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Am Fam Physician. 2024;109(3):208

What is a best practice for thoracentesis to evaluate pleural effusion?

Expert consensus and guidelines recommend ultrasound-guided thoracentesis because it decreases complications from pneumothorax and solid organ puncture.

What is the preferred treatment for Giardia in people older than three years?

A systematic review and network meta-analysis support a single dose of tinidazole as the most effective treatment for Giardia infection in people older than three years, with a cure rate of greater than 90%.

When should you refer a patient with an adnexal mass to a gynecologic oncologist?

Patients with a markedly elevated cancer antigen 125 level, high-risk ultrasound finding, nodular or fixed adnexal mass, or a high score on a risk evaluation tool should be referred.

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