Canadian family physician Médecin de famille canadien
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To present an approach to intervention in childhood anxiety disorders. ⋯ Family physicians can play an important role in recognizing and intervening early in childhood anxiety disorders.
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I have read that fluoxetine is the drug of choice for treating depression during pregnancy. One of my patients, who did not respond to the "old" selective serotonin reuptake inhibitors, is doing well on venlafaxine and is now 6 weeks pregnant. What advice should I give her? ⋯ Fluoxetine is recommended because to date it has the most evidence of its safety. It is important that women be treated appropriately for depression during pregnancy, and some research on the newer antidepressants, such as venlafaxine, will be useful to you and your patient in making an informed decision regarding treatment.
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To describe an approach to assessment and treatment of dyspnea. ⋯ Opioids relieve dyspnea and are indicated as first-line treatment for dyspnea arising from advanced disease of any cause.
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To review clinical evidence on the efficacy of saline nasal irrigation for treatment of sinonasal conditions and to explore its potential benefits. ⋯ Nasal irrigation is a simple, inexpensive treatment that relieves the symptoms of a variety of sinus and nasal conditions, reduces use of medical resources, and could help minimize antibiotic resistance.
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To review the adequacy and diagnostic categories of the Bethesda system for reporting Pap test results (cervicovaginal cytology) and summarize management options. ⋯ Management of women following Pap tests is determined by both the adequacy of the test and diagnoses based on the results.