Article
Should you test for H pylori in patients with nonulcer dyspepsia?
- Author:
- Brian J. Lanier, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: POSSIBLY. Helicobacter pylori increases the risk of developing peptic ulcer disease (strength of recommendation [SOR]: B,...
Article
How can we keep impaired glucose tolerance and impaired fasting glucose from progressing to diabetes?
- Author:
- Ana Swanson, MD
- Kerry Watrin, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: LIFESTYLE CHANGES AND SOME DRUGS CAN HELP. Lifestyle interventions aimed at weight loss of 5% to 10% of body weight along...
Article
What is the best treatment for mild to moderate acne?
- Author:
- Shobha Rao, MD
- Mehreen A. Malik, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: For mild comedonal acne, monotherapy with topical retinoids is the treatment of choice (strength of recommendation [SOR]: A...
Article
What is the role of tacrolimus and pimecrolimus in atopic dermatitis?
- Author:
- Sara Trammell, MD
- Amer Shakil, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: When the standard therapies—mild topical corticosteroids and moisturizers—fail in the treatment of atopic dermatitis,...
Article
What is the best strategy for impaired glucose tolerance in nonpregnant adults?
- Author:
- Shobha Rao, MD
- Sonia Kakkar, DO
- Laura Wilder, MLS
EVIDENCE- BASED ANSWER: The best treatment strategy for impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) is lifestyle...
Article
What is the appropriate diagnostic evaluation of fibroids?
- Author:
- Kyle W. Griffin, MD
- Mark R. Ellis, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: Although transvaginal sonography (TVS) has inconsistent sensitivity (0.21–1.00) and specificity (0.53–1.00), its cost-...
Article
What is the most effective way for relieving constipation in children aged >1 year?
- Author:
- Marian Torres, MD
- Tamara McGregor, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: A combination of laxatives, behavioral therapy, and balanced diet is the treatment of choice for pediatric constipation (...
Article
Do antibiotics prevent recurrent UTI in children with anatomic abnormalities?
- Author:
- Amer Shakil, MD
- Lane Reed, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: Evidence is insufficient to recommend for or against antibiotic prophylaxis to prevent recurrent urinary tract infections (...
Article
Is screening urinalysis in children worthwhile?
- Author:
- Mark B., MD, MS
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: Screening urinalysis in asymptomatic children has not been shown to be beneficial (strength of recommendation: B; based on...
Article
Is osteoporosis screening in postmenopausal women effective?
- Author:
- John Phillips, MD
- Alex Krist, MD
- Laura Wilder, MLS
EVIDENCE-BASED ANSWER: No single study evaluates the effectiveness of osteoporosis screening. However, screening women over the age of 65 years—or...