Latest Articles
- Elder abuse and neglect: What physicians can and should do
If you suspect that an abusive situation exists, what should you do?
- So you’re being sued: Do’s and don’ts for the defendant
You may be dangerously uninformed about a process you might well have to face: malpractice litigation.
- Collect the evidence; I’ll look at it in a minute
We have good evidence and guidelines. Why aren’t we using them more?
- The newer antimuscarinic drugs: Bladder control with less dry mouth
Tolterodine (Detrol) and extended-release oxybutynin (Ditropan XL) are replacing immediate-release oxybutynin, being better tolerated.
- Poor hypertension control: Let’s stop blaming the patients
Only 27% of people with hypertension are at goal blood pressure levels, according to government figures. Is it the fault of the patients—or their physicians?
Should exercise electrocardiography be a routine part of the periodic health physical?No, but it is warranted in patients with multiple risk factors if coronary artery disease is suspected.
- Acute ischemic stroke: Is there a role for hypothermia?
Preliminary trials suggest that therapeutic hypothermia is beneficial in acute stroke; larger trials are under way.
What internists need to know about postpolio syndromePolio may be eradicated soon, but at least 1 million polio survivors in the United States are at risk of developing postpolio syndrome.
- Advances in diagnosing and excluding pulmonary embolism: Spiral CT and D-dimer measurement
No test is 100% sensitive and specific for pulmonary embolism. The best approach still depends on the pretest probability and, thus, on clinical judgment.
