Article
![Foot pain Foot pain](https://cdn-uat.mdedge.com/files/s3fs-public/styles/max_width_small/public/images/article_teasers/jfp07209320_1100x725.jpg)
Is low-dose naltrexone effective in chronic pain management?
- Author:
- Roxanne Radi, MD, MPH
- Harriet Huang, MD
- Jason Rivera, MD
- Corey Lyon, DO
- Kristen DeSanto, MSLS, MS, RD
EVIDENCE-BASED ANSWER: YES. Low-dose naltrexone is as effective as amitriptyline in the treatment of painful diabetic neuropathy and has a...
Article
![Postmenopausal women Postmenopausal women](https://cdn-uat.mdedge.com/files/s3fs-public/styles/max_width_small/public/images/article_teasers/jfp07205e10_1100x725.jpg)
Does hormone replacement therapy prevent cognitive decline in postmenopausal women?
- Author:
- Madeline Gates, MD
- Melissa Beagle, MD, MPH
- Lauren Bull, MD
- Roxanne Radi, MD, MPH
- Corey Lyon, DO
- Kristen DeSanto, MSLS, MS, RD
EVIDENCE-BASED REVIEW: NO. Hormone replacement therapy (HRT) does not prevent cognitive decline in postmenopausal women—and in fact, it may...
Article
Do behavioral interventions improve nighttime sleep in children < 1 year old?
- Author:
- Morgan Hungenberg, DO
- Breanna Houss, MD
- Madhav Narayan, MD
- Corey Lyon, DO
- Kristen DeSanto, MSLS, MS, RD
EVIDENCE-BASED ANSWER: YES. Infants respond to behavioral interventions, although objective data are limited. Behavioral interventions include...
Article
![vial](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Antibiotics and COPD: Time to order a C-reactive protein test?
- Author:
- Cleveland Piggott, MD, MPH
- Corey Lyon, DO
Consider C-reactive protein–guided prescribing of antibiotics in acute chronic obstructive pulmonary disease exacerbations in the outpatient...
Article
![Diabetes Diabetes](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Is NPH associated with fewer adverse events than analog basal insulin for adults with T2D?
- Author:
- Corey Lyon, DO
- Swetha Iruku, MD
- Molly Hoss, MD
- Kristen Desanto, MSLS, MS, RD, AHIP
EVIDENCE-BASED ANSWER: NO. Insulin glargine may lead to less patient-reported, symptomatic, and nocturnal hypoglycemia, although overall, there...
Article
![fingers holding clear pill fingers holding clear pill](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Consider this Rx for patients with high triglycerides?
- Author:
- Kyle Leggott, MD
- Corey Lyon, DO
- Liza Claus, PharmD, BCACP
A daily dose of this prescription fish oil may be worth a trial in light of the cardiovascular benefits it affords statin-treated patients with...
Article
![Woman opening box on couch Woman opening box on couch](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Do-it-yourself cervical cancer screening?
- Author:
- Molly Hoss, MD
- Corey Lyon, DO
Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might...
Article
![Pregnant woman pushing during labor Pregnant woman pushing during labor](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Immediate or delayed pushing in the second stage of labor?
- Author:
- Jessica Devitt, MD
- Corey Lyon, DO
Is there any advantage to delaying pushing in the second stage of labor for nulliparous women receiving epidural analgesia?
Article
![Aspirin Aspirin](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Aspirin, Yes, for at-risk elderly—but what about the healthy elderly?
- Author:
- Cleveland Piggott, MD, MPH
- Corey Lyon, DO
This study paints a decidedly different picture as to what role—if any—aspirin can play in the primary prevention of CVD for older adults.
Article
![Wrist ganglion cyst Wrist ganglion cyst](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
What is the best treatment for wrist ganglion cysts?
- Author:
- Corey Lyon, DO
- Stephanie V. Eldred, MD
- Kristen Desanto, MSLS, MS, RD, AHIP
EVIDENCE-BASED ANSWER: Open surgical excision of wrist ganglion cysts is associated with a lower recurrence rate than aspiration with or without...
Article
![](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Do Probiotics Reduce C diff Risk in Hospitalized Patients?
- Author:
- Matthew Simpson, MD, MPH
- Corey Lyon, DO
A systematic review and meta-analysis says, “Yes,” but that doesn’t necessarily mean they will start appearing on hospital...
Article
![](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Should You Switch the DAPT Agent a Month After ACS?
- Author:
- Drew Ashby, MD
- Corey Lyon, DO
A randomized controlled trial says “Yes,” but current guidelines say “No.”
Article
![Do probiotics reduce C diff risk in hospitalized patients? Do probiotics reduce C diff risk in hospitalized patients?](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Do probiotics reduce C diff risk in hospitalized patients?
- Author:
- Matthew Simpson, MD, MPH
- Corey Lyon, DO
A systematic review and meta-analysis says, “Yes,” but that doesn’t necessarily mean they will start appearing on hospital formularies.
Article
![How effective is spironolactone for treating resistant hypertension? How effective is spironolactone for treating resistant hypertension?](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
How effective is spironolactone for treating resistant hypertension?
- Author:
- Corey Lyon, DO
- Brigitte Utter, MD
- Kristen DeSanto, MSLS, MS, RD
EVIDENCE-BASED ANSWER: Very effective. Spironolactone reduces systolic blood pressure (SBP) by 11 to 17 mm Hg and diastolic blood pressure (DBP)...
Article
![](https://qa00.mdedge.com/sites/all/modules/contrib/lazyloader/image_placeholder.gif)
Less Is More When It Comes to Ketorolac for Pain
- Author:
- Corey Lyon, DO
- Liza W. Claus, PharmD, BCACP
It’s time to review our dosing with ketorolac for acute pain management.