Geriatrics
- 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.
GERD: A practical approachPPIs are the first-line medical therapy. Endoscopic and surgical options are pursued only if medical therapy fails.
- 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.
- Severe megaloblastic anemia: Vitamin deficiency and other causes
Determining the underlying cause and initiating prompt treatment are critical.
- Sigmoid volvulus: Coffee bean sign, whirl sign
A 79-year-old man with cortical cerebellar atrophy presented with progressive abdominal distention and constipation.
- How to respond to flu vaccine doubters
Misinformation and unfounded fears abound. What should you tell patients who say no to a fl u shot?
- Pseudo-Ludwig angina
A woman on heparin developed a hematoma on the floor of her mouth that threatened to block her airway.
- Clinical trials: More to learn than the results
The details of the GIACTA trial challenge and reaffirm some of our clinical impressions about giant cell arteritis.