Preventive Care
- Stellate ganglion block as a treatment for vasomotor symptoms: Clinical application
Hormone therapy is the mainstay of treatment, but there is a clear need for safe and effective nonhormonal options. The authors review data on the use of stellate ganglion block in perimenopausal and postmenopausal patients.
- Vitamin D supplementation: Pearls for practicing clinicians
A review of how to assess and counsel patients on the use of vitamin D, with patient scenarios clinicians are likely to encounter, and an overview of current recommendations for vitamin D supplementation.
- Anaphylaxis: Highlights from the practice parameter update
The update addresses diagnostic criteria, treatment options, prevention of recurrences, and patient education on avoiding triggers and using self-injectable epinephrine.
- Anaphylaxis: Expanding our perspective
Anaphylaxis is not always the extreme scenario we learned about in medical school. There is a range of far milder allergic infusion reactions that are nonetheless anaphylaxis.
- Extraosseous calcification in kidney disease
A review of the pathogenesis, presentation, diagnosis, and treatment of vascular and soft tissue calcifi cation.
- Hypercalcemia and vitamin A: A vitamin to keep in mind
Vitamin A toxicity can affect bone resorption and hypercalcemia and should be explored in unexplained cases of parathyroid hormone-independent hypercalcemia.
- A large, painless bulla on the right foot
A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.
- Discontinuing antidepressants: Pearls and pitfalls
To date, no formal schedule for tapering antidepressants has been validated. The maxim “slower is better” applies.
- Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity
Orthostatic hypotension is common and can have serious consequences. The author offers a systematic approach to evaluation and management.
- Sometimes the look is worth the walk
We do not routinely look at blood smears today. The need for expediency and efficiency limit the time spent on activities with a low yield for influencing care. And yet, for some conditions in some patients, going back to the basics can be clinically rewarding, and even memorable.