Latest Articles
- Calcific uremic arteriolopathy
A 51-year-old man with end-stage renal disease presented with extensive necrotic ulcers and eschar on both legs.
- Phosphorus binders: The new and the old, and how to choose
The pathophysiology and control of hyperphosphatemia in kidney disease, focusing on phosphorus binders.
- Palmoplantar exanthema and liver dysfunction
The patient admitted to having had unprotected sex with a female sex worker.
- Phosphorus in kidney disease: Culprit or bystander?
As kidney function declines, phosphorus accumulates, but the process is complex.
- Diagnosing and treating bipolar disorder in primary care
Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.
- Which patients with a parapneumonic effusion need a chest tube?
Hospitalized patients with pneumonia who develop a complicated effusion or empyema need one.
- The bias of word choice and the interpretation of laboratory tests
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
- Liver enzymes: No trivial elevations, even if asymptomatic
All persistent elevations of liver enzymes need a methodical evaluation and an appropriate working diagnosis.
- Angular cheilitis induced by iron deficiency anemia
Causes include nutritional deficiencies, local and systemic factors, and drug treatment.