIN's Clinical Inquiries: Ginger for the Treatment of Nausea and Vomiting in Pregnancy...

Nov 15, 2011 - Ginger can be safely used to reduce nausea and vomiting in pregnancy.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1115/od1.html

FPIN's Clinical Inquiries: Treatment of Nongenital Warts - American Family Physician

Dec 1, 2011 - Topical salicylic acid, cryotherapy, and topical fluorouracil are effective for treating nongenital warts.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1201/p1290.html

FPIN's Clinical Inquiries: Antibiotic Prophylaxis to Prevent Recurrent UTI in Children ...

Jul 15, 2011 - Antibiotic prophylaxis to prevent recurrent UTI may be considered in infants and children with or without vesicoureteral reflux (VUR) after a first UTI.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0715/od1.html

FPIN's Clinical Inquiries: Antidepressant Use During Pregnancy - American Family Physician

May 15, 2011 - There are no studies that have shown any antidepressant to be absolutely safe for use during any stage of pregnancy. The use of selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs) during pregnancy does not increase the risk of congenital malformations or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0515/p1211.html

FPIN's Clinical Inquiries: Exercise for the Treatment of Knee Osteoarthritis - American...

Sep 1, 2011 - Regular exercise reduces osteoarthritic knee pain and improves functioning.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0901/od1.html

FPIN's Clinical Inquiries: Improving Medication Adherence in Patients with ...

Oct 1, 2011 - Interventions that involve pharmacists to review, simplify, and monitor medication use significantly improve adherence in patients with multiple medical conditions.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1001/od1.html

FPIN's Clinical Inquiries: Treatment of Recurrent Vulvovaginal Candidiasis - American ...

Jun 15, 2011 - A six-month treatment regimen with an antifungal agent decreases the recurrence of vulvovaginal candidiasis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0615/p1482.html

FPIN's Clinical Inquiries: Preventing Acute Mountain Sickness - American Family Physician

Aug 15, 2011 - Gradual ascent is the most effective method for preventing acute mountain sickness.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0815/p398.html

FPIN's Clinical Inquiries: Secondary Causes of Obesity - American Family Physician

Apr 15, 2011 - There is little evidence about secondary causes of obesity in adults. The evaluation for secondary causes of obesity should include a patient history and physical examination, with additional laboratory testing based on specific symptoms, risk factors, and index of suspicion.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0415/p972.html

FPIN's Clinical Inquiries: Brain Natriuretic Peptide for Ruling Out Heart Failure - ...

Jun 1, 2011 - A BNP level less than 100 pg per mL (100 ng per L) can rule out heart failure.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0601/p1333.html

FPIN's Clinical Inquiries: Hormone Therapy for Postmenopausal Women with Urinary ...

Jul 1, 2011 - Postmenopausal women should not receive oral hormone therapy for treatment of urinary incontinence.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0701/od1.html

FPIN's Clinical Inquiries: Appetite Suppressants as Adjuncts for Weight Loss - American...

Apr 1, 2011 - Phentermine and diethylpropion are appetite suppressants approved for use in the United States as adjuncts in the treatment of obesity. These agents demonstrate a modest weight loss benefit when combined with dietary modifications and exercise.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0401/od1.html

FPIN's Clinical Inquiries: Psychosocial Interventions Delivered by Primary Care ...

Nov 1, 2006 - Few high-quality studies have been conducted examining the effectiveness of psychosocial interventions performed by primary care physicians for patients with major depression. Two randomized controlled clinical trials (RCTs) found that a psychosocial intervention, specifically ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/1101/p1580.html

FPIN's Clinical Inquiries: Treatment of Hyperhidrosis - American Family Physician

Feb 15, 2011 - OnabotulinumtoxinA injections (Botox; formerly botulinum toxin type A) are effective for the treatment of primary axillary and palmar hyperhidrosis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0215/p464.html

FPIN's Clinical Inquiries: Treatments for Chronic Prostatitis - American Family Physician

Aug 1, 2006 - Because the etiology of chronic nonbacterial prostatitis is unknown, a variety of treatments have been proposed. The best-designed, largest clinical trials have not found the most commonly used therapies (i.e., alpha blockers, quinolone antibiotics, non-steroidal anti-inflammatory ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0801/p475.html

FPIN's Clinical Inquiries: Antibiotics for Viral Upper Respiratory Tract Infections in ...

Mar 15, 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 symptoms.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0315/p747.html

FPIN's Clinical Inquiries: Reducing ACL Injuries in Female Athletes - American Family ...

Jan 15, 2011 - Neuromuscular training programs that include plyometric and strengthening exercises significantly reduce noncontact ACL injuries in female soccer and handball players older than 14 years.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0115/p210.html

FPIN's Clinical Inquiries: Thiazolidinedione Therapy for Managing Metabolic Syndrome - ...

Dec 15, 2010 - There is no patient-oriented evidence supporting the use of TZD therapy in patients in the general population who have metabolic syndrome. Rosiglitazone (Avandia) use decreases cardiovascular morbidity and mortality in patients with metabolic syndrome who are undergoing coronary stenting.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/1215/p1553.html

FPIN's Clinical Inquiries: Sunscreen Use for Skin Cancer Prevention - American Family ...

Oct 15, 2010 - Daily sunscreen use reduces the incidence of squamous cell carcinoma but not the incidence of basal cell carcinoma.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/1015/p989.html

FPIN's Clinical Inquiries: Urine Dipstick for Diagnosing Urinary Tract Infection - ...

