More articles from Review
- Diagnosis and treatment of hyperkalemia
It is most common in patients with renal impairment, can be life-threatening, and requires a multidisciplinary approach.
- Severely frail elderly patients do not need lipid-lowering drugs
Statins have no role as primary prevention in this population, and a minor role as secondary prevention.
- Use and misuse of opioid agonists in opioid addiction
Methadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.
- Combined hormonal contraceptives and migraine: An update on the evidence
These contraceptives are contraindicated in women who have migraine with aura, but benefit vs risk is debatable.
- Tickborne diseases other than Lyme in the United States
Consider them in patients with known or potential tick exposure and fever or vague constitutional symptoms.
- Medical management of urinary incontinence in women
It is common, underreported, and undertreated. Primary care physicians can offer conservative management.
- Diabetes control during Ramadan fasting
For diabetic patients, fasting during Ramadan can cause wide fluctuations in blood sugar levels.
- Concussion: Evaluation and management
Initial therapy involves several days of cognitive and physical rest, then a gradual return to activities.
- Breast cancer screening: Does tomosynthesis augment mammography?
This technology may reduce recall rates and increase cancer detection rates, but outcome studies are needed.
- Vulvovaginitis: Find the cause to treat it
The cause is usually infectious, but noninfectious causes should also be considered, and differentiating them can be challenging.

