Latest Articles
- A guideline is like a prescription
We should not worship the idol of guidelines alone, but neither should we ignore them and make decisions based only on anecdote and experience.
- When do Raynaud symptoms merit a workup for autoimmune rheumatic disease?
Clues to systemic disease include prolonged and painful attacks that can cause ulceration or gangrene. Other clues are older age at onset, male sex, and asymmetric involvement.
- Mild cognitive impairment: Hope for stability, plan for progression
Older patients often raise concerns about cognitive issues with their primary care physicians. This mild impairment may progress to dementia, remain stable, or even improve.
- Autism in the office
To many, the image of autism is of a cute sandy-haired boy reciting the batting averages of baseball players. But the spectrum of autism is wide.
- Bilateral adrenal masses
In a woman with a thrombus in the aorta, imaging reveals bilateral high-density adrenal masses. What is the diagnosis?
- Sessile serrated polyps: Cancer risk and appropriate surveillance
The serrated polyp pathway is different than the pathway for conventional adenomas. What does finding these polyps on colonoscopy mean for patient care?