More articles from Review
- Hospital management of diabetes: Beyond the sliding scale
Tight glucose control has been shown to improve clinical outcomes in hospitalized patients. The challenge now is implementation.
Drug-eluting stents: The beginning of the end of restenosis?Drug-eluting stents are here, and they are better than ordinary stents. But how much better?
- Dementia with Lewy bodies: Diagnosis and clinical approach
Not all dementia is Alzheimer disease: dementia with Lewy bodies is the second most common cause, and the distinction may matter.
- Homocysteine: Is it a clinically important cardiovascular risk factor?
The jury is still out as to whether homocysteine is a cause, consequence, or marker of cardiovascular disease. B vitamins lower homocysteine levels; whether they reduce risk is also unknown, but they are cheap and safe.
- Hypertension treatment in African Americans: Physiology is less important than sociology
Social, cultural, and economic barriers to care are probably more important than any true physiologic differences between races.
- Nonalcoholic fatty liver disease and the epidemic of obesity
Nonalcoholic fatty liver disease, unknown only 2 decades ago, is now ubiquitous, especially among the obese.
Acute leukemia with a very high leukocyte count: Confronting a medical emergencyFrom 5% to 30% of adult patients with acute leukemias present with hyperleukocytosis and leukostasis. Prompt action is needed.
- Evaluation of hyponatremia: A little physiology goes a long way
A careful and logical approach can promptly reveal the causative factor or factors in nearly all cases.
- Treatment options for menopausal hot flashes
Alternatives to hormone therapy exist, but none is as effective as hormone therapy, and none is approved by the US Food and Drug Administration for this purpose.
- Spinal tuberculosis deserves a place on the radar screen
There is no cause for complacency about tuberculosis. Spinal involvement may be the first manifestation.