Pain
- How do I interpret and use quantitative buprenorphine and norbuprenorphine urine levels?
Confirmatory testing of urine samples can be useful in outpatient settings where buprenorphine dosing is not directly observed. But retaining and engaging the patient in effective treatment should be the ultimate goals of testing.
- Psychogenic nonepileptic seizure: An empathetic, practical approach
Barriers to care include clinician misperceptions, lack of acceptance of the diagnosis, poor patient engagement with treatment, and lack of access to care.
- Psychogenic nonepileptic seizure: A neurologist’s perspective
Confirming the diagnosis is only the start of the journey. The greater challenge and opportunity lie in how physicians present the diagnosis to the patient and family.
- We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
A better understanding of angina due to ischemia and no obstructive coronary artery disease has led to recognition of coronary microvascular dysfunction in many of these patients.
- Promoting physical activity in older women to maximize health
The optimal type, intensity, and level required to achieve specific health outcomes depend on the disease the patient and clinician are trying to prevent or manage.
- Heightening awareness of blistering disorders
The spectrum of associated disorders ranges from annoying to life-threatening.
- New bullous lesions in a 72-year-old woman
Her history included psoriasis, chronic lower-extremity edema, and hypertension.
- Update on medical management of acute hip fracture
Emphasis is on prompt surgery, multimodal analgesia, and enhanced recovery pathways.
- Median arcuate ligament syndrome: Incidental finding or real problem?
A woman was admitted with pain in the epigastrium and right upper quadrant that radiated to the back, as well as nausea and dry heaves.
- Median arcuate ligament syndrome: A clinical dilemma
Patients with chronic abdominal pain can benefit from a multidisciplinary evaluation.