American Family Physician

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FPIN's Clinical Inquiries

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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 ...

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: Treatment of Otitis Media with Perforated Tympanic ...

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

http://www.aafp.org/afp/2009/0415/p650.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: 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: 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 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

http://www.aafp.org/afp/2012/0715/p192.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: 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: Diagnosing Von Willebrand Disease - American Family ...

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: 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

http://www.aafp.org/afp/2012/1115/od4.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

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

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

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

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

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

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

http://www.aafp.org/afp/2011/0615/p1482.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

http://www.aafp.org/afp/2012/0201/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

http://www.aafp.org/afp/2011/1001/od1.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

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

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

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

http://www.aafp.org/afp/2008/1101/p1097.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

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

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

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

http://www.aafp.org/afp/2010/0815/p344.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

http://www.aafp.org/afp/2011/0215/p464.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

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

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

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

http://www.aafp.org/afp/2010/0415/p1036.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

http://www.aafp.org/afp/2010/0215/p439.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

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

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