Latest Articles
- In postmenopausal women who have had a subtotal (simple) hysterectomy, how much estrogen is enough, and how do you test for deficiency?
A standard dosage can be titrated upward according to symptoms.
Should patients receiving long-term gastric acid inhibition therapy be evaluated for vitamin B12 deficiency?Very few patients actually deplete their body stores of vitamin B12 but supplementation is benign.
- Pharmacologic aids to smoking cessation
Quitting smoking is notoriously hard. Drugs can improve the odds of quitting, but the best approach is multifactorial.
- A 65-year-old factory worke with dyspnea on exertion and a normal chest x-ray
What is the cause of this patient’s symptoms? A self-test on a clinical case.
- In diabetes, treat hidden heart disease
Both diabetic and prediabetic patients have abnormal vascular reactivity and should be considered to have occult cardiovascular disease.
- Using troponin T to diagnose acute coronary syndromes
Troponin T and creatine kinase MB have complementary roles. Includes a diagnostic algorithm.
- Heart failure is a fever: The cytokine connection
The discovery that inflammation contributes to heart failure may lead to new therapies for this disease.
- Factor V Leiden and Prothrombin G20210A
Genetic testing is useful only if the knowledge gained will affect the course of treatment.
