Latest Articles
- Chronic lymphocytic leukemia and apparent hyperkalemia
The day after chemotherapy, the patient’s plasma potassium level was 7.7 mmol/L and the next day it rose to 10.9, but he had no signs or symptoms of hyperkalemia. What was the cause?
Male hypogonadism: More than just a low testosteroneConfronted with a low serum testosterone level, physicians should not jump to the diagnosis of hypogonadism. Confirmation and thorough evaluation are warranted.
- Home testing: The metamorphosis of attitudes about HIV infection
Most of us have not spent the past 25 years on the front line against the AIDS epidemic, but we all have been touched by it.
- Cognitive impairment in ICU survivors: Assessment and therapy
Cognitive impairment occurs in up to one-third of patients after a stay in the intensive care unit. Prevention is the prevailing strategy, since data on treatment are scarce.
- V1: The most important lead in inferior STEMI
A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.
- A woman with a swollen uvula
A woman on patient-controlled analgesia with morphine suddenly develops shortness of breath because of uvular swelling obstructing the airway. What is the diagnosis?
- The ‘T’ in ITP remains
The “I” has changed its meaning and the “P” is not necessary to make the diagnosis, but the disease formerly known as idiopathic thrombocytopenic purpura (ITP) remains important to diagnose.
- Fever, dyspnea, and hepatitis in an Iraq veteran
About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?
- The role of aldosterone receptor antagonists in the management of heart failure: An update
Spironolactone (Aldactone) and eplerenone (Inspra) are now part of standard therapy. Still, they must be used cautiously, as they can cause hyperkalemia.