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- Stiff hands in a man with type 1 diabetes
The patient had been on injectable insulin for the past 6 years, with frequent dose titrations because of poor control. A recent hemoglobin A1c was 7.2%.
Treatments for obstructive sleep apnea: CPAP and beyondOptions include behavioral interventions, oral appliances, nasal expiratory positive airway pressure, negative pressure interventions, and surgical procedures. Certain drugs are also promising.
- Contemporary surgical and procedural management of benign prostatic hyperplasia
The authors provide an overview of currently available and guideline-backed treatments.
- Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
Why should a rheumatologist have special interest in this disorder? The answer lies in 2 major reasons patients are referred for a rheumatology consultation: fatigue and inflammation.
- Oral lichen planus
Risk factors include medications, dental materials, and viral infections such as hepatitis C.
- Hey, Doc: Could the 2023–2024 cold and flu season finally be the calm after the storm?
The author answers questions patients may have about the currently available influenza, COVID-19, and respiratory syncytial virus vaccines.
- The drop of a pin: Accidental ingestion of a sharp foreign body
If endoscopic retrieval fails, conservative management may be appropriate with daily abdominal radiography.
- Should my patients take their blood pressure medications in the evening to enhance cardiovascular benefit?
The focus should be to achieve blood pressure control and facilitate adherence, regardless of the timing of the medications.
- What is the role for terlipressin in hepatorenal syndrome?
The drug is recommended as a first-line treatment of hepatorenal syndrome-related acute kidney injury, but it is associated with respiratory failure, especially in the setting of albumin administration, and certain comorbidities may increase the risk.
- Anchors away
Before you read this, I recommend that you read the interesting article in this issue by Prakash et al, part of our Symptoms to Diagnosis series.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.