Article
Do intra-articular steroid injections affect glycemic control in patients with diabetes?
- Author:
- Erin Kallock, MD
- Jon O. Neher, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: YES, BUT THE CLINICAL IMPORTANCE IS MINIMAL. A single intra-articular steroid injection into the knee produces acute...
Article
How should we monitor men receiving testosterone replacement therapy?
- Author:
- Manuel Alsina, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: MONITOR HEMATOCRIT AND BONE MINERAL DENSITY (BMD) (strength of recommendation [SOR]: B, meta-analysis of non–patient-...
Article
Does chocolate have cardiovascular benefits?
- Author:
- Tara Milliron, MD
- Gary Kelsberg, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: YES, EATING CHOCOLATE REDUCES BLOOD PRESSURE in the short term (strength of recommendation [SOR]: B, a meta-analysis and...
Article
How does pentoxifylline affect survival of patients with alcoholic hepatitis?
- Author:
- Parham Ghavami, MD
- Jon O. Neher, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: Pentoxifylline improves short-term survival in patients admitted to the hospital with severe alcoholic hepatitis (strength...
Article
How long is expectant management safe in first-trimester miscarriage?
- Author:
- Charles Butler, MD
- Gary Kelsberg, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: More than 80% of women with a first-trimester spontaneous abortion have complete natural passage of tissue within 2 to 6...
Article
What are the indications for evaluating a patient with cough for pertussis?
- Author:
- Maureen O’Reilly Brown, MD, MPH
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: Pertussis should be considered in infants with apnea or severe coughing illnesses of any duration, and in older children or...
Article
How effective are leukotriene inhibitors for asthma in children?
- Author:
- Nancy E. Morden, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: Evidence on the use of leukotriene inhibitors in children is insufficient to permit conclusions regarding efficacy. Given...
Article
Are nasal steroid sprays effective for otitis media with effusion?
- Author:
- John R. Chaffee, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: Treatment of otitis media with effusion (OME) with nasal steroids is not recommended (strength of recommendation [SOR]=A,...
Article
Heat or ice for acute ankle sprain?
- Author:
- Chris Thompson, MD
- Gary Kelsberg, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: For grade 3 and 4 ankle sprains, ice works better than heat to speed recovery (return to play) (strength of recommendation...
Article
Are antibiotics effective for otitis media with effusion?
- Author:
- Kirk Gasper, MD
- Leilani St. Anna, MLIS, AHIP
EVIDENCE-BASED ANSWER: Antibiotics provide little or no long-term benefit for children with otitis media with effusion (OME), defined as fluid in...