Latest Articles
- Should I refer my patient for a parathyroidectomy?
In patients with primary hyperparathyroidism, this decision should be individualized and not based solely on whether guideline criteria are met.
- Does every patient with lactational mastitis require antibiotic treatment?
Not all do. Depending on the duration and severity of symptoms, some patients can be managed conservatively.
- Severe hyponatremia: Are you monitoring the urine output?
A 52-year-old woman presented with confusion and a 1-month history of drastically increased alcohol intake and mild nausea and anorexia, resulting in a 15-lb weight loss.
- Acquired reactive perforating collagenosis in a patient with diabetes
A 47-year-old woman presented with a 2-month history of pruritic eruptions on the left ankle and a complaint of thirst and polyuria for the past year.
- Glucocorticoid-induced adrenal insufficiency and glucocorticoid withdrawal syndrome: Two sides of the same coin
This review highlights the differences between primary adrenal insufficiency, secondary adrenal insufficiency, including glucocorticoid-induced adrenal insufficiency, and glucocorticoid withdrawal syndrome.
- When should I give corticosteroids to my patient with Pneumocystis pneumonia?
Patients with HIV infection who are hypoxemic should receive corticosteroids. Evidence for patients without HIV infection is limited.
- Corticosteroids: Giving and taking away
Two articles this month highlight opposite ends of the treatment spectrum, one on introducing adjunctive corticosteroids when treating Pneumocystis pneumonia, and the other on syndromes associated with glucocorticoid withdrawal.
- Management of lower-extremity venous thromboembolism: An updated review
A review of the 2021 updated guidelines of the American College of Chest Physicians including risk factors, supportive management, choice of anticoagulation therapy, and treatment considerations.