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Giant Cell Arteritis: Biopsy After Corticosteroid Initiation - FPIN's Clinical ...

Jan 15, 2017 - Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2017/0115/p116.html

Procalcitonin-Guided Antibiotic Therapy for Acute Respiratory Infections - FPIN's ...

Jul 1, 2016 - A procalcitonin-guided antibiotic therapy algorithm should be used to decrease antibiotic use in adults with acute respiratory infections. The use of a procalcitonin-guided therapy algorithm reduces antibiotic use by 3.47 days without increasing morbidity or mortality in adults with ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2016/0701/p53.html

Evaluation of Newborns with Preauricular Skin Lesions - FPIN's Clinical Inquiries - ...

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

https://www.aafp.org/afp/2012/0515/p993.html

Self-Administered GBS Testing in Pregnant Women - FPIN's Clinical Inquiries - 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

https://www.aafp.org/afp/2014/1115/p729.html

Dipstick Urinalysis for the Diagnosis of Acute UTI - FPIN's Clinical Inquiries - ...

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

https://www.aafp.org/afp/2013/0515/od2.html

Apolipoproteins for Cardiovascular Risk Assessment - FPIN's Clinical Inquiries - ...

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

https://www.aafp.org/afp/2014/0415/od2.html

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

https://www.aafp.org/afp/2012/1015/od4.html

Screening for Hepatocellular Carcinoma in Patients with Hepatitis C Virus Infection - ...

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

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

Evaluation of Asymptomatic Atrial Fibrillation - FPIN's Clinical Inquiries - American ...

Sep 15, 2012 - In hemodynamically stable patients without acute chest pain, the evaluation and treatment of atrial fibrillation should not change based on symptoms alone.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0915/od1.html

FPIN's Clinical Inquiries - Aug 15, 2012 - 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

https://www.aafp.org/afp/2012/0815/od1.html

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

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

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

Evaluation of Ovarian Cysts - FPIN's Clinical Inquiries - 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

https://www.aafp.org/afp/2011/0801/od1.html

Screening Mammography for Reducing Breast Cancer Mortality - FPIN's Clinical Inquiries ...

Jan 15, 2012 - Screening mammography reduces breast cancer mortality in women 40 to 49 years of age who have an average risk of breast cancer.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0115/p176.html

Brain Natriuretic Peptide for Ruling Out Heart Failure - FPIN's Clinical Inquiries - ...

Jun 1, 2011 - A BNP level less than 100 pg per mL (100 ng per L) can rule out heart failure.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0601/p1333.html

Clinical Indicators of Obstructive Sleep Apnea - FPIN's Clinical Inquiries - 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

https://www.aafp.org/afp/2011/0501/od1.html

Diagnosing Von Willebrand Disease - FPIN's Clinical Inquiries - 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

https://www.aafp.org/afp/2010/0615/p1415.html

Hip Pain in Preschool-Age Children - FPIN's Clinical Inquiries - American Family Physician

Aug 15, 2009 - Evidence is lacking on the most common causes of hip pain in children because most data come from cohort studies and include referred patients. Based on these studies, transient synovitis is the most common cause of hip pain in preschool-age children, accounting for more than 80 percent...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2009/0815/p385.html

Differential Diagnosis of Tremor - FPIN's Clinical Inquiries - American Family Physician

May 1, 2008 - The most common tremor in primary care is an exaggerated physiologic tremor, followed by essential tremor and tremors caused by Parkinson's disease.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0501/p1305.html

Evaluation of Apparent Life-threatening Events in Infants - FPIN's Clinical Inquiries -...

Jul 1, 2007 - A comprehensive, detailed history and physical examination with pulse oximetry and nondilated funduscopy (to look for traumatic retinal hemorrhage) helps to determine the underlying etiology of an ALTE in 70 percent of infants.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0701/p124.html

Which Lipoprotein Measurements Are Clinically Useful? - FPIN's Clinical Inquiries - ...

Feb 1, 2007 - Emerging lipid risk factors for cardiovascular disease include lipoprotein remnants, lipoprotein (a), small LDL particles, HDL subspecies, apolipoprotein B, apolipoprotein A-I, and oxidized LDL. Measurement of these levels should not be used for routine cardiovascular risk screening.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2007/0201/p387.html

A1C Testing in the Diagnosis of Diabetes Mellitus - FPIN's Clinical Inquiries - ...

Jul 1, 2006 - A1C testing is highly specific compared with a two-hour oral glucose tolerance test (OGTT) or a fasting plasma glucose test. However, because A1C testing is not sensitive enough to rule out diabetes if levels are normal, the test should not be used for diagnosing diabetes.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2006/0701/p143.html

Urine Dipstick for Diagnosing Urinary Tract Infection - FPIN's Clinical Inquiries - ...

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

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

Colorectal Cancer Screening - FPIN's Clinical Inquiries - American Family Physician

Mar 1, 2005 - Both FOBT and flexible sigmoidoscopy are effective in screening for colorectal cancer. FOBT can reduce mortality from colorectal cancer.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0301/p959.html

Screening Mammography in Women 40 to 49 Years of Age - FPIN's Clinical Inquiries - ...

Nov 1, 2004 - While there is strong agreement among experts and evidence in the literature to recommend that women 50 to 69 years of age undergo screening with mammography for breast cancer, the question of screening women 40 to 49 years of age is controversial. The results of most studies suggest ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/1101/p1750.html

What Clinical Findings Can Be Used to Diagnose Deep Venous Thrombosis? - FPIN's ...

Aug 1, 2004 - No single clinical finding can accurately diagnose DVT.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/0801/p565.html

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