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- 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.
Cirrhosis: Primary care approaches to screening, immunization, and lifestyle modificationsThe authors review management of cirrhosis and complications such as esophageal varices and hepatocellular carcinoma, as well as chemical and medication exposures.
- COVID-19: A management update
The authors examine current guidelines of the Infectious Diseases Society of America and the National Institutes of Health.
- Elevated aminotransferases in a 62-year-old woman
Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.
- The new GFR equations: How will eliminating the race coefficient affect Black patients?
The authors discuss the history of equations for the glomerular filtration rate and potential clinical consequences of the new equations.
- A reticular eruption on the thighs
During cold winter weather, the patient had been wearing an electric heating pad between the thighs.
- Is the MTHFR gene mutation associated with thrombosis?
Clinicians should educate patients with this common polymorphism about the lack of evidence for associated thrombotic risk, and instead focus on modifiable risk factors for thrombosis.
Portopulmonary hypertension: A focused review for the internistKey aspects of screening, diagnosis, and treatment, and a review of the various pulmonary hemodynamic patterns encountered in patients with liver disease.
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.