Table of Contents

Mesenteric ischemia is a serious clinical entity characterized by a disconnect between the patient’s symptoms and the physical examination.

In the absence of consensus guidelines addressing this question, an individualized approach that considers personal and family history is needed.

Evidence does not support routine testing for an underlying hereditary thrombophilia after an arterial or venous thrombosis. Instead, the benefits of testing must be discussed with each patient.

Renal denervation may be appropriate as an alternative or adjunct to pharmacotherapy in certain patients. Shared decision-making is crucial before proceeding.

Mesenteric ischemia is associated with high mortality and often poses a diagnostic challenge. Early recognition and diagnosis are imperative to improve outcomes.

The authors provide a review of primary adrenal insufficiency for clinicians in primary care, emergency medicine, and hospital medicine, who are usually the first clinicians adults with this disorder present to when seeking medical care.

It is important to empower patients to be their own advocates while helping them sort through the data on vaccines, emphasizing what we know and where uncertainty remains.