Latest Articles
- 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.
- 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 bloatThe 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).
- Simultaneous hemorrhage and venous thrombosis in a patient with systemic lupus erythematosus
After undergoing hip arthroplasty, the patient had hematoma formation in the pelvis, active bleeding from the surgical site, and a prolonged activated partial thromboplastin time. Careful evaluation led to the diagnosis of an acquired bleeding disorder.
- Providing comfort: Caring for patients who wish to die in their home country
The authors offer a framework for providing equitable care to terminally ill patients who seek the comfort of dying at home.
- Perspectives on travel and healthcare
Further guidelines are needed to address the challenges faced by patients traveling to receive medical care away from their home country or returning to their home country to die.
- Reducing the risks when using benzodiazepines to treat insomnia: A public health approach
The authors review measures for preventing harm before benzodiazepines are prescribed, decreasing harm within 4 weeks after they are prescribed, and limiting harmful effects of long-term prescribing.
- Gingival overgrowth in acute monocytic leukemia
A 55-year-old man presented to the emergency department with a 2-month history of progressive gingival swelling and oral pain.