Latest Articles
- Big heart, small ring
A 58-year-old man has stopped wearing his wedding ring, and his wife suspects him of having an extramarital affair.
- Which bowel preparation should be used for colonoscopy in patients who have had bariatric surgery?
The authors routinely use low-volume (2-L) polyethylene glycol preparations in split-dose regimens.
- A 68-year-old man with a blue toe
The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.
- Patients with challenging behaviors: Communication strategies
Having a plan to deal with difficult personality types leads to better communication and outcomes—and less stress.
- Necrotizing pancreatitis: Diagnose, treat, consult
Patients may need intensive care, nutritional support, antibiotics, and radiologic, endoscopic, or surgical interventions.
- Whether to anticoagulate: Toward a more reasoned approach
The patient’s life expectancy and personal preferences are important and affect the decision.
- Palmar erythema as a sign of cancer
Red palms in an elderly patient can be due to a number of systemic diseases.
- Porcelain heart in a uremic patient
Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.
- An unexpected cause of shoulder pain
The patient’s scapula protruded abnormally during forward flexion and abduction of the arm.