More articles from Review
- When and how to evaluate mildly elevated liver enzymes in apparently healthy patients
Not all asymptomatic people with a mildly elevated liver enzyme value need an extensive evaluation, which can be costly, anxiety-provoking, and risky.
- Measles: Not just a childhood rash
Outbreaks continue to be reported in communities with a high number of unvaccinated people. Most cases are linked to international travel.
Stenting atherosclerotic renal arteries: Time to be less aggressiveIt is time to strongly reconsider the current aggressive approach to revascularization of stenotic renal arteries and to take a more coordinated, critical approach.
- Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data
More research is needed to ascertain which long-term care residents would benefit most from anticoagulant prophylaxis. In the absence of evidence-based guidelines, we advocate a selective approach.
Managing acute upper GI bleeding, preventing recurrencesAcute upper gastrointestinal bleeding is common and potentially life-threatening. It needs prompt assessment and aggressive medical management.
- Food allergy and eosinophilic esophagitis: Learning what to avoid
What we know about the mechanisms of food allergies and eosinophilic esophagitis, how to diagnose them, and how to treat them.
Myelodysplastic syndromes: A practical approach to diagnosis and treatmentThe myelodysplastic syndromes are clonal bone marrow disorders that lead to underproduction of normal blood cells. Primary care physicians tend to be the first to identify the problem.
- Fragility fractures in chronic kidney disease: An opinion-based approach
When a patient with chronic kidney disease suffers a fragility fracture, a key question is whether the patient has osteoporosis or, instead, renal osteodystrophy. Bone densitometry does not help in this distinction.
- An algorithm for managing warfarin resistance
Some patients need higher-than-expected doses of warfarin to reach their target INR. The cause can be acquired (poor compliance, drug interactions) or hereditary.
Acute pancreatitis: Problems in adherence to guidelinesEvidence-based guidelines on managing acute pancreatitis are available, but many physicians are not following them.