Most read article(s)
- Should I consider metformin therapy for weight loss in patients with obesity but without diabetes?
The authors appraise the evidence to date for weight loss with metformin in this patient population.
- Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Physical examination in a man who presented with foot pain revealed absent bilateral posterior tibial and dorsalis pedis pulses and dusky erythema of both feet.
- 2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?
The author highlights key changes and recommendations of the new guideline, how they differ from previous and other society guidelines, and ongoing challenges and unresolved issues in perioperative care.
- Evaluation of nail lines: Color and shape hold clues
Inspection of the fingernails and toenails should be part of a complete physical examination.
- Cardiovascular disease in people living with HIV: Risk assessment and management
Because people living with HIV develop coronary artery disease much earlier than the general population, careful attention must be given to assessment and management of their cardiovascular risk.
- Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
The already higher cardiovascular risk in people living with HIV is exacerbated by social determinants of health such as socioeconomic status, access to healthcare, and systemic discrimination. Interventions that address this risk must be based in medical science and equity.
- Paroxysmal finger hematoma
This benign, self-limiting condition predominantly affects middle-aged women.
- Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation
The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.
- Quetiapine for primary insomnia: Consider the risks
Its cardiometabolic effects and potential for abuse warrant caution in off-label use.
- Should glucagon-like peptide 1 receptor agonists be withheld during the preoperative period?
Clinical judgment should guide this decision, taking into account patient symptoms and the presence of factors that may delay gastric emptying and increase risk for aspiration.