Latest Articles
- In vitro fertilization update
The science of in vitro fertilization has improved considerably in the last 25 years. We provide an overview of the current and experimental techniques of assisted reproductive technology.
- Newer hormonal therapies: Lower doses; oral, transdermal, and vaginal formulations
We review some of the hormonal regimens that have been approved in the past 5 years.
- Parkinson disease: Managing a complex, progressive disease at all stages
Parkinson disease is complex to manage. Its presentation can vary, as can its response to treatment. Physicians tend to focus on its motor symptoms, but many patients find nonmotor symptoms equally troublesome.
- Viral infections and the kidney: HIV, hepatitis B, and hepatitis C
Ten years ago, viral glomerulonephritis was usually regarded as untreatable. Now treatments are available for the top three causes: HIV, hepatitis B, and hepatitis C.
- Old drug, new data, continued vigilance
Colchicine, an old and familiar drug for gout, has found another use in preventing and treating pericarditis. But familiarity should not dampen vigilance.
- Advances in treating insomnia
Hypnotic drugs should not be the sole treatment for insomnia: the regimen should include sleep hygiene and behavioral therapies.
- An 18-year-oldwith effort-related arm swelling
A high school senior with a baseball scholarship presents with the acute onset of swelling in his nondominant arm. What is the most likely diagnosis and the most appropriate initial diagnostic test?
- At what age should we discontinue colon cancer screening in the elderly?
In general, you should stop when you do not expect the patient to live 7 to 10 more years. However, the full answer is more complicated.