More articles from 1-Minute Consult
- Is hemoglobin A1c an accurate measure of glycemic control in all diabetic patients?
Regard its values with suspicion, especially when they do not agree with the patient’s blood glucose levels.
- Should patients with gout avoid
No study has directly addressed this issue. In most cases, continue the thiazide and adjust the hypouricemic therapy if necessary.
- Do all hospitalized patients need stress ulcer prophylaxis?
No. Only critically ill patients who meet specific criteria should receive it.
- Can an ARB be given to patients who have had angioedema on an ACE inhibitor?
Proceed with caution. ARBs can also cause angioedema, but the benefit may outweigh the risk if the patient truly needs the drug.
- How should we manage insulin therapy before surgery?
Continuing at least part of the basal insulin is reasonable, but prandial insulin should be stopped the morning of surgery.
- Is anticoagulation appropriate for all patients with portal vein thrombosis?
No. The decision is complex and depends on whether the thrombosis is acute or chronic and on other factors.
- Which lower-extremity DVTs should be removed early?
This controversial therapy is best considered in cases of proximal deep vein thrombosis in younger patients.
- Which patients may benefit from coronary artery calcification scoring?
Although no randomized trial has yet shown that the test improves outcomes, it is best used in asymptomatic patients at intermediate risk.
- Should we still use electrocardiography to diagnose pericardial disease?
Acute pericarditis has a unique clinical presentation, physical findings, and electrocardiographic changes.
- When do Raynaud symptoms merit a workup for autoimmune rheumatic disease?
Clues to systemic disease include prolonged and painful attacks that can cause ulceration or gangrene. Other clues are older age at onset, male sex, and asymmetric involvement.