Latest Articles
- Electronic health records: We need to find needles, not stack more hay
We need a system that extends our abilities and improves the care we give—and we don’t have it yet.
Paget disease of bone: Diagnosis and drug therapyThis focal disorder of aging bone may be asymptomatic or cause pain, bowing deformities, fractures, or nonspecific rheumatic complaints.
- Recurrent abdominal pain and vomiting
A young man taking narcotic analgesics long-term has developed abdominal pain and vomiting. What is the cause?
- Postoperative pain: Meeting new expectations
Patients who need surgery ask, “How much pain will I have, and how will you manage it?”
- The electronic health record: Getting more bang for the click
Bemoaning the technology is not the answer—we need to refine the EHR, but we also need to do better documentation.
- Multiple intracardiac thrombi
A 60-year-old woman presents with massive venous thrombosis. What is the cause?
- How to interpret surveys in medical research: A practical approach
Was the survey well designed? Was the sample appropriate and the response rate adequate? And do the data support the conclusions?
- Practical management of bleeding due to the anticoagulants dabigatran, rivaroxaban, and apixaban
How these new drugs work, what coagulation tests can tell us, and how to reverse the drugs’ anticoagulant effect.
- Medication-assisted treatment of opiate dependence is gaining favor
Recovering addicts are more likely to avoid returning to the use of opiates if they participate in a program that includes taking maintenance doses of methadone or buprenorphine.
- Should healthy people take calcium and vitamin D to prevent fractures? What the US Preventive Services Task Force and others say
The USPSTF recently threw cold water on the use of these supplements, but the findings need to be put in context.