Geriatrics
- 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.
- Subclinical hypothyroidism February 2019
The article: Azim S, Nasr C. Subclinical hypothyroidism: When to treat. Cleve Clin J Med 2019; 86(2):101–110. doi:10.3949/ccjm.86a.17053 contained an error.
- A sleeping beast: Obstructive sleep apnea and stroke
Up to two-thirds of patients who have had a stroke have obstructive sleep apnea afterward, with worse outcomes.
- Personalizing guideline-driven cancer screening
Screening can lead to early diagnosis and prevent death from cancer, but the topic provokes controversy.
- Metformin for type 2 diabetes January 2019
Readers comment about deviation from guidelines during treatment of a patient with rapidly progressive pleural effusion (January 2019) and the effect of metformin on vitamin B12 levels (January 2019).