Latest Articles
- Labels matter: Challenging conversations or challenging people?
Caring for patients is a complex, intricate, intimate privilege. To characterize it otherwise is to not fully understand it.
- A patient with altered mental status and an acid-base disturbance
Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.
- Weight loss, fatigue, and renal failure
A 37-year-old man has gradually lost 100 lb over the past 2 years, with progressive fatigue and malaise.
- Statin therapy in the frail elderly: A nuanced decision
Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.
- Measuring both serum amylase and lipase for acute pancreatitis lowers quality and raises cost
Measuring lipase alone is sufficient.
- Bleeding esophageal varices: Who should receive a shunt?
A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.
- Which bowel preparation should be used for colonoscopy in patients who have had bariatric surgery?
The authors routinely use low-volume (2-L) polyethylene glycol preparations in split-dose regimens.
- Pharmacotherapy for obesity: What you need to know
Weight-loss drugs are not magic pills, but they can help when used along with diet, exercise, and other lifestyle changes.
- Fighting the reflux reflex
We should think twice when making a clinical diagnosis of gastroesophageal reflux disease.