More articles from Review
- Navigating pneumococcal vaccination in adults
With two nonequivalent vaccines and different schedules for different groups, vaccination can be confusing.
- Measles: Back again
The disease is serious and highly contagious. Vaccination is safe and should be strongly promoted for healthy children.
- Reproductive health and the environment: Counseling patients about risks
Endocrine-disrupting chemicals are ubiquitous and affect multiple pathways. The precautionary principle should apply.
- Evaluation of nail lines: Color and shape hold clues
Inspection of the fingernails and toenails should be part of a complete physical examination.
- Extracorporeal membrane oxygenation in adults: A practical guide for internists
Principles, patient selection, monitoring, and complications of this form of life support.
- Self-monitoring of blood glucose: Advice for providers and patients
Self-monitoring provides essential data and also motivates patients. A certified diabetes educator can help.
- Pseudomembranous colitis: Not always Clostridium difficile
Other causes include other infections, ischemia, medications, and inflammatory mucosal diseases.
- Treating and preventing acute exacerbations of COPD
Corticosteroids, antibiotics, and bronchodilators are the cornerstones of prevention and treatment.
- Managing diabetes in hospitalized patients with chronic kidney disease
Avoiding hypoglycemia takes precedence over meeting strict blood sugar targets.
- Drugs that may harm bone: Mitigating the risk
The implicated drugs have important therapeutic roles, so their benefits must be weighed against the risks.

