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FPIN's Clinical Inquiries

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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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2012 - The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies.

American Family Physician : FPIN's Clinical Inquiries

http://www.aafp.org/afp/2012/0815/od1.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: 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: 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: 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: 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

FPIN's Clinical Inquiries: Metformin Use in Adolescents - American Family Physician

Apr 15, 2013 - There are no studies evaluating whether metformin prevents or delays the onset of diabetes in adolescents who are obese. In adults, metformin is as effective as lifestyle interventions in preventing increases in A1C and fasting glucose levels, but it is less effective in preventing or ...

American Family Physician : FPIN's Clinical Inquiries

http://www.aafp.org/afp/2013/0415/od4.html

FPIN's Clinical Inquiries: Screening for Hepatocellular Carcinoma in Patients with ...

Mar 15, 2013 - There is no evidence that it is beneficial to screen for hepatocellular carcinoma in symptomatic patients with HCV.

American Family Physician : FPIN's Clinical Inquiries

http://www.aafp.org/afp/2013/0315/od2.html

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