Latest Articles
- Update on pneumococcal vaccination in adults: Simpler is better
Recommendations have been updated in the hopes not only of preventing more cases of invasive pneumococcal disease, but also of making the recommendations easier to follow.
Benign paroxysmal positional vertigo: Effective diagnosis and treatmentThe authors review how to differentiate this balance disorder from others, and how best to treat it with position-changing maneuvers.
- Another vaccine article? Yes, but a different vaccine
As newer vaccines against Streptococcus pneumoniae have arrived, so have confusing recommendations and guidelines for the sequence and timing of administration.
- Reducing the risk of breast cancer
Breast cancer remains the most common malignancy in US women. Reducing this burden involves identification of high-risk individuals and personalized risk management.
- Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
The lesions occur on the soft palate, buccal mucosa, and tongue, and only rarely on the masticatory mucosa such as the gingiva and hard palate.
- Atrial fibrillation: Rate control or rhythm control?
Rate control has been preferred as the primary approach, but the pendulum is swinging in favor of rhythm control.
- Confusion in a 22-year-old woman, and diagnostic uncertainty
The patient had been complaining of gradual-onset and progressive headache and neck and back pain for 3 weeks.
- Scaly plaques in a malnourished patient
A markedly low serum zinc level and the characteristic location of the rash in a patient with long-standing alcohol use disorder and cirrhosis led to the correct diagnosis.
- Decongesting heart failure with diuretics: Easier to prescribe than to fully understand
Digging deep into the pathophysiology of diuretic resistance reveals complex interacting pathways. But none of these pathways can fully explain or be used to safely reverse diuretic resistance.
- How do I interpret and use quantitative buprenorphine and norbuprenorphine urine levels?
Confirmatory testing of urine samples can be useful in outpatient settings where buprenorphine dosing is not directly observed. But retaining and engaging the patient in effective treatment should be the ultimate goals of testing.
