Latest Articles
Is there a role for metformin or acarbose as a weight-loss agent in the absence of diabetes?The evidence so far indicates that neither drug can be recommended for this indication in this situation.
- A 77-year-old man with septic shock
A homeless man is poorly responsive, hypotensive, and febrile—and has a new heart murmur. What is the cause?
- Treat high blood pressure sooner: Tougher, simpler JNC 7 guidelines
In 2003, a blood pressure of 120/80 isn’t normal anymore—it’s prehypertensive.
- Hair loss: Diagnosis and management
Alopecia is distressing, and we should not underestimate its importance, either as a cosmetic problem or as a sign of a potentially serious underlying condition.
Coronary imaging: Angiography shows the stenosis, but IVUS, CT, and MRI show the plaqueNew imaging tests can reveal information about coronary artery disease that traditional angiography cannot.
- Managing weight gain as a side effect of antidepressant therapy
Some drugs are more apt to cause weight gain than others; one should inform and work with the patient.
- In refractory temporal lobe epilepsy, consider surgery sooner
Epilepsy surgery is perhaps the most underused therapy in all of medicine today.
- New advances transform the management of women with abnormal Pap tests
We review the new thin-layer slide system, the new HPV test, the 2001 reporting system for Pap tests, and new management guidelines.