More articles from Medical Grand Rounds
- The overlooked and undertreated perils of premature ovarian insufficiency
Physicians should be alert to the possibility of undiagnosed premature ovarian insufficiency—loss of ovarian function before age 40—and know what to do if the condition is suspected.
- Steroids in the acutely ill: Evolving recommendations and practice
New information has been generated with regard to what causes critical illness-related corticosteroid insufficiency, how to diagnose it, who should receive corticosteroid treatment, and what regimens to use.
- Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity
Orthostatic hypotension is common and can have serious consequences. The author offers a systematic approach to evaluation and management.
- Options for preserving fertility in women undergoing gonadotoxic treatment
For females undergoing cancer therapy, proactive treatments can help preserve the possibility of having children.
- Myopathy for the general internist: Statins and much more
How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as potentially dangerous myopathies.
- Our missing microbes: Short-term antibiotic courses have long-term consequences
Is the rise in chronic diseases due to loss of microbial diversity?
- Diagnosing and treating bipolar disorder in primary care
Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.
- What you can do for your fibromyalgia patient
Fibromyalgia is a defi ned syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.
- Kidney transplant: New opportunities and challenges
Kidney transplant improves survival and long-term outcomes in patients with renal failure.

