American Family Physician

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FPIN's Clinical Inquiries

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Dept. 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

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

Hyperlipidemia - American Family Physician

Jul 23, 2015 - This collection features AFP content on hyperlipidemia and related issues, including dyslipidemia, hypercholesterolemia, hypertriglyceridemia, kidney disease, lipid disorders, metabolic syndrome, statins, and triglyceride levels.

American Family Physician : AFP By Topic

http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=13

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

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: Evaluation of Elevated Serum Transaminase Levels - American ...

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: 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: Treatment of Jellyfish Envenomation - American Family Physician

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: Treatments for Symptoms of the Common Cold - American Family...

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 Palliative ...

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: Treatment of Otitis Media with Perforated Tympanic Membrane ...

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

Hypertension - American Family Physician

Jul 23, 2015 - This collection features AFP content on hypertension and related issues, including pharmacologic and non-pharmacologic therapies, and blood pressure monitoring and screening.

American Family Physician : AFP By Topic

http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12

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: 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: 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

Osteoporosis - American Family Physician

Aug 3, 2015 - This collection features AFP content on osteoporosis and related issues, including calcium supplementation, fracture prevention, hip fracture, radiologic bone assessment, and vitamin D deficiency.

American Family Physician : AFP By Topic

http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=20

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: 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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