Trip Answers

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Searching TRIPanswers is fairly easy and currently basic (no Boolean etc), but this will evolve if there is a demand.

If you want to search for prostate cancer, simply type prostate cancer in the search box. If you want to search for prostate cancer screening, type prostate cancer screening.

We have envisaged users searching for their basic concept and then clicking on a relevant term in the tag cloud (if there are lots of results). In other words, the initial search gets you close to your Q&A while the tags allow you to refine your search to your topic of interest.

A total of 6346 clinical questions available

Latest Questions Quick Guide to TRIP Answers

I believe that evidence shows that women with migraine with aura have 2-3 x risk of stroke compared with women with migraine without aura. Is there any evidence that migraine prophylaxis (e.g. with Beta-blockers) reduces this excess risk?

Associated Tags: migraine, prophylaxis, stroke

Question posted: 08/03/10 Question answered: 08/03/10

I have a patient who had a hysterectomy age 42- she has a sister who has had pre-menopausal breast cancer. I wondered what the latest advice re her risks in taking HRT.

Associated Tags: breast cancer, familial, HRT, risk

Question posted: 18/02/10 Question answered: 25/02/10

What are the chances of a patient presenting in the UK with Ball’s Palsy having Lyme disease? Should anyone presenting with Bell’s Palsy have serology for Lyme disease

Associated Tags: Bell's palsy, diagnosis, Lyme disease, serology

Question posted: 24/02/10 Question answered: 24/02/10

Is there any evidence to justify the use of gabapentin in intractable pruritus or pruritus due to cholestasis?

Associated Tags: cholestasis, gabapentin, intractable, pruritus

Question posted: 23/02/10 Question answered: 23/02/10

Is there any evidence that 300mg clopidogrel should be given in acute chest pain in addition to aspirin.

Associated Tags: antiplatelets, chest pain, clopidogrel

Question posted: 22/02/10 Question answered: 22/02/10

Should a 38 year women who has had a hysterectomy continue with HRT until normal menopause age (50) or stop sooner than this? No family history of breast cancer etc.

Associated Tags: duration, HRT, hysterectomy

Question posted: 22/02/10 Question answered: 19/02/10

A patient has just been started on Warfin ( INR 2.5) for a calf DVT. Can she continue taking Etodolac as no other analgesia gives relief?

Associated Tags: DVT, etodolac, warfarin

Question posted: 22/02/10 Question answered: 19/02/10

Is interstitial lung disease caused by statins reversible when statins are stopped?

Associated Tags: Cardiovascular disease, intestitial lung disease, Respiratory, statins

Question posted: 15/02/10 Question answered: 15/02/10

Is there an interaction between SSRIs and tamoxifen?

Associated Tags: Cancer, depression, drug interactions, Mental health, SSRIs, tamoxifen, Women's health

Question posted: 12/02/10 Question answered: 12/02/10

Can you safely give a proton pump inhibitor (PPIs) in the third trimester of pregnancy in a patient who has severe reflux, which is not responding to ranitidine?

Associated Tags: PPIs, pregnancy, safety

Question posted: 11/02/10 Question answered: 11/02/10

With a patient with suspected hypoadrenalism, would a morning serum cortisol measurement, compared with a short synacthen test enable sensitivty for picking up hypoadrenalism?

Associated Tags: CEBPA, cortisol, hypoadrenalism, synacthen

Question posted: 17/02/10 Question answered: 11/02/10

Does ibuprofen increase the risk of myocardial infarction?

Associated Tags: adverse events, ibuprofen, myocardial infarction, NSAID

Question posted: 08/02/10 Question answered: 08/02/10

Is there evidence to support the use of patella tendon graft over hamstring graft for anterior cruciate reconstruction, in young men who engage in football and Rugby?

Associated Tags: graft, hamstring, patella

Question posted: 01/02/10 Question answered: 01/02/10

I have a patient who is 2 weeks postpartum with ankle swelling and high BP. She is currently on 800 mg of labetalol in 3 divided doses. How long can I increase labetalol and what is the maximum dose? When do I need to refer her?

Associated Tags: beta-blockers, hypertension, postpartum

Question posted: 28/01/10 Question answered: 28/01/10

With a patient with staph aureus endocarditis, which will result in improved survival and less morbidity: flucloxacillin with synergistic gentamicin, or flucloxacillin alone?

Associated Tags: CEBPA, flucloxacillin, gentamicin, staph aureus endocarditis

Question posted: 23/02/10 Question answered: 28/01/10

Should lithium be stopped immediately with abnormal thyroid function test? My patient developed hyperthyroidism while on lithium long term.

Associated Tags: hyperthyroid, lithium

Question posted: 22/01/10 Question answered: 22/01/10

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