Drug Therapy
- Gabapentin for alcohol use disorder: A good option, or cause for concern?
There is concern about the potential for abuse. Use it only as a second-line alternative, with caution.
- Low-dose steroids for acute exacerbations of COPD in a non-ICU setting: Worth consideration
Despite the guidelines, most patients still receive high intravenous doses for acute exacerbations.
- STI update: Testing, treatment, and emerging threats
Fast, sensitive molecular diagnostic tests that use self-collected samples may help bend the upward curve of STIs.
- Diabetes management
Information was omitted from Table 1 on page 596 of the article, Makin V, Lansang MC. Diabetes management: Beyond hemoglobin A1c. Cleve Clin J Med 2019; 86(9):595–600. doi:10.3949/ccjm.86a.18031
- A few pearls can help prepare the mind
The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.
- A complication of enoxaparin injection
Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.
- Myopathy for the general internist: Statins and much more
How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as potentially dangerous myopathies.
- Clinical outcomes in diabetes: It’s not just the glucose (and it’s not so simple)
As we dig deeper into the reduction in cardiovascular deaths seen with some newer drugs, several questions arise.
- Pseudo-Ludwig angina
A woman on heparin developed a hematoma on the floor of her mouth that threatened to block her airway.
- Mediastinal granuloma due to histoplasmosis in a patient on infliximab
Immunosuppressive drugs can predispose to invasive fungal infection.