Latest Articles
- The crystal, the gout, and the paradox
We think we know what causes gout, but things may not be so simple.
- The case for hormone replacement: New studies that should inform the debate
Unfortunately, many women who might benefit from hormone replacement may decide to forgo it.
- What internists need to know about postpolio syndrome
Polio may be eradicated soon, but at least 1 million polio survivors in the United States are at risk of developing postpolio syndrome.
- Advances in diagnosing and excluding pulmonary embolism: Spiral CT and D-dimer measurement
No test is 100% sensitive and specific for pulmonary embolism. The best approach still depends on the pretest probability and, thus, on clinical judgment.
- Acute stroke therapy: Beyond IV tPA
The quest to improve treatment includes intra-arterial infusion of thrombolytics, mechanical interventions, and neuroprotection through hypothermia.
- Follow the evidence—but don’t expect a straight path
The newest data on hormone replacement therapy remind us that evidence-based practice is not cookbook medicine.
- Choosing the most appropriate valve operation and prosthesis
Should the valve be repaired or replaced? And if replaced, which prosthesis is best?
- Endometriosis: Still tough to diagnose and treat
Despite advances, endometriosis is still tough to diagnose, treat, and live with.
- Progress in preventing chemotherapy-induced nausea and vomiting
Our understanding of the pathophysiology of emesis has improved, and we now have drugs that can prevent acute emesis in most patients. Delayed and anticipatory emesis remain a challenge.