Latest Articles
- A young woman with severe hypoxemia, electrocardiographic changes, and altered mental status
This case highlights the importance of thorough history-taking and the need to maintain a broad differential diagnosis, even if the test results seem definitive.
- Zoster is more than ‘just’ a viral infection
For some viruses, such as varicella-zoster virus, striking and confusing clinical manifestations can appear long after the initial infection.
- The protean neurologic manifestations of varicella-zoster virus infection
Varicella-zoster virus reactivation can produce a number of neurologic complications, including herpes zoster (shingles), postherpetic neuralgia, vasculopathy, myelitis, neurologic disease without rash, and necrotizing retinitis.
- A small pulmonary nodule, found incidentally
Most very small nodules are benign, but once identified, they need to be followed.
The painful shoulder: When to inject and when to referMany physicians find shoulder pain difficult to sort out and treat. However, most cases can be diagnosed in a 5-minute history and physical examination and treated with a combination of physical therapy, injections, and time.
- Bilateral parotitis and facial nerve palsy
The patient also has anterior uveitis and a small skin lesion. Which underlying condition is most likely?
- Buprenorphine maintenance: A new treatment for opioid dependence
New regulations allow physicians who are certified in buprenorphine therapy to offer it in their offices, substantially increasing patient access to treatment for opioid dependence.
- Cardiovascular medicine update 2007: Perioperative risk, carotid angioplasty, drug-eluting stents, stronger statins
Should patients with coronary artery disease who need noncardiac surgery undergo angioplasty first to lessen their perioperative risk? Is percutaneous carotid angioplasty an acceptable alternative to open surgery? Are drug-eluting stents safe in the long term? What is the best regimen and goal for managing lipid levels in patients with coronary artery disease?
- Pneumococcal vaccination in adults: Recommendations, trends, and prospects
Current vaccines against Streptococcus pneumoniae may not be ideal, but they are worth giving to elderly patients and others at risk.
A 58-year-old woman with mental status changesThirty years ago she underwent gastric bypass surgery for obesity. Now she presents with mental status changes, a bicarbonate level of 16 mmol/L, and an anion gap of 15. What is the most likely cause of her acidosis?