Latest Articles
- Rule out pulmonary tuberculosis: Clinical and radiographic clues for the internist
As tuberculosis rates decline in the United States, clinicians are less likely to consider it early in a patient’s illness. Certain clinical and radiographic features increase the likelihood of tuberculosis. This review covers the clinical and radiographic features of tuberculosis, the initial evaluation of the patient, the use of airborne infection isolation, and the utility of new molecular techniques in diagnosing tuberculosis.
- Short and sweet: Writing better consult notes in the era of the electronic medical record
Avoid repeating everything already in the record, but include your reasoning and teaching points.
- When should I discuss driving with my older patients?
Discuss driving safety with any patient who is age 80 or older, `or who has a high-risk medical condition.
- In Reply: Insulin therapy and cancer risk (October 2014)
A reader comments on whether insulin therapy increases the risk of cancer (October 2014).
- Enterovirus D68: A clinically important respiratory enterovirus
Seasonal peaks of viral respiratory illnesses are common during late summer and early fall and have often been attributed to human rhinovirus. In the fall of 2014, the number of children hospitalized with severe lower respiratory symptoms and asthma suddenly increased, and the children tested positive by sequencing for enterovirus D68 (EV-D68). As the outbreak unfolded, a possible association was also observed between EV-D68 infection, polio-like acute flaccid paralysis, and cranial neuropathy in children.
- Retroperitoneal cyst hemorrhage in polycystic kidney disease
Polycystic kidney disease is relatively common, and fewer than half of cases are diagnosed. The cysts often bleed.