Latest Articles
- Keeping up with immunizations for adults
Flu, tetanus, measles, mumps, rubella, varicella, hepatitis A and B, human papillomavirus, zoster, pneumonia, and meningitis.
- 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.
- 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.