Latest Articles
- Should patients with mild asthma use inhaled steroids?
Yes—but only if we consider the severity of the asthma, the goals of therapy, and the benefits and risks.
Left ventricular hypertrophy: An overlooked cardiovascular risk factorAntihypertensive treatment that causes left ventricular hypertrophy to regress also decreases rates of cardiovascular morbidity and death, independently of how much the blood pressure is lowered.
- An erythematous plaque on the arm
A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?
- Update on the management of hirsutism
Hirsutism causes considerable anxiety in women. Although it is itself benign, it is often the sign of an underlying and possibly serious endocrine condition.
- A rare complication of infective endocarditis
An 85-year-old woman presents with a 2-hour history of dyspnea, dizziness, generalized weakness, nausea, and diaphoresis. What is the cause?
Laryngopharyngeal reflux: More questions than answersMost patients with suspected laryngopharyngeal reflux are given a 2-month trial of a proton pump inhibitor. Yet we still have little or no solid evidence on which to base the diagnosis or the treatment.
- Making the most of currently available bowel preparations for colonoscopy
The authors review the available regimens, offer an algorithm for choosing an appropriate regimen, and provide instructions for patients.
- The complexities of vitamin D
Patients with conditions as diverse as systemic lupus erythematosus and congestive heart failure seem to fare worse if they have lower vitamin D levels. But the seeming simplicity of this association belies several levels of complexity, with resultant clinical controversy.