Latest Articles
- Management of acute myocardial infarction in the elderly
Because elderly patients are at greater cardiac risk than younger patients, they have more to gain from treatment. Risk-benefit analysis plays a pivotal role in treatment decision-making, since treatments may pose more risk for older patients.
- A 56-year-old woman with syncope, chest pressure, and exertional dyspnea
A self-test featuring a challenging clinical presentation.
- Antiepileptic drug therapy in younger patients: when to start, when to stop
Recent studies suggest that antiepileptic drug therapy can be discontinued in many young patients after a 2-year seizure-free interval.
- Back pain: medical evaluation and therapy
Most patients with acute low back pain or sciatica improve with conservative therapy, and most require no immediate diagnostic studies beyond a careful history and exam.
- Gastroesophageal reflux disease: an overlooked cause of asthma
Osler noted this association a century ago. Chronic hoarseness, cough, globus sensation, laryngeal cancer, and dental erosions are other conditions GERD can cause.
- Left ventricular hypertrophy and cardiovascular prognosis
LVH is an important independent predictor of cardiovascular risk, but the therapeutic implications remain to be explored.
- Cancer prevention: what the physician can do
The ability to improve the control of cancer today depends more on primary care screening and prevention than on curative interventions at the subspecialty level.
- Advances in migraine management
New drugs and a better understanding of migraine's pathogenesis are improving the outlook for patients with this debilitating disorder.
- Fever and pleuritis in a postpartum patient
A self-test featuring a challenging clinical presentation.