Latest Articles
A 23-year-old man with a continuous heart murmurWhat is the cause of this patient’s cardiac symptoms? A self-test.
- Linda Hengstler, publisher, editor, and friend, ends 14-year stint at CCJM
Under Ms. Hengstler’s guidance, the Journal has found and grown into its niche as an increasingly appreciated and widely read educational publication for the busy clinician.
- Diagnosis of lupus: A glass half full
The tests will always be imperfect, but with better knowledge of how they perform, we can look at the clinical laboratory’s role in lupus diagnosis as a glass half full rather than half empty.
- Chronic tension-type headache: Advice for the viselike-headache patient
About 3% of people complain of daily viselike headaches without associated symptoms. Therapy consists of tricyclic antidepressants, biofeedback, and stress management, although solid data are lacking.
- Halting the progression of heart failure: Finding the optimal combination therapy
Recommendations on how to find the optimal combination of agents that can slow the progression of heart failure while minimizing side effects.
- Advances in treatment of chronic hepatitis C: ‘Pegylated’ interferons
New formulations of interferon alfa that incorporate polyethylene glycol in the drug molecule are an important advance in the treatment of chronic hepatitis C.
- Tired, aching, ANA-positive: Does your patient have lupus or fibromyalgia?
Do not rely on the antinuclear antibody test to make the distinction between fibromyalgia and lupus.
- Caring for patients with prosthetic heart valves
General internists have a leading role in providing routine care, including regular physical examinations, echocardiograms, antithrombotic therapy, and antibiotic prophylaxis against endocarditis.