Latest Articles
- Timeliness of treatment is more important than choice of reperfusion therapy
The most important modifiable predictor of outcome in ST-segment elevation MI is the time to treatment, a biological truth that continues to be supported by clinical evidence.
- Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role
In geographic areas where percutaneous coronary intervention (PCI) is not immediately available, the best strategy may be to give thrombolysis immediately and then to transfer the patient to a PCI hospital.
- Hepatitis C virus: Prevention, screening, and interpretation of assays
Patients at risk of hepatitis C virus infection should be screened for it so that they can be treated and potentially cured, or can at least avoid transmitting the disease to others.
- Interferon-gamma-release assays: Better than tuberculin skin testing?
These new blood tests overcome some of the limitations of skin testing, but converting to them poses challenges.
Charcot neuroarthropathy: An often overlooked complication of diabetesSuspect this condition if a patient with long-standing, poorly controlled diabetes and peripheral neuropathy develops a red, hot, swollen foot without ulceration.
- A young woman with a breast mass: What every internist should know
What is the differential diagnosis? What workup is appropriate? And what is the next step?
- HIV: Just another chronic disease
Did we ever expect a time when HIV would be viewed as a chronic disease, with patients warranting screening for coronary artery disease in order to decrease long-term coronary complications?
- How to prevent glucocorticoid-induced osteoporosis
When prescribing glucocorticoids for long-term treatment, physicians should take steps to prevent osteoporosis.
- Coronary heart disease in people infected with HIV
Traditional risk factors are the main culprits, although the infection itself and antiviral therapy also contribute.
Noninvasive tests for liver disease, fibrosis, and cirrhosis: Is liver biopsy obsolete?The need for liver biopsy is diminishing, thanks to accurate blood tests and imaging studies.