Latest Articles
- In rebuttal: Osteopenia is a useful diagnosis
Eliminating the term “osteopenia” would foster complacency and a do-nothing attitude toward a serious and common disease.
- Severe chest pain in a 32-year-old man
His electrocardiogram shows ST-segment elevation in leads I, II, aVF, and V5 and V6, but no reciprocal changes. What is the diagnosis?
- Avian influenza: An emerging pandemic threat
We briefly review the lessons from past pandemics, the threat of the current avian flu outbreak, and recommendations for prevention.
- A patient with acute flank pain
With all of the imaging options, which is the best way to assess for renal calculi in the acute setting?
- Use of corticosteroids in the sepsis syndrome: What do we know now?
Although there is a physiologic rationale for using corticosteroids in sepsis, there are also safety concerns. A definitive trial is under way. This article analyzes the evidence to date and gives the authors personal recommendations.
- Dyslipidemia in HIV patients
HIV can raise lipid levels, and so do the drugs used to treat it. As patients with HIV infection live longer, these non-HIV medical problems become more relevant.
- Renovascular hypertension: Balancing the controversies in diagnosis and treatment
Which patients should undergo testing for renovascular hypertension, and with which test? What are the roles of renal angioplasty and stenting?
- Please return the postcard
To help us continue to mail you the Journal every month, please return the attached postcard.
- How long can my patient use intranasal steroid sprays?
There is little evidence to indicate they cause significant systemic side effects. However, patients who use them regularly should undergo examinations of the nasal cavity at least once a year to check for damage to the septum.