By W. Fred Miser MD, John McConaghy MD

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Extra info for Evidence-Based Approaches to Common Primary Care Dilemmas Part II, An Issue of Primary Care Clinics in Office Practice (The Clinics: Internal Medicine)

Sample text

MANAGEMENT OF TYPE 2 DIABETES MELLITUS 35 [90] Gregg E, Gerzoff R, Caspersen C. Relationship of walking to mortality among US adults with diabetes. Arch Intern Med 2003;163:1440–7. [91] Gibbons RJ, Balady GJ, Bricker JT, et al. ACC/AHA 2002 guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to update the 1997 exercise testing guidelines). Circulation 2002;106(14):1883–92. [92] Piette J, Heisler M, Wagner T.

The American College of Physicians (ACP) developed guidelines for the diagnosis of pharyngitis in adults based upon clinical prediction rules [29]. Throat culture is excluded from this diagnostic algorithm because the delay in its result precludes an immediate treatment decision and the potential benefit of symptom relief. An additional concern is the failure of culture to discriminate between infection and the carrier state. Instead, recommendations are to assess by RADT the patient who have two to three clinical criteria (intermediate risk) and treat only for a positive test.

The treatment guidelines for sinusitis have generally been directed at reducing the inappropriate use of antibiotics for viral respiratory infections [48]. This article addresses the evaluation and therapy of ABRS in immunocompetent adults and children aged 2 years and older. The paranasal sinuses typically involved in ABRS are the maxillary and ethmoid sinuses. These sinuses are present at birth, having formed in the 46 MOSTOV third and fourth gestational month [49]. The sphenoid sinus develops through early childhood and the frontal sinuses develop by adolescence.

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