Latest Articles
- Retroperitoneal cyst hemorrhage in polycystic kidney disease
Polycystic kidney disease is relatively common, and fewer than half of cases are diagnosed. The cysts often bleed.
- Selecting antithrombotic therapy for patients with atrial fibrillation
When considering anticoagulant therapy for patients with atrial fibrillation, one must balance the reduction in risk of thromboembolism that this therapy offers against the risk of bleeding that it poses. The American Heart Association, American College of Cardiology, and Heart Rhythm Society updated their atrial fibrillation guidelines in 2014. This review outlines a rationale for clinical decision-making based on the new guidelines and summarizes the currently approved drugs.
- A new year and a new face for www.ccjm.org
CCJM.org has a new look and new interactive features, but it remains open to all and free of charge. Log on and register.
Quitting smoking: Still a challenge, but newer tools show promiseSmoking continues to be a major public health problem with devastating consequences in terms of morbidity and mortality. Physicians are strongly encouraged to engage patients in a serious, concerted, and consistent effort to overcome nicotine addiction. Brief counseling in combination with medications has been shown to be effective. This article provides physicians guidelines for helping patients to quit this addictive disorder.
- Insulin therapy and cancer risk (October 2014)
A reader comments on whether insulin therapy increases the risk of cancer (October 2014).
- Joint pain in a man with lung cancer
Hypertrophic pulmonary osteoarthropathy is characterized by proliferation of the skin and periosteal formation of new bone.
- Rule out pulmonary tuberculosis: Clinical and radiographic clues for the internist
As tuberculosis rates decline in the United States, clinicians are less likely to consider it early in a patient’s illness. Certain clinical and radiographic features increase the likelihood of tuberculosis. This review covers the clinical and radiographic features of tuberculosis, the initial evaluation of the patient, the use of airborne infection isolation, and the utility of new molecular techniques in diagnosing tuberculosis.