Latest Articles
- Epiglottic cysts in clinical practice
If the cysts are symptomatic, patients describe nonspecific pharyngeal discomfort or a foreign-body sensation.
- How can I predict bleeding in my elderly patient taking anticoagulants?
We have tools, but their predictive value is modest. Clinical judgment is important.
- Reproductive health and the environment: Counseling patients about risks
Endocrine-disrupting chemicals are ubiquitous and affect multiple pathways. The precautionary principle should apply.
- Evaluation of nail lines: Color and shape hold clues
Inspection of the fingernails and toenails should be part of a complete physical examination.
Extracorporeal membrane oxygenation in adults: A practical guide for internistsPrinciples, patient selection, monitoring, and complications of this form of life support.
- An 85-year-old woman with respiratory failure and positional hypoxemia
Her oxygen saturation was more than 93% when lying down but dropped to less than 85% when she was upright.
- Self-monitoring of blood glucose: Advice for providers and patients
Self-monitoring provides essential data and also motivates patients. A certified diabetes educator can help.
- Pseudomembranous colitis: Not always Clostridium difficile
Other causes include other infections, ischemia, medications, and inflammatory mucosal diseases.