Latest Articles
- To prophylax or not to prophylax for endocarditis: Still a question
Give prophylactic antibiotics before invasive dental procedures? On the surface, it may seem sensible. But we have more to learn about the successful clearance of bacteria from the bloodstream and why protective mechanisms occasionally fail.
- Evaluating troponin elevation in patients with chronic kidney disease and suspected acute coronary syndrome
The authors examine challenges in diagnosing acute coronary syndrome in patients with chronic kidney disease and provide a diagnostic algorithm to risk-stratify these patients.
- Unexplained pathology is not always autoimmune
Our success in understanding well-defined autoimmune diseases may make us too willing to attribute yet-unexplained conditions to autoimmunity simply because they share symptoms.
- Surgical de-escalation: Are we ready for ‘observation’ of benign high-risk breast lesions found on core needle biopsy?
Surgical de-escalation is part of a larger movement of de-escalation of multidisciplinary breast cancer treatment. The challenge is to balance oncologic outcomes with surgical morbidity and quality of life.
- A new paradigm for adult ADHD: A focused strategy to monitor treatment
In adults with attention deficit hyperactivity disorder, shifting the focus of treatment from reducing symptoms to increasing task completions can allow the physician and patient to quickly determine effectiveness of pharmacotherapy.
- Asymptomatic oral plaques and erosion
A 45-year-old man presented with a 4-week history of plaques and erosion on the left buccal mucosa and lower lip.
- Atypical hyperplasia of the breast: Clinical cases and management strategies
The authors describe common clinical case scenarios for atypical hyperplasia of the breast and review management strategies for each scenario.
Autoimmunity and postural orthostatic tachycardia syndrome: Implications in diagnosis and managementA review of the presentation and diagnostic evaluation, including atypical features that may suggest an alternative diagnosis requiring a more extensive evaluation.