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FPIN's Clinical Inquiries

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Primary Closure of Animal Bites - FPIN's Help Desk Answers - American Family Physician

May 1, 2018 - Dog bites can have a primary closure at the time of injury. Primary closure of dog bites does not increase the rate of wound infections compared with nonclosure.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od2.html

Effects of Prenatal Yoga on Labor Pain - FPIN's Help Desk Answers - American Family ...

Jul 1, 2018 - Participation in a prenatal yoga program may help reduce labor pain, but reported effects vary from modest to moderate.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p49.html

NSAIDs for Postpartum Perineal Pain - FPIN's Help Desk Answers - American Family Physician

Jun 1, 2018 - Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0601/od3.html

Life Expectancy with Hospice Care - FPIN's Help Desk Answers - American Family Physician

Mar 1, 2018 - Patients with terminal lung, pancreatic, or metastatic melanoma receiving hospice care have a minimally increased life expectancy. Receiving at least one day of hospice care may increase life expectancy by up to three months.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0301/od2.html

Maternal Obesity and Labor Induction - FPIN's Help Desk Answers - American Family ...

May 15, 2018 - Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with cervical ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0515/p671.html

Short-Term Antipsychotics for Alzheimer Disease - FPIN's Help Desk Answers - American ...

Apr 1, 2018 - Physicians should consider not using antipsychotics in patients with dementia. Patients with dementia, including Alzheimer disease, who are treated with antipsychotics for any length of time have a higher mortality rate than those not taking antipsychotics.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0401/od2.html

Probiotics for Symptoms of Depression and Anxiety - FPIN's Help Desk Answers - American...

Mar 15, 2018 - A combination of three probiotic species slightly improves symptoms in patients with major depressive disorder. Lactobacillus casei alone does not affect depressive symptoms in patients with chronic fatigue syndrome, but it does improve anxiety.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0315/od2.html

Peripheral Vascular Disease: Treatment in Older Adults - FPIN's Help Desk Answers - ...

Feb 1, 2017 - PVD can be effectively treated with supervised exercise therapy, cilostazol, lipid-lowering therapy, and antiplatelet therapy. All of these treatments increase pain-free walking distance. Antiplatelet therapy also decreases the need for surgical revascularization. The best treatment is ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0201/p182.html

Intercontraction Intervals for Predicting Timing of Labor Evaluation - FPIN's Help Desk...

Mar 1, 2018 - Women at term who have at least 12 contractions per hour are more likely to be diagnosed with active labor within 24 hours. A reduction in the interval between contractions is associated with the onset of active labor.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0301/od3.html

Screening Tools for Unhealthy Alcohol Use - FPIN's Help Desk Answers - American Family ...

Dec 1, 2017 - A single-question alcohol use screen and the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) can be used to detect unhealthy alcohol use and alcohol use disorder. Their performance is similar between sexes and across races.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1201/od2.html

Effectiveness of ACL Injury Prevention Programs - FPIN's Help Desk Answers - American ...

Feb 1, 2018 - ACL injury prevention programs reduce the incidence of ACL injuries by at least 50% in a variety of sports, and should be used for all athletes. There is no evidence that any particular prevention program or component is superior.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0201/od2.html

OnabotulinumtoxinA Injections for Urge Incontinence - FPIN's Help Desk Answers - ...

Feb 1, 2018 - Detrusor muscle injections of onabotulinumtoxinA can be used to decrease the number of episodes of urinary incontinence in women for whom treatment with anticholinergic agents has been ineffective.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0201/od3.html

Treatments for Nocturnal Leg Cramps - FPIN's Help Desk Answers - American Family Physician

Oct 1, 2017 - Calcium channel blockers or B vitamins may lead to short-term improvement in nocturnal leg cramps. Stretching has mixed results. Quinine is effective but is no longer recommended, and it is not approved for treatment of leg cramps because of potential toxicity.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1001/od3.html

Thirty Years of AFP: Having Fun Painting the Fence - Editorials - American Family ...

Jan 15, 2018 - Read Dr. Siwek's summary of his 29 years as Editor of AFP.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0115/p83.html

History and Physical Examination for Identifying Rotator Cuff Tears - FPIN's Help Desk ...

Nov 1, 2017 - There are no historical features that reliably identify full-thickness rotator cuff tears. The physical examination maneuvers that best identify the presence of a full-thickness rotator cuff tear are the internal rotation lag test, the external rotation lag test, and a positive ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1101/od2.html

Hypnosis for Surgical Pain - FPIN's Help Desk Answers - American Family Physician

Dec 15, 2017 - Hypnosis provides small to moderate improvements in surgical pain and burn debridement pain in adults.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1215/od2.html

Predictors of Acute Myocardial Infarction - FPIN's Help Desk Answers - American Family ...

Sep 1, 2017 - The most useful element for ruling in acute MI is chest pain with radiation to both arms, followed by radiation to the right arm. The most useful elements for ruling out acute MI are pleuritic chest pain, sharp pain, and pain reproduced by palpation.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0901/p328.html

Food Consumption by Children and Adults - FPIN's Help Desk Answers - American Family ...

Oct 1, 2017 - ...FPIN's Help Desk Answers Food Consumption by Children and Adults KIMBERLY L. COLLINS, MD, University of Washington Family Medicine Residency, Seattle, Washington GREG SANDERS, MD, Sea Mar Family Medicine Residency, Marysville, Washington Am Fam Physician. 2017 Oct 1;96(7):online....

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1001/od2.html

Insulin Sensitizers for Treatment of Menstrual Irregularities Associated with PCOS - ...

Sep 1, 2015 - Metformin, pioglitazone (Actos), and rosiglitazone (Avandia) can be used to improve menstrual cycling in women with PCOS.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/0901/p390.html

Gluten-Free Diet for Irritable Bowel Syndrome - FPIN's Help Desk Answers - American ...

Jul 1, 2017 - The evidence is conflicting on whether gluten-free diets improve symptoms of IBS. Gluten-free diets may improve symptoms such as abdominal pain, stool consistency, and tiredness, and they can be recommended to patients with IBS.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0701/p52.html

Membrane Sweeping to Decrease Rates of Postdate Induction - FPIN's Help Desk Answers - ...

Jan 1, 2017 - In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0101/p35.html

Topical Medications for Seborrheic Dermatitis - FPIN's Help Desk Answers - American ...

Mar 1, 2017 - Steroids and antifungal agents can be used to effectively treat seborrheic dermatitis. Calcineurin inhibitors are as effective as steroids, but have a higher incidence of short-term adverse effects.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0301/p329.html

Topical Antifungals for Treatment of Onychomycosis - FPIN's Help Desk Answers - ...

Nov 1, 2016 - Topical antifungal agents are effective in treating onychomycosis, with a number needed to treat (NNT) of 7 to 17.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/1101/p734.html

Stretching for Prevention of Exercise-Related Injury - FPIN's Help Desk Answers - ...

Oct 1, 2016 - Stretching before exercise does not reduce the risk of injury. However, it may slightly reduce postexercise muscle soreness.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/1001/p547.html

Rotator Cuff Disease: Diagnostic Tests - FPIN's Help Desk Answers - American Family ...

Dec 1, 2016 - A positive lag sign with external rotation is the best test for full-thickness tears of the infraspinatus and supraspinatus (positive likelihood ratio = 7.2). A positive lag sign with internal rotation is best for assessing full-thickness tears of the subscapularis (positive likelihood ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/1201/p925.html

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