Latest Articles
- Air travel and venous thromboembolism: Minimizing the risk
Blood clots can occur during air travel, although the absolute risk is low. People with hypercoagulable conditions are at greater risk and may need prophylaxis.
- Gout in patients with chronic kidney disease (December 2010)
The last three references were numbered incorrectly in the paper by Drs. Hossam El-Zawawy and Brian F. Mandell, “Managing gout: How is it different in patients with chronic kidney disease?” (Cleve Clin J Med 2010; 77:919–928).
- How should one investigate a chronic cough?
First, take the history, perform a physical examination, and order a chest radiograph.
- Goal-directed antihypertensive therapy: Lower may not always be better
At least 16 trials have been done in which patients were randomly assigned different blood pressure goals. Surprisingly, they did not show that a lower target offered significant clinical benefit, and they suggest the potential for harm.
- The Journal at 80 years: ‘Same as it ever was’—sort of
In the 1980s, the musical group Talking Heads sang, “You may ask yourself, How did I get here?”—an appropriate question as we begin our 80th year.
- Proton pump inhibitor side effects and drug interactions: Much ado about nothing?
In general, the safety of this class of drugs has been excellent. However, epidemiologic studies have indicated risks that are biologically plausible.
- Premenopausal osteoporosis, an overlooked consequence of anorexia nervosa
Particularly at risk are female athletes. The etiology is complex; the key treatment is to restore body weight.
- A 31-year-old man with abdominal pain and a rectal nodule
He has had pain and diarrhea for 4 days. What is the likely cause?