More articles from Review
Thoracic aortic aneurysm: How to counsel, when to referBe alert for clues on chest imaging, and consider screening fi rst-degree relatives of patients known to have aortic disease.
- Evaluating suspected pulmonary hypertension: A structured approach
With a myriad of causes and nonspecifi c symptoms, pulmonary hypertension needs a methodic diagnostic approach.
- Idiopathic pulmonary fibrosis: What primary care physicians need to know
This devastating and fatal lung disease generally affects older adults, especially men, and can be mistaken for COPD.
Hypertrophic cardiomyopathy: A complex diseaseMost people who carry its mutations are never affected, but, rarely, some patients die suddenly at a young age.
- Genitourinary syndrome of menopause: Common problem, effective treatments
Half of all postmenopausal women experience these symptoms. Most do not seek relief.
- Primary care management of chronic pelvic pain in women
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.
Acute cardiorenal syndrome: Mechanisms and clinical implicationsVolume overload is central to its pathogenesis, and accurate assessment of volume status is critical.
- Which test for CAD should be used in patients with left bundle branch block?
CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.
- Alzheimer dementia: Starting, stopping drug therapy
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
- Medication management in older adults
Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.