Latest Articles
- Perioperative beta-blockers in noncardiac surgery: The evidence continues to evolve
Initial studies in the 1990s were favorable, but evidence has been conflicting since then.
- Alveolar proteinosis: A slow drowning in mud
The patient improved markedly after whole-lung lavage and has had no recurrence at 1 year.
- Sleep apnea ABCs: Airway, breathing, circulation
Obstructive sleep apnea is common, poorly recognized, and, if untreated, leads to serious health consequences.
- A 78-year-old smoker with an incidental pulmonary mass
His age, smoking history, and findings on radiography raised the concern of lung cancer.
- Better care is the best defense: High-value clinical practice vs defensive medicine
Viewing every patient as a potential lawsuit is bad for patients, practice, and the health care system.
- Do imaging studies have value in a patient with acute, nonspecific low back pain?
Consider imaging only in patients who have red flags for fracture or malignancy.
- When snoring is more than an annoyance
We should vigilantly look for obstructive sleep apnea and, if it is diagnosed, strongly encourage treatment.
- Changes to practice may help avoid ‘double trouble’
When draining large effusions, take precautions to prevent pneumothorax and reexpansion pulmonary edema.
- Intimate partner violence: How you can help female survivors
The patient is more likely to disclose abuse if the physician asks. Counseling and referral improve safety and health.
- Is cardiac stress testing appropriate in asymptomatic adults at low risk?
This test is most useful in patients who have chest pain and shortness of breath on exertion.