Latest Articles
- Constipation: An approach to diagnosis, treatment, referral
A stepwise, empiric approach suffices in most cases, but specialized testing is available for the minority of patients with severe, refractory constipation.
- Zinc lozenges for the common cold
Clinical trials of zinc cold therapy have produced conflicting results.
- The Breast Cancer Prevention Trial (P-1 Study)
Tamoxifen can reduce the incidence of breast cancer by nearly half in women at high risk, but at the price of increased endometrial cancer and thromboembolism. An illustration shows the differing effects of tamoxifen in different organs.
- Deep brain stimulation reduces symptoms of Parkinson disease
When medications fail to control the symptoms of Parkinson disease, either surgery or a small implanted electrical device can help. With an illustration of how deep brain stimulation works.
- Underused options for preventing and treating influenza
We have the means to prevent most cases of influenza, and to reduce the severity of cases that occur.
- Severe back and abdominal pain in a 44-year-old woman
What is the likely cause of this patient’s symptoms? A self-quiz on a clinical case.
- Daytime sleepiness: When is it normal? When to refer?
Daytime sleepiness has potentially serious consequences and should be investigated like any other symptom. With an algorithm for office evaluation.
- The difficulties of differentiating vasculitis from its mimics
The signs and symptoms of vasculitis are not specific, and the tests for it can be misleading.