Latest Articles
- Managing severe acute pancreatitis
Progress in managing this disease has been disappointing, but clinicians are learning to recognize it and treat it supportively better than in the past.
- Guidelines or a plea for help?
The US Preventive Services Task Force (USPSTF) recently published a guideline on the use of calcium and vitamin D supplements to prevent fractures in adults. I agree with two-thirds of their recommendations.
- Which patients may benefit from coronary artery calcification scoring?
Although no randomized trial has yet shown that the test improves outcomes, it is best used in asymptomatic patients at intermediate risk.
Evaluation and management of premature ventricular complexesThe diagnostic evaluation should include an assessment for structural heart disease and ambulatory Holter monitoring.
- Does coronary artery calcification scoring still have a role in practice?
Despite more than 2 decades of use and data from hundreds of thousands of patients, the test remains poorly understood.
- Stiff, numb hands
A 45-year-old woman presents to the emergency room with cramps and paresthesias in her hands and feet. What is going on?
- A 74-year-old man with abdominal pain
The patient has colon cancer, a repaired abdominal aortic aneurysm, and now, worsening abdominal pain.
- Sleep-disordered breathing and resistant hypertension (February 2013)
Readers comment on the role of sleep apnea in resistant hypertension (February 2013).
- Hyperpigmented patches on the neck, shoulder, and back
A 17-year-old boy has had asymptomatic, unilateral hyperpigmented patches since birth. What is the diagnosis?
- Not all joint pain is arthritis
A 47-year-old man who was diagnosed with rheumatoid arthritis 5 years ago now has pleural effusions and abdominal pain.