Geriatrics
- Vertebral fractures after denosumab cessation
The patient had a 6-month history of lumbar and dorsal back pain, initially suspected to be facet arthrosis.
- Denosumab cessation
Bone loss is rapid if patients miss injections. Clinicians can take extra measures to ensure patients get appropriate treatment.
- Aspirin for primary prevention of atherosclerotic cardiovascular events
A more limited role for aspirin as primary prevention in patients at intermediate risk, with diabetes, and the elderly.
- Constitutional symptoms, pathologic PET-CT
PET-CT showed diffuse hypermetabolism of the great vessel walls, compatible with large-vessel giant cell arteritis.
- Trousseau syndrome
Examination revealed multiple bluish macules and 2 palpable thrombosed superficial veins in the right popliteal fossa.
- To scan or not to scan? DXA in postmenopausal women
DXA is strongly recommended for women age 65 and older, but not so much for younger postmenopausal women.
- An unending ode to pneumonia
The examination, history, and sometimes, sputum Gram stain and culture results still inform our clinical judgment.
- Community-acquired pneumonia: Strategies for triage and treatment
Not all patients need to be hospitalized. Initial empiric treatment should be de-escalated as soon as possible.