Latest Articles
- The female athlete triad: It takes a team
An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.
- Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
This sign is seen in about 30% of patients with antisynthetase syndrome.
- Deprescribing: When trying for less is more
We should periodically revisit the goals and rationale for all prescribed medications.
- Methemoglobinemia in an HIV patient
He had restarted his home dapsone prophylaxis, but his dyspnea worsened and his urine became dark.
- Ascites from intraperitoneal urine leakage after pelvic radiation
Six years earlier, the patient had undergone hysterectomy and chemoradiotherapy for cervical cancer.
- Update on VTE, Supplement 3 December 2017
Errors occurred in: Bartholomew JR. Update on the management of venous thromboembolism. Cleve Clin J Med 2017; 84(suppl 3): 39–46.
- Primary care management of chronic pelvic pain in women
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.
Acute cardiorenal syndrome: Mechanisms and clinical implicationsVolume overload is central to its pathogenesis, and accurate assessment of volume status is critical.
- Which test for CAD should be used in patients with left bundle branch block?
CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.
- Alzheimer dementia: Starting, stopping drug therapy
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.