Jan 1, 2006 - The sensitivity and specificity of the urine dipstick varies somewhat with the setting and population, as does its recommended interpretation. Women with classic urinary tract infection (UTI) symptoms have a high pretest probability of infection, and use of the dipstick adds little to ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0101/p129.html

FPIN's Clinical Inquiries: Management of Alcohol Withdrawal Syndrome - American Family ...

Aug 15, 2010 - AWS may be managed with outpatient therapy if the patient has mild to moderate symptoms.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0815/p344.html

FPIN's Clinical Inquiries: Management of Cervical Lymphadenitis in Children - American ...

Nov 1, 2008 - Cervical lymphadenitis, defined as an acute symptomatic enlargement of the cervical lymph nodes, is a common condition in children of all ages. Most cases of cervical lymphadenitis in children are self-limited and can safely be monitored for spontaneous resolution over four to six weeks.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/1101/p1097.html

FPIN's Clinical Inquiries: Acupuncture for Migraine Headaches - American Family Physician

Apr 15, 2010 - Acupuncture reduces the frequency of migraine headaches when used as an adjunct to, or in place of, medical management.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0415/p1036.html

FPIN's Clinical Inquiries: Aspirin Use in Children for Fever or Viral Syndromes - ...

Dec 15, 2009 - Aspirin should not be used to treat acute febrile viral illness in children.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/1215/p1472.html

FPIN's Clinical Inquiries: Combination Therapy for Postmenopausal Osteoporosis - ...

Feb 15, 2010 - There is insufficient evidence to recommend combination therapy for the routine management of postmenopausal osteoporosis.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2010/0215/p439.html

FPIN's Clinical Inquiries: Effective Management of Flatulence - American Family Physician

Jun 15, 2009 - Probiotics and rifaximin (Xifaxan) have been shown to reduce total number of flatus episodes and associated discomfort.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0615/p1098.html

FPIN's Clinical Inquiries: Treatment for Anogenital Molluscum Contagiosum - American ...

Oct 15, 2009 - There is no evidence from comparative trials to suggest a single best treatment method for anogenital molluscum contagiosum. Randomized controlled trials suggest self-administered topical imiquimod or podophyllotoxin cream is effective for resolving lesions.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/1015/p864.html

FPIN's Clinical Inquiries: Effect of Antiepileptic Drugs on Oral Contraceptives - ...

Sep 1, 2008 - We found no studies that measure, or even estimate, any increase in pregnancy rates in women taking antiepileptic drugs. Antiepileptic drugs known to induce the hepatic cytochrome P450 (CYP450) isoenzyme cause decreased sex hormone levels in women taking oral contraceptives, raising the...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0901/p634.html

FPIN's Clinical Inquiries: What Clinical Findings Can Be Used to Diagnose Deep Venous ...

Aug 1, 2004 - No single clinical finding can accurately diagnose DVT.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0801/p565.html

FPIN's Clinical Inquiries: Hip Pain in Preschool-Age Children - American Family Physician

Aug 15, 2009 - Evidence is lacking on the most common causes of hip pain in children because most data come from cohort studies and include referred patients. Based on these studies, transient synovitis is the most common cause of hip pain in preschool-age children, accounting for more than 80 percent...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0815/p385.html

FPIN's Clinical Inquiries: Aspirin in Patients with Actue Ischemic Stroke - American ...

Feb 1, 2009 - Aspirin in a daily dose of 160 to 300 mg initiated within 48 hours of symptom onset results in a net decrease in morbidity and mortality caused by acute ischemic stroke, based on a systematic review), regardless of the availability of computed tomography (CT).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0201/p226.html

Hypertension - American Family Physician

Jan 15, 2018 - This collection features AFP content on hypertension and related issues, including pharmacologic and non-pharmacologic therapies, and blood pressure monitoring and screening.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12

Hyperlipidemia - American Family Physician

Dec 15, 2017 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

FPIN's Clinical Inquiries: Leukotriene Receptor Antagonists for the Treatment of ...

Jul 1, 2008 - Evidence from small trials suggests that leukotriene receptor antagonists may have short-term effectiveness in reducing sleep disturbance and the observed intensity of atopic dermatitis in adults and children.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0701/p112.html

Diabetes: Type 2 - American Family Physician

Jan 1, 2018 - This collection features AFP content on type 2 diabetes and related issues, including blood glucose levels, diabetic complications (such as ketoacidosis and neuropathy), glycemic control, insulin management, and gestational diabetes.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=7

FPIN's Clinical Inquiries: Antiepileptic Drug Level Monitoring - American Family Physician

Aug 1, 2008 - Routine monitoring of antiepileptic drug levels does not alter seizure or side effect rates.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0801/p385.html

Upper Respiratory Tract Infections - American Family Physician

Oct 15, 2017 - This collection features AFP content on upper respiratory tract infections and related issues, including acute bronchitis, acute rhinosinusitis, bronchiolitis, common cold, croup, pharyngitis, rhinosinusitis, streptococcal pharyngitis, and strep throat.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=29

FPIN's Clinical Inquiries: Treatment of Bulimia Nervosa - American Family Physician

Jun 1, 2008 - Cognitive behavior therapy (CBT) is the most effective treatment for bulimia nervosa based on multiple consistent randomized-controlled trials (RCTs).

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0601/p1588.html

FPIN's Clinical Inquiries: Medications for Insomnia Treatment in Children - American ...

Feb 1, 2008 - Melatonin may be effective for treating insomnia in healthy children and in those with physical or learning disabilities.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0201/p358.html

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