Most cited article(s)
- Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.
- Carcinoid tumors: What should increase our suspicion?
Patients often present with vague, nonspecific symptoms, and unless the primary care physician suspects that the patient has a carcinoid tumor, the appropriate testing is seldom ordered.
- Evaluation of hyponatremia: A little physiology goes a long way
A careful and logical approach can promptly reveal the causative factor or factors in nearly all cases.
- Serotonin syndrome: Preventing, recognizing, and treating it
Serotonin syndrome can be easily overlooked, misdiagnosed, or exacerbated. Early recognition is critical.
- Promoting higher blood pressure targets for frail older adults: A consensus guideline from Canada
Consider the frailty of your elderly patients when prescribing antihypertensive treatment.
- Depression and heart disease: What do we know, and where are we headed?
Depression is a risk factor for new cardiac disease and has a detrimental effect in established cardiac disease. Clinicians should routinely screen for it in cardiac patients and should not hesitate to treat it.
- Airway pressure release ventilation: An alternative mode of mechanical ventilation in acute respiratory distress syndrome
This mode may be useful in situations in which the lungs need to be recruited (reinflated) and held open.
- Bone density vs bone quality: What’s a clinician to do?
Denser bone is not necessarily stronger. The concept of bone strength has moved beyond density alone and now includes a number of characteristics collectively referred to as bone quality.
- Short and sweet: Writing better consult notes in the era of the electronic medical record
Avoid repeating everything already in the record, but include your reasoning and teaching points.