American Family Physician

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FPIN's Clinical Inquiries

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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: 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: 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: Testosterone Therapy and Risk Recurrence After Treatment ...

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: Self-Administered GBS Testing in Pregnant Women - ...

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: 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: 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: Intra-articular Corticosteroid Injections for ...

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

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

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

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

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

http://www.aafp.org/afp/2013/1215/od3.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: Treatment of Jellyfish Envenomation - American Family ...

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

http://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

http://www.aafp.org/afp/2014/0415/od2.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

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

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

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

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

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

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

http://www.aafp.org/afp/2012/1015/od4.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

http://www.aafp.org/afp/2013/0915/p398.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

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

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

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: 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

http://www.aafp.org/afp/2013/0815/od1.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: 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

http://www.aafp.org/afp/2011/0801/od1.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

http://www.aafp.org/afp/2013/0615/p883.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

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

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