FPIN's Clinical Inquiries

Clinical Inquiries from the Family Physicians Inquiries Network (FPIN) provide short, concise, evidence-based answers to clinical questions common in family medicine. The answers include a summary of the evidence and commentary that puts the answers into perspective.

Feb 15, 2013 Issue
Pharmacologic Therapy for Vitamin D Deficiency
Cholecalciferol (vitamin D3) supplementation should be used for vitamin D repletion because it may be more effective in preventing nonvertebral fractures.

Dec 15, 2012 Issue
Cardiovascular Risk of Combined Oral Contraceptive Use
Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.

Nov 15, 2012 Issue
Infectious Etiologies of Acute Otitis Media
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 membranes. Studies using newer detection methods reveal more viral pathogens than those using less sensitive methods.

Oct 15, 2012 Issue
Evaluation of Elevated Serum Transaminase Levels
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.

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

Aug 15, 2012 Issue
Evaluation of Hip Pain in Older Adults
The evaluation of hip pain in patients 65 years and older should include a history and physical examination, followed by pertinent imaging studies.

Jul 15, 2012 Issue
Treatment of Motion Sickness
Scopolamine should be used to reduce nausea associated with motion sickness, but it does not reduce vomiting.

Jun 15, 2012 Issue
Advantages of the No-Scalpel Vasectomy Technique
NSV should be used instead of the standard incisional method.

May 15, 2012 Issue
Evaluation of Newborns with Preauricular Skin Lesions
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.

Apr 15, 2012 Issue
Complementary and Alternative Therapies for Atopic Dermatitis
Evening primrose oil may be effective for the treatment of atopic dermatitis.

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