Latest Articles
- V1: The most important lead in inferior STEMI
A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.
- Hypertension in the elderly: Some practical considerations
Treatment is challenging because of comorbidities and age-related changes. Some common scenarios are presented.
- Hypertensive chronic kidney disease in African Americans: Strategies for improving care
Factors responsible for its rapid progression in African Americans are detectable by screening and modifiable with prompt therapy.
- A 60-year-old man with abdominal bruising
A man with liver cancer developed abdominal ecchymoses resembling the Cullen sign and flank ecchymoses resembling the Grey Turner sign.
- Home testing for HIV: Hopefully, a step forward
An over-the-counter at-home test has been approved. Will it lower the number of infected people unaware of their infection?
- A woman with a swollen uvula
A woman on patient-controlled analgesia with morphine suddenly develops shortness of breath because of uvular swelling obstructing the airway. What is the diagnosis?
- The ‘T’ in ITP remains
The “I” has changed its meaning and the “P” is not necessary to make the diagnosis, but the disease formerly known as idiopathic thrombocytopenic purpura (ITP) remains important to diagnose.
- Fever, dyspnea, and hepatitis in an Iraq veteran
About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?
- The role of aldosterone receptor antagonists in the management of heart failure: An update
Spironolactone (Aldactone) and eplerenone (Inspra) are now part of standard therapy. Still, they must be used cautiously, as they can cause hyperkalemia.