More articles from Review
- In vitro fertilization update
The science of in vitro fertilization has improved considerably in the last 25 years. We provide an overview of the current and experimental techniques of assisted reproductive technology.
- Parkinson disease: Managing a complex, progressive disease at all stages
Parkinson disease is complex to manage. Its presentation can vary, as can its response to treatment. Physicians tend to focus on its motor symptoms, but many patients find nonmotor symptoms equally troublesome.
- Anabolic steroid abuse: Psychiatric and physical costs
Anabolic-androgenic steroid abuse is no longer confined to professional athletes. Physicians should be aware of its signs and symptoms so that they can address its adverse effects and treat it.
- Advances in treating insomnia
Hypnotic drugs should not be the sole treatment for insomnia: the regimen should include sleep hygiene and behavioral therapies.
- Metabolic syndrome: Controversial but useful
The cluster of obesity, impaired fasting glucose, elevated triglycerides, low high-density lipoprotein cholesterol, and hypertension may not be a “real” syndrome in the strict sense, but it can still be a useful concept if it helps persuade patients to undertake healthy lifestyle changes.
- Celiac disease: More common than you think
The disease is underrecognized because about half of people who have it do not have the classic gastrointestinal symptoms. Instead, they may present with nonspecific manifestations of nutritional deficiency or have no symptoms at all.
- Differentiating bipolar disorder from depression in primary care
When physicians encounter a patient who obviously is depressed, they should not assume that the patient has unipolar depression until they have ruled out bipolar disorder, formerly called “manic-depressive illness.”
- When and how to fix a ‘hole in the heart’: Approach to ASD and PFO
While correcting some abnormalities of the atrial septum is beneficial, most other defects warrant correction only under very specific circumstances.
- Understanding and minimizing late thrombosis of drug-eluting stents
Though late stent thrombosis is rare, the risk is real and it is greater with drug-eluting stents than with bare metal stents.
- Which ovarian masses need intervention?
Ovarian cancer is deadly if not detected early, but it is only one of many causes of pelvic masses, which are common.