Latest Articles
- Should all patients have a resting 12-lead ECG before elective noncardiac surgery?
If the risk is low, an ECG could unnecessarily delay surgery, drive up costs, trigger further testing, and increase anxiety.
When patients on target-specific oral anticoagulants need surgeryUntil evidence-based guidelines are developed, clinicians will have to apply their knowledge of pharmacology.
- Why is metformin contraindicated in chronic kidney disease? (May 2014)
A reader comments on why metformin is contraindicated in chronic kidney disease, which was mentioned by Sakhuja et al (Cleve Clin J Med 2014; 81:289–299).
- Managing snoring: When to consider surgery
If conservative measures fail, a variety of surgical procedures are designed to keep the airway open during sleep.
- Terry nails in a patient with chronic alcoholic liver disease
His fingernails had a distal thin brown-pink transverse band, a white nail bed, and no lunula.
Radon and lung cancer: Assessing and mitigating the riskRadon exposure is the second most common cause of lung cancer, but the evidence so far does not support screening for lung cancer in people exposed to it.
- To improve our patients’ health, look beyond reducing readmissions
Focusing on the readmission rate diverts attention from more proactive ways to improve safety, quality, and value.
- Can we reduce the risk of readmission for a patient with an exacerbation of COPD?
The risk can be reduced by using a checklist before discharge and by implementing outpatient programs that continue patient education and provide rapid access to medical support if needed.
- Hand, foot, and mouth disease: Identifying and managing an acute viral syndrome
This is typically a benign childhood infection—except when it isn’t so benign or when it occurs in an adult.