Endocrinology
- Multiple metabolic renal manifestations of a systemic disease
A 39-year-old woman who presented with 5 days of generalized weakness and right-upper-quadrant abdominal pain was found to have an acid-base disorder, prompting evaluation for the underlying cause.
- Hypertension and severe hyperreninemia in a young man
A 29-year-old man with blood pressure measurements of 152/118 mm Hg and 156/116 mm Hg at 2 separate clinic visits is started on combination antihypertensive therapy and undergoes evaluation for secondary causes of hypertension.
- Dealing with the “T” (testosterone)
If a patient feels better when taking testosterone supplementation, is it the “T” or is it a placebo effect?
- Does my patient have testosterone deficiency?
Diagnosis of testosterone deficiency requires the presence of relevant signs or symptoms along with biochemical evidence.
- It’s a new year, looking back and looking forward
Reflections on highlights from 2023 and impending changes in 2024, along with some acknowledgments and farewells.
- 2023 Update in ambulatory general internal medicine
Topics reviewed include prevention of chronic kidney disease progression, diet for preventing secondary cardiovascular disease, prevention of kidney-stone recurrence, drug therapy for weight loss, and cholesterol management.
- Should I start an SGLT-2 inhibitor in my patient with heart failure and chronic kidney disease?
These conditions often co-exist and can have complex interactions. The progression of kidney disease increases the risk of major adverse cardiovascular events.
- Inpatient glycemic management in noncritically ill patients: Updated guidelines
The guidelines include a role for newer diabetes technologies and nontraditional insulin and noninsulin therapies.