Latest Articles
- Should an NPO order be placed for my patient with acute pancreatitis?
Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.
- A hidden cause of hypokalemia
A 21-year-old man presented with increasing fatigue and psychosis symptoms. Laboratory testing results were consistent with a metabolic disorder.
- Preexposure prophylaxis for preventing HIV infection: Routine practice in primary care
Knowing how to conduct a thorough sexual history and prescribe PrEP medications can contribute to reducing the incidence of new HIV infection.
- Gastroparesis for the nongastroenterologist
The authors explore how primary care clinicians can use current recommendations to manage patients with mild to moderate gastroparesis.
- Pursuing the diagnosis of low back pain
The recommended conservative approach eschewing initial imaging in patients with acute or subacute low back pain is unlikely to miss a significant clinical problem in those with no “red flags,” though the evaluation should be tempered in patients with chronic low back pain.
Diabetes technology: A primer for cliniciansThis review of the basics of various diabetes management devices is intended to enhance clinicians’ comfort level in helping patients use these technologies.
- Low back pain: Spondylitis?
A 37-year-old woman was referred to a rheumatology clinic due to symptoms concerning for spondylitis after noting intermittent back pain with right-sided groin pain.
- New CCJM faces and features
Hospitalist James Pile, MD, and nephrologist George Thomas, MD, join the Journal staff as deputy editors.
- Do I always need a central venous catheter to administer vasopressors?
Although generally preferred, central venous catheters carry risks such as procedural complications, infection, and thrombosis. Clinicians must assess, case by case, whether a peripheral intravenous catheter can be used.
- Functional dyspepsia: How to manage the burn and the bloat
The authors discuss how to diagnose and treat the 2 subtypes of functional dyspepsia: epigastric pain syndrome (burning and pain) and postprandial distress syndrome (bloating and satiety).
