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FPIN's Clinical Inquiries

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FPIN's Help Desk Answers: Predictors of Acute Myocardial Infarction - 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

FPIN's Help Desk Answers: Treatments for Nocturnal Leg Cramps - 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

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

Jan 15, 2018 - ...folksy magazine to a more scholarly, but practical, resource for family physician readers. AFP's mission became providing its readers with clinical information they could use to take better care of their patients. Over the years, with the help of a fantastic group of medical...

American Family Physician : Editorials

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

FPIN's Help Desk Answers: Food Consumption by Children and Adults - 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

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

FPIN's Help Desk Answers: Insulin Sensitizers for Treatment of Menstrual Irregularities...

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

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

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

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

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

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

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

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

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

FPIN's Help Desk Answers: Alternatives to Metformin for Patients with PCOS - American ...

Sep 1, 2016 - Compared with placebo, thiazolidinediones (TZDs) decrease systolic blood pressure and fasting blood glucose and insulin levels while improving menstrual irregularities in women with PCOS. Metformin and TZDs have similar effects on pregnancy rates, ovulation, and menstrual frequency, but...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0901/p378.html

FPIN's Help Desk Answers: Exercise to Improve Functioning in Patients with Dementia - ...

Aug 1, 2016 - Exercise programs lasting at least two months moderately increase the ability of patients with dementia to perform ADLs.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0801/p242.html

FPIN's Help Desk Answers: Levonorgestrel-Releasing Intrauterine System vs. Oral ...

Jun 1, 2016 - The levonorgestrel-releasing intrauterine system achieves significantly higher resolution rates of endometrial hyperplasia without atypia compared with cyclic oral progestins (68% to 100% vs. 48% to 69%, respectively).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0601/p948.html

FPIN's Help Desk Answers: Nonpharmaceutical Treatment of Anxiety in Institutionalized ...

Apr 1, 2016 - Cognitive behavior therapy (CBT) or relaxation training, alone or in combination, can be used to treat anxiety in older adults. Music therapy can also be used to reduce anxiety in older adults. Appropriate training of institutional caregivers is also helpful in reducing anxiety in older...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0401/p592.html

FPIN's Help Desk Answers: Labor Induction at Term - American Family Physician

Feb 15, 2016 - Oral misoprostol (Cytotec), vaginal and intracervical prostaglandins, and mechanical methods are effective for induction of labor at term. The use of intravenous oxytocin (Pitocin) increases the risk of failure to achieve vaginal delivery at 24 hours and the risk of cesarean delivery ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0215/p266.html

FPIN's Help Desk Answers: Chlorthalidone vs. Hydrochlorothiazide for Treatment of ...

Dec 1, 2015 - Chlorthalidone produces slightly greater reductions in blood pressure compared with hydrochlorothiazide (HCTZ), but it is associated with greater declines in serum potassium levels. Chlorthalidone lowers the risk of cardiovascular events about 18% more than HCTZ at the same achieved ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/1201/p1015.html

FPIN's Help Desk Answers: Electronic Cigarettes for Smoking Cessation - American Family...

Mar 15, 2016 - Nicotine-containing e-cigarettes may be more effective than placebo devices for smoking cessation. They may also aid in smoking reduction, but the quality of available evidence is low. Little is known about their safety.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0315/p492.html

FPIN's Help Desk Answers: Home Visits for Pregnant Adolescents - American Family Physician

Jan 1, 2016 - Nurse home visits for pregnant adolescents seem to improve resource utilization and prenatal clinic visit show rates.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2016/0101/p25.html

FPIN's Help Desk Answers: Reducing Amputation Rates After Severe Frostbite - American ...

Oct 15, 2015 - In patients with severe frostbite, tPA plus a prostacyclin may be used to decrease the risk of digital amputation. tPA can be used alone and is associated with lower amputation rates compared with local wound care.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/1015/p716.html

FPIN's Help Desk Answers: Growth Hormone for Treatment of Idiopathic Short Stature in ...

Jul 1, 2015 - ...FPIN's Help Desk Answers Growth Hormone for Treatment of Idiopathic Short Stature in Children SUFIAN ZAYED, MD, and DIANE J. MADLON-KAY, MD, MS, University of Minnesota Medical Center, Smiley's Family Medicine Residency Program, Minneapolis, Minnesota Am Fam Physician. 2015 Jul...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2015/0701/p64.html

Advanced Search -- American Family Physician

Oct 8, 2015 - Advanced search for American Family Physician; including search in title, search by author, search by topic, or search by department.

American Family Physician : AFP Home

https://www.aafp.org/journals/afp/explore/advanced-search.html

Inside AFP: AFP Departments Provide Range of Clinical Information - American Family ...

Aug 1, 2006 - ...AFP Departments Provide Range of Clinical Information MATTHEW J. NEFF Am Fam Physician. 2006 Aug 1;74(3):356. In addition to review articles, each issue of AFP includes departments that provide readers with clinical information, evidence-based tools for decision making,...

American Family Physician : Inside AFP

https://www.aafp.org/afp/2006/0801/p356.html

Letters to the Editor: Paroxetine Use Should Be Avoided During Pregnancy - American ...

Apr 15, 2012 - ...Original Article: Antidepressant Use During Pregnancy [FPIN's Clinical Inquiries] Issue Date: May 15, 2011 Available at: https://www.aafp.org/afp/2011/0515/p1211.html to the editor: In the FPIN's Clinical Inquiries on which antidepressants are safe to use during pregnancy, Dr. Patel...

American Family Physician : Letter

https://www.aafp.org/afp/2012/0415/p747.html

Micronutrient Supplementation During Pregnancy

August 1, 2015 Clinical Inquiries

American Family Physician

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

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