Latest Articles
- Use and misuse of opioid agonists in opioid addiction
Methadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.
- To have not and then to have: A challenging immune paradox
The immune reactivation syndrome can occur when the immune system in an immunosuppressed patient with a partially controlled indolent infection is suddenly normalized.
- A man with progressive dysphagia
Difficulty swallowing can be caused by problems in the oropharynx or in the esophagus.
- Labels matter: Challenging conversations or challenging people?
Caring for patients is a complex, intricate, intimate privilege. To characterize it otherwise is to not fully understand it.
- A patient with altered mental status and an acid-base disturbance
Acid-base disorders can be diagnosed and characterized using a systematic, fi ve-step approach.
- Weight loss, fatigue, and renal failure
A 37-year-old man has gradually lost 100 lb over the past 2 years, with progressive fatigue and malaise.
- Statin therapy in the frail elderly: A nuanced decision
Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.
- Postoperative delirium in a 64-year-old woman
Nine days after surgery, her mental status takes an abrupt turn for the worse. What is going on?
- Altered mental status and an acid-base disturbance January 2017
Errors occurred in: Mani S, Rutecki GW. A patient with altered mental status and an acid-base disturbance. Cleve Clin J Med 2017; 84:27–34.