topic
- Do patients with sepsis benefit from intravenous albumin?
Patients with sepsis who do not need vasopressors do not benefit from intravenous albumin compared with intravenous crystalloid therapy alone.
- Does my patient with acute variceal hemorrhage need a transjugular intrahepatic portosystemic shunt?
Placement of a transjugular intrahepatic portosystemic shunt can be used as salvage therapy to control bleeding when endoscopic management fails and as a means of secondary prophylaxis in select patients.
SGLT-2 inhibitors in heart failure and chronic kidney disease: A review for internistsThis review summarizes recent data and guidelines regarding SGLT-2 inhibitors in heart failure and chronic kidney disease and provides practical guidance for their use.
- Lymphedema vs lipedema: Similar but different
Lymphedema, lipedema, and even simple obesity in the extremities can resemble each other superficially and are often confused for one another, but they differ in important ways.
- Preventing herpes zoster in immunocompromised patients: Current concepts
The authors review clinical aspects of herpes zoster vaccination, including identifying at-risk patients, weighing the risks and benefits of the recombinant zoster vaccine, and using best practices for administering the vaccine.
- Pursuing the diagnosis of low back pain
The recommended conservative approach eschewing initial imaging in patients with acute or subacute low back pain is unlikely to miss a significant clinical problem in those with no “red flags,” though the evaluation should be tempered in patients with chronic low back pain.
- Low back pain: Spondylitis?
A 37-year-old woman was referred to a rheumatology clinic due to symptoms concerning for spondylitis after noting intermittent back pain with right-sided groin pain.
- Should an NPO order be placed for my patient with acute pancreatitis?
Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.
- A hidden cause of hypokalemia
A 21-year-old man presented with increasing fatigue and psychosis symptoms. Laboratory testing results were consistent with a metabolic disorder.
Diabetes technology: A primer for cliniciansThis review of the basics of various diabetes management devices is intended to enhance clinicians’ comfort level in helping patients use these technologies.