AFP DEPARTMENT COLLECTION

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.

Jul 1, 2020 Issue
Antiemetics for Acute Gastroenteritis in Children
Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.


Jun 1, 2020 Issue
Supplemental Oxygen Therapy for Nonhypoxemic Patients with Acute Coronary Syndrome
No conclusive evidence demonstrates that routine use of supplemental oxygen therapy is associated with clinical benefit or harm in nonhypoxemic patients with acute myocardial infarction (MI).


May 1, 2020 Issue
Megestrol for Palliative Care in Patients with Cancer
Megestrol may be considered as a component of palliative care nutritional support in patients with cancer.


Apr 1, 2020 Issue
Probiotics to Augment Antifungal Treatment of Vulvovaginal Candidiasis
Adding probiotics (typically Lactobacillus species) to antifungal therapy for vulvovaginal candidiasis improves short-term cure rates by 14% and reduces one-month relapse rates by 66%.


Mar 1, 2020 Issue
Tai Chi for Fibromyalgia
The practice of Yang-style tai chi for one hour twice weekly for 12 to 24 weeks is moderately effective in improving quality of life in patients with fibromyalgia.


Feb 1, 2020 Issue
Treatments for Postmenopausal Hypoactive Sexual Desire Disorder
Transdermal testosterone for the treatment of hypoactive sexual desire disorder in postmenopausal women results in an additional 0.92 sexually satisfying events per month, acne, and increased androgenic effects without major complications


Jan 1, 2020 Issue
Exercise to Reduce Falls in Older Adults
Exercise programs should be recommended for community-dwelling adults 60 years and older because they lead to fewer falls.


Dec 1, 2019 Issue
Alpha Blockers for Nephrolithiasis
The alpha blocker tamsulosin (Flomax) can be used to improve clearance of stones larger than 5 mm, shorten expulsion times, and reduce hospitalization.


Nov 1, 2019 Issue
Aspirin for Colon Cancer Risk Prevention
Daily low-dose aspirin can be offered to patients older than 50 years for colon cancer prevention.


Oct 15, 2019 Issue
Dual Antiplatelet Therapy for Patients with Cardiovascular Disease
Patients with established cardiovascular disease or risk factors (e.g., ischemic cerebrovascular disease, peripheral arterial disease, high risk of atherothrombotic disease) should receive dual antiplatelet therapy with aspirin plus clopidogrel, which confers additional benefit over aspirin alone.


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