Applied Evidence

Next steps when BP won’t come down

Author:

Bernard M. Karnath, MD

A poor response to therapy should trigger a search for a secondary cause of hypertension. Use this review as your guide.

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Clinical Inquiries

Do inhaled steroids reduce bone mineral density and increase fracture risk?

Author:

Chris Wheelock, MD

Justin Glass, MD

Leilani St. Anna, MLIS, AHIP

EVIDENCE-BASED ANSWER: NO, except perhaps at high doses. Inhaled corticosteroids (ICS) at low to medium doses (<1500 mcg beclomethasone...

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Clinical Inquiries

Multivitamins for healthy children: What are the true benefits?

Author:

Heather Schouweiler, MD

Jon O. Neher, MD

Leilani St. Anna, MLIS, AHIP

EVIDENCE-BASED ANSWER: THE BENEFITS APPEAR TO BE LIMITED. It’s doubtful that multivitamin with mineral (MVM) supplementation improves IQ in...

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Medical Verdicts

Failure to document treatment refusal proves costly . . . Enlarging uterus goes uninvestigated . . . more

Author:

Jeffrey L. Susman, MD

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Original Research

How well are we managing diabetes in long-term care?

Author:

Brittney M. Vajen, osteopathic medical student IV

Rachel Holt, DO

Tracy Marx, DO

Frank L. Schwartz, MD

Jay H. Shubrook, Jr, DO

The care received by nursing home residents with diabetes does not meet ADA standards for ambulatory adults, this study finds. Nor should it. The...

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Practice Alert

Meningococcal vaccine for infants?

Author:

Doug Campos-Outcalt, MD, MPA

With the incidence of meningococcal disease declining in all age groups, ACIP is weighing the need for vaccination in children <2 years.

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PURLs

Injection may be the best bet for young athletes’ knee pain

Author:

Mark Sakr, DO

Anne Mounsey, MD

Closure of the tibial growth plate—the definitive remedy for Osgood-Schlatter disease—may be years away. Adolescent athletes sidelined by pain...

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