Latest Articles
- Caring for VIPs: Nine principles
When the patient is a “very important person,” the health care team should resist pressure to bend the rules.
- Seek and treat: HIV update 2011
Clinicians should routinely and matter-of-factly test patients for human immunodeficiency virus infection, just as they screen for other diseases.
Air travel and venous thromboembolism: Minimizing the riskBlood clots can occur during air travel, although the absolute risk is low. People with hypercoagulable conditions are at greater risk and may need prophylaxis.
- Gout in patients with chronic kidney disease (December 2010)
The last three references were numbered incorrectly in the paper by Drs. Hossam El-Zawawy and Brian F. Mandell, “Managing gout: How is it different in patients with chronic kidney disease?” (Cleve Clin J Med 2010; 77:919–928).
- How should one investigate a chronic cough?
First, take the history, perform a physical examination, and order a chest radiograph.
- Goal-directed antihypertensive therapy: Lower may not always be better
At least 16 trials have been done in which patients were randomly assigned different blood pressure goals. Surprisingly, they did not show that a lower target offered significant clinical benefit, and they suggest the potential for harm.
- Hypertension: Don’t worry about the J curve—treat the patient
Concerns over being too aggressive remain theoretical. A far greater problem is that we are still not successfully treating hypertension to even a conservative target.