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FPIN's Clinical Inquiries

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Department Collections -- American Family Physician

Search Department collections from past and current issues of AFP, the peer-reviewed clinical journal of the American Academy of Family Physicians.

American Family Physician : AFP Home

http://www.aafp.org/journals/afp/explore/departments.html

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

http://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

http://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

http://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

http://www.aafp.org/afp/2013/1015/od5.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

http://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

http://www.aafp.org/afp/2011/0501/od1.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

http://www.aafp.org/afp/2010/0615/p1415.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

http://www.aafp.org/afp/2012/0515/p993.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

http://www.aafp.org/afp/2015/1001/p622.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

http://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

http://www.aafp.org/afp/2015/0801/p222.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

http://www.aafp.org/afp/2015/0201/p193.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

http://www.aafp.org/afp/2015/0501/p612.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

http://www.aafp.org/afp/2015/0601/p794.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

http://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

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

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

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

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

http://www.aafp.org/afp/2015/0301/p320.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

http://www.aafp.org/afp/2014/1115/p729.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

http://www.aafp.org/afp/2014/1015/p574.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

http://www.aafp.org/afp/2014/0915/p415.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

http://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

http://www.aafp.org/afp/2014/0815/od2.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

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

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