Clinical Inquiries
Clinical Inquiries
Who should have colposcopy?
EVIDENCE-BASED ANSWER: Colposcopy is the preferred test in the work-up of patients with abnormal cervical cytology.
Clinical Inquiries
What is the best treatment for bronchiolitis?
EVIDENCE-BASED ANSWER: Nebulized epinephrine decreases oxygen requirements, respiratory rate, wheezing, and retractions and may lower...
Clinical Inquiries
Does surgery for carpal tunnel syndrome improve outcomes?
EVIDENCE-BASED ANSWER: Good evidence supports the use of surgery for carpal tunnel syndrome over nonsurgical therapies such as wrist splints,...
Clinical Inquiries
Patient Information
Clinical Inquiries
What are effective strategies for reducing the risk of steroid-induced osteoporosis?
EVIDENCE-BASED ANSWER: Calcium, in combination with vitamin D, prevents bone loss and is recommended in all patients. (Grade of recommendation: A...
Clinical Inquiries
What are the indications for urodynamic testing in older adults with incontinence?
EVIDENCE-BASED ANSWER: Urodynamic testing is indicated for older adults with incontinence when the underlying cause remains unclear (Grade of...
Clinical Inquiries
What is the best diagnostic approach to paresthesias of the hand?
EVIDENCE-BASED ANSWER: There have been no good studies comparing different strategies for the evaluation of the patient with hand paresthesias. A...
Clinical Inquiries
In patients with a previous CVA, do antioxidants protect against subsequent stroke?
EVIDENCE-BASED ANSWER: Most recent randomized controlled clinical trials have not found a benefit in antioxidants (vitamin C, vitamin E, and/or...
Clinical Inquiries
Does postcoital voiding prevent urinary tract infections in young women?
EVIDENCE-BASED ANSWER: Healthy women who urinate within 15 minutes of sexual intercourse may be slightly less likely to develop a urinary tract...
Clinical Inquiries
Do antioxidants (vitamins C, E) improve outcomes in patients with coronary artery disease?
EVIDENCE-BASED ANSWER: Antioxidant supplements of vitamins E and C do not reduce cardiovascular death in people with coronary artery disease....
Clinical Inquiries
What is the target for low-density lipoprotein cholesterol in patients with heart disease?
EVIDENCE-BASED ANSWER: Large published randomized controlled trials (RCTs) show that pravastatin and simvastatin are well-tolerated and reduce...